Block 11

REFRESH

• Review Medical Student Note Writing (Updated Dec 15)
• EMR Training: 
  • Review EMR Training Videos full list
• Review Note Template Documentation Video (recommend playing at 1.5-2X speed)
• Review PCL Note Template with minor additions to assist with chronic disease/ primary care note documentation
• Review Example Note
• Optional Review Block 2 Mentee EMR and MSK telehealth videos as you will be instructing them
  • Preparing patient for exam
  • Spine exam
  • Knee exam

PREWORK REQUIRED

• • Review your patient's medical history and prepare for your telemedicine patient encounter    
    • Please send your M1 a [secure] email with pertinent patient information and guidance on your recommendation for what they should cover in the visit.  Your M1 does not have EMR access currently and this is the only way they can review the patient information.    
  • Be prepared to assist your M1 setting up a telemedicine visit and documenting in the correct place and with the correct template in the EMR (videos above) 
  • Be prepared to present objective data and the assessment and plan on the day of the encounter   
  • Recorders are the only ones that write a note and will receive the majority of that note already written from their mentee in a [secure] email. 
  • Watch the SOAP presentation video and use it to assist with educating your M1s on presenting prior to and during the debrief.

POSTWORK

• • Recorders: Edit and complete your mentee’s note on your patient by 5:00 PM 48 hours after your patient encounter and sign/submit your note to Clinical Experience Preceptor for signature.  Submit to all others as a reviewer: PCL preceptor, primary care physician, and partner.  If have SP encounter, send note the PCE preceptor, PCL preceptor, partner, and mentees.  Your final is sufficient for feedback to your mentees, however you can offer additional constructive feedback as you feel is appropriate.   
  • Once your note is sent to your Clinical Experience Preceptor, fill out Staff Documentation Qualtrics Survey to receive documentation feedback.
  • Send feedback received from the Qualtrics survey to your Mentee(s) to review. If you had a SP encounter include your edited note in the email for them to review.
  • Complete the Class of 2027 PCL Clinical Experience Survey. 
  • If any of the above is not performed you may lose professionalism points.

OPTIONAL

• • 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 work up and treatment sections)