1
Reflection
Week 8 Reflection
NR511 Differential Diagnosis and Primary Care
July session, 2019
Dr. P
Clinical Experience and Gap Review
This study source was downloaded by 100000839495789 from CourseHero.com on 04-26-2022 07:25:31 GMT -05:00
https://www.coursehero.com/file/55073349/NR-511-Week-8-Reflectiondocx/
, 2
Reflection
After careful review of the clinical encounter summary, I was able to identify gaps in
types of patients I have seen during my clinical rotation. In my clinical rotation for NR 511, I
followed one preceptor in the family practice setting where I saw a total of 172 patients and
completed 129 clinical hours. During this rotation, I had the opportunity to see a wide range of
the adult population from age 18-95. The majority of the adult population fell in the age range of
66-75. Upon reviewing the clinical report from the MyEvaluations logging tool, about 86.63% of
the patient population seen in this clinical rotation were African American, which is
representative of the ethnic population in the Orange county of Orlando Florida. I also saw 8
Caucasian patients (4.65%), 12 Hispanic or Latino patients (6.98%), also 3 American Indian/
Alaskan Native descendant patients (1.74%). Lastly, only a few procedures were carried out
during my rotation. I was able to perform one PAP smears, a breast exam, and mostly
venipuncture. I was lucky enough to have a clinic that performed x-rays inhouse and I was also
able to see and learn from a diagnostic testing stand point.
In terms of client complexity, the majority of the visits (75.58%) were chronic condition
associated with hypertension, hyperlipidemia, diabetes, and hypothyroidism. As I progressed
towards the end of the clinical rotation, I was able to see more health maintenance visits and
acute conditions. Nonetheless, I felt that this was a significant gap in the category of client
complexity. Since the majority of the patients were chronic visitations, I was unable to perform
many of the procedures listed in the competency list. I hope to close this gap with the next
clinical rotation in general internal medicine. If I continue to see this particular gap in client
complexity and procedures, I will obtain preceptorship in an urgent care facility that may provide
plenty of opportunities to gain exposure to higher acuity patients and perform more procedures.
This study source was downloaded by 100000839495789 from CourseHero.com on 04-26-2022 07:25:31 GMT -05:00
https://www.coursehero.com/file/55073349/NR-511-Week-8-Reflectiondocx/
Reflection
Week 8 Reflection
NR511 Differential Diagnosis and Primary Care
July session, 2019
Dr. P
Clinical Experience and Gap Review
This study source was downloaded by 100000839495789 from CourseHero.com on 04-26-2022 07:25:31 GMT -05:00
https://www.coursehero.com/file/55073349/NR-511-Week-8-Reflectiondocx/
, 2
Reflection
After careful review of the clinical encounter summary, I was able to identify gaps in
types of patients I have seen during my clinical rotation. In my clinical rotation for NR 511, I
followed one preceptor in the family practice setting where I saw a total of 172 patients and
completed 129 clinical hours. During this rotation, I had the opportunity to see a wide range of
the adult population from age 18-95. The majority of the adult population fell in the age range of
66-75. Upon reviewing the clinical report from the MyEvaluations logging tool, about 86.63% of
the patient population seen in this clinical rotation were African American, which is
representative of the ethnic population in the Orange county of Orlando Florida. I also saw 8
Caucasian patients (4.65%), 12 Hispanic or Latino patients (6.98%), also 3 American Indian/
Alaskan Native descendant patients (1.74%). Lastly, only a few procedures were carried out
during my rotation. I was able to perform one PAP smears, a breast exam, and mostly
venipuncture. I was lucky enough to have a clinic that performed x-rays inhouse and I was also
able to see and learn from a diagnostic testing stand point.
In terms of client complexity, the majority of the visits (75.58%) were chronic condition
associated with hypertension, hyperlipidemia, diabetes, and hypothyroidism. As I progressed
towards the end of the clinical rotation, I was able to see more health maintenance visits and
acute conditions. Nonetheless, I felt that this was a significant gap in the category of client
complexity. Since the majority of the patients were chronic visitations, I was unable to perform
many of the procedures listed in the competency list. I hope to close this gap with the next
clinical rotation in general internal medicine. If I continue to see this particular gap in client
complexity and procedures, I will obtain preceptorship in an urgent care facility that may provide
plenty of opportunities to gain exposure to higher acuity patients and perform more procedures.
This study source was downloaded by 100000839495789 from CourseHero.com on 04-26-2022 07:25:31 GMT -05:00
https://www.coursehero.com/file/55073349/NR-511-Week-8-Reflectiondocx/
