Excelling in the Clinic

Zusatztext

Working in the outpatient clinic is a key training experience for medical students. Most of the third-year clerkships include several weeks of outpatient clinic work, and fourth-year students often have additional required primary care clinic rotations. When they arrive at the clinic, students may discover that their time on the inpatient wards does not necessarily prepare them to perform well in the outpatient setting. Everything is different in the clinic, from the nature and context of the patient encounter to the student's role in note-writing, oral case presentation, and case discussion with the attending physician. The purpose of this book is to guide students as they transition to the world of 15-minute appointments, telemedicine, cyberchondriasis, motivational interviewing, shared medical appointments, and real-time informatics. The aim is to give students a clear understanding of their role in a variety of clinic settings, to evaluate and present their patients well, maximize learning, and provide excellent care for their patients. There are a few medical student handbooks that focus on the specifics of diagnosis and treatment in the outpatient clinic. However, none of these books prepare students for the full spectrum of their clinic experience. This book explains the process of becoming an effective, efficient, and scholarly worker in the primary care clinic. The first two chapters discuss the importance of primary care in our society, the goals of care in the outpatient clinic, and the benefits and barriers to medical education in the clinic. Chapters 3 and 5 turn to the variety of clinic settings, schedules and structures that students may encounter, and their roles and responsibilities in these different settings. Chapter 4 focuses on the rapid rise of telemedicine in response to the COVID-19 pandemic, the benefits and limitations of telemedicine, and the implications for medical education. Chapters 6 through 11 describe the process of seeing and presenting a clinic patient, from reviewing the electronic medical record to performing an appropriately focused interview and physical exam, writing a concise note, and then tailoring the case presentation for new patients, follow-ups and urgent visits. Chapter 12 describes service-learning opportunities in homeless shelters and student-run clinics, including the important role of students in working with community partners to design and implement effective programs. Chapter 13 ties it all together with a discussion of careers in primary care (both academic and traditional), the benefits and challenges of primary care, and thoughts on the future of primary care and the long-term outlook for medical education in the clinic.

Autorenportrait

Clifford D. Packer, MD, FACP is a clinician-educator at the Louis Stokes Cleveland VA Medical Center and professor of medicine at Case Western Reserve University School of Medicine. He is a long time medicine clerkship director and developed a case reporting curriculum with his students that has produced numerous published case reports and abstracts over the past ten years. He is the author of more than 40 peer-reviewed articles and two books, Writing Case Reports: A Practical Guide from Conception through Publication (Springer, 2017) with co-authors Gabrielle Berger and Somnath Mookherjee, and Presenting Your Case: A Concise Guide for Medical Students (Springer, 2019). He has a broad range of interests in medical education, including high-value care, service-learning, and the medical humanities in addition to his scholarly work with case reports. He is a member of the CDIM Survey and Scholarship Committee and the Ohio ACP Student and Resident Abstract Committees, andwas appointed Chair of the Committee on Medical Education at CWRU School of Medicine in 2018. He received the Evelyn V. Hess Master Teacher Award from the Ohio Chapter of the American College of Physicians in 2017, and was elected as a faculty member to the Alpha Omega Alpha Honor Medical Society in 2011.

Weitere Details