+ interclinic council (icc) student-led clinic orientation
TRANSCRIPT
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Interclinic Council (ICC)Student-Led Clinic Orientation
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Precepting Basics
Role of the medical student Collect patient demographics, chief
complaint, history and physical Complete as much as you can on
your own Do not hesitate to ask upper level
medical students for assistance
Documentation Each clinic has a unique history and
physical form that highlights the information they require
Complete all pertinent information Take ownership of documentation:
If you don’t write it, no one else will Sign and date all documentation If you have questions, ask!
Overview
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Precepting Basics
Chief Complaint
History of Present Illness (HPI)
Review of Systems
Medical History
Surgical/Hospitalization History
Allergies
Medications
Family History
Social/Sexual History
Review these before coming to clinic, and it will save you a lot of time
Resource: Tulane Clinical Skills Guide
History Components
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Precepting Basics
General
Head, neck, eyes, ears, nose and throat (HEENT)
Cardiovascular
Pulmonary
Abdominal
Genitourinary (Optional)
Extremities
Skin
Neuro
Psych
Review these before clinic to save you time
Resource: Tulane Clinical Skills guide
Physical Components
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Precepting Basics
Assessment Develop a differential diagnosis
based off CC, HPI, history and physical
Discuss with upper level medical students before presenting to attending
Take a stand on a diagnosis – don’t be afraid of being wrong
Try to identify at least three problems
Plan Work with social workers, public
health students, and upper level students to develop a contextually appropriate plan
Document everything you do for a patient, counseling, medications prescribed, referrals for care
Attending should approve any and all interventions
Assessment and Plan
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Preparing for Clinic
Professional attire
White coat
Tulane Clinical Skills Guide
Stethoscope
Watch that can measure secondsWhat to wear and what to
bring
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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 shift
DO keep track of days that you are scheduled for clinic, don’t rely on reminder emails
DO 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 project
+ 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 residents
Required TB training: You should have already attended a training last week, 8/22 and 8/24 at 4:30pm
Volunteering at BCS Mondays and Wednesdays from 5-6 pm Professional dress or scrubs with white coat
and Tulane ID
Contact Info: [email protected]
Clinic Coordinators Nina Hooshvar ([email protected]) Kartik Kansagra ([email protected]) Jennifer Wall ([email protected]) Darin Williams ([email protected])
+Bridge House Clinic Bridge 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 patient
When: Every Wednesday, 4-8pm
Clinic Coordinators: Christina Sensabaugh ([email protected]) Eric Katz ([email protected]) William McEachern ([email protected]) Allison Posta ([email protected])
Volunteer Coordinator Christina Sensabaugh ([email protected])
+Bridge House TB Clinic When: Give tests from 4 – 6pm on
Wednesday AND read them from 4 - 4:30pm 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 email [email protected]
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Bridgehouse HIV Testing
Volunteer Wednesday afternoons (between 4 – 7pm) at Bridge House
Volunteer Saturday mornings at Fleur de Vie
Volunteer weekdays at Ozanam Inn
Office 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 spots
Please email [email protected] 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 )
+Common Ground
Common 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.
Students will conduct intake by obtaining patients’ vitals, chief complaint, and medical history
Wednesdays 1-4pm and Thursdays 8am-12pm
Clinic Coordinators Contact Person:
Ashley Kiefer at [email protected]
Nina Hooshvar Danielle Coleman
Kaitlin Brooke Julie McCaw
Solidarity Not Charity
+ 13+ Fleur de Vie Clinic NOLA East1st and 3rd Saturday (subject to change)4626 Alcee Fortier Blvd, New Orleans, LA What do we do?
Specialty clinics (Immunology, Endocrinology, Nephrology) Hep B clinic with Dr. Nguyen
Patient Demographics - great chance to work with interpreters! 65% – Vietnamese 15% – Latino
In the neighborhood… Vietnamese sandwiches (banh mi), Dong Phuong Bakery
Clinic CoordinatorsTara Kimbrough ([email protected]
) Mingyang Liu ([email protected])
Patient Education CoordinatorsSmitha Neerukonda (
[email protected])Marin McCutcheon (
Volunteer CoordinatorAdrienne Krebs ([email protected])
+ Fleur de Vie Covenant House Covenant House delivers primary care and extended services to
an underserved patient population in the New Orleans community
T1s 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 month
Clinic Coordinators: Kelly Nichols ([email protected]) Jessica Provo ([email protected])
Patient Education and Mental Health Coordinators Courtney Devin ([email protected]) Prerana Baranwal ([email protected])
Patient Volunteer Coordinator Adrienne Krebs ([email protected])
+ FdV: Patient Education Takes place at Covenant House and NOLA East
After being debriefed by the Precepting team, Patient Ed volunteers have a discussion with the patient to empower them to take control of their health
Topics include: Nutrition Exercise Diabetes management Hypertension Smoking cessation Sexual Health
Resources Tulane SOM’s Pocket Guide to Clinical Skills ICC website
+ FdV: Mental Health Screening Takes place at Covenant House
After 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 anxiety
If 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.
+Grace House Grace 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 Amar ([email protected]) Maggie Black ([email protected])
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: [email protected]
Clinic Coordinators: Amy Lawrence, Ron Nelson, & Tim Richardson
Volunteer Coordinator: Sabrina Camp
+ Ozanam Inn TB Clinic Volunteer Monday-Friday 6:30-8:00 PM at Ozanam Inn men’s homeless shelter
Administer and read Orleans TB tests for each new guest at the shelter
Learn about the needs of New’ homeless population
YOU GET TO USE NEEDLES ON YOUR FIRST DAY!!
A great way to practice interacting with people from all walks of life
Lots of volunteer opportunity!! We need two people every night!!
Clinical SL hours
Located in the Warehouse District
Coordinators:
Christina Thorngren ([email protected]),
Natalie Gukasyan ([email protected]), and
Jonathan Sachs ([email protected])
You should have already attended a training last week, 8/22 and 8/24 to participate in TB testing.
+ Ozanam Inn Vaccination Program
What: Administer seasonal influenza vaccines Thursday evenings Oct-April and at clinic
To volunteer: ~30 T1 volunteers will be selected and trained in late September/early October
Requirement: you MUST a trained TB volunteer to be eligible to give vaccines
Leadership opportunity: T1 vaccine program coordinator
Vaccine Coordinator: Kaitlyn Hardin ([email protected])
+Other Clinic-Related Opportunities
Healthcare for the Urban Underserved elective ([email protected])
Research (e.g. chart review)
Public health initiatives (e.g. health education and disease prevention campaigns)
Case presentations
Quality improvement projects thigprojectconnect.tmedweb.tulane.e
du
NB: These additional opportunities do not award service learning hours.
++ 22
Clinical Skills Feedback Pilot Program @ FDV clinics New this year! Student-run clinic precepting skills
feedback and reflections Objectives:
Bridge the gap between FIM curriculum and the clinic experience
Provide formal constructive feedback for T1/T2s
Measure growth in clinical skills over time (hopefully)
For purposes of personal growth and will NOT impact FIM grades
+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
+Interclinic Council Website
Check out the ICC Website on tmedweb for additional information, resources and the clinic calendar!
http://tmedweb.tulane.edu/mu/icc/