Chabot College Fall 2006 Replaced Fall 2010 Course Outline for Medical Assisting 73 CLINICAL EXPERIENCE (EXTERNSHIP) Catalog Description: 73 Clinical Experience (Externship) 4 units Application of principles and skills through participation in a simulated employment experience. Assisting the physician under close supervision in a health maintenance organization, or physician’s office or clinic. Prerequisite: Medical Assisting 70A, 71A, 75 . Corequisite: Medical Assisting 74. 16 hours per week. Total weeks: 13. Total hours: 208 Prerequisite Skills: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. Professional and career responsibilities for the medical assistant Oral communication: patient reception/telephone skills/telephone triage Legal issues/patient confidentiality Appointment procedures Computers in medical practice Scope of practice of the Professional Clinical Medical Assistant Medical asepsis and infection control Vital Signs Patient examination Psychology and sociology of patient care Interview techniques Documentation Patient safety Care of the eye Care of the ear Communication techniques Physical therapy Sterilization and disinfection Minor Office surgery Introduction to the Clinical Laboratory Urinalysis Electrocardiograms Obtaining blood samples from capillary puncture Emergency response at the clinical site Six rights of medication administration Correct syringe and needle for the intradermal, a subcutaneous and intramuscular injection Draw up the correct amount of medication Tuberculin skin testing Assessment of the tuberculin skin test Expected Outcomes for Students: Given a background of experience from Medical Assisting 70A ,71A, and 75 the student should be able to transfer those skills to the medical practice setting. These should include: 1. assist the physician in determining the physical status of the physician’s office and/or clinic patient by: a. direct observation b. measurement of vital signs c. recourse to charts, texts and questions; 2. identify emotional disturbance through observation and conversations with the patient; 3. identify blocks to communication; 4. assist the physician in conducting the physical examination; 5. practice standard precautions according to a Center for Disease Control; 6. practice surgical asepsis as indicated, e.g., minor surgery; 7. prepare and sterilize equipment; Chabot College Medical Assisting 73, Page 2 Fall 2006 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. position and drape patient for specific examination; administer Snellen Vision screening; participate in the collection and proper disposition of specimens in accordance with clinical practices; administer medication by injection under supervision; perform electrocardiograms; obtain blood specimens by capillary puncture; order and correctly store supplies and equipment; obtain and record necessary information for specific forms: a. charts b. insurance c. doctor's orders observe and listen on phones with the clinic advice nurse; recognize successful communication and identify use of this in student/staff and student/patient relationship; identify the principles of the health-teaching role of the medical assistant; understand the steps involved in problem-solving and apply these steps, as appropriate; use proper body mechanics. Course Content: Practical applications of Medical Assisting clinical and administrative skills and theories in the clinical setting. Methods of Presentation: 1. 2. Placement of students in a variety of clinics and physician offices. Supervision of students in work situations by instructors and qualified clinical personnel. Assignments and Methods of Evaluating Student Progress: 1. Typical Assignments a. Weekly journal pages b. Self evaluation 2. Methods of Evaluating Student Progress: a. Instructor review of journal pages b. Individual's performance as observed by instructor and/or staff members involved c. Positive attendance d. Chabot College instructor/ student evaluations e. Clinical site staff/student evaluations Textbook(s) (typical): None Special Student Materials: 1. Students are to provide own transportation to clinical facility. 2. Dress code according to the medical assisting student handbook. 3. Students are required to undergo a physical exam to include required immunizations, a dental exam, and a background check for clinical placement (at their own expense). 4. Students are required to have a current Healthcare Provider CPR card issued by the American Heart Association. KC – [U:\kc’document\course outline\MEDA73.doc] Revised: Mar 200