Block 8

Clinical Experience Block 8

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

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 8 OBJECTIVES AND ASSESSMENTS

Schedule of the Day

12:50 - 12:59 PM	ZOOM ORIENTATION Make sure you use the QR Code to sign in!
1:00 - 2:40PM	Telemedicine Encounters (1:00 or 1:50 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 & 1:50 start)  Trauma  cases Leave white coats in room
2:40 - 3:10pm	Trauma Debrief (Front lecture room)
3:10 - 4:30pm	FAST Practice Practicum Obtain required images with partners Review case with pathologic image with staff prior to leaving.  Practice Practicum Instructions  INFORMED CONSENT FAST PRACTICE PRACTICUM IMAGE UPLOAD

 

Telemedicine Patient Encounter

REFRESH

• Review Telemedicine Abdominal Exam Video and Comprehensive Documentation Tips from Gastroenterology Joint Society
• EMR: 
  • ACEMAPP requirements refer to email from Carvonne Hall once received
  • EPIC online Training
  • Obtain oneID (Help with oneID)
  • Set up Authenticator
  • Send an email to patientclinicalexperience@augusta.edu once you have successfully logged into EPIC
• After completion of the above EMR training watch the below to further prepare specifically for our clinic:
  • EPIC login and setting up of your home screen
  • How to Start, Complete, and Forward your Telemedicine note
• Send an email to patientclinicalexperience@augusta.edu once you have successfully logged into EPIC

PREWORK REQUIRED

• Review your patient's medical history and prepare for your telehealth visit
• Recommend reviewing and choosing a chronic renal/GU/endo chronic issue to review if possible (Example: DM, Hypothyroid, Incontinence, Recurrent UTI)
• 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 SP Note from Block 7 NAFLD Example

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, Recorder 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

• NOTE: Choose optional reading based on your chronic or acute issue discussed with patient as well as screening condition you decided to cover.
• Symptoms to Diagnosis: Part 12 Diabetes
• In the Clinic: Urinary Incontinence in Women, 2020
• In the Clinic: Urinary Tract Infection, 2017
• In the Clinic: Hypothyroidism, 2017
• In the Clinic: Type 2 Diabetes, 2019
• In the Clinic: Dyslipidemia 2019
• In the Clinic: Type 2 Diabetes, 2019

Clinical Procedures

REFRESH

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

PREWORK REQUIRED

• Review 5 Lead Placement for Monitoring Video

POSTWORK

• COMPLETE YOUR BLS MODULE OVER BREAK!!!!! Bring printed or electronic copy of your certificate with you in July.
  ▪ Will receive email from elearning.org
  ▪ You MUST do this even if you have a current BLS certification.
  ▪ If you do NOT complete your module and bring your certificate, you will have to re-do your practical experience with the AHA center (2ndfloor CJ) at a cost of $70 (paid by you).
• You will complete your BLS checkoff on your assigned clinic day. You MUST sign up using the link associated with your clinic date before midnight on the day of your clinic.

OPTIONAL REVIEW

• Review Tension Pneumothorax Ultrasound and Treatment
• Bethany McLeroy Office Hours for Hands on Procedures

Ultrasound

REFRESH

• Review FAST Exam Review - Dr. Matt Lyon and Dr. Dan Kaminstein
• Review FAST Video - Dr. Matt Lyon
• Review GB / FAST Image Examples

PREWORK REQUIRED

• Practice Practicum Instructions
• Liver as an acoustic window (should help with image acquisition for difficult patients)
• Review Block 8 US Orientation Video for the FAST Practice Practicum 

OPTIONAL REVIEW

• Practice Practicum Instructions
• Review ACEP Gallbladder Lesson and Video
• Review Finding the Gallbladder on Ultrasound Video - Dr. Ted Kuhn
• Sign Up for Independent Scanning Practice Sessions
• Katie Comeaux Office Hours for Hands on Scanning