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 - 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. AMWELL NOW     SOAP PRESENTATION DEBRIEF  EPIC 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 PM	FAST & Gallbladder Long Ultrasound Obtain required images with partners Send your RUQ view to yourself to submit for your post quiz  INFORMED CONSENT ULTRASOUND DEBRIEF SURVEY  ULTRASOUND IMAGE UPLOAD

 

Telemedicine Patient Encounter

REFRESH

• Review the SOAP presentation video
• Review PCL Note Template with additions specific for primary care and chronic conditions and Example Note that follows this template
• Review Telehealth Exam
• 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: (Pending email from Ms. Carvonne Hall) Complete all requirements for EPIC access in the following order: 
  • ACEMAPP requirements refer to email from Carvonne Hall once received
  • EPIC online Training
  • Obtain oneID (Help with oneID)
  • Set up Authenticator
• After completion of the above EMR training watch the below to further prepare specifically for our clinic:
  • EPIC login and setting up of your home screen
  • How to Start, Complete, and Forward your Telemedicine note 
• Review Telemedicine Abdominal Exam Video and Comprehensive Documentation Tips from Gastroenterology Joint Society

POSTWORK

• Recorders must complete your patient's note by 5:00 PM the day after your patient encounter and sign/submit your note to Clinical Experience Preceptor and partner in a [secure] email.  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 2028 PCL Clinical Experience Post-Visit Survey.  
• Possible Postwork if have not received the email from Ms. Carvonne Hall prior to my day then I will ensure I complete the : 
  • ACEMAPP requirements refer to email from Carvonne Hall once received
  • EPIC online Training
  • Obtain oneID
  • Set up Authenticator
• 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 
• Send your RUQ view to yourself to submit for your post quiz

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

• Review FAST Video - Dr. Matt Lyon

OPTIONAL

• Sign Up for Independent Ultrasound Practice
• Katie Comeaux Office Hours for Hands on Scanning (Bring a partner and scan)
• US 3D Orientation
• Review FAST Exam Review - Dr. Matt Lyon and Dr. Dan Kaminstein