Grace Family Medical Practice: Clinical Analysis

Students must self evaluate/reflect at the end of each clinical course by answering the statements/questions below. This paper is evaluated based on how completely each section is answered as well as grammar/spelling/punctuation.

1. Describe the things (at least 3) you felt good about in the clinical experiences this term.
This clinical experience has been great. I go to clinical everyday with an open mind. I have learned a wealth of information from my preceptor at Grace Family Medical Practice. I continue to manage acute and chronic diseases with minimal to moderate preceptor coaching. I am appreciating the little exposure that I have to pediatric care at Grace Family Medical Practice.

2. Describe at least two things you felt did not go well during this term’s clinical experience.

I was hoping to begin my pediatric clinical rotation, unfortunately it did not work out.
I was also anticipating more pediatric cases at Grace Family Medical Practice because I thought that summertime camps would lead to more children going to their doctors for sport physical. One thing that did not go too well during this clinical rotation is knowing when to use clinical judgement vs clinical guidelines.

3. What

Guidelines are based on randomized trials and have limitations. Sometimes a clinician must use good clinical judgement to make decision. I understand why a clinician might elect to begin statin therapy for elevated LDL and triglycerides while another clinician might consider lifestyle modification for at least three months before considering a statin. However, I remain perplexed about certain procedures and tests. I don’t agree that a 19 y/o female should have pap smear whether she is sexually active or not. I have learned that every provider practice differently and that I have to follow the guidelines for the national certification