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Week 8 Reflection NR511 Differential Diagnosis and Primary Care July session, Dr. P

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Clinical Experience and Gap Review 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 ro ...

Clinical Experience and Gap Review 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.

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