In 450–500 words, address the following:
Learning From Experiences
- Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
- Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?
- What did you learn from this experience?
- What resources did you have available?
- What evidence-based practice did you use for the patients?
- What new skills are you learning?
- What would you do differently?
- How are you managing patient flow and volume?
Communicating and Feedback
- Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
- Answer the questions: How am I doing? What is missing?
- Reflect on the formal and informal feedback you received from your Preceptor.
Presenting Problem: The patient is an 11-year-old male presents with symptoms consistent with a neurodevelopmental disorder. Parents report difficulties with attention, social interactions, and academic performance, along with repetitive behaviors. History of Present Illness: The onset of symptoms began in early childhood. The patient has exhibited persistent difficulties in maintaining attention, following instructions, and completing tasks. Socially, she struggles with understanding social cues and forming peer relationships. Academic performance has been below expectations for her age, despite apparent effort. Repetitive behaviors and a preference for routines have also been noted.
Presenting Problem: The patient is a 23-year-old female presents with symptoms consistent with an anxiety disorder. She reports experiencing excessive worry, restlessness, and physical symptoms such as palpitations and muscle tension over the past year. History of Present Illness: The patient describes a gradual onset of symptoms beginning approximately one year ago. She reports persistent and excessive worry about various aspects of her life, including work, health, and personal relationships. She experiences difficulty controlling the worry, which often leads to restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances. The symptoms have significantly impacted her daily functioning and quality of life.
Chief Complaint: The patient presents with concerns about persistent anxiety affecting her daily life. History of Present Illness: Patient is a 32-year-old female who reports experiencing persistent anxiety over the past 4 months She describes feelings of excessive worry, restlessness, and difficulty concentrating, which are impacting her work performance and social interactions. The patient reports that her anxiety is accompanied by physical symptoms such as muscle tension, headaches, and occasional palpitations. She denies any specific triggers but notes that the anxiety is generalized and occurs in various situations.
PRAC 6635 Clinical Skills Self-Assessment Form
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Desired Clinical Skills for Students to Achieve |
Confident (Can complete independently) |
Mostly confident (Can complete with supervision) |
Beginning (Have performed with supervision or need supervision to feel confident) |
New (Have never performed or does not apply) |
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Comprehensive psychiatric evaluation skills in: |
Y |
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Recognizing clinical signs and symptoms of psychiatric illness |
Y |
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Differentiating between pathophysiological and psychopathological conditions |
Y |
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Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
Y |
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Performing and interpreting a mental status examination |
Y |
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Performing and interpreting a psychosocial assessment and family psychiatric history |
Y |
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Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
Y |
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Diagnostic reasoning skill in: |
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Demonstrate knowledge of psychopathology of mental illnesses through discussion for different age groups and mental illnesses |
Y |
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Developing and prioritizing a differential diagnoses list |
Y |
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Formulating diagnoses according to DSM 5-TR based on assessment data |
y |
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Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
Y |
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Psychotherapeutic Treatment Planning: |
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Provide psychoeducation to individuals and/or any caregivers |
Y |
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Promote health and disease prevention techniques |
Y |
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Self Assessment skill: |
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Develop SMART goals for practicum experiences |
Y |
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Evaluating outcomes of practicum goals and modify plan as necessary |
Y |
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Documenting and reflecting on learning experiences |
Y |
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Professional skills: |
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Maintains professional boundaries and therapeutic relationship with clients and staff |
Y |
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Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
Y |
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Identifies ethical and legal dilemmas with possible resolutions |
Y |
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Demonstrates non-judgmental practice approach and empathy |
Y |
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Practices within scope of practice |
Y |
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Selecting and implementing appropriate screening instrument(s) and interpreting results: |
Y |
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Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
Y |
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Implements the screening instrument efficiently and effectively with the clients |
Y |
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Interprets results for screening instruments accurately |
Y |
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Identifies the need to refer to another specialty provider when applicable |
Y |
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Accurately documents recommendations for psychiatric consultations when applicable |
Y |
Summary of strengths:
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Working in the psychiatric unit for two years has significantly enhanced my clinical knowledge and confidence. I uphold professional boundaries with both patients and colleagues while nurturing therapeutic relationships. I am adept at identifying ethical and regulatory issues and proposing suitable solutions. Moreover, I exhibit compassion and sustain a nonjudgmental stance in my practice. I am proficient in practices that fall within the professional scope and have teamwork abilities that enable me to enhance clinical outcomes in mental health environments through cooperation with varied teams. |
Opportunities for growth:
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The Clinical Skills Self-Assessment Form highlights numerous opportunities for growth, emphasizing the importance of clinical practicum experiences in my professional development. I must capitalize on the program's educational offerings to hone my diagnostic reasoning abilities, which are crucial for differential diagnosis and comprehending the psychopathology of mental disorders. Furthermore, I plan to improve my skills in conducting thorough psychiatric evaluations, which include recognizing signs and symptoms of psychiatric conditions and devising psychotherapeutic plans, encompassing psychoeducation, health promotion, and disease prevention strategies. The clinical practicum also affords an opportunity to polish my proficiency in selecting, administering, and interpreting screening tools. Therefore, it is imperative that I set specific, measurable, achievable, realistic, and time-bound (SMART) objectives to maximize these educational experiences during the clinical practicum. |
Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
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1. Goal: Enhance my skills in performing physical examinations on elderly patients and independently interpreting the results by the conclusion of the clinical practicum . a. Objective: I will be observing and learning the procedures involved in conducting physical examinations of elderly patients at the clinical site. b. Objective: I will conduct a research and read the designated text book for this course to gain and expand my knowledge more on physical examination of elderly before the end of the course. c. Objective I will conducting thorough physical examinations on assigned elderly patients under my preceptor's supervision and will submit weekly reports interpreting the findings to my preceptor at the clinical site . 2. Goal: To enhance my capability to independently develop and prioritize differential diagnosis lists for all the mental disorder by the end of the practicum course. a. Objective: I plan to dedicate two hours daily to studying the DSM-V diagnostic criteria for each mental disorder. b. Objective: I will finish quizzes on diagnostic lists for each mental disorder at the conclusion of the daily session. c. Objective: I will develop a flash card daily with at least 10 diagnosis I got from DSM-V for easy understanding and future reference. 3. Goal: Develop the skills necessary to choose and apply screening tools for ten mental disorders and independently interpret the outcomes by the conclusion of the clinical practice experience a. Objective: Under the supervision of my preceptor I will select, administer, and interpret at least one to two screening instruments for five assigned patients every week. b. Objective I plan to conduct online research and study the assigned textbook on the screening and diagnosis of mental disorders for two hours daily. c. Objective: I will utilize the preceptor's feedback to enhance my screening and interpretation abilities in future patient intake sessions. |
Signature: Blessing Okafor
Date: 05/30/2024
Course/Section:
