This morning I had my new patient clinic.This clinic allows us to get more feedback on our current clinical performance and prepares us for our final CCAs. It was different from the normal case history taking process as a tutor was present during the whole time but also two observers. All three filled a feedback sheet during my case history and assessed me. This was giving me quite a bit of pressure. I had a lovely female patient who never experienced osteopathy before.
I was quite nervous when we went outside to discuss my hypotheses. However, my tutor and my colleagues were quite happy with my performance so far. I carried on with the examination and also did quite a fair amount of treatment. All in all I was pleased how it all ran. Afterwards I got feedback from all three observers. This was a great experience as I will use this criticism to develop my clinical skills.
I was criticised that I ask to many questions in detail for a patient's general health that are not relevant to the presenting symptoms. By today, I always asked quite in depth for those details as I often get some relevant details even if the patient seems to be healthy and gave me the impression to be fine. However I learned from todays' assessment that I have to concentrate on the most relevant details applying my clinical knowledge. So that I consider differential diagnosis with symptoms that could come together with system health features. Another area I need to work on is time management. Although today it went well but my tutor suggested to speed up my process, e g. that I use an alarm, as students are likely to overrun during CCAs. I was so happy to hear that my English communication skills improved, however I need to improve still on this. Therefore I plan to practice the case history taking process in my study group. This will allow me to work on my questioning, communication skills, time management and assessment routine. As there was not enough time this morning I was promised to get further written feedback from my observers next wednesday.
I was quite nervous when we went outside to discuss my hypotheses. However, my tutor and my colleagues were quite happy with my performance so far. I carried on with the examination and also did quite a fair amount of treatment. All in all I was pleased how it all ran. Afterwards I got feedback from all three observers. This was a great experience as I will use this criticism to develop my clinical skills.
I was criticised that I ask to many questions in detail for a patient's general health that are not relevant to the presenting symptoms. By today, I always asked quite in depth for those details as I often get some relevant details even if the patient seems to be healthy and gave me the impression to be fine. However I learned from todays' assessment that I have to concentrate on the most relevant details applying my clinical knowledge. So that I consider differential diagnosis with symptoms that could come together with system health features. Another area I need to work on is time management. Although today it went well but my tutor suggested to speed up my process, e g. that I use an alarm, as students are likely to overrun during CCAs. I was so happy to hear that my English communication skills improved, however I need to improve still on this. Therefore I plan to practice the case history taking process in my study group. This will allow me to work on my questioning, communication skills, time management and assessment routine. As there was not enough time this morning I was promised to get further written feedback from my observers next wednesday.
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