Working in the outpatient clinic is a key training experience for medical students. When they arrive at the clinic, students may discover that their time on the inpatient wards does not necessarily prepare them to perform well in the outpatient setting. Everything is different in the clinic, from the nature and context of the patient encounter to the students role in note-writing, oral case presentation, and case discussion with the attending physician. The purpose of this book is to guide students as they transition to the world of 15-minute appointments, telemedicine, cyberchondriasis, motivational interviewing, shared medical appointments, and real-time informatics. The aim is to give students a clear understanding of their role in a variety of clinic settings, to evaluate and present their patients well, maximize learning, and provide excellent care for their patients. Excelling in the Clinic explains the process of becoming an effective, efficient, and scholarly worker in the primary care clinic.
The Importance of Primary Care.- Medical Education in the Outpatient
Clinic: Benefits and Barriers.-
Clinic Settings, Schedules, and Structures.- COVID-19 and the Rapid Rise of
Telemedicine.- Preparing to See the Patient.- The Patient-Centered
Interview.- The Physical Exam.- The Concise Oral Case
Presentation.- Discussing the Case.- Writing a Clinic Note.- Service-Learning
Clinics.- Careers in Primary Care
Clifford D. Packer, MD, FACP is a clinician-educator at the Louis Stokes Cleveland VA Medical Center and professor of medicine at Case Western Reserve University School of Medicine. He is a long time medicine clerkship director and developed a case reporting curriculum with his students that has produced numerous published case reports and abstracts over the past ten years. He is the author of more than 40 peer-reviewed articles and two books, Writing Case Reports: A Practical Guide from Conception through Publication (Springer, 2017) with co-authors Gabrielle Berger and Somnath Mookherjee, and Presenting Your Case: A Concise Guide for Medical Students (Springer, 2019). He has a broad range of interests in medical education, including high-value care, service-learning, and the medical humanities in addition to his scholarly work with case reports. He is a member of the CDIM Survey and Scholarship Committee and the Ohio ACP Student and Resident Abstract Committees, andwas appointed Chair of the Committee on Medical Education at CWRU School of Medicine in 2018. He received the Evelyn V. Hess Master Teacher Award from the Ohio Chapter of the American College of Physicians in 2017, and was elected as a faculty member to the Alpha Omega Alpha Honor Medical Society in 2011.
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