Block 3

Clinical Experience Block 3 

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

Block 3 OBJECTIVES AND ASSESSMENTS

Schedule of the Day

12:50 - 1:00PM	ZOOM ORIENTATION Make sure you use the QR Code to sign in!
1:00 - 2:30PM	Telemedicine Encounters (1:00 or 1:35 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 AMWELL NOW   SOAP PRESENTATION DEBRIEF CITRIX ACCESS    Clinical Procedures (1:00 or 1:50 start)  Isolation and needle guidance.  Save and email yourself a longitudinal image with needle in model vessel to upload into D2L (LONGITUDINAL NEEDLE USGIV) If you finish procedures early: 1st group prep for visit and 2nd group can watch their post work vitals podcast and reporter can finish note.
2:30 - 2:35PM	Ultrasound the Knee M1s move to partner's room (room assignments are in the hallway and on your computer in room) Obtain required images of the knee with your partner and debrief with staff (SPs will be available until 14:55) Ultrasound Debrief Survey Ultrasound Image Upload

 

Telemedicine Patient Encounter

REFRESH

• Review PCL Note Template with additions specific for primary care and chronic conditions Example Note that follows this template
• Review the SOAP presentation video

PREWORK REQUIRED

• Review your patient's medical history and prepare for your telemedicine visit
• Ask M2 for last patient note in [SECURE] email and recommendations on what to cover
• Complete online EPIC training through PCL. Once able to access the EMR, look up patient information
• Watch Old Dominion University Telehealth Physical Exams: Skin Video
• Watch Health Coaching (Medical Reconciliation): Techniques to Deliver Patient Centered Care Video
• Watch Introduction to Motivational Interviewing and complete your Motivational Interviewing Self Assessment

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, your partner and PCL preceptor.
• Interviewer team reviews final note and feedback on final note from recorder team
• Complete the Class of 2028 PCL Clinical Experience Post-Visit Survey 
• Workflow for Note Feedback (This will update based on student EPIC access)  
• If this is not completed on time, you will lose professionalism points.   

OPTIONAL (all links in BOX)

• Symptoms to Diagnosis: Chapter 17-13 Venous Insufficiency
• Symptoms to Diagnosis: Part 29 Rash
• In the Clinic: Venous Leg Ulcers (2016)
• In the Clinic: Psoriasis (2018)

Clinical Procedures

PREWORK REQUIRED

• Review Ultrasound Guided Procedures. Save and email yourself a longitudinal image with needle in model vessel to upload into D2L (LONGITUDINAL NEEDLE USGIV)
• Review Isolation Precaution Information

POST WORK REQUIRED

• Review Vitals are Vital Podcast

OPTIONAL

• Review Vascular Access - Dr. Matt Lyon
• Review IV Insertion Video
• Bethany McLeroy Office Hours for Hands on Procedures

Ultrasound

PREWORK

• Review Block 3 Knee Ultrasound Scanning Preview Video  (Images and structures required to identify for the session)
• Knee Injury Video
• Review more in-depth clinical lecture Block 3 Knee Ultrasound
• Review Block 3 MSK Knee Ultrasound example Images A Class of 2027 mentor will assist you with starting your ultrasound scanning only. You will consent and scan with your M1 partner or SP if needed.

OPTIONAL

• Sign Up for Independent Ultrasound Practice
• Katie Comeaux Office Hours for Hands on Scanning (Bring a partner and scan with Katie)
• 3-D Orientation Practice video
• Image Orientation and Survey