Preceptor Opportunities

Thanks for your interest in Intro to Clinical Practice (2018)! This 2nd-year medical student course runs June 25 – July 5, 2018. We have a variety of sessions for you to sign-up for. Please CLICK HERE TO SIGN UP, and remember to mark it on your calendar.

Agendas and detailed lesson plans will be provided to help you facilitate the session(s). Thank you very much for considering to get involved with our course. Please email Anthony at avseto@gmail.com if you have further inquiries regarding the course or any of its sessions.

Please spread the word to your colleagues:

ICP Recruitment Video #1

ICP Recruitment Video #2

Course Trailer

I’m very excited that you are considering to participate in our course! Please email me, Anthony Seto (avseto@gmail.com), if you have further questions!

Below are the learning objectives for the sessions that we are recruiting preceptors for, to help you make your decision:

X-Ray Interpretation (MD only)

  1. Describe an approach to the interpretation of chest, abdominal, and bone x-rays
  2. Practice interpreting chest, abdominal, and bone x-rays

Clinical Documentation (MD only)

  1. Describe the importance of accurate documentation in clinical practice
  2. Identify and discuss the key components of Admission Notes, Emergency Department / Urgent Care Notes, OR Notes, Progress Notes, and Labour & Delivery Notes
  3. Given medical scenarios, write clinical notes including Emergency Department / Urgent Care Notes, OR Notes, Progress Notes, and Labour & Delivery Notes

Intro to Code Blue (MD only)

  1. Demonstrate an approach to primary and secondary surveys
  2. Suggest initial management plans for select acute care patient presentations (ACS, anaphylaxis, tension pneumothorax, and UGIB)
  3. Demonstrate an approach to the management of cardiac arrest cases
  4. Discuss the importance of early CPR and defibrillation in cardiac arrest cases
  5. Demonstrate effective CPR and BVM techniques
  6. Demonstrate accurate dosing and frequency of epinephrine administration in cardiac arrest cases
  7. Select the appropriate defibrillation dose for cardiac arrest cases
  8. Identify the following code blue rhythms: VF, pulseless VT, PEA, asystole
  9. Demonstrate the management of VF, pulseless VT, PEA, and asystole
  10. List causes of cardiac arrest, using H’s and T’s as a mnemonic
  11. Demonstrate attributes of effective team dynamics

Ultrasound Skills (MD only)

  1. Explain the wave properties of penetration, attenuation, and reflection
  2. Identify tissues of different densities appear on ultrasound, and explain the rationale
  3. Identify common probe (transducers) types and discuss their common uses
  4. Demonstrate probe placement for the transverse view and longitudinal view, with indicator pointing to patient’s right and cephalad, respectively
  5. On transverse view, identify which side of the screen is the patient’s right, left, anterior, and posterior
  6. On longitudinal view, identify which side of the screen is cephalad, caudad, anterior/lateral, and posterior/medial
  7. Identify the following ultrasound machine buttons, and explain their use: power, depth, gain, M-mode, transducer selection, caliper, freeze
  8. Use the ultrasound to measure the JVP, in a standardized patient
  9. Use the ultrasound to look for normal lung-pleural interface signs (lung-sliding, B-lines, “seashore sign”) when querying pneumothorax, in a standardized patient.
  10. Demonstrate proper handling and cleaning of the ultrasound machine probes
  11. Demonstrate strategies to generate efficient, optimal images

Needles, Syringes, and Dressings (Nurses Only)

  1. Identify the types and sizes of needles
  2. Identify the types and sizes of syringes
  3. List uses of a blunt needle (filtered vs non-filtered)
  4. List and describe 3 injection routes (IM, SC, ID)
  5. Discuss how to landmark for IM injections of the vastus lateralis, gluteus medius, deltoid, and ventrogluteal areas.
  6. Discuss safe disposal of needles and syringes
  7. Discuss evidence-based strategies for proper wound irrigation, commenting on fluid choice, irrigation pressure, and irrigation volume
  8. Identify various dressings that can be used in wound care
  9. Discuss dressing strategies for different wound times (e.g. non-sutured wounds, sutured wounds, abrasions, nail avulsions, amputations, blisters, bites, skin tears, superficial ulcers, deep ulcers)
  10. Discuss dressing strategies for different burn types

Presentations and Consultations (MD only)

  1. Practice a structured process for presenting clinical cases to a preceptor (F-SOAP)
  2. Identify tools that support a clinical consultation request (e.g. RAAPID, ROCA)
  3. Practice a structured process for communicating with consultants (5Cs)
  4. List elements to include in written clinical consultation

Resiliency (MD only)

  1. Describe the Mental Health Continuum Model
  2. Identify symptoms and examples of burnout
  3. Discuss and practice the “Big Four” practical skills of the Road to Mental Readiness to support personal resiliency

Handoffs (MD only)

  1. Discuss barriers and pitfalls to handoff communication
  2. Suggest strategies to improve handoff communication
  3. Practice a structured process for providing written handover
  4. Practice a structured process for providing verbal handover

ECG Interpretation (MD only)

  1. Identify features, waves, and intervals of ECGs that are normal or may be concerning:
    1. Features: history, rate, rhythm, axis
    2. Waves: P, QRS complex, T, U
    3. Intervals: PR, QRS width, ST, QT

Medical Simulation  (MD, nurse, or respiratory therapist only)

  1. Given an acute medical presentation (altered level of consciousness, respiratory distress, shock, and pediatrics), work as a team through a systematic approach to diagnose and manage the issue.

Pain Management (MD only)

  1. Describe the WHO ladder approach to analgesia
  2. Discuss common dose regimens and adverse effects for acetaminophen
  3. List commonly encountered NSAIDS and their common dose regimens and adverse effects
  4. List commonly encountered opioids and their common dose regimens and adverse effects
  5. List medications that can be used for neuropathic pain
  6. List examples of local anesthesia agents, their toxic doses, and toxic adverse effects
  7. List strategies of analgesia for infants and pediatric patients
  8. Given pain scenarios, outline appropriate analgesia plans

Prescriptions and Orders (MD or pharmacist only)

  1. Write prescriptions according to the Alberta College of Pharmacists Standards of Practice
  2. Demonstrate modifications to prescription-writing for pediatric patients by including a patient’s weight and calculating weight-based doses
  3. Identify tools to look-up prescription considerations for patient contexts such as liver disease, renal disease, pregnant, and breastfeeding patients
  4. Identify where to obtain information on drug interactions
  5. Identify where to obtain information on the Triplicate Prescription Program
  6. Identify resources for de-prescribing
  7. Write an example admission order, using the mnemonic “AD-DAVID”
  8. Discuss pitfalls when writing prescriptions and physician orders that may lead to medical error
  9. Discuss safe practice approaches to writing prescriptions and physician orders
  10. Write legibly on all prescriptions and physician orders
  11. Identify abbreviations and acronyms that should be avoided when writing physician orders to prevent medical error

Special Simulation (MD, nurse, or respiratory therapist only)

  1. Given a unique clinical situation (multi-acute, multi-injury, multi-tox, multi-patient), work as a team through a systematic approach to prioritize actions, diagnose, and manage the issue

Cognitive Biases (MD only)

  1. Describe two key processes used in clinical decision making
  2. List high-risk situations that potentially bias reasoning
  3. Define the following cognitive biases: anchoring, availability, confirmation bias, diagnosis momentum, fundamental attribution error, multiple alternatives bias, overconfidence bias, playing the odds, premature closure, search satisfying, triage cueing
  4. Discuss strategies to minimize cognitive biases