Friday, 1 October 2010

Clinic reflection

1/10 My new patient today was a new mother and I felt quite prepared for this, having seen a very acute new mother in my first summer clinic - when I missed lots of questions in the case history! However, when I presented to a tutor this time, I was quite harshly reprimanded for missing some questions I still hadn't thought of and also for not knowing about specific types of braces/supports that can be used during pregnancy. It struck me that there are many questions that need to be asked about the pregnancy itself, labour, delivery and aftercare and I need to know about this, as it is definitely an area of interest for me. I will be taking the obstetrics elective later in the term, but following this experience today, I have requested/begged to be put in the expectant mothers clinic next term. I feel concerned about other specialist areas I may not be exposed to and I am going to give this some consideration.

29/9 My new patient today had a rib lesion and I am disappointed that I asked the tutor to perform the HVT  without even trying it myself. I had not performed a successful rib HVT yet and I was reluctant to inflict my technique on an acute patient. However, I still felt deflated by the experience. Fortunately for me, I had a very understanding tutor who advised me that ribs were EASY and before I knew it, an unsuspecting colleague was laid out on the plinth before me. I was not allowed out of the room until I achieved a rib HVT. I did a lap round the plinth to celebrate.

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