Outpatient Clinics | Neurology | Washington University in St. Louis

Resident Clinic is located in BJH Center for Outpatient Health, 4th Floor, Workroom B
The Barnes Hospital Resident clinic strives to serve the mutual goals of resident ambulatory care education and provision of care to underserved and vulnerable patients.
Students will work with a resident. To maintain on-time appointments, residents may have a more active role in interviews, exams, and presentations to keep clinic on time.

New Patients or Initial Office Visits (IOVs) are checked-in at 12:30-12:45 pm on M-Tu-W-Th.
All patients must register prior to being taken back in the clinic area. Patients are initially taken back by nursing staff for vital signs and a Health History. This may take 10-20 minutes depending on the patient.
While waiting, referral records may be reviewed in Allscripts (“secondary records”). Note reason for referral.
Residents arrive at 1 pm.
Attendings (two) arrive between 1 – 1:15 pm.
IOVs should take no longer than 45 minutes, and Follow-up (FU) or Return Office Visits (ROVs) no longer than 25 minutes. Please strive for efficiency.

Students arrive at 12:50 to begin history on IOVs that have completed registration and nursing intake. If resident is already present, resident and student will start visit together.
If IOV patient is available prior to 1 pm, prior to resident arrival, begin on the interview. Kindly ask Clinic Nurse (name on white board by check-out) for room directions. When resident arrives, s/he will enter exam room, start note in Allscripts, and you will verbally summarize the history for visit note with patient.
For Follow-Up (FU) or Return Office Visits (ROVs), resident will be present at start of encounter.
For interview, resident enters documentation into Allscripts, listens to student interview, and provides guidance to ensure completion.
Exam will be conducted by student and resident together.
Student will present to attending (with resident contributing as needed). If clinic gets backed up, resident will be directed to complete oral presentation.
Resident handles patient education and instruction on plan of care.
Resident handles administrative tasks (i.e. forms to fill out, prescriptions), while student moves to next patient with same or different resident as directed by attending physician.
Students should seek advice from attending for direction on which residents/patients to follow for maximum learning.
Teaching session is held at 4:30 pm covering an interesting/challenging case from clinic, or a topical discussion. Clinic is scheduled to end at 5 PM.

Resident clinic is not formally evaluated. Resident and attending can provide formative verbal feedback. Be proactive to see patients with whomever has patients. Professional behavior and dress is expected.
Attendings and residents will email/call the clerkship director for the following: Skipping clinic, arriving late or leaving early without professional/educational reason, lack of engagement, not being proactive, showing disrespect, etc.
Outstanding involvement during clinic may be considered during the grading session to improve overall student evaluation.

Located in Saint Louis Children’s Hospital 2nd Floor Suite D
Starts at 1:00 on Tuesday and Wednesday
Upon Arrival, Attending Should Direct You to Stay with Junior Resident, Work with Senior Resident, or Stay with Attending