Block 11

Clinical Experience Block 11

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

Block 11 Objectives and Assessments

Schedule of the day 

12:50 - 1:00PM	ZOOM Orientation Make sure you use the QR Code to sign in!
1:00 - 2:30PM	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  AMWELL NOW    SOAP Presentation Debrief    STAFF DOCUMENTATION SURVEY Clinical Procedures (1:00 or 1:45 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 M2 students should complete the Block 2 Image Debrief Qualtrics Form while reviewing images with their mentee  M1 Students should complete their Willingness Survey to indicate whether they consent to being scanned during future PCL Clinical Experiences  M1 Image Debrief    Willingness Survey   ULTRASOUND IMAGE UPLOAD
3:15PM - 4:00PM	M2 Ultrasound Time  M2 students will be obtaining the 2nd half of the RUSH exam (FAST + AAA)  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  M2 Image Debrief

Telemedicine Patient Encounter

REFRESH

• Review Medical Student Note Writing (Updated Dec 15)
• EMR Training: 
  • Review EMR Training Videos full list
• Review Note Template Documentation Video (recommend playing at 1.5-2X speed)
• Review PCL Note Template with minor additions to assist with chronic disease/ primary care note documentation
• Review Example Note
• Optional Review Block 2 Mentee EMR and MSK telehealth videos as you will be instructing them
  • Preparing patient for exam
  • Spine exam
  • Knee exam

PREWORK REQUIRED

• • Review your patient's medical history and prepare for your telemedicine patient encounter       
  • Required Video:  New workflow for signing/submitting note with M2 mentor

POSTWORK

• • Edit and complete your mentee’s note on your patient by 5:00 PM 48 hours after your patient encounter.  Offer your mentee constructive feedback based on your edits.  Ensure when signing your note, it is sent to the appropriate reviewers and only the Clinical Experience Preceptor that debriefed you for SIGNATURE. (New workflow for signing/submitting note with M2 mentor). If this is not completed on time OR the note is in the incorrect location, you may lose professionalism points.
  • 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 your Mentee(s) to review. If you had a SP encounter include your edited note in the email for them to review.
  • Complete the Class of 2026 PCL Clinical Experience Survey. All students must complete this survey (not just one person in group). If this is not completed by Monday at 12:00 PM following your session.
  • Workflow for Note Feedback

OPTIONAL

• • 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 work up and treatment sections)

Clinical Procedures

REFRESH

• Optional Review M2 vital sign videos
  • NEJM Videos in Clinical Medicine: Blood-Pressure Measurement
  • Bates' Visual Guide to Physical Examination: 5.4 Vital Signs

PREWORK  

• • Review 2017 ACC/AHA HTN Guidelines (pages e24 - e27)
  • Will be instructing mentees on correct methods for taking vital signs, possible inaccuracies (ex. cuff sizes), and answering questions about masked/white coat hypertension.

Ultrasound

REFRESH 

• Ultrasound: Basic Understanding and Learning the Language Article

PREWORK

• Ultrasound Orientation
• Review Shoulder Ultrasound Assignment Overview for Block 2 and includes example of CONSENT for an educational ultrasound. You will be walking your M1 through CONSENTING you for their shoulder images.
• Review Dr. Rich Gordon- In depth shoulder anatomy by ultrasound
• Review Shoulder Ultrasound Overview Example Images 
  • Complete ultrasound debrief with M1. 
  • Review workflow of uploading image on tablet and sending it to yourself via your email (last page on example image powerpoint)
  • Your mentee will need to send one of their images by email to themselves so they can upload the image with labels to their Block 2 PCL Clinical Experience Post-Lab Quiz.
• Review Lifesaving Ultrasound for the Undifferentiated Hypotensive Patient: Dr. Richard Gordon
• Review Block 11 RUSH Examples
  • 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 2027 students who will be scanning the upper extremity.