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October 30, 2013
Science at the heart of medicine
Introduction to Clinical Medicine Program Introduction to the Patient Course
Overview of digitally recorded interviews at the
Ruth L. Gottesman Clinical Skills Center
Class of 2017 Patrick D. Herron, MBE
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Overview of the B-Line System
The Ruth L. Gottesman Clinical Skills Center utilizes a digital recording and online assessment program called B-Line for use in courses like Introduction to the Patient for both formative and summative patient encounters. All students at Einstein are provided with a unique username & password for access to B-Line. On November 6th, you will be participating in your first Standardized Patient encounter. The recordings will be available to you for review and self-assessment. You will meet with your small group faculty on either Dec 4th or Dec 11th to receive feedback from them on your patient encounter.
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Overview of the B-Line System
This self-guided slide presentation has been created for you to review prior participating in the November 6th session. Please review all parts thoroughly. At the end of the slide presentation, there will be instructions for you to assess your personal computer’s software for viewing B-Line recordings. You MUST following those instructions as indicated. Failure to do so will delay your ability to complete the required self- assessment of your patient encounter. Thank you
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Standardized Patient Encounter November 6th, 2013
Assigned a specific DATE and REPORTING TIME – check schedule provided on eMED.
Dress appropriately (white coats and professional attire). You will be seeing one (1) Standardized Patient You will have 7 minutes for the interview
There will be a 2 minute warning at the 5 minute mark. After the interview, you will be done for the afternoon.
You will be emailed when the recordings and SP feedback are available for you to review.
Total time at the CSC will be approximately 30-45 minutes.
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REMINDERS
- The schedule will be posted on the eMED page. - You MUST be on time. - The interviews are scheduled in groups of 10. If you are late, it will delay all other 9 students and then every student scheduled after your time slot. - Do NOT discuss details of your patient case with other
students. - The remaining slides will provide a glimpse of the exam
process
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When you arrive at the CSC, please check-in at the Reception desk
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Once all students for your reporting group have arrived, our staff will briefly review details and instructions.
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You will be given a map of the CSC with your name, room assignments and your assigned username/password for using B-Line.
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Using B-Line requires students to utilize two exam rooms. We have a Login Room and an Encounter Room. Your Orientation sheet will indicate the assigned Login Room and Encounter Room.
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Your group will then be released to your assigned rooms on either A Wing or B Wing of the CSC.
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Go directly to your assigned Login Room
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Login Room ↔ Encounter Room
Students begin each recorded session by entering the assigned Login Room and then entering their username and password into the Computer. Once logged in, B-Line establishes a link between your user profile and the session we are about to record. After you have successfully logged in, accept the Honor Code and then go stand outside the Encounter Room (where the patient is waiting) and await the announcement to begin.
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RECAP: A student sits at the Computer Terminal and enter his username and password. If you have difficulty or it is not accepted – immediately alert a proctor in the hallway to assist you.
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RECAP: After you have logged in, you will see the Honor Code statement. Please read and click ACCEPT.
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RECAP: You must WAIT for the announcement that tells you… “You may begin,” before removing the presenting situation from the note holder. Return it to the holder before entering.
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Always remember to KNOCK before entering
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What am I supposed to do????
Scenario: You are a 1st year medical student who has been asked by your preceptor to meet with an adult patient at an outpatient clinic. You have 7 minutes to introduce yourself, elicit the chief complaint, and History of Present Illness. You may also explore relevant Past Medical/Surgical History, Family History, Social History, and Review of medications/allergies. Throughout the interview you are expected to demonstrate professionalism, empathy and opportunities to establish a good rapport and relationship with the patient.
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Login ↔ Patient Interview (Encounter) … Continued
You’ll have seven minutes. You may leave before time is up, but once you leave you can not go back in the room. You must remain in the Login room until time has expired. At the end of your interview or when time is up (whichever comes first); you MUST return to the Login Room and click STOP ENCOUNTER.
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The Control Room will make an announcement when time has ended. Once the announcement is made, you MUST leave the Encounter room and return to the Login room...
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You will see on the Login room’s Computer your name and the STOP ENCOUNTER button – Click on it and then return to the lobby.
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When you return to the lobby; remember to drop off your clipboard and green pen before leaving the Clinical Skills Center. On your way out, please do not discuss anything related to the patient seen with students who have not yet completed their interviews.
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What happens when I am done?
• When you have finished, you’ll be told to return the
lobby and turn in your clipboard and pen. You may take with you your Orientation sheet.
• You are NOT permitted to discuss the patient cases with other students who have yet to complete their interview
• A class email will be sent when the recordings and SP’s feedback are available for your review.
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PREPARING FOR THE INTERVIEW
• Review all the session notes on eMED • Ask your preceptor in the ICM: Clinical Experience
course to permit you to practice interviewing on your own next Monday the 4th (if you have not already).
• Time yourself to see how much information you are able to elicit in five-seven minutes.
• Refer to the email you were sent regarding the VIDEO DEMO – follow the instructions provided.
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B-Line Demo
• We have created a demo recording for all new users to determine if your PC/Mac has any compatibility or access issues with using B-Line.
• Go to the B-Line web portal http://puadss.einstein.yu.edu
• Use the following username/password combo username: demo password: demo1225 • Click Sample Encounter • Click on “View Encounter Videos”
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B-Line Demo…
The demo includes two video angles of the same encounter side by side.
You may need to update your QuickTime, Flash Player and/or other software
If you are unable to see and hear the recording, If you have a technical question regarding use or access to B-Line, email [email protected] with a cc to [email protected]
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Questions?
If you have any non-tech related questions regarding the the Intro to Patient session for Wednesday, November 6th please email [email protected]
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Special Thanks
• ICM would like to thank the following students for assisting us with this self-directed module… > Mohsin Chowdhury > Larissa Gabelman > Iman Hassan > Kris Huston > John Phair
