Block 12

Clinical Experience Block 12

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

Block 12 Objectives and assessments

 

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.         SOAP Presentation Debrief  EPIC ACCESS  SP VISITS TELEHEALTH NOTE FEEDBACK SURVEY  SP SUMMARY Clinical Procedures (1:00 or 1:45 start)  Isolation, needle guidance and assisted gowning and gloving.  Assist M1 with saving a longitudinal image with needle in model vessel to upload into D2L (Example Image) Asepsis Skills Checklist (Reference Guide)    Assisted Gowning & Gloving - Instruction Video     REQUIRED - Asepsis Training Completion Attestation)       If you finish procedures early: 1st group prep for visit 2nd group may practice RUSH while M1s work on postwork.
2:35 - 3:00PM	RUSH Practicum Orientation M2s move to conference room by 2:35 Information will be provided on the RUSH practicum and on ultrasound requirements during clerkship.
3:00 - 5:00PM	RUSH Practicum M2s perform RUSH practicum Faculty will debrief you in the room on the case study after images are obtained.  RUSH PRACTICUM 2025   INFORMED CONSENT   RUSH PRACTICUM INSTRUCTIONS

 

Telemedicine Patient Encounter

REFRESH

• How to Login and set up EPIC
• Starting Telemedicine visit in Epic
• Documenting and Forwarding note in EPIC
• 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
• Below is pre-work for your mentee. We recommend that you review these as you will likely be asked questions on all three videos:
  • Skin Telemedicine Exam
  • Health Coaching (Medication Reconciliation): Techniques to Deliver Patient Centered Care

PREWORK REQUIRED

• Review your patient's medical history and prepare for your telemedicine patient encounter.
  • Please discuss with your M1s over email or in person what you would recommend they cover in the visit and how to prepare.
• Be prepared to assist your M1 in setting up your Epic Clinic Template. If you haven't logged into EPIC in a month, you will need to call 470-956-6000 to regain access for lapsing for over a month. For those writing notes in EPIC be prepared to show them how to use the correct template in the EMR (videos above)
• Be prepared to assist your M1 with performing a medicine history reconciliation in the EMR (video above).
• Be prepared to present objective data and the assessment and plan on the day of the encounter
• Recorders are the only ones that write a note and will receive the majority of that note already written from their mentee in a [secure] email

POSTWORK

• Documentation workflow
• Recorders: Edit and complete your mentee’s note on your patient by 5:00 PM 48 hours after your patient encounter and sign/submit your note to Clinical Experience Preceptor for signature. Submit to all others as a reviewer: PCL preceptor, primary care physician, and partner.
  • If you have a SP encounter, send note to PCE preceptor, PCL preceptor, partner and mentees, (option to include PCL preceptor).
  • If a real patient: copy M1 note and create your own final note and send to PCE preceptor for cosign and cc the patient's primary care provider. Remind your team to review the final note in EPIC with staff feedback once received.
• Fill out Staff Documentation Qualtrics Survey during your PCE to receive documentation feedback.
• Send feedback received from the Qualtrics survey to your Mentee(s) to review. If you had an SP encounter, include your edited note in the email for them to review.
• Complete the 10-question Primary Care Interest survey
• Complete the Post Visit Survey. 
• If any of the above is not performed you may lose professionalism points. 

OPTIONAL

•  Old Dominion University Telehealth Physical Exams: Skin Video
• 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

• Review Isolation Precaution Information
• Review Asepsis Training Videos
  • Received these as well in a separate email on 10/20/26 discussing how these training videos and your PCE session have replaced your full day Asepsis training during Capstone.
  • Be prepared to perform assisted gloving and gowning
• Ultrasound Guided Procedures
  • Assist M1 with saving a longitudinal image with needle in model vessel to upload into D2L (Example Image)

OPTIONAL

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

Ultrasound

PREWORK

• Review Lifesaving Ultrasound for the Undifferentiated Hypotensive Patient: Dr. Richard Gordon
• Review Block 12 RUSH Practicum Example Images 
• Review Block 12 RUSH practicum instructions 

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)