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Medical College of GeorgiaPCL Clinic | Ultrasound Education
PCL Clinic | Ultrasound Education
  • Clinical Experience
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  • PCL Clinic | Ultrasound Education
  • Block 3

Block 3

Clinical Experience Block 3 

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

Arrive no later than 12:50 on your scheduled PCL Clinical Experience session or you are at risk for losing professionalism points. Bring your personal computer and stethoscope.

Block 3 OBJECTIVES AND ASSESSMENTS

Schedule of the Day

12:50 - 12:59

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

 SOAP Presentation Debrief SP VISITS SP SUMMARY EPIC ACCESSTELEHEALTH NOTE FEEDBACK SURVEY

Clinical Procedures (1:00 or 1:45 start) 

  • Isolation, needle guidance and assisting with assisted gowning and gloving.
  • If you finish procedures early: 1st group prep for visit and 2nd group M2s can practice RUSH and M1s can watch their post work vitals are vitals podcast and finish note.

2:35 - 4:00PM

Ultrasound the Shoulder

  • M1s will obtain images of the shoulder and brachial artery/vein on their M1 partner (SPs will be available for the first 25 minutes).
    • M1s will move to assigned rooms with their M1 partner and watch shoulder orientation 
    • You will not email any shoulder images for post quiz but you still need to be debriefed on each image by a faculty member.
    • Must do 1 image in front of staff.

    US DEBRIEF SURVEY    ULTRASOUND IMAGE UPLOAD

2:35 - 3:00PM

Orientation for M2s

  • M2s will be briefed on RUSH practicum and clerkship requirements.

 

Telemedicine Patient Encounter

REFRESH

  • How to Login and set up EPIC
    • Select 3rd/4th year template if prompted
  • Starting Telemedicine visit in Epic
  • Documenting and Forwarding note in EPIC
  • Review PCL Note Template with additions specific for primary care and chronic conditions and Example Note that follows this template
  • SOAP presentation video

PREWORK REQUIRED

  • Review your patient's medical history and prepare for your telemedicine visit
  • Ask M2 for last patient note in [SECURE] email and recommendations on what to cover
  • Use EPIC to look up patient information
  • Watch Skin Telemedicine Exam (optional: Old Dominion University Telehealth Physical Exams: Skin Video)
  • Watch Health Coaching (Medical Reconciliation): Techniques to Deliver Patient Centered Care 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, your partner and PCL preceptor.
  • Interviewer team reviews final note and feedback on final note from recorder team
  • All will complete the Post Visit Survey
  • Documentation workflow
  • If this is not completed on time, you will lose professionalism points.   

OPTIONAL (all links in BOX)

  • Symptoms to Diagnosis: Chapter 17-13 Venous Insufficiency
  • Symptoms to Diagnosis: Part 29 Rash
  • In the Clinic: Venous Leg Ulcers (2016)
  • In the Clinic: Psoriasis (2018)

Clinical Procedures

PREWORK REQUIRED

  • Review Ultrasound Guided Procedures. Save and email yourself a longitudinal image with needle in model vessel to upload into D2L (LONGITUDINAL NEEDLE USGIV)
  • Review Isolation Precaution Information
  • Review Assisted Gown and Gloving

POST WORK REQUIRED

  • Review Vitals are Vital Podcast

OPTIONAL

  • Review Isolation Precaution Information (Extended version)
  • Review Vascular Access - Dr. Matt Lyon
  • Review IV Insertion Video
  • Bethany McLeroy Office Hours for Hands on Procedures

Ultrasound

PREWORK

  • Shoulder Ultrasound Assignment Overview for Block 3
  • Shoulder Ultrasound Overview Example Images

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

  • Ashley Sapp Office Hours for Hands on Scanning (Bring a partner & scan with Ashley)
  • Sign Up for Independent Scanning Practice Sessions (bring a partner to scan)
  • Ultrasound: Basic Understanding and Learning the Language Article
  • Mr. Brokestone's Shoulder Injury
  • Dr. Rich Gordon - In depth shoulder anatomy by ultrasound
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