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Summary NR 511 Week 8 Reflection|Week 8 Reflection NR511 Differential Diagnosis and Primary Care.
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NR 511 Week 8 Reflection|Week 8 Reflection NR511 Differential Diagnosis and Primary Care.
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LECTSTEPHEN1
Reflection
Week 8 Reflection
NR511 Differential Diagnosis and
Primary CareJuly session,
Dr. P
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 of66-75. Upon reviewing the clinical report from the MyEvaluations logging tool,
about 86.63% ofthe 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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