Dr.D

Dr.D

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Set Up Powerchart Touch

Powerchart Touch FAQs

What do I need to use Touch?

You will need an iphone, ipod or ipad with iOS 10.2 or greater or Android device with OS4.4 or greater. We are not providing devices for using with Touch, but if you get an educational allowance, you may be able to use that to purchase one.

Should I use an ipad, or an iphone?

The ipad version of the app has fewer clicks for several functions, and allows graphing for labs, vitals and growth chart. There is generally a slight preference for the ipad in the outpatient setting, and for the iphone in the inpatient setting, but both work well and people clearly have individual preferences. If you see kids, you may prefer to use an ipad. You are welcome to try, and use both. Android devices have more limited functionality at the present time.

How do I get started?

First, download at least one of the Cerner apps from the app store. The iOS apps are Powerchart Touch, Camera Capture, Message Center and Instanote. Camera Capture, Instanote and a limited version of Message Center are available for the Android OS. You can download and use as many as you want. You can take clinical photos with both the Camera Capture app and the Powerchart Touch app. Then, follow this link and login here using your Cerner username and password (the one you use for the second/small blue login box on the desktop).

https://cernercentral.com/device-access/tenants/8cf1bb66-7b18-4eaa-b641-538f19feb923/user/

Click the "Request Access" button on the right side of the blue banner bar and an access code will be sent to you. When you get your access code, enter it in one of the apps and get started. Access codes expire in a week, so try to use them right away, or you will have to request one again. Each code is good for one device. If you have an additional device that you would like to use, go to the website and request a second code. You can use as many devices as you would like. You have to login with your own username to request a code for yourself, you cannot request a code for someone else.

Who Can Use Powerchart Touch?

This is currently a physician supported project for providers. We are allowing access to a limited number of non-providers who will use Powerchart Touch to assist their providers. Non-providers must be sponsored by a current provider user who has been using Powerchart Touch regularly. The sponsor must be willing to be the primary point of contact for that user and responsible for making sure they know how to get access codes (with the link), training (YouTube videos) support (#1=you, #2=Outlook Group, #3=Dr Patterson or Dr. Brecht-Doscher). The non provider should list the name of their sponsor in their access code request.

I requested a code with that link and didn’t get one, what should I do?

Look in your Clutter or Spam folder for an email from Millennium+. This is your activation email. If you are an Outlook user I can almost guarantee this will go to Clutter. You can also log back into the site above after a day or so and check for a code and it will probably be there.

How do I learn how to use Touch?

The app is quite intuitive, and some people have started without any training. We do recommend some training in order to get the most from the apps. There are introductory training videos available here

https://www.youtube.com/playlist?list=PL6psK6r4RFx07oh2sZkHyp9W0DmdCU6RJ

If you are interested in a training session, contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Can I dictate into my device using Touch?

The dictation is one of the major strengths of the apps. There is no voice training or additional setup required for dictation within Powerchart Touch. Use the microphone button that is above the keyboard for your dictation.

Can I use my Dragon voice templates in Touch?

Dragon voice templates can be imported from our desktop version but cannot be created, or updated within Touch. These are voice commands that you would use for commonly dictations (things like normal physical exam, ROS, procedure notes). Dr. Patterson has created several standard templates that have been uploaded to your Touch profile. You can review what is available on your profile in Touch by holding down the microphone button in the app.

If you have custom templates you have created within the desktop version of Dragon, these can be imported into Touch. If you have custom templates and have changes or additions you have been thinking of making, it would be best to spend some time making those changes before you export them into Touch.

To add your custom commands to Touch, first activate the Touch app(s) with your access code, then send an email to This email address is being protected from spambots. You need JavaScript enabled to view it. requesting that your Dragon voice commands are imported into Powerchart Touch (you can expect that it will take about a week for this to occur).

Can I use my dot phrases in Touch?

You can not use .phrases in Touch. If you save your note (instead of signing it), you can add them to the note on the desktop (this is very useful for things like lab templates). If you would like to create voice commands from your text .phrases on the desktop, you can create them in the Dragon desktop using copy and paste by following the instructions here https://www.youtube.com/watch?v=R2jn9Oy-vn0 and then request that your commands are imported to Touch as described above.

What kind of notes can I create?

You can create notes using Dynamic Documentation in Powerchart Touch. You can also complete Dynamic Documentation notes started on the desktop as long as they were saved and not signed. You can not add addenda to already signed notes. If you use the HPI, ROS, PE and A&P fields on the Review page in Touch they will pull in to those sections on the desktop (Workflow pages and in Dyn Doc), and vice versa (if you type in those fields on the Workflow pages, those sections will pull in to Touch.) You can also dictate into the fields listed below on the Review page in Touch and then include dictated text to any location in any note type on the desktop by using the .phrases:

.history_of_present_illness

.review_of_systems

.physical_exam

Where can I view the images I took with the apps?

You can view these images in the Media Gallery on the Review section of Powerchart Touch, or the Dashboard/Summary and Workflow pages on the desktop. You can also add them to any location in a note - for Dynamic Documentation, see this video https://youtu.be/Lf_vW-Jngoo and for Powernotes, see this one https://youtu.be/QiSG3oV8DMw . At this time, you will need to add the images to the notes on the desktop (if you would like to dictate your note in Powerchart Touch, Save, but do not Sign it before trying to add the images on the desktop).

What should I do about upgrades?

As new Powerchart Touch features are developed by Cerner, these are available via updates to the apps. You can take upgrades to the app as soon as they are available to use the new features, and will be required to update after a short period of time (typically 30 or 60 days.) When a new iOS operating system is released (ie 11 to 12), it is recommended that you do not upgrade your iOS until Cerner announces that it is safe to do so. We will let you know when that occurs. Minor iOS upgrades (ie 10.2 to 10.3) can be taken at any time.

If I have questions about using Touch what should I do?

Please ask your questions on the Outlook Powerchart Touch group (or browse to see if it was already asked and answered). If you do not have an Outlook account, you can email This email address is being protected from spambots. You need JavaScript enabled to view it. We will be sending out announcements about Touch to the Outlook group, or to your email address, please ensure these do not go to your spam or clutter boxes.

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Dorothy DeGuzman, M.D., M.P.H.

Attended Emory University School of Medicine and graduated in 2007 with a joint MD/MPH in global health. She then completed residency at Lawrence Family Medicine Residency in 2010 and stayed on an extra year to complete a high risk OB fellowship. After completing training she and her husband moved to rural western North Carolina, she worked there for 6 years doing full spectrum family medicine including C-sections. She enjoys hiking, cooking and spending time with her two young sons.
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Antidepressants Grid 2018

An antidepressant gird with dosing and side effects.  

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Release Notes and Updates

Release Notes and Updates published that have updates on dot phrases, Acute Workflow pages, etc.

2018

2017

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Thomas Fire - Archived Information

Archived as of 01/01/2018 when GoFundMe Campagain was closed:

Support Our VCMC Residency Fire Victims

Check out Tipu Khan's effort to support our local community on CBS LA Channel 2

Our beautiful VCMC family is in pain. The Thomas fire has devastated many families in our small community.
Drs. Lambing, Baker, David, Bale, Weber, Jones and some of our clinic and Hospital staff have completely lost their homes in the fire.
They left with a few belongings in their bags and the clothes on their backs. Please help us in raising money to give them a chance at rebuilding their lives.

 Visit The VCMC GoFundMe Fire Relief Page to donate now.  All money will be used to support rebuilding our community.

Want more information on the status of the fire?

Here are some useful resources complied by Danny Cox:

Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007)

CDC Infection Control Isolation Guidelines PDF

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Ian Wallace, M.D.

Dr. Wallace completed a BA in Geology at Carleton College in 1995 and then worked in software engineering for several years.  He attended medical school at the Univeristy of Colorado School of Medicine from 2006-2010 involved extensively in the rural medicine training program.  He completed his residency at Ventura County in 2013 followed by 6 months of fellowship training in advanced procedures for endoscopic skills.  From 2014-2016 he worked and taught with the family medicine faculty at Contra Costa Regional Medical Center.  He joined the Ventura Family Medicine Residency Faculty in June of 2016 to help develop an endoscopic training program for the residents.  When not in the GI lab or the clinic he enjoys being at the beach with his family exploring the tide pools.

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Daniel Cox, M.D., M.S.

After completing a BS and MS in Earth Sciences at Stanford University in 2004, Dr. Cox worked in a vascular surgery research lab before attending medical school at the University of California, San Francisco. He subsequently completed a residency in Internal Medicine at UCSF in 2014 before working in homeless primary care in downtown LA. He joined the VCMC family after completing a 1-yr fellowship in Hospice & Palliative Medicine at UCSF in San Francisco. He enjoys teaching communication skills to rotating residents on the Palliative Care Team. When at home in Ojai, he enjoys yoga, trail running, and spending time with his wife and growing family. 
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Ventura Global Health Fellowship

Mission

The Ventura faculty group is excited to partner with Ventura Global Health Project in offering a fellowship in global health. Our fellowship is designed to provide a hands-on global health experience at several international locations. Our goal is to support sustainable long-term solutions to medical care in the communities we serve. We are fortunate to have locations which are staffed by Ventura graduates who reside on location. We strive to develop affiliations that “teach the teacher” through support and training of local clinicians and staff as well as international residencies in family medicine.

Application Timeline

  • Applications accepted - October 15th
  • Deadline for application submission - December 15th
  • Announcement of positions - January 15th

Positions

  • Up to 4 fellows per year

Locations

  • We will work with fellows to develop the best mix of location and duration at each site, all international experiences are voluntary
    • Core location options
      • Ventura, California
      • Santo Thomas De La Union, Guatemala
      • Monrovia, Liberia
      • N'Djamena, Chad
    • Other available sites
      • Haiti
      • Ethiopia

 

Ventura - Primary Contact - Wallace Baker MD 

Educational and clinical experience in Ventura California. This experience will include work in an urgent care and average of 3 days per week with elective opportunities 2 days per week in ultrasound training, inpatient infectious disease and outpatient TB and HIV clinic. Call opportunities for inpatient medicine and ER may exist. The core urgent care setting is in an urban underserved location with a moderate sized Mixteco population. Fellows will also be expected to lead residency interest group meetings and provide didactics on global health topics at residency core conference. We strive to be flexible and cater our on-site curriculum to the educational and career goals of the fellow as much as possible.

Guatemala - Primary Contact - Zack Self MD

This experience will consist of 3 months in the rural Guatemalan village of Santo Tomas De La Union, a village of 15,000 people. The host site consists of 4 inpatient/ER beds, an OR, 3 outpatient clinic rooms and an onsite pharmacy. The fellow will perform clinical duties such as outpatient care, ER and inpatient medicine as needed. Educational opportunities will include on site and online ultrasound training, education on local tropical diseases, cultural orientation and others. Research opportunities exist.

Spanish language capability preferred.

Chad - Primary contact - James Appel MD

This experience takes place in in the N'Djamena Chad, the capital city with a population of 2 million. The host site, Guinebor Hospital, has 40 beds and performs 100-150 deliveries and 80-100 major surgeries per month. The patient population is mostly Muslim and Arabic speaking while the staff speaks French and Arabic and several other dialects. The clinical experience will consist of general surgical training, operative OB, basic orthopedic procedures and inpatient medicine/infectious disease. The educational focus will be primarily on meeting general surgery and operative obstetrical needs in a resource limited setting.

Language translation will be provided.

Liberia - Primary contact - John Fankhauser MD

This experience takes place in an 85-bed mission hospital located on the coast of West Africa near Monrovia, Liberia.  The hospital is a general acute care hospital.  There are 15-20 Emergency room visits and 130 outpatient clinic visits daily, 25-30 surgeries per week, and 80-100 deliveries per month.  There is a new family medicine residency program.  The first class of 3 residents started in July 2017.  The fellow’s focus will include learning to care for patients in a tropical, resource limited setting, as well as teaching residents, PA’s and midwives.  The fellow will participate in ER patient management, outpatient clinic care, team rounds on pediatrics, med/surg, and OB wards and didactic teaching in residency seminars.

Ethiopia - Upon inquiry - Primarily a teaching opportunity for family medicine residents.

Haiti - Upon Inquiry. Primarily a teaching opportunity for family medicine residents.

 

Additional Curricular Opportunities

  • Certification in tropical medicine through the West Virginia School of Tropical Medicine.

Requirements

  • Applicants will have successfully completed medical training in a US allopathic or osteopathic medical school and residency program.
  • Be eligible for medical license to practice in California in good standing
  • Be eligible for hospital privileging at Ventura County Medical Center
  • Be eligible for medical malpractice coverage
  • Have health Insurance prior to program commencement
  • Have Travel Insurance prior to international travel
  • Spanish language skills are preferred but not required

Financial

  • Compensation consists of a salary while performing urgent care shifts in Ventura (approximately $27,500), along with a Ventura Global Health Project Grant ($42,500) to offset all travel and living expenses at international sites.
  • An additional $5,000 stipend is available to fellows with a spouse as well as an additional $10,000 stipend available for fellows with children or spouse + children.
  • “Moonlighting” options may be available in Ventura for additional revenue
  • Vacation – Up to 4 weeks of vacation available per year. This cannot come from the time spent in Ventura unless taken from elective educational time, max 4 days per month. Fellows are encouraged to take vacation time between rotations.

Contact

We welcome inquires! Please send all inquiries to:
This email address is being protected from spambots. You need JavaScript enabled to view it.This email address is being protected from spambots. You need JavaScript enabled to view it.

Applications

Please send all applications for the fellowship to both:
This email address is being protected from spambots. You need JavaScript enabled to view it.This email address is being protected from spambots. You need JavaScript enabled to view it.
This email address is being protected from spambots. You need JavaScript enabled to view it.This email address is being protected from spambots. You need JavaScript enabled to view it.

Applications should include a cover letter stating the reasons for your interest in the fellowship as well as your curriculum vitae and 3 references.

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Rheumatology Review of Systems

Rheumatologic ROS is negative for:
Malar rash, photosensitivity, alopecia, mucosal ulcers, Raynaud's phenomenon, SQ nodules, sense of skin tightening in hands, face or torso, other rashes
No hx of red eyes, photophobia, iritis, uveitis, conjunctivitis, redness or discoloration of sclera, dry eyes or dry mouth
Hx pleurisy, sharp chest pains that increase with deep breath, lung fibrosis, pneumonia, cough phlegm, hemoptysis, DVT, PE
Chest pains, Hx pericarditis, heart murmur
Abdominal pain, nausea, vomiting, diarrhea, constipation, melena, hematochezia, Hx hepatitis, tranfusions or drug use, ulcerative colitis, Crohn's Disease
Hematuria, proteinuria, renal failure, bladder infections, kidney stones, hypertension
Headaches, trouble finding words
Focal weakness, trouble combing hair or getting out of chairs
Burning or tingling in feet
Monocular blindness, dysarthria, dysphagia, seizures or stroke
History of Low WBC, low platelets, anemia 

 

 

Courtesy of Dr. Bob Gonzalez

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