​PHRONESIS PROJECT

Phronesis Patient Guidelines

 

EPIC: PLEASE SIGN UP for access the first week you are here.  You will get an email that you need to return as “confirmation”.  PLEASE DO THAT, because if you don’t you will be removed from the list and will not have access to EPIC.  There is a separate EPIC folder in Google docs with information about EPIC and obtaining VPN tokens (so that you may access EPIC from home or from mobile device).

 

Your Role with Your Patient:

Your role with your patient is going to develop as your training progresses.

 

YEAR 1: In year one, you are an advocate for and a partner to your patient.  Initially your only goal is to get to know you patient as a person, to see the world from their point of view, to understand their experience of illness and wellness, to get to know what is meaningful to them and what they hope for.  In the second semester you will learn about how people change to achieve their goals, and how to help them, then you will partner with your patient to help them achieve a health goal that is meaningful to them.

 

YEAR 2: In the second year, you will begin to have more of a clinical focus now that you know more about illness and treatment of illness.  You will have a role helping your patient understand their medications and treatments, as well as helping the treatment team understand the challenges and barriers facing your patients as they try to adhere to medical treatment.

 

YEAR 3: The third year is tough because you are in intense clinical rotations and don’t have much time.  However, you will continue to check in with your patient over the phone, see them if they are hospitalized, perhaps do a post-hospital check, help the treatment team in understanding your patient and their goals, particularly if your patient is facing active medical challenges.  You will continue to help them with behavior change goals identified in years 1 and 2, checking in, and using your motivational interviewing skills to further their progress toward those goals.

 

YEAR 4: You are now preparing to hand off your patient to a first year medical student.  You will have more time, so another house call to check in on where things stand re their goals and their medical status, working with their primary physician, going with them to visits, where now you can do the history and exam, present the patient to the physician as a resident would, do follow up checks at home for chronic illness.  In September you will begin the “hand off” of your patient to the first year medical student, doing a house call with them for their first meeting (narrative interview).  You will then serve as “back up” for the first year student, helping them navigate as they develop a relationship with your patient.

 

Expectations:

• Weekly check in phone call with your patient.

• Weekly EPIC biopsy prior to CPD (Check on your patient in EPIC before CPD; bring any issues or questions to your small group.)

• Confidentiality is expected at all times.  Do not discuss patients with friends, spouses, or anyone else except those persons on the treatment team.  De-identified discussion in the context of CPD and the Phronesis project is the only exception to this.

• De-identification of any written assignments prior to handing them in

• Patient logs: log each encounter.  (Log is available here or from Natalie)  Completion of your contact log is required for Phronesis and SIM.

• Email (de-identified) with stories that can help us understand the value of the medical student-patient experience.

• Do not give medical advice to your patients without first checking it out with your mentor or Dr. Plews-Ogan.  If an urgent issue comes up, page Dr. Plews-Ogan to ask what to do.

 

URGENT QUESTIONS RE YOUR PATIENT:

Page Dr. Plews-Ogan by calling 924-0000 and asking the page operator to page her, or text page.  You can also page your CPD mentor in the same way.