Case-Based Learning (CBL) in the Transition to Clerkship will be different in several ways from what you have experienced up to this point. This page, combined with the orientation session, will alert you to the changes so that you can have the best experience possible.
Important Changes to be Aware of
The case will disappear from your iPad when the next part of the case is delivered (just like the words spoken in an exam room with a patient—you decide what to record).
You will be asked to add to the medical record in the EMR. See more details below.
Please check the Additional Context in E.Flo MD for your Wednesday CBL sessions. On May 15, some CBL groups will “see” the patients in a different order than other groups.” This is to accommodate your Communication Activity on Wednesdays, when you will participate in practice-communicating with a physician. Your group is assigned a particular timeslot on a particular Wednesday when you will “call” a physician on Zoom to communicate something specific. Instructions will be in your CBL ebook. This communication practice is a required activity—the Zoom “operator” will be logging participation.
The Patient Medical Chart
Over the course of the Transition to Clerkship, you will use SimCapture software in conjunction with the CBL eBooks to update your patients’ medical charts, known as EMR or EHR. See the SimCapture EMR/EHR page for instructions. This activity is designed to prepare you for working with an electronic medical record during the clerkship.
EMR VS. EHR
EMR (Electronic Medical Record) and EHR (Electronic Health Record) are interchangeable terms and represent what you will experience in a clinical environment. There are many different electronic record programs, so you will see both terms used in these CBL cases.
Navigate the EMR
- On the main EMR/EHR screen, click the down carat to see a list of links to each patient and session.
- In the ebook, when you are prompted by the EMR button to check the EMR, follow the prompts with the specific tab to check (don’t peek at later tabs!).
- When you have your first encounter with a patient in CBL, you will see that patient’s chart in the EMR. Then, you’ll have the opportunity to perform tasks (enter orders and review X-rays and lab results) via the EMR.
Detailed instructions on which tasks to perform will be provided in the sessions.
Look for the EMR icon.
Not all days will include all navigation tabs.
Students will only enter information on the Documentation tab.
Tabs are meant to be accessed left-to-right as the eBook progresses.
All sessions will have an EMR. If there is no content, the EMR will state that on the Messages tab.
Messages are read-only.
The CBL eBook lets you know when a patient’s information has been updated. You’ll see a date and time stamp on the message and the session number is at the bottom of the message.
The History Findings tab is read-only.
This tab shows your patient’s history and will be updated as the case progresses. Forms and other items may also be displayed in this section.
The Physical Exam Findings tab is read-only.
After you’ve completed the physical exam on a patient, your “preceptor” will provide a physical exam as well, so you can see what you missed.
All Results are read-only.
All lab tests, imaging studies, and other test findings will display under the All Results tab.
Lab values will display in a landscape format with each successive lab result listed to the right of the previous one.
The Documentation tab allows you to input content.
Under this tab, practice documentation.
Workflow Tips
Recommendations for managing multiple sets of materials
(do whatever works best for you!)
Consider bringing two devices: an iPad for reading the case + a laptop for using the EMR.
An alternative workflow is using Split View on the iPad.
Toggle between the case book and the EMR browser on your laptop.
Simulation in the Virtual Clinical Center (VCC)
Week 1 will be similar to your Clinical Skills Workshops—your APM facilitator will be in the room. The difference is that 2 students will be in the room at the same time. This will be a formative assessment designed to help you determine your clinical skills/ patient care competency after the 7-week break for Step Prep.
In Week 2, you will begin practicing communication with preceptors. You are unlikely to know the standardized preceptor, and we want you to ask the preceptor to provide feedback on your skills counseling the patient.
In Week 3, you will not have a preceptor in the exam room with you—tell your peer which skill you are working on and give each other feedback. There will be a group debrief with a preceptor after the encounter.
In Week 4, you will practice asking the preceptor for a specific WBA (either 1a or 1b). This is preparation for a very important regular part of the LIC. This WBA will be summative.
In Week 5, you will practice asking the preceptor for a specific WBA (either 1a or 1b)—the opposite of the one you asked for in the prior week. This WBA will be summative.
One afternoon during weeks 2–6, you will be assigned to pediatric simulation exercises in addition to your encounter with the CBL patient. This session is not connected to the CBL cases. Please refer to your individual E.Flo MD Learning Event for information about these sessions.
Large-Group Sessions
Workshops are designed to help with a skill you are being asked to perform in CBL or a with a skill you will soon employ during the LIC.
Please sign up for scrubbing-in practice (“Preparing for the Operating Room”).
We have received feedback from clinical preceptors that students cannot have too much exposure to these skills prior to their first surgical rotation. Although your campus team may have activities arranged for you to review how to prepare for the OR, this is not a guarantee, so this session in 513 might be your only opportunity to learn how to scrub, gown, and glove prior to your surgical rotations.
The signup will be open May 6–14. Please choose 1 of 8 sessions to attend, on either May 29 or June 3.
Resources
This introduction to our fictional Transition to Clerkship city has also been beamed out to your iPads.
There is a variety of resources here—different ones will be relevant for different patients whom you encounter in Wesford.
Questions?
For questions regarding assignments
Please contact Assessment.
For questions regarding the e-Chart
Please contact Chris Martin.