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Clinical Internship 2 - #41170


 

 

Katie Burns Ryan, D.C.
3.0
75.0
1.0
4.0
The student will participate as an intern in University Health Services. In this capacity, the student will continue to learn, practice, and refine most aspects of their professional development. Emphasis is given to developing skills in clinical thinking and doctor/patient communication and education.
Please select from the list on the right.

The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives

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The student will be able to:

  1. Elicit a complete and clinically significant history/update from assigned patients.
  2. Develop a relevant differential diagnosis based on the clinical presentation and history.
  3. Perform a complete physical examination on a patient related to the differential diagnosis.
  4. Be able to assign appropriate ICD-9 codes.
  5. Produce patient records in a detailed, accurate and timely manner.
  6. Assign appropriate CPT codes for services rendered.
  7. Prepare and present a report of findings to a patient.
  8. Apply cognitive and non-cognitive interactive skills in patient education and communication.
  9. Develop and apply clinical rationale in case management of patients.
  10. Develop and present a narrative report based on an analysis of subjective and objective findings of an assigned patient.
  11. Develop and present an oral case summary based on objective J.
Materials
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A. Required Text(s):
None

B. Recommended Text(s):
  • ChiroCode Institute, ChiroCode Desk Book 2006. 14th Annual Edition
  • American Medical Association, CPT 2006, Current Procedural Terminology Standard Ed
  • American Medical Association, Physician ICD-9-CM 2006. 9th revision

C. Required Materials for Lab:
  1. X-ray marking kit
  2. Examination equipment
  3. Black pen
  4. Professional attire
  5. Clinical Internship class notes: T5, T6
  6. Clipboard
Assignments
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  1. Maintain regular patient visits per treatment plan.
  2. Elicit and record a patient history on all assigned new patients.
  3. Complete a comprehensive history and CTL exam on all assigned T1 students.
  4. Complete a focused physical exam on assigned patients.
  5. Complete a case summary on assigned patients.
  6. Formulate a diagnosis and assign appropriate ICD-9 diagnostic codes.
  7. Develop a treatment plan on assigned patients.
  8. Consult with assigned supervisor to review case and and approve treatment plan.
  9. Prepare and present a report of findings to each assigned patient.
  10. Perform all necessary patient care as approved by faculty mentor.
  11. Prepare fee tickets with appropriate CPT codes for services rendered.
  12. Reevaluate patient and revise treatment plan with supervisor approval, as necessary.
  13. Prepare patient progress report based on treatment goals and outcomes assessment.
  14. Produce and maintain accurate and timely patient records using appropriate SOAP format using the computer templates provided.
  15. Maintain organized and complete files on all assigned patients.
  16. Consult with faculty mentor as necessary to review cases, treatment protocols and doctor/patient interaction and communication skills.
  17. Consult with assigned faculty mentor for review of intern goals and evaluations.
  18. Small group assignments
  19. Prepare a written narrative for an assigned patient.
  20. Present an oral case study.
  21. Prepare peer evaluations of case studies.
Attendance
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Attendance is required for all class sessions and scheduled UHS shifts.
Grading Criteria
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This is a pass/fail course. To pass, the student must complete the following requirements:
  1. Satisfactory completion of all assignments as listed above.
  2. Satisfactory evaluations from faculty mentor related to clinical skills and performance.
  3. Adherence to all rules and guidelines in the clinic handbook.
  4. Satisfactory completion and performance on all written and oral quizzes and examinations.
  5. Satisfactory completion of all assigned patient files.
  6. Achieving a minimum of 60 patient visits and 40 adjustments between Clinical Internships 1 and 2.

Guaranteed grades are as follows:

A = n/a
B = n/a
C = n/a
D = n/a
F = n/a
Course Competencies
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COGNITIVE DOMAIN


Demonstrate clinical thinking skills in all intern/patient interactions. Understand how to assign appropriate ICD-9 and CPT codes.

Conditions:

Enter conditions here.

PSYCHOMOTOR DOMAIN


Perform case relevant tests and procedures with skill and competency to elicit clinically significant responses from University Health patients as assigned.

AFFECTIVE DOMAIN


Apply professional and ethical principles of doctor/patient interaction. Show appropriate and compassionate responses during history interview, examination and report of findings to patients. Demonstrate ability to answer patient's questions with clarity and understanding.
Weekly Calendar of Learning Objectives
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Week Dates Topics/Learning objectives
Week 1 May 3

Review of syllabus and class requirements; Highlight of due dates; review of assignments.

Week 2 May 10

CPT Procedure codes

Week 3 May 17 CPT procedure codes
Week 4 May 24 ICD-9 Diagnostic coding
Week 5 May 31 Coding Continued
Week 6 June 7

Heathly Heart Screening

Discuss Narratives

 

Week 7 June 14

MIDTERMS - No Lecture. Attend regular clinic shifts.

Week 8 June 21

Discuss case presentations and narratives

Narratives due to clinic supervisors by 5pm

Week 9 June 28 Case Presentations
Week 10 July 5

Case Presentations

Week 11 July 12 Case presentations
Week 12 July 19 Case presentations
Week 13 July 26

Case Presentations

Week 14 FINAL EXAMS - No lecture. Clinic shifts run through Thursday, Aug 9th
Week 15 -- --
Please Note
This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
Maintained by Katie Burns Ryan, DC
Last updated: August 1, 2006
 

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