Outpatient Service

• Expectations
• Morning Report
• Stanford Diabetes ECHO

Expectations

• Outpatient Preceptorship

  • Precept all patients with attending

• All Residents should:

  • When on AMB rotation, do NOT wear scrubs.  

  • Prepare prior to seeing patient (look at chief complaint, any relevant hospitalizations, consults, history, new medications, studies, etc...)

  • Prior to presenting: form an A&P to present and research any relevant diagnostics and treatments. If unsure, ok to ask but have an informed question

    • Include differentials, explain supportive evidence for one or the other

    • Ex: Express the most likely diagnosis, then the next possible dx, and why it is or isn't likely to be a dangerous diagnosis

  • Be specific. If ordering medications, vaccinations, or tests - name them and their dose

  • Do NOT sign orders until you have precepted with the attending and the attending has had a chance to review them

  • Be mindful of patients waiting in the exam room 

  • Must complete Billing (see Billing Section)

  • Document and consent for all procedures

  • Use Athena Capture for all Derm cases

  • Must use Chaperon (MA) for sensitive exams

  • Must use Language Line if translation is needed

  • Conduct Video Visits in the Exam Room using Cliq or Doximity

  • Be mindful of HIPPA when discussing patients outside of the exam room

  • All vaccines must be placed as an order first prior to Athena Text or verbal orders to MAs

You have 24hrs to submit all chart notes to be signed off by your preceptor attending unless there's a valid excuse

Morning Report

Mon and Tue from 8-8:30AM

Location:  NW Clinic Back Conference Room

Mon
Board Review Questions 

Tue

• Stanford Clinical Skills

• Patient Cases

Attendance will be taken during your AMB rotation

Stanford Diabetes ECHO

GME SAMC IM and FP have signed a collaborative agreement with Stanford University's Diabetes ECHO project providing the latest guidelines and management of Type 1 and 2 Diabetes. 

All Residents on AMB rotation are expected to attend the Zoom conference on Thur 12:15-1:15 PM as posted in the Didactics Calendar.  Lecture topics and Case presentation will be given. 

Case presentation if requested by Stanford will be assigned or voluntarily chosen.  Any resident who presents a patient case will be given Scholarly Activity credit 

Attendance will be taken, please use Stanford's Zoom Chat box with your [name], St. Agnes Medical Center