2023–2025 academic cycle
Year One
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
Year Two
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
Teaching Resources for LP Preceptors
- 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