Presentation on theme: "Interclinic Council (ICC) Student-Led Clinic Orientation"— Presentation transcript:
1 Interclinic Council (ICC) Student-Led Clinic Orientation
2 Precepting Basics Role of the medical student Collect patient demographics, chief complaint, history and physicalComplete as much as you can on your ownDo not hesitate to ask upper level medical students for assistanceDocumentationEach clinic has a unique history and physical form that highlights the information they requireComplete all pertinent informationTake ownership of documentation: If you don’t write it, no one else willSign and date all documentationIf you have questions, ask!Precepting BasicsOverviewAs the year progresses, first years will be expected to do more of the history and physical exam independently
3 Precepting Basics Chief Complaint History of Present Illness (HPI) Review of SystemsMedical HistorySurgical/Hospitalization HistoryAllergiesMedicationsFamily HistorySocial/Sexual HistoryReview these before coming to clinic, and it will save you a lot of timeResource: Tulane Clinical Skills GuidePrecepting BasicsHistory Components
4 Precepting Basics General Head, neck, eyes, ears, nose and throat (HEENT)CardiovascularPulmonaryAbdominalGenitourinary (Optional)ExtremitiesSkinNeuroPsychReview these before clinic to save you timeResource: Tulane Clinical Skills guidePrecepting BasicsPhysical Components
5 Precepting Basics Assessment Develop a differential diagnosis based off CC, HPI, history and physicalDiscuss with upper level medical students before presenting to attendingTake a stand on a diagnosis – don’t be afraid of being wrongTry to identify at least three problemsPlanWork with social workers, public health students, and upper level students to develop a contextually appropriate planDocument everything you do for a patient, counseling, medications prescribed, referrals for careAttending should approve any and all interventionsPrecepting BasicsAssessment and Plan
6 What to wear and what to bring Professional attireWhite coatTulane Clinical Skills GuideStethoscopeWatch that can measure secondsPreparing for ClinicWhat to wear and what to bring
7 Do’s and Dont’s DO show up on time DO come prepared; take a minute to review your history-taking and physical exam skills before your shiftDO keep track of days that you are scheduled for clinic, don’t rely on reminder sDO ask questions- clinic is a great opportunity to interact with upperclassmen and attendings, take advantage!DO get someone to cover your shift if you can’t make it– the same rules apply with clinics as with any service learning projectDo’s and Dont’s
8 Bethel Colony South TB About Us: BCS is an halfway house in East New Orleans. We provide TB testing for drug addiction recovery program participants to ensure safety for all BCS complex residentsRequired TB training:You should have already attended a training last week, 8/22 and 8/24 at 4:30pmVolunteering at BCSMondays and Wednesdays from 5-6 pmProfessional dress or scrubs with white coatand Tulane IDContact Info:Clinic CoordinatorsNina HooshvarKartik KansagraJennifer WallDarin Williams
9 Bridge House ClinicBridge House provides a long-term residential treatment program for men with drug and alcohol addictions.Every Wednesday, T1s and T2s take the lead role in seeing patients and are supported by T3s and T4s. As a team, you then present to and work with the attending Family Med physician to develop an assessment and treatment plan for each patientWhen: Every Wednesday, 4-8pmClinic Coordinators:Christina SensabaughEric KatzWilliam McEachernAllison PostaVolunteer Coordinator
10 Bridge House TB ClinicWhen: Give tests from 4 – 6pm on Wednesday AND read them from :30pm that Friday (you must commit to both times)Where: Bridge House, 4150 Earhart Blvd (the same location as the clinic and HIV testing)What you have to do before you can volunteer: You should have already attended a training last week, 8/22 and 8/24 at 4:30pm.If you have any questions about BH TB, please
11 Bridgehouse HIV Testing Volunteer Wednesday afternoons (between 4 – 7pm) at Bridge HouseVolunteer Saturday mornings at Fleur de VieVolunteer weekdays at Ozanam InnOffice of Public Health Training: September 24th-25th. You will get EIGHT service learning hours for this and will be certified to test anywhere in Louisiana.You must commit to testing at least once every two months.A great way to get your clinical hours, learn about the clients at the different clinics, and get comfortable taking a sexual history!Only 18 spotsPlease if interested. Put “T1 Tester” in the subject line.Leaders:Craig Audin (Bridge House Leader)Sara Gore (Tulane Liaison)Moira Carroll (Ozanam Inn Leader)Yassi Goksenin (NO/AIDS and OPH Liaison )Bridgehouse HIV Testing
12 Solidarity Not Charity Common GroundCommon Ground is a nationally recognized patient-centered medical home committed to meeting the primary care needs of the uninsured and underinsured members of our community.Solidarity Not CharityStudents will conduct intake by obtaining patients’ vitals, chief complaint, and medical historyWednesdays 1-4pm and Thursdays 8am-12pmClinic CoordinatorsContact Person: Ashley Kiefer atKaitlin BrookeJulie McCawNina HooshvarDanielle Coleman
13 +Fleur de Vie Clinic NOLA East 1st and 3rd Saturday (subject to change) 4626 Alcee Fortier Blvd, New Orleans, LA13What do we do?Specialty clinics (Immunology, Endocrinology, Nephrology)Hep B clinic with Dr. NguyenPatient Demographics - great chance to work with interpreters!65% – Vietnamese15% – LatinoIn the neighborhood…Vietnamese sandwiches (banh mì), Dong Phuong BakeryClinic CoordinatorsPatient Education CoordinatorsTara KimbroughSmitha NeerukondaMingyang LiuMarin McCutcheonVolunteer CoordinatorAdrienne Krebs
14 Fleur de Vie Covenant House Covenant House delivers primary care and extended services to an underserved patient population in the New Orleans communityT1s and T2s work one-on-one with a T3 or T4 as a precepting team. After seeing a patient, they present to the attending and work together to develop an assessment and treatment plan.T1s and T2s also serve as patient educators and perform mental health screenings.When: 2nd and 4th Saturdays of every monthClinic Coordinators:Kelly NicholsJessica ProvoPatient Education and Mental Health CoordinatorsCourtney DevinPrerana BaranwalPatient Volunteer CoordinatorAdrienne Krebs
15 FdV: Patient Education Takes place at Covenant House and NOLA EastAfter being debriefed by the Precepting team, Patient Ed volunteers have a discussion with the patient to empower them to take control of their healthTopics include:NutritionExerciseDiabetes managementHypertensionSmoking cessationSexual HealthResourcesTulane SOM’s Pocket Guide to Clinical SkillsICC website
16 FdV: Mental Health Screening Takes place at Covenant HouseAfter being debriefed by the Precepting team, Patient Ed/Mental Health volunteers evaluate the initial mental health screening questionnaire completed by the patient, covering depression, PTSD, mania/bipolar disorder, and anxietyIf they answer yes to 3 of the questions, T1s and T2s follow-up with a focused questionnaire.This information is presented to the precepting team and attending physician to be a part of the assessment and treatment plan.
17 Grace HouseGrace House is a residential treatment center for women who have a history of substance abuse.The clinic provides intake physicals and primary care for Grace House residents. We are working to establish a comprehensive women’s healthcare clinic.When: One to two Tuesdays each month, from 4 to 8pm.Location: 4150 Earhart Boulevard (Bridge House Clinic)Clinic Coordinators:Purva AmarMaggie Black
18 Ozanam Inn is a homeless shelter located at 843 Camp Street in the Warehouse District. It offers 3 meals a day, legal counseling, social work services, and job placement for homeless men.Ozanam was founded in 1955 by the Saint Vincent de Paul society.The clinic closed down after Katrina, but was reopened by Tulane medical students in 2010.All services are provided at no cost- social work, public health, primary care.Clinic Hours- 11:45am to 5:00 pm about two Sundays per month.How to get involved- volunteering, fundraising, quality improvement projects, public health research.Contact:Clinic Coordinators: Amy Lawrence, Ron Nelson, & Tim RichardsonVolunteer Coordinator: Sabrina Camp
19 Ozanam Inn TB ClinicVolunteer Monday-Friday 6:30-8:00 PM at Ozanam Inn men’s homeless shelterAdminister and read Orleans TB tests for each new guest at the shelterLearn about the needs of New’ homeless populationYOU GET TO USE NEEDLES ON YOUR FIRST DAY!!A great way to practice interacting with people from all walks of lifeLots of volunteer opportunity!! We need two people every night!!Clinical SL hoursLocated in the Warehouse DistrictCoordinators:Christina ThorngrenNatalie Gukasyan andJonathan SachsYou should have already attended a training last week, 8/22 and 8/24 to participate in TB testing.
20 Ozanam Inn Vaccination Program What: Administer seasonal influenza vaccines Thursday evenings Oct-April and at clinicTo volunteer: ~30 T1 volunteers will be selected and trained in late September/early OctoberRequirement: you MUST a trained TB volunteer to be eligible to give vaccinesLeadership opportunity: T1 vaccine program coordinatorVaccine Coordinator: Kaitlyn Hardin
21 Other Clinic-Related Opportunities Healthcare for the Urban Underserved electiveResearch (e.g. chart review)Public health initiatives (e.g. health education and disease prevention campaigns)Case presentationsQuality improvement projectsthigprojectconnect.tmedweb.tulane.edu*Note: These additional opportunities do not award service learning hours.Elective:Available for SOM or SPH&TM creditOffered January 13, 2012-March 2, 2012Contact Casey for more information:Features lectures from community leaders and community-engaged faculty membersCommunity-based project is a component of the courseResearch Opportunities:Interclinic council has applied to the IRB to analyze medical record data from all clinics (BH, FdV, OIWC), thus allowing for chart review studies.You may propose an original research project to the interclinic council and individual sites.Student leaders have presented clinic data at various venues at Tulane and national conferences.Public Health Initiatives:All clinics are interested in increasing efforts to encourage disease prevention and improve health literacy.Past public health initiatives include: group-based discussion on nutrition.Current public health initiatives include: development of HIV prevention program.Case Presentations:Case presentations at individual sites (SL hours are awarded).At Oz, if you see an interesting patient that you would like to present, mention it to the on-duty clinic manager.School-wide case presentations will be organized by the interclinic council (SL hours are not awarded).Check the MSG calendar and your for announcements about school-wide case presentations.Quality Improvement Projects:[ADAM JOHNSON]NB: These additional opportunities do not award service learning hours.
22 Clinical Skills Feedback Pilot Program @ FDV clinics +22Clinical Skills Feedback Pilot FDV clinicsNew this year!Student-run clinic precepting skills feedback and reflectionsObjectives:Bridge the gap between FIM curriculum and the clinic experienceProvide formal constructive feedback for T1/T2sMeasure growth in clinical skills over time (hopefully)For purposes of personal growth and will NOT impact FIM grades
23 FAQs Why is everyone getting a clinic spot and I’m not? Be patient. The volunteer coordinators have a system where they are aware of how many clinic spots each student gets. As the year progresses and T1s have more opportunities to volunteer, the spots will be reviewed based on how many clinic spots you have had in the past.What if I can’t make it to clinic?You are responsible for finding a replacement. You must forward the clinic info to your replacement and notify the volunteer coordinator of your replacement. Failure to do this will result in a deduction of service learning hours.What if I don’t know how to do something?Please ask! Ask your partner, upperclassmen, clinic coordinator, attending physician. We understand this is a learning process and want to facilitate your understanding while provide care for members of the community
24 Interclinic Council Website Check out the ICC Website on tmedweb for additional information, resources and the clinic calendar!