Block 2

Clinical Experience Block 2 

The PCL Clinical Experience includes: Telemedicine Patient Encounter Session, Clinical Procedures Session, and Ultrasound Session.

BLOCK 2 OBJECTIVES AND ASSESSMENTS

Schedule of the day 

12:50 - 12:59PM	ZOOM ORIENTATION Make sure you use the QR Code to sign in!
1:00 - 2:40PM	Telemedicine Encounters (1:00 or 1:45 start)  M1 students will be conducting the visit as M2 students observe Complete the SOAP Presentation Debrief Qualtrics form with a faculty member during your debrief session Those finishing visits early can start performing vital signs. Review consent AMWELL NOW    SOAP PRESENTATION FEEDBACK    CITRIX ACCESS                                                 STAFF DOCUMENTATION QUALTRICS SURVEY  Clinical Procedures (1:00 or 1:50 start)  M2 Students will be reviewing vital sign assessment with their M1 mentees Fill out the provided vitals sheet while discussing correct methods, possible errors, and masked vs white coat hypertension
2:40 - 3:15PM	M1 Ultrasound Time  M1 students will be scanning the shoulder and the brachial artery & vein Students must send themselves a video of brachial vein compression with their name on it to submit to D2L for their post quiz REMINDER: Everyone needs to consent for educational scanning INFORMED CONSENT  BLOCK 2 US DEBRIEF    ULTRASOUND IMAGE UPLOAD
3:15 - 4:00PM	M2 Ultrasound Time  RUSH exam (FAST + AAA) REMINDER: Everyone needs to consent for educational scanning

Telemedicine - Patient Encounter

REFRESH

• Review EMR overview training from Week 3 of PCL.
• Review PCL Note Template with additions specific for primary care and chronic conditions and Example Note that follows this template

PREWORK

• Review your patient's medical history and prepare for your telehealth visit
• Ask M2 for last patient note in [SECURE] email and recommendations on what to cover
• Once EPIC access is obtained, use your access to look up patient information
• Watch the following videos on a telemedicine musculoskeletal exam. For full document, reference optional material below:
  • Preparing Patient for Exam Video
  • Spine Exam Video
• OPTIONAL  
  • Knee Exam Video

POSTWORK

• Recorder must complete your patient's note by 5:00 PM the day after your patient encounter and send your note in a [SECURE] email to your M2 mentor and PCL Preceptor 
• Interviewer team will review feedback on final note from recorders team
• All complete the Class of 2028 PCL Clinical Experience Post-Visit Survey 
• Watch the SOAP presentation video
• If the above is not completed on time you willlose professionalism points.

OPTIONAL (all links are in BOX)

• Chapter 7 "Symptoms to Diagnosis" (back pain)
• Assessment documentation example for chronic back pain, OA, Gout
• The Telemedicine Musculoskeletal Examination complete article
• In the Clinic: Low Back Pain 2021 (Focus on differential and work up sections)

Clinical Procedures

PREWORK

• Review how to obtain vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation) 
  • Review prior PCL videos
  • NEJM Videos in Clinical Medicine: Blood-Pressure Measurement
  • Bates' Visual Guide to Physical Examination

OPTIONAL 

• Review ACC/AHA Hypertension Guidelines (pages e24-e27)
• Bethany McLeroy Office Hours for Hands on Procedures

Ultrasound

PREWORK

• Shoulder Ultrasound Assignment Overview for Block 2
• Mr. Brokestone's Shoulder Injury
• Dr. Rich Gordon - In depth shoulder anatomy by ultrasound
• Shoulder Ultrasound Overview Example Images
  • Review workflow of uploading image on tablet and sending it to yourself via your email (last page on example image PowerPoint)
  • You will be required to submit a video of the brachial artery and vein with compression on your post quiz
• Ultrasound Orientation
• Gowning Video

REFRESH

• Block 1 Orientation to the Lumify Ultrasound System
• POCUS 101.com Ultrasound Probe/Transducer Movements and Manipulation Made Easy!
• Ultrasound Principles & Instrumentation-Orientation & Imaging Planes

OPTIONAL 

• Katie Comeaux Office Hours for Hands on Scanning (Bring a partner and scan with Katie)
• Sign Up for Independent Ultrasound Practice Sessions (Bring a partner and scan on your own)
• Ultrasound: Basic Understanding and Learning the Language Article