NR 511 Reflection
The student identifies at least one gap in specific patient experiences (i.e. ages, acuities, complexities,
procedures, assessments, etc.) AND The student outlines their practicum plan for the next 4 courses
AND The student presents a brief plan to narrow the gaps within the context of the planned practicum
rotations. (Requires 3 critical elements)
During the last 8 weeks of clinical rotation, I worked at a family medicine clinic. My preceptor saw 60 %
of pediatric patients and 40 % of adults’ patients. I was able to take care of children, teens, and young
adults (age 3 to 18), but was not able to meet with patients less than one years old . Most of the
patients’ conditions were mild to moderate, and it was uncommon to see patients with severe
conditions. When it came to procedures, I was able to perform venipuncture, vision/ hearing
assessment, EKG along with physical assessment. However, many of the diagnostic tests or procedures
were not offered at the office due to its limited resources. I plan to find another practicum site and get
exposed to more variety of patients and different procedures so that I can expand my clinical
experiences. Moreover, I would like to get involved with variety of diagnostic tests according to patient’s
condition with my next rotation.
m
er as
co
The student discusses their overall progression in this clinical rotation by identifying the following: 1)
eH w
One professional goal that was achieved 2) One goal that was not achieved 3) A plan in future
practicums to achieve the goal that was not met. (3 critical elements required)
o.
rs e
Through the clinical rotation, I was able to learn how to perform a thorough physical assessment
ou urc
according to patients’ various symptoms. Also, I learned that a systematic and detailed assessment
including interview and physical assessment is necessary to find out what really is going on with the
patients. Furthermore, I was able to provide preventative care through patient education. However, I still
o
need to get more practice making differential diagnosis according to patients’ condition sometimes. I feel
aC s
that making the lists of differential diagnosis and narrowing down to one final diagnosis is the most
vi y re
important process in patient care to guide treatment. I would like to actively get involved with patient
diagnosis process, so that I will be proficient at making differential diagnosis based on my assessment.
ed d
ar stu
The student identifies a minimum of three specific areas of professional weakness in the clinical
setting AND The student communicates a clear plan address these deficiencies. (2 critical elements
required)
is
First of all, the dominant patient population at the clinical site was Hispanics and I was not able to
perform a thorough assessment due to language barrier for some patients. I feel that I need to work on
Th
learning Spanish to serve the patient population better. Second of all, I feel that I need to work more on
physical assessment skills in patients less than 1 year old. I was not exposed to many patients less than 1
year old and even though I could met some baby patients, it was difficult to perform a through physical
sh
examination sometimes due to their irritation (for example, cry and move a lot). I will actively engaged
with patient care in next rotation especially babies so that I could learn physical exam skills regardless
there’s some limitations. Third, I would work on ordering diagnostic tests according to patients’
condition. For this, I would be more proactive on searching rationales on each diagnostic tests that were
ordered so that I could order proper tests based on patients’ symptoms to narrow down the diagnosis
lists.
This study source was downloaded by 100000829244943 from CourseHero.com on 08-28-2021 04:35:22 GMT -05:00
https://www.coursehero.com/file/38914838/NR-511-reflectiondocx/
The student identifies at least one gap in specific patient experiences (i.e. ages, acuities, complexities,
procedures, assessments, etc.) AND The student outlines their practicum plan for the next 4 courses
AND The student presents a brief plan to narrow the gaps within the context of the planned practicum
rotations. (Requires 3 critical elements)
During the last 8 weeks of clinical rotation, I worked at a family medicine clinic. My preceptor saw 60 %
of pediatric patients and 40 % of adults’ patients. I was able to take care of children, teens, and young
adults (age 3 to 18), but was not able to meet with patients less than one years old . Most of the
patients’ conditions were mild to moderate, and it was uncommon to see patients with severe
conditions. When it came to procedures, I was able to perform venipuncture, vision/ hearing
assessment, EKG along with physical assessment. However, many of the diagnostic tests or procedures
were not offered at the office due to its limited resources. I plan to find another practicum site and get
exposed to more variety of patients and different procedures so that I can expand my clinical
experiences. Moreover, I would like to get involved with variety of diagnostic tests according to patient’s
condition with my next rotation.
m
er as
co
The student discusses their overall progression in this clinical rotation by identifying the following: 1)
eH w
One professional goal that was achieved 2) One goal that was not achieved 3) A plan in future
practicums to achieve the goal that was not met. (3 critical elements required)
o.
rs e
Through the clinical rotation, I was able to learn how to perform a thorough physical assessment
ou urc
according to patients’ various symptoms. Also, I learned that a systematic and detailed assessment
including interview and physical assessment is necessary to find out what really is going on with the
patients. Furthermore, I was able to provide preventative care through patient education. However, I still
o
need to get more practice making differential diagnosis according to patients’ condition sometimes. I feel
aC s
that making the lists of differential diagnosis and narrowing down to one final diagnosis is the most
vi y re
important process in patient care to guide treatment. I would like to actively get involved with patient
diagnosis process, so that I will be proficient at making differential diagnosis based on my assessment.
ed d
ar stu
The student identifies a minimum of three specific areas of professional weakness in the clinical
setting AND The student communicates a clear plan address these deficiencies. (2 critical elements
required)
is
First of all, the dominant patient population at the clinical site was Hispanics and I was not able to
perform a thorough assessment due to language barrier for some patients. I feel that I need to work on
Th
learning Spanish to serve the patient population better. Second of all, I feel that I need to work more on
physical assessment skills in patients less than 1 year old. I was not exposed to many patients less than 1
year old and even though I could met some baby patients, it was difficult to perform a through physical
sh
examination sometimes due to their irritation (for example, cry and move a lot). I will actively engaged
with patient care in next rotation especially babies so that I could learn physical exam skills regardless
there’s some limitations. Third, I would work on ordering diagnostic tests according to patients’
condition. For this, I would be more proactive on searching rationales on each diagnostic tests that were
ordered so that I could order proper tests based on patients’ symptoms to narrow down the diagnosis
lists.
This study source was downloaded by 100000829244943 from CourseHero.com on 08-28-2021 04:35:22 GMT -05:00
https://www.coursehero.com/file/38914838/NR-511-reflectiondocx/
