> For the complete documentation index, see [llms.txt](https://ismms-md-program.gitbook.io/medinfoapp/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://ismms-md-program.gitbook.io/medinfoapp/ascend-phase-2-clerkships/palliative-care/required-clinical-experiences-rce.md). # Required Clinical Experiences (RCE) RCE ensure that students have adequate exposure to a variety of specialty-relevant presenting complaints commonly seen in the clerkship’s clinical setting. Ensuring completion of the Required Clinical Experiences is a joint responsibility of the student and the clerkship director(s). Students are responsible to complete each RCE *and* log completion on One45. Clerkship directors are responsible to review One45 logs and provide advice and guidance to students regarding how to complete any missing RCEs. In the event that a student is not able to complete an RCE, the student must complete the associated Alternate Learning Experience (ALE). The ALEs associated with each RCE are [found here](https://ismms-md-program.gitbook.io/medinfoapp/~/changes/236/clerkship-resources/logging-required-clinical-experiences/alternate-learning-experience-ale) and may include online modules, readings, video recordings, and/or in-person instruction. Students MUST have logged all RCEs in One45 by the day of the clerkship’s shelf exam in order to pass the clerkship. You can read more about RCEs in our policy in the Student Handbook under Phase 2 and 3 Policies and Procedures, [here](https://ismms-md-program.gitbook.io/medical-student-handbook/policies-and-procedures/md-program-specific-policies-and-procedures/year-3-4-and-phase-2-3-policies-and-procedures#required-clinical-experiences-policy-this-policy-provides-information-about-the-required-clinical-ex). **Students will perform all components listed next to each RCE:** ### Palliative Care Clerkship **RCE Clinical Conditions (Non-Procedural)**
Clinical ConditionSkills
Complete a VALUES Assessment
  • obtain the patient history
  • present the case including a discussion of differential diagnosis, assessment, and plan
Nociceptive Pain
  • obtain the patient history
  • physical exam
  • interpret pertinent patient data 
  • present the case including a discussion of differential diagnosis, assessment, and plan
Neuropathic Pain
  • obtain the patient history
  • physical exam
  • interpret pertinent patient data 
  • present the case including a discussion of differential diagnosis, assessment, and plan
Conduct a Confusion Assessment Method (CAM)
  • obtain the patient history
  • physical exam
  • interpret pertinent patient data 
  • present the case including a discussion of differential diagnosis, assessment, and plan
Conduct Edmonton Symptom Assessment System (ESAS) Scale
  • obtain the patient history
  • physical exam
  • interpret pertinent patient data 
  • present the case including a discussion of differential diagnosis, assessment, and plan
**RCE Clinical Conditions (Procedural)** | **Procedures** | **Level of Student Responsibility** | | --------------------------------------------- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | **Observe a family meeting on goals of care** | |