Respond to the 2 following discussion posts separately with separate reference lists. References to be no older than 5 years.
1. Brian Marshall posted Oct 18, 2022 4:07 PM
Week 8: Discussion Question – Clinical Experiences
Based on the soap notes I have submitted this term I have completed the Wellness visits for all the pediatric groups, as well as the HEENT requirement and the two other body system requirements. Between the previous term and this term I have the adult Wellness visit and to the adult HEENT requirement completed, the only metrics left to fulfill would be the minimum number of adult notes, and the minimum number of geriatric notes. There is a minimum of seven adult notes due, I have four already completed, there are a minimum of 6 geriatric notes due, and I have two of them completed. My time next term will be focused on the adult and the geriatric populations. I will take special care to get as many Women’s Health cases as I can and complete at least one note in the Women’s Health category. Other body systems that would benefit from note writing in my case would be the pulmonary system and the genitourinary system. my next term is in family medicine with an excellent family medicine doctor that sees a wide range of patients, these metrics should be encountered somewhat organically during this next term. As far as the required geriatrics cases, pediatric cases, and Women’s Health cases I have satisfied the geriatric and pediatric populations, and I am nearly halfway done with the Women’s Health population, I have 16 of 40 cases done.
The most memorable case I had this term that I wrote a note about was a bacterial infectious diarrhea patient who recently traveled to Ethiopia. This case was very interesting as many problems are on the differential list as diarrhea is a very nondescriipt issue. This patient ended up being positive for Campylobacter jejuni, which is typically self-limiting, but the patient had been suffering for several weeks so treatment was prescribed. I unfortunately was not present with my preceptor for the follow up with this patient, as I was very curious to see how they did. One thing I would have done differently had I had this individual again, would be to dive into why a normally self-limiting bacteria was giving them such trouble for five weeks. This may have warranted investigation into the patient’s immune system. According to Oh et al. C. jejuni was previously thought to be a very stress sensitive organism, easily being eradicated during food processing techniques such as freezing or the cooking process, the authors have discovered that strains of the bacteria commonly found in human infection are now showing greater rates of stress tolerance, making them more likely to contaminate food (Oh et al., 2018).
References
Oh, E., Chui, L., Bae, J., Li, V., Ma, A., Mutschall, S. K., Taboada, E. N., McMullen, L. M., & Jeon, B. (2018). Frequent implication of multistress-tolerantcampylobacter jejuniin human infections. Emerging Infectious Diseases, 24(6), 1037–1044. https://doi.org/10.3201/eid2406.171587
2. Brenda Gomez posted Oct 20, 2022 7:04 PMLast edited: Thursday, October 20, 2022 7:07 PM PDT
The categories I was able to prioritize in this course were pediatrics and family. I completed my pediatric portion of the program and some of my woman’s health requirements. I also completed my pediatric well-child SOAP notes, which helped meet the program requirements. In my next rotation, I believe I will have the opportunity to achieve the remainder of women’s health and the remaining requirements given to the population at the following clinical sites and preceptors that have graciously allowed me to learn from them.
In my last clinical rotation, I hope to finish the remainder of the requirements of this program. I hope to use some of the hours in a specialty where I have been fortunate to have volunteers precepting and mentoring me in my endeavors.
I have many reflections of a patient encounter I found memorable throughout this rotation. The ones that stand out the most are the patients that are genuinely gracious for the care they are provided. Although her health has continued to deteriorate, an older woman who was spunky and happy reminds me that every day is worth living fully. A seventeen-year-old we saw reminded me of how vulnerable we can still be as we are all just human.
I was fortunate to have a fantastic preceptor who shared much of his knowledge and built a tremendous rapport with his patients and their families. He asked how every patient was doing in their personal life, regardless of how busy the clinic was. I aspire to be followed in his footsteps, professional, intelligent yet humble, and personable.
“The good physician treats the disease; the great physician treats the patient who has the disease.”
-William Osler
Kuehne, F., Kalkman, L., Joshi, S., Tun, W., Azeem, N., Buowari, D. Y., Amugo, C., Kallestrup, P., & Kraef, C. (2022). Healthcare Provider Advocacy for Primary Health Care Strengthening: A Call for Action. Journal of primary care & community health, 13, 21501319221078379. https://doi.org/10.1177/21501319221078379
Luft L. M. (2017). The essential role of the physician as an advocate: how and why we pass it on. Canadian medical education journal, 8(3), e109–e116.
