Block 7

Clinical Experience Block 7

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

Block 7 OBJECTIVES AND ASSESSMENTS

Schedule of the Day

12:50 - 12:59 PM	ZOOM ORIENTATION Make sure you use the QR Code to sign in!
1:00 - 2:40PM	Telemedicine Encounters (1:00 or 1:50 start)  The interviewer will be conducting the encounter while the scribe observes. Complete the SOAP presentation Debrief Qualtrics form with a faculty member during your debrief session. SP VISITS     SOAP PRESENTATION DEBRIEF  EPIC ACCESS TELEHEALTH NOTE FEEDBACK SURVEY Clinical Procedures  (1:00 & 1:50 start)  Glucose finger stick as a group then review previous procedures(EKGs, ultrasound guided needle placement, videos on NGs and foley catheters, placing IVs/IOs)
2:40 PM	Aorta (with measurements) & Gallbladder Long M1s will obtain the following images on their partner: transverse proximal aorta, mid aorta, distal aorta, longitudinal aorta, and gallbladder Pull up the Ultrasound Debrief Survey priot to scanning. This will contain example images and videos on how to obtain the ultrasound images Make sure to include an anterior to posterior measurement of each transverse aorta image* Consent your partner prior to obtaining images. SPs are available to be scanned as well Have your images reviewed by a faculty member and submit the debrief survey prior to leaving clinic. **Faculty must watch you obtaian 1 of your 4 images** Email yourself the longitudinal aorta image for your potst-quiz in D2L  INFORMED CONSENT ULTRASOUND DEBRIEF SURVEY  ULTRASOUND IMAGE UPLOAD

 

Telemedicine Patient Encounter

REFRESH

• Review the SOAP presentation video
• Review PCL Note Template with additions specific for primary care and chronic conditions] and Example Note that follows this template
• Review Telehealth Exam
• Review 'Follow up' Chronic Issue Note

PREWORK REQUIRED

• Review your patient's medical history and prepare for your telehealth visit
• Review SP visit summary in case your patient cancels or is a "no show".
• Recommend reviewing and choosing a chronic abdominal complaint to review if possible (Example: GERD, chronic pancreatitis, Fatty Liver, Constipation, IBS)
• Review Telemedicine Abdominal Exam Video and Joint Society Virtual Physical Exam Tips

POSTWORK

• Recorders must complete your patient's note by 5:00 PM the day after your patient encounter and sign/submit your note to Clinical Experience Preceptor and partner in a [secure] email.  
• Complete the Clinical Experience Post-Visit Survey.
• If any of the above is not completed on time you will lose professionalism points.

OPTIONAL

• NOTE: Choose optional reading based on your chronic or acute issue discussed with patient as well as screening condition your decided to cover.
• Symptoms to Diagnosis: Part 3 Abdominal Pain (Recommended Common Chronic Issue Sections include 14,16, 20, 21 - Chronic Pancreatitis, IBS, Nephrolithiasis, PUD)
• In the Clinic: Non-Alcoholic Fatty Liver Disease (2018)
• In the Clinic: GERD (2015)
• In the Clinic: Irritable Bowel Syndrome (2017)

Clinical Procedures

REFRESH

• Review  Vascular Access - Dr. Matt Lyon  
• Review  IV Insertion Video  
• Review 12-Lead EKG Placement Video
• Review  Nasogastric Tube Placement Video
• Review  Urinary Catheter Insertion Video

PREWORK

• Review  Blood Sugar Video  

OPTIONAL

• Bethany McLeroy Office Hours for Hands on Procedures

Ultrasound

PREWORK

• Review Finding the Gallbladder on Ultrasound video - Dr. Ted Kuhn
• Review Aorta and Vascular Anatomy by Ultrasound
• Review Example Video of Aorta scan with measurements

IN CLINIC

• Send your Proximal Long Axis Image of the Aorta for your post quiz
• Review Example Video of Aorta scan with measurements

POSTWORK 

• Upload your Proximal Long Axis Image of the Aorta to the post quiz

OPTIONAL

• Sign Up for Independent Ultrasound Practice
• Katie Comeaux Office Hours for Hands on Scanning (Bring a partner and scan)