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Clinical Experience Block 10

Arrive no later than 12:50 p.m. on your scheduled PCL Clinical Experience session or you are at risk for losing professionalism points. Bring your personal computer and stethoscope. 

                                                                Schedule of the Day

12:50-12:55 PM	Make sure you use the QR Code to sign in! Orientation for the 2nd years
12:55-1:40PM	Intro to PCE: Dr. Broughton's lecture for 1st years
1:45-3:25pm	Telemedicine Encounters (1:45 or 2:35 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 sesson.             Clinical Procedures  (1:45 & 2:35 start)  PPE donning and doffing (2nd year completes) There will be extra time to review workflow of the day (How to prep for your telemedicine visit, EMR, SOAP, Documentation)
3:25-3:50pm	Orientation to Diagnostic Ultrasound and Consent Both M1s & M2s watch US orientation:   (only M1s)
3:50-4:40pm	1st years ultrasound blue blocks (2nd years will assist and perform US debrief with 1st year students) Must save short access view of vessel with measurements for post quiz and D2L

 

Telemedicine Patient Encounter

REFRESH

• EMR Training:
  • (REQUIREDto review for week 4)
• Documentation Feedback
  
  • • NOTE: recommend a 2.5 or 3 on your overall documentation feedback.
      Reviewing the below should set you up for success to receive a 2.5 or 3 on
      your feedback. Virtual CPA is scheduled during September and those that
      haven’t gotten a 2.5-3 may need remediation for documentation
• Review  (recommend playing at 1.5-2X speed)
  • with minor additions to assist with chronic disease/ primary care note documentation

PREWORK REQUIRED

 

• Watch
• Review your patient's medical history and prepare for your telemedicine patient encounter
• Recommend choosing a neurological issue to review (Example: Migraines, Neuropathy, CVA history, seizures)
• Review  (Focus on "Cranial Nerve Exam" for Block 9 and review the "Comprehensive Neuro Telehealth Exam" for Block 10)

POSTWORK

• All must review mentee(s) note and offered feedback 
• Recorders must complete your patient's final note (may use M1s note and edit) by 5:00 PM 48 hours after the day of your patient encounter You must forward to your PCE preceptor, partner and mentee’s via [Secure] email if unable to write in EMR or have an SP. If able to write in EMR must correctly forward to your PCE preceptor and the patient’s primary care provider.  If have SP encounter, send note the final note to your PCE preceptor, PCL preceptor, partner, and mentees.
• Send feedback received from the Qualtrics survey to my Mentee(s) to review. If you had an SP encounter include your edited note in the email for them to review.
• Complete the

OPTIONAL

• NOTE: Choose optional reading based on your chronic or acute issue discussed with patient as well as screening condition you decided to cover.
• OPTIONAL READING FROM BLOCK 9

Clinical Procedures

REFRESH (Self-Directed Learning)

• Review the following:
  • Donning PPE Document
  • Doffing PPE Document

PREWORK 

OPTIONAL

Ultrasound

REFRESH

PREWORK REQUIRED

•  Review
• Review
• Review
•  Review
  • For Block 10, you will be practicing the first half of the RUSH exam including: PSLA, Apical 4-chamber heart, Subcostal 4-chamber heart, IVC long at Right Atrium, and Lung. You will only submit PSLA for post-quiz, and all 5 images must be reviewed by PCL faculty during Block 10.
  • You will also be assisting Class of 2030 students who will be completing the . Please review this prior to your session as well as the . You and your M1 mentee will be scanning a gel phantom that includes 2 simulated vessels with the Linear transducer.

OPTIONAL