Â鶹¹ÙÍøÊ×Ò³Èë¿Ú

Clinical Experience Block 5

The PCL Clinical Experience includes: Telemedicine Patient Experience 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 - 2:45PM	Telemedicine Encounters (1:00 or 1:25 start)  The interviewer will be conducting the encounter while the scribe observes All visits with real patients will be done in EPIC. Complete the (Interviewer) with a faculty member during your debrief session               Clinical Procedures (2 groups will go at a time)  Practice interpreting and troubleshooting EKGs Do not begin ultrasound portion until completing the telemedicine debrief and the EKG case. You may work on your patient notes while waiting or watch the post work video case/EKG which is needed to answer the post quiz questions.
2:45 - 4:30PM	Cardiac Ultrasound You will be obtaining ultrasound images of the heart and IVC on your partner. Pull up the   prior to scanning. This will  contain example images and videos on how to obtain the ultrasound images your partner prior to obtaining images. SPs are available to be scanned as well. Have your images reviewed by a faculty member ²¹²Ô»å  submit  the debrief survey prior to leaving clinic.  *Faculty must watch you obtain 1 of your 4 images.*  the IVC longitudinal image to yourself for the post-quiz in D2

 

Telemedicine Patient Encounter

· REFRESH

• Review ²¹²Ô»å  that follows this template
• Review

· PREWORK

• For those who have seen their patient before review your patient's medical history
  from your prior notes and prepare a tentative plan for your telehealth visit. Take
  into account you will not have EMR access to be able to review new events since
  your last visit. This information will need to be obtain during your interview. For
  those seeing a new patient develop a plan for an initial encounter with a patient
  when unable to review chart information.
• Review the SP patient information in the case your patient does not show
• Chronic issue interview/documentation
  approach
• Old Dominion University
• Review

· 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. This must be done through EPIC. Please review
• If you have an SP encounter, you should send your note via email to your Clinical Experience Preceptor and copy your partner. 
• CHANGE: EVERYONE (interviewer and recorder) must fill out as soon as you finish debriefing with PCE faculty Completion of this survey is required for all telemedicine visits, regardless of whether the encounter was with a real patient or a standardized patient. 
• Complete the 
• If any of the above is not completed on time you will lose professionalism points.

· OPTIONAL

• Choose optional reading based on your chronic or acute issue discussed with patient
• Optional Telemedicine Exam Review:
  • URI: 0:00 - 5:30
  • Back Exam: 5:30 - 11:00
  • Shoulder Exam: 11:00 - 16:00

Clinical Procedures

· PREWORK

• Watch
• (Your team will see this patient during your procedure time)

· POSTWORK (watch prior to completing your post-work quiz)

• - covers one case/ EKG and Ultrasound match
•  (will assist with post quiz questions)

· OPTIONAL

 

Ultrasound

PREWORK

 

• Review  
• Review
• Review the following PSLA, Subcostal, and IVC videos/images: 
  

 

· OPTIONAL

• Review  - Dr. Dan Kaminstein and Dr. Matt Lyon
•  (Bring a partner & scan with Katie)
• (Bring a partner & scan on your own)

· Additional Ultrasound Resources