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Hoping to improve throughput times, Kummer and fellow student Nate Juergens designed a protocol and standard sets of orders for handling four of the most common complaints seen in the VA’s ED: chest pain, shortness of breath, blood in the urine, and flank pain.Their protocol is now being used in the ED and will be evaluated for its effectiveness before the students finish their clerkships in May.Bryant-Huppert and del Valle have tackled other common problems: del Valle has devised a system of brightly colored stickers to quickly identify key players in emergency code situations, and Bryant-Huppert, who’s interested in anesthesiology, is working on a protocol to decrease rates of postoperative delirium, a condition that’s often seen in elderly patients.“Part of the reason we were chosen as the site for this clerkship is that the VA has a long history of working in teams to improve patient safety and care issues,” says Ercan-Fang, who, in addition to the education roles she fills for the U, has been a staff endocrinologist at the VA for 16 years.D., a University associate professor in the Department of Medicine and codirector of the VALUE clerkship; Amy Candy Heinlein, M.D., assistant professor of medicine and a general internal medicine physician at the VA, is the other codirector.“In the VALUE program,” she explains, “we assign 30 or so patients to each student, and they own those patients.We have all type of personals, Christian singles, Catholic, Jewish singles, Atheists, Republicans, Democrats, pet lovers, cute Duluth women, handsome Duluth men, single parents, gay men, and lesbians.Free online dating in Duluth for all ages and ethnicities, including seniors, White, Black women and Black men, Asian, Latino, Latina, and everyone else.

“When students are in a given site for a longer period of time, it’s easier for them to add meaningfully, not just to the care of a patient, but to the hospital itself.”“I applied for the VALUE clerkship because I really liked the idea of having a panel of patients whom I would learn from longitudinally,” he says, “and having preceptors I could really build relationships with.”“I’ve had three patients pass away already,” he says, “and two others with terminal cancer.They develop connections and commitments to patients like I have never seen before.”Teaching students in “longitudinal integrated clerkships,” or LICs, versus block rotations that change every two to six weeks is not a new idea — in fact, the Medical School established the nation’s first LIC, the Rural Physician Associate Program (RPAP), in 1971 to encourage med students to consider rural practice.Metro PAP (Metropolitan Physician Associate Program) and UCAM (Urban Community Ambulatory Medicine) are similar programs for U med students interested in serving urban communities. H., the Medical School’s assistant dean for clinical education.Seeing them go through their illnesses, learning to deal with the emotions of not being able to help fix them is something that doesn’t happen in a block clerkship.”He thinks about his patients a lot, he says, even when he’s home with his wife and two young kids.He’s gotten attached, too — he grins when he talks about one patient in his late 70s who’s had multiple head bleeds but still loves to get out on the ice and play hockey.“This program is definitely what I hoped it would be,” he says.

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