[SOUND] Hi. >> Hey. >> Are you here for adolescent clinic? >> Yes, I am. My name's Christie. [CROSSTALK]. >> Okay, yeah, I had that you were coming today, so that's fantastic. Go ahead and sit down. Let me give you clinic kind of already got started, but let me give you just kind of a quick orientation of what you'll do today. So you'll feel comfortable seeing everybody and everything. Now how long have you done Pediatrics? >> I've been on the rotation for a couple of weeks now. >> A couple of weeks. >> Mm-hm. >> Okay. Great. And did you have chance to look at our on line materials about the clinic? >> Yes I did. It was very helpful. Thank you. >> Oh, good, good, good. I bring a copy because some people have a chance to look. Some people don't. And there's a couple of things I kind of want to go over with you. And make sure that you know before you start. >> Mm-hm. >> I guess the first thing is, have you had any experience with teenagers at all? >> You know, I've seen a few in my general pediatrics clinic, but too many, yet. >> Okay. Okay. All right. So, then hopefully we'll be able to kind of get something out of this for you. So, you know, one of our objectives is that we want you to make sure you are really good on how to take an adolescent history, so that's why we listed that article that had the head's exam in it. >> Mm-hm. M-hm. >> so, that's really our focus, if you don't get to a physical exam, that's okay on our patients. >> Okay. >> Do you have anything that you in particular really want to get out of your experience with us? >> Well you know, as I said before, I'd only really been able to interact with a few teenagers on the rotation, so far. >> Okay. >> So, I'm really hoping to get a little bit more experience and be more comfortable talking about sensitive issues with- >> Okay. >> and, patients. >> Okay, so, I think we'll be able to get that objective for you. [COUGH] Excuse me. And, the good thing is, I think I looked at the schedule, and you're actually coming back next week? >> I am, mm-hm. >> So, that's great. So, between this four hours, and the four hours next week, we'll definitely be able to get that done. The other thing I want to tell you about our clinic is that for us to achieve that objective of you really being comfortable taking a history we, we only have you get the histories on the patients and we give you a time limit. >> Okay. >> So we really only want you in that room for about 30, 35 minutes. >> Alright. >> And after that I'll actually come and get you out if I need to because we do kind of need to keep the clinic running, but we try to have a balance between taking care of our patients, but also taking care of your needs of education as well. >> Mm-hm. >> A couple other things I want to talk to you about is kind of how our clinic runs. So I, I want to make sure that you understand the flow of the clinic. So another big thing to our patients is confidentiality. >> Mm-hm. >> So you'll get to observe me kind of giving a confidentiality talk to our patients. And at 3 o'clock we have a little bit of downtime. I had a patient cancel, so we can kind of debrief about confidentiality. >> Uh-huh. >> But when I take you to the patient's room, I'll show you just like where the bathroom is. I'll show you where the water fountain is. And I want to show you where the lobby is because you'll often have the parents leave the room. So I want you to know where you can have them go. Since you're coming back next week, I'll introduce you at the office desk. To our MAs to our nurses. >> Okay. >> They're very used to having learners. We talk about it at our clinic meetings all the time how to make that experience better. So I just want you to have some familiar faces in case you have any questions and can't find me >> Okay. >> Because I'm in a room or something like that. So I think that kind of covers it. Again we're going to have you focus on the history. And I guess that's an important point I want to tell you too is how you're going to get feedback. >> Okay. >> We actually don't give you a grade as part of the rotation. The [INAUDIBLE] shift director doesn't have us give a grade but, we do give you feedback. So, we'll give you feedback on the written notes that you'll write up. >> Mm-hm. >> So when you go take the history we will have your write that up in a formal note. >> Okay. >> And then next week when you come we'll go through that, we'll give you feedback. Again, getting to your objectives, is there something special that you want to make sure you get feedback on, you can just let me, or my partner know, and we're happy to come in and observe you taking history. If there is a physical exam piece, you know, doing that part to, so we can work that out between this time and your next time with us, okay? >> Yeah, okay. >> Alright, so let me just tell you you we already have two patients here, one in room 10 one in room 11. I think we'll just really quick we'll look at the computer I'll give you a little bit of background on the patient. >> Mm-hm. >> In room 11 that's our new patient and then you can go get starte, okay? Alright so before we get started do you have any questions for me? >> You know I did about one thing. So, you know, I know that different clinics do their notes a little bit differently so when I write up the history I was just wondering if there's a template of some sort that you like to follow or a certain format that you know prefer over another. >> So, that's a great question. So, actually I while you're seeing this patient, you know we actually do have a new patient template that we use, I'll email it to you. >> Okay. >> I'll also show you in our electronic manifold records, just a couple, a new patient that we just saw yesterday. >> Okay. >> Who I think is coming back for a recheck today. >> Okay. >> So you can just kind of look at how her new patient visit was dictated. >> Hm. >> And that will be a good template for you to follow too. >> That'd be really helpful. >> It's a great question. >> Okay. >> Okay. All right. Well that was an example I hope that you agreed of something of an orientation that went a little bit better. Again, let's take a moment pause and have you enter what went well. It wasn't a perfect orientation however, so think about what you do with your learners. What else would you have done? Maybe this whole module has brought some ideas forth for you. Things you'd like to add to your own o, orientation. What still went poorly during that video? And again, what could be done better?