Block 2

Clinical Experience Block 2

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

BLOCK 2 OBJECTIVES AND ASSESSMENTS

Schedule of the day

12:50 - 12:59PM	ZOOM ORIENTATION Make sure you use the QR Code to sign in!
1:00 - 2:40PM	Telemedicine Encounters (1:00 or 1:45 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 Those finishing visits early can start performing vital signs. Review consent AMWELL NOWSOAP PRESENTATION FEEDBACKCITRIX ACCESS STAFF DOCUMENTATION QUALTRICS SURVEY Clinical Procedures (1:00 or 1:50 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
2:40 - 3:15PM	M1 Ultrasound Time M1 students will be scanning the shoulder and the brachial artery & vein Students must send themselves a video of brachial vein compression with their name on it to submit to D2L for their post quiz REMINDER: Everyone needs to consent for educational scanning INFORMED CONSENTBLOCK 2 US DEBRIEFULTRASOUND IMAGE UPLOAD
3:15 - 4:00PM	M2 Ultrasound Time RUSH exam (FAST + AAA) REMINDER: Everyone needs to consent for educational scanning

Telemedicine - Patient Encounter

REFRESH

• Review EMR overview training from Week 3 of PCL.
• ReviewPCL Note Template with additions specific for primary care and chronic conditionsandExample Notethat follows this template

PREWORK

• Review your patient's medical history and prepare for your telehealth visit
• Ask M2 for last patient note in [SECURE] email and recommendations on what to cover
• Once EPIC access is obtained, use your access to look up patient information
• Watch the following videos on a telemedicine musculoskeletal exam. For full document, reference optional material below:
  • Preparing Patient for Exam Video
  • Spine Exam Video
• OPTIONAL
  • Knee Exam Video

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 and PCL Preceptor
• Interviewer team will review feedback on final note from recorders team
• All complete theClass of 2028 PCL Clinical Experience Post-Visit Survey
• Watch theSOAP presentation video
• If the above is not completed on time you willlose professionalism points.

OPTIONAL(all links are in BOX)

• Chapter 7 "Symptoms to Diagnosis" (back pain)
• Assessment documentation example for chronic back pain, OA, Gout
• The Telemedicine Musculoskeletal Examination complete article
• In the Clinic: Low Back Pain 2021(Focus on differential and work up sections)

Clinical Procedures

PREWORK

• Review how to obtain vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation)
  • Review prior PCL videos
  • NEJM Videos in Clinical Medicine: Blood-Pressure Measurement
  • Bates' Visual Guide to Physical Examination

OPTIONAL

• ReviewACC/AHA Hypertension Guidelines (pages e24-e27)
• Bethany McLeroy Office Hours for Hands on Procedures

Ultrasound

PREWORK

• Shoulder Ultrasound Assignment Overview for Block 2
• 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 and scan with Katie)
• Sign Up for Independent Ultrasound Practice Sessions(Bring a partner and scan on your own)
• Ultrasound: Basic Understanding and Learning the Language Article