Block 10

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. 

BLOCK 10 OBJECTIVES AND ASSESSMENTS

                                                                Schedule of the Day

12:50-12:55 PM	ZOOM ORIENTATION Make sure you use the QR Code to sign in! Orientation for the 2nd years
12:55-1:40PM	2nd years doing RUSH (IVC, lung, cardiac) *staff assist* Must save PSLA for post quiz in D2L Intro to PCE: Dr. Broughton's lecture for 1st years   INFORMED CONSENT   ULTRASOUND DEBRIEF BLOCK 10    IMAGE UPLOAD
1:45-3:25pm	Telemedicine Encounters (1:45 or 2:35 start)  PPE Competency From (2nd year completes) There will be extra time to set up Amwell Now and review workflow of the day (How to prep for your telemedicine visit, EMR, SOAP, Documentation) AMWELL NOW   SOAP PRESENTATION DEBRIEF    EPIC ACCESS    STAFF DOCUMENTATION QUALTRICS SURVEY Clinical Procedures  (1:45 & 2:35 start)  PPE donning and doffing
3:25-3:50pm	Orientation to Diagnostic Ultrasound and Consent Join zoom link again or watch here: Zoom recording  ZOOM ORIENTATION Willingness to be scanned survey (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   INFORMED CONSENT   ULTRASOUND DEBRIEF BLOCK 1    IMAGE UPLOAD

 

Telemedicine Patient Encounter

REFRESH

• EMR Training:
  • How to Start, Complete, and Foward your Telemedicine note. (REQUIRED to review for week 4)
• Documentation Workflow
• 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 Note Template Documentation Video (recommend playing at 1.5-2X speed)
  • PCL Note Template with minor additions to assist with chronic disease/ primary care note documentation
  • SP Note from Block 7 NAFLD Example

PREWORK REQUIRED

• EMR: How to Start, Complete, and Forward your Telemedicine note  
• Watch Mentoring Video
• 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 Telehealth Physical Exams: Neurological - Old Dominion University (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. 
• Once your note is sent to your Clinical Experience  Preceptor, fill out Staff Documentation Qualtrics Survey to receive documentation feedback.
• 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 Class of 2028 PCL Clinical Experience Post-Visit Survey

OPTIONAL

• NOTE: Choose optional reading based on your chronic or acute issue discussed with patient as well as screening condition you decided to cover.
  • In the Clinic: Transient Ischemic Attack 2011
  • In the Clinic: Hearing Loss 2020
  • In the Clinic: Parkinson's Disease 2018
  • In the Clinic: Epilepsy 2016
• OPTIONAL READING FROM BLOCK 9
  • In the Clinic: Migraines, 2017
  • In the Clinic: Concussion, 2018
  • In the Clinic: Dementia, 2019
  • In the Clinic: Multiple Sclerosis, 2021

Clinical Procedures

REFRESH (Self-Directed Learning)

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

PREWORK 

• • AU Health Personal Protective Equipment (PPE) Competency Validation

OPTIONAL

• Bethany McLeroy Office Hours for Hands on Procedures

Ultrasound

REFRESH

• Sign Up for Independent Scanning Practice Sessions
• Katie Comeaux Office Hours for Hands on Scanning

PREWORK REQUIRED

•  Review RUSH: Ultrasound for the Undifferentiated Hypotensive Patient: Dr. Richard Gordon
• Review Optimizing Cardiac windows video
• Review Long axis view of the lung with phased array probe
•  Review Block 10 RUSH Example slides
  • 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 submit these 5 images reviewed by PCL faculty during Block 10.
  • You will also be assisting Class of 2027 students who will be completing the Block 1 Ultrasound Learning Activity. Please review this prior to your session as well as the Block 1 Ultrasound Learning Activity Example Images. You and your M1 mentee will be scanning a gel phantom that includes 2 simulated vessels with the Linear transducer.

OPTIONAL 

• Review of cardiac ultrasound windows: Dr. Dan Kaminstein