> 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/clerkship-resources/logging-required-clinical-experiences/alternate-learning-experience-ale.md).

# Alternate Learning Experience (ALE)

<table data-header-hidden><thead><tr><th width="164.59988403320312"></th><th width="194.99981689453125"></th><th width="371.9969482421875" valign="top"></th></tr></thead><tbody><tr><td><strong>Clerkship</strong></td><td><strong>Clinical Condition/ Procedure</strong> </td><td valign="top"><strong>Alternate Learning Experience (ALE)</strong> </td></tr><tr><td>Emergency Medicine</td><td>Abdominal pain  </td><td valign="top">CDEM module </td></tr><tr><td>Emergency Medicine</td><td>Chest pain  </td><td valign="top">Sim Lab (Resus Lab) </td></tr><tr><td>Emergency Medicine</td><td>Dyspnea  </td><td valign="top">Sim Lab (Dyspnea), Resus Lab  </td></tr><tr><td>Emergency Medicine</td><td>Sepsis  </td><td valign="top">Sim Lab (Dyspnea and Hypotension) </td></tr><tr><td>Emergency Medicine</td><td>Trauma  </td><td valign="top">Didactic (Trauma) </td></tr><tr><td>Emergency Medicine</td><td>Pelvic Pain / GYN Emergencies </td><td valign="top">Sim Lab (Abd pain/GYN emergencies) </td></tr><tr><td>Emergency Medicine</td><td>Chest Xray Interpretation </td><td valign="top">Review CXR presentation independently </td></tr><tr><td>Emergency Medicine</td><td>Electrocardiogram (EKG) Interpretation</td><td valign="top">Review EKG presentation independently</td></tr><tr><td>Emergency Medicine</td><td>Point of Care Ultrasound (FAST)</td><td valign="top">Simulated FAST OR Video Review  </td></tr><tr><td>Emergency Medicine</td><td>Perform peripheral IV placement</td><td valign="top">Venipuncture/IV self-directed Simulation and Video activity </td></tr><tr><td>Emergency Medicine</td><td>Perform venipuncture</td><td valign="top">Venipuncture/IV self-directed Simulation and Video activity </td></tr><tr><td>Emergency Medicine</td><td>Participate in resuscitation (CPR)</td><td valign="top">Resus Lab, Sim Lab (Resuscitation) </td></tr><tr><td>Inpatient Medicine</td><td>Abdominal pain (adult) </td><td valign="top">Aquifer Module IM 09 </td></tr><tr><td>Inpatient Medicine</td><td>Acid-base disorder  </td><td valign="top">Aquifer Module IM 23 </td></tr><tr><td>Inpatient Medicine</td><td>Altered mental status </td><td valign="top">Aquifer Module IM 25 </td></tr><tr><td>Inpatient Medicine</td><td>Anemia  </td><td valign="top">Aquifer Module IM 19 </td></tr><tr><td>Inpatient Medicine</td><td>Chest pain  </td><td valign="top">Aquifer Module IM 1 </td></tr><tr><td>Inpatient Medicine</td><td>Chest Xray Interpretation </td><td valign="top">CD/Assoc CD will meet with student and review </td></tr><tr><td>Inpatient Medicine</td><td>Electrocardiogram (EKG) Interpretation </td><td valign="top">CD/Assoc CD will meet with student and review </td></tr><tr><td>Inpatient Medicine</td><td>Congestive heart failure </td><td valign="top">Aquifer Module IM 04 </td></tr><tr><td>Inpatient Medicine</td><td>Diabetes mellitus  </td><td valign="top">Aquifer Module IM 07 </td></tr><tr><td>Inpatient Medicine</td><td>Dyspnea/shortness of breath </td><td valign="top">Aquifer Module IM 28 </td></tr><tr><td>Inpatient Medicine</td><td>Fever (adult)  </td><td valign="top">Aquifer Module 24 </td></tr><tr><td>Inpatient Medicine</td><td>Fluid or electrolyte disorder (medical)</td><td valign="top">Aquifer Module 23 </td></tr><tr><td>Inpatient Medicine</td><td>Gastrointestinal bleeding</td><td valign="top">Aquifer Module IM 10 </td></tr><tr><td>Inpatient Medicine</td><td>Liver disease / injury</td><td valign="top">Aquifer Module IM 36 </td></tr><tr><td>Inpatient Medicine</td><td>Pneumonia  </td><td valign="top">Aquifer Module IM 22 </td></tr><tr><td>Inpatient Medicine</td><td>Renal disease  </td><td valign="top">Aquifer Module IM 33 </td></tr><tr><td>Inpatient Medicine</td><td>Substance use disorder </td><td valign="top"><p>Osmosis videos: </p><p><a href="https://www.osmosis.org/learn/Alcohol_withdrawal:_Clinical_sciences">Alcohol withdrawal: Video &#x26; Meaning | Osmosis</a> </p><p><a href="https://www.osmosis.org/learn/Opioid_use_disorder:_Clinical_sciences">Opioid use disorder: Video &#x26; Meaning | Osmosis</a> </p></td></tr><tr><td>Inpatient Medicine</td><td>Syncope or Pre-Syncope </td><td valign="top">Aquifer Module IM 03 </td></tr><tr><td>Inpatient Medicine</td><td>Thromboembolic disease</td><td valign="top">Aquifer Module IM 30</td></tr><tr><td>Neurology  </td><td>Altered mental status </td><td valign="top">Aquifer Module Neurology 02 </td></tr><tr><td>Neurology  </td><td>Dizziness  </td><td valign="top">Aquifer Module Family Medicine 33 </td></tr><tr><td>Neurology  </td><td>Gait dysfunction</td><td valign="top"><p>Osmosis Videos: </p><p>“Approach to unsteadiness, gait disturbance, or falls” AND “Parkinson Disease and Dementia with Lewy Bodies”</p></td></tr><tr><td>Neurology  </td><td>Headache  </td><td valign="top">Aquifer Module Neurology 11 </td></tr><tr><td>Neurology  </td><td>Language dysfunction / Motor Speech Disorder </td><td valign="top"><p>Osmosis Videos: </p><p>“Approach to Dysarthria or Dysphagia” AND </p><p>“Approach to Aphasia” </p></td></tr><tr><td>Neurology </td><td>Numbness, paresthesia and/or neuropathic pain </td><td valign="top">Aquifer Module Neurology 05 </td></tr><tr><td>Neurology  </td><td>Seizure / “Spell”  </td><td valign="top">Aquifer Module Neurology 03 </td></tr><tr><td>Neurology  </td><td>Stroke  </td><td valign="top"><p>Sim lab, OR </p><p>Aquifer Module Neurology 12 </p></td></tr><tr><td>Neurology  </td><td>Weakness  </td><td valign="top">Aquifer Module Neurology 01 </td></tr><tr><td>Neurology</td><td>Review Brain Imaging Systematically (CT head)</td><td valign="top">Aquifer Module Radiology 09 OR Radiology 10</td></tr><tr><td>Obstetrics and Gynecology </td><td>Bleeding, uterine or vaginal </td><td valign="top">Small group lecture, APGO uWise question module #45, APGO Educational Topic Video #45 </td></tr><tr><td>Obstetrics and Gynecology </td><td>Non-pregnant woman </td><td valign="top">Simulation, APGO uWise question modules #3, #7; APGO Educational Topic Videos #1, #3, #7 </td></tr><tr><td>Obstetrics and Gynecology </td><td>Pelvic mass  </td><td valign="top">APGO uWise question modules #53, #55; APGO Educational Topic Videos #53, #55 </td></tr><tr><td>Obstetrics and Gynecology </td><td>Pelvic pain  </td><td valign="top">Small group lecture, APGO uWise question modules #15, #16, #38, #39, #46, #49; APGO Educational Topic Videos #15, #16, 338, #39, #46, #49 </td></tr><tr><td>Obstetrics and Gynecology </td><td>Postpartum patient via SVD </td><td valign="top">APGO Educational Topic Video #11 </td></tr><tr><td>Obstetrics and Gynecology </td><td><p>Postpartum patient via cesarean   </p><p>delivery </p></td><td valign="top"><a href="https://www.youtube.com/watch?v=_tiAr5qrgwI">APGO video</a> <br><a href="https://www.youtube.com/watch?v=_tiAr5qrgwI">https://www.youtube.com/watch?v=_tiAr5qrgwI</a> </td></tr><tr><td>Obstetrics and Gynecology </td><td><p>Sexually   </p><p>transmitted   </p><p>infections </p></td><td valign="top">Small group lecture, APGO uWise question module #36, APGO Educational Topic Video #36 </td></tr><tr><td>Obstetrics and Gynecology </td><td>Perform/interpret obstetrical ultrasound to assess for fetal presentation in a pregnant patient </td><td valign="top">OB/GYN ultrasound primer, small group lecture </td></tr><tr><td>Obstetrics and Gynecology </td><td>Assist in spontaneous vaginal delivery (SVD)</td><td valign="top">APGO Educational Topic Video #11 </td></tr><tr><td>Obstetrics and Gynecology</td><td>Assist in cesarean delivery</td><td valign="top"><a href="https://www.youtube.com/watch?v=_tiAr5qrgwI">APGO video</a> <br><a href="https://www.youtube.com/watch?v=_tiAr5qrgwI">https://www.youtube.com/watch?v=_tiAr5qrgwI</a> </td></tr><tr><td>Obstetrics and Gynecology </td><td><p>Assist in vaginal or perineal</p><p>laceration repair</p></td><td valign="top"><a href="https://www.youtube.com/watch?v=-s2E-svH_x0">Small group lecture, Online video: https://www.youtube.com/watch?v=-s2E-svH_x0</a> </td></tr><tr><td>Obstetrics and Gynecology </td><td>Assist in hysterectomy</td><td valign="top"><a href="https://www.youtube.com/watch?v=pzpTsiJSQ3U">Lippincott Atlas of Gynecologic Surgery Video</a> <br><a href="https://www.youtube.com/watch?v=pzpTsiJSQ3U">https://www.youtube.com/watch?v=pzpTsiJSQ3U</a> </td></tr><tr><td>Obstetrics and Gynecology </td><td>Assist in management of labor</td><td valign="top">Simulation, small group lecture, APGO uWise question module #11, APGO Educational Topic Video #11 </td></tr><tr><td>Obstetrics and Gynecology </td><td>Assist in laparoscopic surgery</td><td valign="top"><a href="https://www.youtube.com/watch?v=rZ3_9OF8yy4&#x26;t=247s">Society of Laparoscopic Surgeons Video</a> <br><a href="https://www.youtube.com/watch?v=rZ3_9OF8yy4&#x26;t=247s">https://www.youtube.com/watch?v=rZ3_9OF8yy4&#x26;t=247s</a> </td></tr><tr><td>Obstetrics and Gynecology </td><td>Perform indwelling urinary catheter insertion</td><td valign="top">Perform foley insertion on pelvic model </td></tr><tr><td>Obstetrics and Gynecology </td><td>Demonstrate appropriate scrubbing technique</td><td valign="top"><a href="https://vimeo.com/71610029">OHSU Surgical Orientation Video for Medical Students</a> <br><a href="https://vimeo.com/71610029">https://vimeo.com/71610029</a> <br><a href="https://vimeo.com/71610029">APGO Basic Clinical Skills Curriculum</a> </td></tr><tr><td>Palliative Care </td><td>Complete a VALUES Assessment </td><td valign="top">Aquifer Module Palliative Care 02, Aquifer Palliative Care 03; AND Values mapping exercise with interdisciplinary team </td></tr><tr><td>Palliative Care </td><td>Nociceptive Pain </td><td valign="top">Aquifer Module Palliative Care 06 and Palliative Care 10 AND non-opioid pain management chalk talk </td></tr><tr><td>Palliative Care </td><td>Neuropathic Pain </td><td valign="top"><p>Aquifer: Palliative Care 06 AND Palliative Care 10 AND non-opioid pain management chalk tall </p><p> </p></td></tr><tr><td>Palliative Care </td><td>Conduct a Confusion Assessment Method (CAM) </td><td valign="top">Aquifer Module Geriatrics 06 AND Delirium chalk talk </td></tr><tr><td>Palliative Care </td><td>Conduct Edmonton Symptom Assessment System (ESAS) Scale </td><td valign="top">Aquifer Module Palliative Care 02 AND Palliative Care 11 AND Direct Observation </td></tr><tr><td>Palliative Care </td><td>Observe a family meeting</td><td valign="top"><p>Aquifer Module Palliative Care 03 “Family meetings and establishing goals of care” </p><p> </p></td></tr><tr><td>Pediatrics </td><td>Conduct a HEADSSS Interview </td><td valign="top">Aquifer Module Pediatrics Case 05 </td></tr><tr><td>Pediatrics  </td><td><p>Abdominal pain   </p><p>(pediatric) </p></td><td valign="top">Aquifer Module Pediatrics Case 27 </td></tr><tr><td>Pediatrics  </td><td>Anemia  </td><td valign="top">Aquifer Module Pediatrics Case 3 </td></tr><tr><td>Pediatrics  </td><td>Fever (pediatric)  </td><td valign="top">Aquifer Module Pediatrics Case 10 </td></tr><tr><td>Pediatrics  </td><td>Neonatal jaundice  </td><td valign="top">Aquifer Module Pediatrics Case 08 </td></tr><tr><td>Pediatrics  </td><td>Pediatric Ear Exam  </td><td valign="top">Aquifer Module Pediatrics Case 14 </td></tr><tr><td>Pediatrics  </td><td>Rash  </td><td valign="top">Aquifer Module Pediatrics Case 32 </td></tr><tr><td>Pediatrics  </td><td>Respiratory Illness (croup, bronchiolitis, Pneumonia, or asthma) </td><td valign="top">Aquifer Module Pediatrics Case 12 </td></tr><tr><td>Pediatrics  </td><td>Assess dehydration in a child &#x3C;/= 12 years old </td><td valign="top">Aquifer Module Pediatrics Case 16 </td></tr><tr><td>Pediatrics  </td><td>Assess developmental milestones in a child &#x3C;/= 5 years </td><td valign="top">Aquifer Module Pediatrics Case 02 </td></tr><tr><td>Pediatrics  </td><td>Assess Immunization status </td><td valign="top">Aquifer Module Pediatrics Case 02 </td></tr><tr><td>Pediatrics  </td><td>Assess Growth and Nutritional Needs in a newborn/infant &#x3C;1 year old </td><td valign="top">Aquifer Module Pediatrics Case 02 </td></tr><tr><td>Pediatrics  </td><td>Assess Growth and Nutritional Needs in a child >1 year old </td><td valign="top">Aquifer Module Pediatrics Case 032 </td></tr><tr><td>Psychiatry</td><td>Anxiety (symptom or diagnosis) </td><td valign="top"><p>Anxiety Disorders: Self-Learning Module: <a href="https://www.admsep.org/csi-emodules.php?c=anxiety&#x26;v=y">https://www.admsep.org/csi-emodules.php?c=anxiety&#x26;v=y</a> </p><p>Generalized Anxiety Disorder (2026): Self-Paced Learning Module: <a href="https://www.admsep.org/subpages/csi/modules/gad/storypre.html">https://www.admsep.org/subpages/csi/modules/gad/storypre.html</a> </p><p>Social Anxiety Disorder e-Module: <a href="https://www.admsep.org/csi-emodules.php?c=socialanxietydisorder&#x26;v=y">https://www.admsep.org/csi-emodules.php?c=socialanxietydisorder&#x26;v=y</a> </p><p> </p></td></tr><tr><td>Psychiatry </td><td>Personality Disorder </td><td valign="top">"Personality Disorders" in: The Introductory Textbook of Psychiatry, by Black &#x26; Andreasen; Online module: <a href="https://www.admsep.org/csi-emodules.php?c=personality&#x26;v=y">https://www.admsep.org/csi-emodules.php?c=personality&#x26;v=y</a> </td></tr><tr><td>Psychiatry  </td><td>Depression  </td><td valign="top">Chapter 6, "Mood Disorders" in: The Introductory Textbook of Psychiatry, by Black &#x26; Andreasen; Online Modules: • <a href="https://admsep.org/csi-emodules.php?c=adolescent-depression&#x26;v=y">https://admsep.org/csi-emodules.php?c=adolescent-depression&#x26;v=y</a> <br>  • <a href="https://admsep.org/csi-emodules.php?c=geriatric-depression&#x26;v=y">https://admsep.org/csi-emodules.php?c=geriatric-depression&#x26;v=y</a> </td></tr><tr><td>Psychiatry  </td><td>Mania  </td><td valign="top">Chapter 6, "Mood Disorders" in: The Introductory Textbook of Psychiatry, by Black &#x26; Andreasen; Online Module: <a href="https://admsep.org/csi-emodules.php?c=bipolar&#x26;v=y">https://admsep.org/csi-emodules.php?c=bipolar&#x26;v=y</a> </td></tr><tr><td>Psychiatry  </td><td>Impulsivity  </td><td valign="top">"Personality Disorders" in: The Introductory Textbook of Psychiatry, by Black &#x26; Andreasen; Online Module: <a href="https://www.admsep.org/csi-emodules.php?c=personality&#x26;v=y">https://www.admsep.org/csi-emodules.php?c=personality&#x26;v=y</a> </td></tr><tr><td>Psychiatry  </td><td><p>Substance use   </p><p>disorders </p></td><td valign="top">Chapter 15, "Substance-Related and Addictive Disorders" in: The Introductory Textbook of Psychiatry, by Black &#x26; Andreasen; <a href="https://admsep.org/csi-emodules.php?c=opiates&#x26;v=y">https://admsep.org/csi-emodules.php?c=opiates&#x26;v=y</a> </td></tr><tr><td>Psychiatry  </td><td>Suicidality  </td><td valign="top">Chapter 18, "Psychiatric Emergencies: Suicide and Suicidal Behavior" in: The Introductory Textbook of Psychiatry, by Black &#x26; Andreasen; Online Modules: <a href="https://www.youtube.com/watch?v=LeMs2-cF2ME&#x26;list=PLZ6DpvOfzN1k5FyvKGVkLDpE1oaT7eMCZ&#x26;index=2">https://www.youtube.com/watch?v=LeMs2-cF2ME&#x26;list=PLZ6DpvOfzN1k5FyvKGVkLDpE1oaT7eMCZ&#x26;index=2</a>; <a href="https://www.youtube.com/watch?v=yu-rM-gK6aw&#x26;list=PLZ6DpvOfzN1k5FyvKGVkLDpE1oaT7eMCZ&#x26;index=3">https://www.youtube.com/watch?v=yu-rM-gK6aw&#x26;list=PLZ6DpvOfzN1k5FyvKGVkLDpE1oaT7eMCZ&#x26;index=3</a> </td></tr><tr><td>Psychiatry </td><td>Psychosis </td><td valign="top"><a href="https://www.admsep.org/csi-emodules.php?c=psychotic&#x26;v=y">Chapter 5, "Schizophrenia Spectrum and Other Psychotic Disorders" in: The Introductory Textbook of Psychiatry, by Black &#x26; Andreasen; Online module: https://www.admsep.org/csi-emodules.php?c=psychotic&#x26;v=y</a> </td></tr><tr><td>Surgery-Anesthesiology </td><td><p>Abdominal pain   </p><p>(surgical) </p></td><td valign="top">ABMOSS reading - “acute abdomen”; Abdominal Pain didactic  </td></tr><tr><td>Surgery-Anesthesiology </td><td>Fluid or electrolyte disorder (surgical) </td><td valign="top">Simulation Session on IV fluids, shock, and nutrition </td></tr><tr><td>Surgery-Anesthesiology</td><td>Postoperative pain</td><td valign="top"><a href="https://teachmesurgery.com/perioperative/on-the-wards/post-op-painhttps://teachmesurgery.com/perioperative/on-the-wards/post-op-pain">https://teachmesurgery.com/perioperative/on-the-wards/post-op-pain</a></td></tr><tr><td>Surgery-Anesthesiology</td><td>Surgical incision assessment for signs of healing and infection</td><td valign="top"><a href="https://www.youtube.com/watch?v=s76P1DdtBAA">https://www.youtube.com/watch?v=s76P1DdtBAA</a></td></tr><tr><td>Surgery-Anesthesiology </td><td><p>Perform airway   </p><p>management (mask ventilation and either laryngeal airway (LMA) or endotracheal tube placement)</p></td><td valign="top">Small group workshops on Airway Management          <a href="https://www.youtube.com/watch?v=J2gPumQErsQ">https://www.youtube.com/watch?v=J2gPumQErsQ</a> – Mask Ventilation and General Airway Management <br><a href="https://www.youtube.com/watch?v=96e46PyARaU">https://www.youtube.com/watch?v=96e46PyARaU</a> – LMA Insertion <br><a href="https://www.youtube.com/watch?v=CrLJwwSnUws">https://www.youtube.com/watch?v=CrLJwwSnUws</a> – Intubation</td></tr><tr><td>Surgery-Anesthesiology </td><td>Perform dressing change</td><td valign="top"><a href="https://www.youtube.com/watch?v=01D17PnsGpAhttps://www.youtube.com/watch?v=s76P1DdtBAA">https://www.youtube.com/watch?v=01D17PnsGpA     https://www.youtube.com/watch?v=s76P1DdtBAA</a></td></tr><tr><td>Surgery-Anesthesiology </td><td>Demonstrate knot-tying technique (instrument tie, two-handed or one-handed tie)</td><td valign="top">Surgical Skills sim session</td></tr><tr><td>Surgery-Anesthesiology </td><td>Demonstrate suturing technique</td><td valign="top"><p>Surgical Skills sim session</p><p> </p></td></tr><tr><td>Surgery-Anesthesiology </td><td>Demonstrate appropriate scrubbing technique</td><td valign="top">Small group session</td></tr></tbody></table>


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