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 - 1:00 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.

AMWELL NOW SOAP PRESENTATION DEBRIEF CITRIX ACCESS STAFF DOCUMENTATION QUALTRICS 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 - 4:00pm

FAST & Gallbladder Long Ultrasound

Obtain required images with partners
If starting before 2:30 send Katie Comeaux a teams message or go to her office and ask for assistance.

INFORMED CONSENT ULTRASOUND DEBRIEF SURVEY ULTRASOUND IMAGE UPLOAD

Telemedicine Patient Encounter

REFRESH

Review EMR training
- Review Medical Student Note Writing
- Review How To Send a Secure Message in Powerchart (block 6)
- Review all EMR videos under FAQ on website
Review PCL Note Template with additions specific for primary care and chronic conditions and Example Note that follows this template
Review 'Follow up' Chronic Issue Note

PREWORK REQUIRED

Review your patient's medical history and prepare for your telehealth visit
Recommend reviewing and choosing a chronic abdominal complaint to review if possible (Example: GERD, chronic pancreatitis, Fatty Liver, Constipation, IBS)
EMR Training:
- If you have not set up My Experience, watch the video and set it up. Sometimes after choosing the workflow view, you will need to close out of Powerchart and re-open before it shows.
Review Telemedicine Abdominal Exam Video and Comprehensive Documentation Tips from Gastroenterology Joint Society
Motivational Interviewing Video

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 have SP encounter, send note to your PCL preceptor in email for feedback. If this is not completed on time, you will lose professionalism points.
Once your 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
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

REFRESH

Review Finding the Gallbladder on Ultrasound video - Dr. Ted Kuhn

PREWORK

Review FAST Exam Review - Dr. Matt Lyon and Dr. Dan Kaminstein
Review GB / FAST Image Examples

POSTWORK (optional to review as prework, but required postwork)

Review FAST Video - Dr. Matt Lyon

OPTIONAL

Information for:

Resources

Block 7

Clinical Experience Block 7

Schedule of the Day

12:50 - 1:00 PM

1:00 - 2:40PM

Telemedicine Encounters (1:00 or 1:50 start)

Clinical Procedures (1:00 & 1:50 start)

2:40 - 4:00pm

FAST & Gallbladder Long Ultrasound

Telemedicine Patient Encounter

Clinical Procedures

Ultrasound