FINAL ND Module 09-10.pdf - AaronsWorld.com

• The student notes requests by the patient during the visit and informs the primary and
supervisor so that those needs may be addressed.
• The student observes the patient during the interview and reports pertinent observations to the
primary and supervisor.
• The student demonstrates communication skills that emphasize patient needs and are
culturally and socially sensitive to patient gender, lifestyle, culture, race and socioeconomic
status.
Remediation of this skill may include, but is not limited to, auditing portions of counseling courses,
pursuing skills workshops in counseling or communication skills, tutoring on communication skills
and diversity training through the school tutoring center or an outside resource.
Communication skills are one of the most important attributes of a successful physician and are
a necessary ingredient for smooth flow and optimal function of a multidisciplinary teaching
clinic.
CLINICAL SKILLS-Secondary Clinician
Physical Exam Skills
The student is adept in taking the vital signs of each patient on each visit in a timely manner, using
the appropriate equipment accurately.
• The student reports abnormal vital signs to the supervisor and ensures that the information is
recorded appropriately in the patient chart.
• The student demonstrates proper technique and knowledge of exams when asked to repeat
physical exams during the patient visit and when achieving their competency sign-off
requirements.
• The student demonstrates their ability to integrate the information obtained in physical exam
into the differential diagnosis and treatment plan for each patient as a part of the clinical team.
• The student is prepared to participate in exams by bringing their diagnostic equipment in good
working order to each daily shift.
The student applies proper awareness and observance of public health and sanitation rules by
washing their hands, cleaning the tables and equipment after each exam and shift. The equipment
may include lights, gynecological lights, tables, mirrors, and personal medical equipment including
their stethoscope. Proper hand washing includes washing for 20 seconds, rinsing and drying the
hands thoroughly.
Remediation for this skill in the event a student receives a PC includes demonstration of appropriate
technique in performing physical exam competencies and in obtaining vital signs and accurate charting
of information in a patient chart. If PC is given because of damage or lack of equipment the student
must demonstrate that their equipment is in good working order.
It is mandatory that a safe and successful physician exhibit excellent physical exam skills and an
understanding of how information obtained in a physical exam contributes to the development of
a differential diagnosis and treatment plan for each patient.
Integration of Didactic Knowledge Into the Clinical Setting-Secondary Clinician
• The student demonstrates understanding and integration of pathophysiology, anatomy, and
biochemistry as they relate to patient complaints and diagnosis during case discussion, case
preview and case review.
• The student demonstrates evidence of case preparation by including knowledge obtained
through research into case discussion.
• The student suggests appropriate lab or diagnostic testing during case discussions and can
explain the procedures and purpose of testing to the patient if asked to do so.
• The student exhibits their grasp of knowledge in case discussions, case preview and case
review.
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