Embedded Files
Practicum III Reflection
Conclusions: I really grew personally and professionally this rotation. I returned to both primary care offices I previously completed rotations at and obtained some pediatric encounters by completing high school sports physicals. I have more confidence with running each patient encounter and my clinical reasoning and treatment plans are logical and evidence-based. As my confidence has grown, I have improved in my practice by engaging the patient more through education on disease processes, medications, and diagnostic exams. The more I see patients independently and document encounters, the more I feel that I am ready to graduate after double practicum next semester. I thrive in fast-paced environments that force me to get out of my comfort zone as a clinician and use clinical resources and my judgment to problem-solve. I am looking forward to my last semester of this program and am thankful for all that I have learned thus far.
Recommendations: Next rotation, I will combine my final two practicums into one semester. Therefore, I will be focusing on furthering my independence as a clinician. I want to be able to see patients, gather health history and my assessment, present the information to my preceptor, and develop a rational and evidence-based plan of care using trusted resources. I need to complete clinical encounters with pediatric patients, so I will be completing one rotation at the Dover High School Wellness Center and my final rotation at Bayhealth Primary Care. During this time, I have also purchased educational resource programs to help me prepate for the EPEA readiness exam and my FNP boards, focus on SDOH concerns for my patients, and improve my documentation efficency and accuracy. In addition to my assignments, I will be completing weekly reviews of FNP topics that will be on my boards exam and creating resource sheets in my clinical journal.
Focus Areas: Knowledge Expansion, Independence, Clinical Reasoning, SDOH concerns
Focus Areas: Knowledge Expansion, Independence, Clinical Reasoning, SDOH concerns
SMART Goals for Practicum IV
SMART Goals for Practicum IV
From September 2nd to my EPEA exam date, I will prepare by completing 75 quiz bank questions per day, 5 days a week, using the following online resources: Davis Edge, Sarah Michelle NP, and U World FNP.
By the end of each week, I will provide education on disease management (i.e. Ashtma, Diabetes, HTN, Hyperlipidemia) and employ the teach-back method at the end of each session for at least 8 patient encounters as well as document these encounters in my clincial log.
By the end of the semester, I will complete at least 10 hands-on skills (e.g., suturing, ear wax debridement, or PAP smear) and document these accordingly into my program's clinical log (EXAAT).
SMART Goals for Practicum V
SMART Goals for Practicum V
By the end of each week for the 15-week semester, I will research and create one clincial "cheat sheet" on a disease process that I find challenging. I will record this information in my clinical resource journal and reference it during patient encounters where applicable. Each entry will include the overview of the disease, objective and subjective findings, assessment tools, diagnostic exams, treatments, and patient education.
Each week, I will present my differentials to my preceptor and explain my clinical reasoning based on my HPI, exam, and resource use, for at least 6 of my patients by the end of the semester.
I will identify at least five patients with SDOH needs and provide resources (e.g., as mental health counseling, food boxes, addiction treatment) and document these interventions in my clinical log by the end of the semester.
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