Who we are:  La Clínica de La Raza is a community-based health center committed to providing culturally appropriate, high-quality, and accessible health care to the diverse communities of the San Francisco Bay Area. 

Major Areas of Responsibility include but are not limited to

1. Performing an organized, efficient outpatient visit in SOAP format
2. Different types of outpatient visits and their purposes
3. How to prepare for an outpatient visit (chart review, problem list, etc.)
4. Shared agenda setting with patients
5. Preventive health for adults (cancer screening, immunization, lifestyle changes)
6. Hypertension: diagnosis, management (lifestyle + meds), and prevention

7. ASCVD risk assessment

8. DMT2: diagnosis, management, and prevention

Clinical skills to work on:

1. Performing an independent outpatient visit (not shadowing). Student may practice:

1. Reviewing the chart and patient problem list in advance
2. Performing a new patient visit or follow up visit on their own in the room. Student may focus on data gathering (history and physical) more than assessment.
3. Making a shared agenda – one item for the patient, one item for the student/doctor, one item for preventive health
4. Performing an oral presentation in an organized SOAP format. History and physical exam should be detailed but may still have some gaps. Assessment and plan may still be fairly basic. Help your student identify what belongs in subjective vs objective. Help make a problem list and identify key issues.
5. Using USPSTF guidelines to suggest preventive health needed for the patient

2. Performing a focused visit around an acute chief complaint:

1. Collecting pertinent positives and negatives in the HPI
2. Thinking about possible differential diagnoses when collecting HPI information
3. Asking FH, HRB, SH questions as they related to the acute issue at hand
4. Focusing physical exam as it relates to the chief complaint
5. Developing an assessment that includes at least 3-5 differential items