An Approach to Ambulatory Clinical teaching for clients
-Many of you will have worked with 3rd and 4th year students
- The term clerks is not universal.
-JURSI’s at the University of Saskatchewan Junior undergraduate rotating student interview.
-A few years ago the JURSI year was extended and is now more than 15 months long. This has had many positive benefits but it does mean JURSI’s are less experienced in clinical situations than previous; especially in the early portion of the JURSI we do refer to senior and junior year JURSI’s of the history on physical examination.
THE APPROACH (PERRR)
(1) Planning
-The teacher and the JURSI meet prior to the patient encounter to discuss.
-Comfort zone of the JURSI.
-What does the JURSI have to get out of the encounter(s).
-What agent of the Hx/Px/Dx management does the JURSI feel comfortable with?
-What aspects do they feel they need help with?
A plan is developed to concentrate on 1-2 areas by mutual agreement with the next few patients.
(2) Encounter
- The JURSI sees the patient (on their own), or the teacher and JURSI go see the patient together.
Usually the JURSI feels more comfortable with the teacher; especially early in the year.
(3) Reporting
- The JURSI reports on the encounter with the patient. The information should include Hx/Px exam, different diagnosis and management. There should also be a few minutes to view what was in the plan.
(4) Review
- The teacher and JURSI review with the patient their thoughts and possible management.
- It would also be the time to review aspects of the history of physical examination.
(5) Reflect
- The teacher and JURSI reflect the encounter
- The teacher would ask the JURSI on aspects:
-how they feel it went
-what they did well
-what could they have done
- If any further review required.
Plans for the next patient or two