Block 9

Clinical Experience Block 9

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

Arrive no later than 12:50 p.m. on your scheduled PCL Clinical Experience session or you are at risk for losing professionalism points. Bring your personal computer and stethoscope. 

                                                                                                             Block 9 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 duing your debrief session. AMWELL NOW      SOAP PRESENTATION DEBRIEF    CITRIX ACCESS    STAFF DOCUMENTATION QUALTRICS SURVEY Clinical Procedures  (1:00 & 1:50 start)  BLS check-offs
2:40 - 2:55pm	Front lecture room Review flow for the practicum Review clerkship requirements Mentor role reminder for the next 3 blocks
2:55 - 4:45pm	FAST Practice Practicum Six (6) students at a time Those of you not doing the practicum will have other rooms to practice image acquisition or Meet with Dr. Broughton to review note documentation  PRACTICE PRACTICUM INSTRUCTIONS  INFORMED CONSENT  FAST PRACTICUM IMAGE UPLOAD

 

TELEMEDICINE PATIENT ENCOUNTER

REFRESH

• Review Medical Student Note Writing 
• Review 'Follow up' Chronic Issue Note
• EMR Training:
  • Review EMR Training Videos: If you have not completed a medicine history reconciliation or updated social history of your patient, please attempt to do so during this block. 
  • NOTE: Remember you must get a 2.5 or 3 on your documentation feedback for block 9 or 10. If you do not you will do remediation during October. Reviewing the below should set you up for success to receive a 2.5 or 3 on your feedback. CPA is scheduled during Block 11 and those that haven't gotten a 2.5-3 will need remediation.
• Review Note Template Documentation Video (recommend playing at 1.5-2X speed)
  • PCL Note Template with minor additions to assist with chronic disease/ primary care note documentation
  • SP Note from Block 7 NAFLD Example
    

PREWORK REQUIRED

• Review your patient's medical history and prepare for your telehealth visit
• Recommend choosing a chronic neurologic issue to review if possible (Example: Migraines, Neuropathy, CVA history, seizures)
• Telehealth Physical Exams: Neurological - Old Dominion University
  • May focus on Cranial Nerve Exam this block as will have same pre-work exam video for block 10 where can review a more comprehensive neuro telehealth exam

• Review Telemedicine Coding Video - Dr. Robbie Broughton

 POSTWORK

• Complete your patient's note by 5:00 PM the day after your patient encounter and sign/submit your note to Clinical Experience Preceptor for signature and PCL preceptor as a reviewer. If you have an SP encounter, send note to PCL preceptor  and partner in email for feedback. 
• Once you note is sent to your Clinical Experience Preceptor, fill out Staff Documentation Qualtrics Survey to receive documentation feedback.
• Complete the Class of 2027 PCL Clinical Experience Post-Visit Survey by August 7 at 11:30pm.

OPTIONAL

• NOTE: Choose optional reading based on your chronic or acute issue discussed with patient as well as screening condition you decide to cover. 
• Symptoms to Diagnose: Part 20 Headache (Migraine Headaches 20-14)
• In the Clinic: Migraines, 2017
• In the Clinic: Concussion, 2018
• In the Clinic: Dementia, 2019
• In the Clinic: Multiple Sclerosis, 2021

CLINICAL PROCEDURES 

PREWORK REQUIRED

• COMPLETE YOUR BLS MODULE PRIOR TO YOUR CLINIC DAY!!!! Print your certificate and bring it with you to a lab.
  • You MUST do this unless given an exception by PCE staff, even if you have a current BLS certification.
  • If you do NOT complete your module and bring your certificate, you will have to re-do your practical experience with the AHA center (2nd floor CJ) at a cost of $70 (paid by you).

ULTRASOUND 

REFRESH

• Review FAST Video - Dr. Matt Lyon
• Review FAST Exam Review - Dr. Matt Lyon and Dr. Dan Kamenstein
• Review GB/FAST Image Examples

PREWORK REQUIRED

• • FAST Practicum Intro Video – Block 9
  • Fast/Gallbladder Practicum Instructions