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 1:50 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 EPIC 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 - 4:00PM	Ultrasound the Knee M1s will move to assigned rooms with their M1 partner and watch shoulder orientation video on Zoom  Obtain required images of the shoulder and brachial artery/vein with your partner and debrief with staff   SPs will be available if your partner does not consent to being scanned (SPs will be available until 16:00)     US DEBRIEF SURVEY    ULTRASOUND IMAGE UPLOAD

 

Telemedicine Patient Encounter

REFRESH

• How to Login and set up EPIC
• How to Start, Complete, and Foward your Telemedicine note. 
• Review PCL Note Template with additions specific for primary care and chronic conditions and Example Note that follows this template

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
• Use EPIC to 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
• All will complete the 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

• Shoulder Ultrasound Assignment Overview for Block 3 
• Mr. Brokestone's Shoulder Injury 
• Dr. Rich Gordon - In depth shoulder anatomy by ultrasound 
• Shoulder Ultrasound Overview Example Images 
  • Review workflow of uploading image on tablet and sending it to yourself via your email (last page on example image PowerPoint) 
  • You will be required to submit a video of the brachial artery and vein with compression on your post quiz 
• Ultrasound Orientation 
• Gowning Video 

REFRESH

• Block 1 Orientation to the Lumify Ultrasound System 

• POCUS 101.com Ultrasound Probe/Transducer Movements and Manipulation Made Easy! 

• Ultrasound Principles & Instrumentation-Orientation & Imaging Planes 

OPTIONAL

• Katie Comeaux Office Hours for Hands on Scanning  (Bring a partner & scan with Katie)
• Sign Up for Independent Ultrasound Practice Sessions (Bring a partner & scan on your own)
• Ultrasound: Basic Understanding and Learning the Language Article