Block 4

Clinical Experience Block 4 

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

BLOCK 4 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 - 3:00PM	Telemedicine Encounters (1:00 or 2:00 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 session  AMWELL NOW      SOAP PRESENTATION DEBRIEF    EPIC ACCESS    STAFF DOCUMENTATION QUALTRICS SURVEY  Clinical Procedures (1:00 or 2:00 start)  Students will be practicing obtaining IV and IO access on task trainers.
3:00 - 4:30PM	Cardiac Ultrasound Open Zoom link M1s will obtain required cardiac and IVC images with their partners Have US debrief up while obtaining images to receive feedback from staff Recommend saving all images, but you MUST save IVC longitudinal view to upload into D2L post quiz Gowning-Watch First  INFORMED CONSENT  ULTRASOUND DEBRIEF SURVEY  Ultrasound Image Upload

 

REFRESH

• Review PCL Note Template with additions specific for primary care and chronic conditions and Example Note that follows this template 

PREWORK

• Review last 3 minutes of Medical Student Note Writing (signing and forwarding the note)
• Review your patient's medical history and prepare for your telehealth visit. Also develop a plan for an encounter with a patient when you are unable to review chart information.
• Review the SP patient information in the case your patient does not show.
• Watch basic telemedicine exam and documentation 
• Watch the Principles of Motivational Interviewing and Core Skills 

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. 
• If any of the above is not completed on time you will lose professionalism points.

OPTIONAL

• Old Dominion University Telehealth Physical Exams: Cardiopulmonary 
• Symptom to Diagnosis: An Evidence-Based Guide Part 9 Chest Pain 
• In the Clinic: Hypertension (2019)
• In the Clinic: Stable Ischemic Heart Disease (2019)

PREWORK

• Review Vascular Access - Dr. Matt Lyon 
• Review IV Insertion Video 
• IO Access Video

POSTWORK

• Review Vitals are Vital Podcast

OPTIONAL

• Sign up for Independent Clinical Procedure Practice w/ Bethany McLeroy

Ultrasound

REFRESH

• Gowning Video
• Ultrasound Orientation 

 

PREWORK

• Students will be scanning the cardiac and IVC views on their PCE partner/colleague. This involves placing the ultrasound probe on the chest wall.  Please make sure you review the images required prior to your PCE day and complete the attestation to serve as a student ultrasound volunteer in your pre-quiz.
• Review Intro to Echocardiography US Views - Dr. Dan Kaminstein
• Review the following PSLA, Subcostal, and IVC videos / images:
  • PSLA Video Link
  • PSLA Image Link
  • Subcostal Video Link
  • Subcostal Image Link 
  • IVC Video Link
  • IVC Image Link 
• Review Review Block 4 Cardiac Image Examples

Required During Session

• Ultrasound Debrief Survey

Optional

• Review Ultrasound Case
• Review Cardiac Ultrasound Case Video- Dr. Dan Kaminstein and Dr. Matt Lyon
• Review Cardiac Ultrasound Lab Lecture - Dr. Matt Lyon
• Sign Up for Independent Ultrasound Practice
• Katie Comeaux Office Hours for Hands on Scanning (Bring a partner and scan with Katie)

Additional Ultrasound Resources

• Clinical application of cardiac ultrasound
• How to email images from the Lumify
• Introduction to the Lumify Ultrasound System