Block 11

Clinical Experience Block 11

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

Schedule of the day 

12:50 - 1:00PM

Make sure you use the QR Code to sign in!

1:00 - 2:30PM

EVERYONE

  • Log into EPIC and ensure clinic is set up correctly-staff will check you off

 Telemedicine Encounters (1:00 or 1:45 start) 

  • M1 students will be conducting the visit as M2 students advise
  • M1 complete the SOAP presentation and Debrief Qualtrics form with a faculty member during your debrief session
  • M2 complete the staff documentation feedback Qualtrics

     

Clinical Procedures (1:00 or 2:00 start) 

  • M2 Students will be reviewing vital sign assessment with their M1 mentees
  • Fill out the provided vitals sheet while discussing correct methods, possible errors, and masked vs white coat hypertension

2:50 - 5:00PM

 

M1 Ultrasound Time 

*REMINDER: Everyone needs to consent for educational scanning*

  • M1 students will be scanning the RUQ, LUQ, Subcostal 4 chamber, and Pelvis
  • Students must send themselves the RUQ image to submit on post-quiz in D2L
  • M1 debrief survey will be completed by a faculty member as you review images

 

 

M2 Ultrasound Time 

*REMINDER: Everyone needs to consent for educational scanning*

  • M2 students will be obtaining the 2nd half of the RUSH exam (FAST + AAA + GB) Upload transverse view of Aorta with an anterior to posterio measurement for post-quiz submission. 
  • Save loops of your images to review with a faculty member. You do not need to label any structures! 
  • Fill out the RUSH Block 11 Image Debrief Qualtrics form with faculty as you review your images

 

Telemedicine Patient Encounter

REFRESH

EPIC

    • Select the 3rd/4th year template if prompted
    • Complete setup even if you are seeeing a SP. Staff will verify completion during PCE

REVIEW

  • Call 470-956-6000 with any EPIC issues

PREWORK

  • Review your patient's medical history and prepare for your telehealth visit
    • Please send your M1 a [secure] email with pertinent patient information and guidance on your recommendaton for what they should cover in the visit.
  • Be prepare to assist your M1 setting up your EPIC Clinic template. If you haven't logged into EPIC in 30+ days, you will need to call 470-956-6000 to regain access for lapsing. For those writing notes in EPIC be prepared to show them how to use the correct template in the EMR (videos above)
  • Be prepared to present objective data and the assesment 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 or review as an unsigned note in EPIC
  • Watch the and use it to assist with educating your M1s on presenting prior to and during the debrief.
  • Review with minor additions to assist with chronic disease/ primary care note documentation
  • Review 
  • Optional Review Block 2 Mentee EMR and MSK telehealth videos as you will be instructing them

POSTWORK

  • Recorders: Edit and complete your mentee鈥檚 note on your patient by 5:00 PM 48 hours after your patient encounter
    • If you have a SP, forward final note to your PCE preceptor, partner, and mentees (optional to include PCL preceptor)
    • If you have a real patient copy the M1 note and create your own final note and send to PCE preceptor for cosign and cc the patient's primary care provider. Remind your team to review the final note in EPIC with staff feedback once received.
  • Fill out during PCE 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 . 
  • If any of the above is not performed you may lose professionalism points.

OPTIONAL

  • Chapter 7 "" (back pain)
  •  (Focus on work up and treatment sections)

Clinical Procedures

REFRESH

 

PREWORK  

  • Review 
  • Will be instructing mentees on correct methods for taking vital signs, possible inaccuracies (ex. cuff sizes), and answering questions about masked/white coat hypertension.

OPTIONAL

 

Ultrasound

PREWORK

 Review

  • Review 
  • Review 
    • For Block 11, you will be practicing the SECOND half of the RUSH exam including: RUQ, LUQ, Pelvis, Aorta Transverse with measurement, and Gallbladder Longitudinal.   You will have time to practice the first half as well. You will obtain bedside/realtime feedback as you did in Block 10. You will also be assisting Class of 2029 students who will be scanning intro to FAST images.

REFRESH 

  •  M1 students will be performing the FAST exam on their M2 mentor. 
  • M2 students will assist with image acquisition and US debrief performed by faculty. 

OPTIONAL 

  • (Bring a partner & scan with Ashley)
  •  (Bring a partner and scan on your own)