Longitudinal Practice Framework

Objectives

• Respectfully communicate with patients, staff, and other team members
• Meet members of the office, introduce self and understand roles of different providers
• Review office policy and procedures with office manager
• Shadow the MA or designee, understand their role
• Follow a patient through entire office visit
• Independently perform MA functions (Intake, Vital Signs)

Objectives

• Respectfully communicate with patients, staff, and other team members
• Practice interviewing patients and obtain CC and HPI
• Practice documenting a patient’s HPI (does not need to be in the EHR)
• Practice hip, shoulder, knee, or back/spine PE
• Direct observation of obtaining chief complaint and history of present illness, WITH feedback

Objectives

• Respectfully communicate with patients, staff, and other team members.
• Practice taking a past medical history
• Practice back/spine PE
• Practice cardiac PE
• Practice pulmonary PE
• Practice cardiopulmonary focused ROS as appropriate for chief complaint
• Practice oral presentation of histories and physical exams
• Practice STAGE framework for oral presentations with preceptor (Style, Timing, Audience, Goals, Elicit)
• Practice supporting patients in changing health behaviors
• Direct observation of obtaining past medical history including medication and allergies, WITH feedback from preceptor

Objectives

• Respectfully communicate with patients, staff, and other team members.
• Practice taking a family and social history
• Identify how the office conducts referrals to obtain imaging or consultation with subspecialists
• Work with office to preapprove an insurance claim for procedure or identify the charges for one visit and one procedure
• Work with office staff that take patient calls to schedule timely appointments to provide continuity of care.
• Use the USPTF website introduced in Longitudinal Group to develop a health prevention or health maintenance plan for a patient
• Direct observation of obtaining family history and social history, WITH feedback

Objectives

• Practice taking a neurologic focused history
• Practice neurologic PE
• Independently use the musculoskeletal, neurologic focused ROS as appropriate for chief complaint
• Practice collecting information on behavioral and psychological issues for patients
• Practice collecting information on the self-management needs of patients with chronic illness
• Practice documenting a complete patient encounter (does not need to be in the EHR)
• Practice giving patient presentation to preceptor
• Direct observation of cardiopulmonary or neurologic focused physical exam on a patient with feedback

Objectives

• Discuss with office how to assist patients in connecting with peer support groups or other appropriate community resources, for example: hospice, social service agencies, home healthcare and behavioral / mental health resources.
• Discuss with office how practice follows‐up on referrals, labs, X-rays, and other patient services
• Practice abdominal pain ROS
• Practice the PE techniques listed for the abdomen
• Practice giving patient presentation to preceptor
• Direct observation of cardiopulmonary or abdominal physical exam on a patient with feedback

Objectives

• Practice a complete history including CC, HPI, ROS, PMH, FMH and social history
• Review with one patient the management of a chronic health issue
• Practice a basic assessment and plan on three patients
• Direct observation of oral presentation with feedback

• Characteristics of Effective Feedback
• Bone & Muscle Codiers
• Bone & Muscle Preceptor Notes
• Knee Physical Examination Checklist
• Shoulder Physical Examination Checklist
• Huddle Card - Orientation and Bone and Muscle

• Taking a Cardiopulmonary History
• CardioPulm - Direct Observation of Competency
• Examination of CardioPulmonary System
• Huddle Cards - CardioPulmonary
• Topics for students to empanel by week 41
• Physical Examination Checklist - Week 37 Cardiopulmonary Checklist

• Endocrine /Reproductive Disorders - Direct Observation of Family and Social History
• Huddle Cards - Endocrine Reproductive Block

• Huddle Cards - Neurological Block
• LP Direct Observation of Competence Cardiopulmonary  Physical Exam
• Direct Observation of Competence Neurological Physical Exam
• A guide to case presentations
• Physical Examination Neurological Checklist
• Review of STAGE presentation framework
• Neurological Disorders student notes
• Neurological Disorders preceptor notes

• Abdominal Examination Checklist
• GI Renal - Review of Systems
• GI/Renal - Direct Observation of Competency - Abdominal PE 
• GI/Renal - Direct Observation of Competency - Cardio PE
• GI/Renal - Preceptor Notes
• Huddle cards - Gastrointestinal/Renal Block

• Host Defense - Direct Observation of Competency
• Huddle Cards - Host Defense block
• Kalamazoo Essential Elements Communication Checklist
• A guide to case presentations
• Basic structure for oral case presentations
• Physical Examination Checklist - Host Defense