NR 511 Week 8 Reflection|Week 8 Reflection NR511 Differential Diagnosis and Primary Care.
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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 p
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receptor 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.
4
Reflection
Urgent care facilities can certainly help fulfill procedures such as laceration repairs, foreign body
removal, wound debridement, and nail avulsions.
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