CLINICAL EDUCATION I~ PTH 633 Student name: _Guy Beachn: Date of Assignment: 3/24/2020. For each of the general clinical performance areas listed below, identify areas of strength for you, and areas that ‘you feel need improvement, Please refer to the specific course objectives in your syllabus (identified below) as. ‘You complete the assessment. Be sure to use your own words, however, versus simply repeating our objectives to describe areas of strength and weakness. This assignment is due on Mareh 24, 2020. 1. Interaction Skills (Objectives 3 a-h.)_ A. Strengths: I believe my strengths right now are highest in the subjective section of an evaluation. I sometimes miss a few pieces of information, but for the most part my interview questions are organized well so that I can get important information from the patient with minimal distractions or delays. I have been told By my classmates that I do a good job of staying on track and explaining questions, tests, and positioning well to 4 patient that does not regularly use our terminology. B. Areas to be improved: | want to get better at the writing portions of interaction skills (objectives 3 fh). Iam currently working on remembering to be very specific with the location of where a test might be done and what I am finding, example: axillary nerve distribution of right shoulder. The first few notes T over generalized information and instead tried to focus on why I am doing something, rather than the process of what I am doing and my findings. I Examination skills and interpretation of findings (Evaluation) (Objectives. 4 a-f, 5 a-e.) A. Strengths: { believe special tests and positioning are currently my strengths in this area. I have been able to determine an accurate diagnosis during mock cases by choosing appropriate special tests to do, and using the information from those tests to rule in/out impairments as well as determine unrelated symptoms that could be associated with those tests — pronator teres syndrome test incteased pain, but it was due to increased stretch of the extensor muscles, not an actual + sign. B._Areas to be improved: ROM and MMT are things I need to figure out in my routine. [always feel like T am guessing on which ones need to perform, and it just does not feel like it is as natural as the special tests. I have looked at a few of the templates provided by Hands for Health and the organization makes much more sense than the way I have been performing an evaluation, so I plan on using those more to assist in making my routine and hopefully it will increase my performance. Ill. _Intervention/treatment planning and implementation (Objectives 6 a-i.)A. Strengths: am comfortable providing treatment to a patient and have a good understanding of progression and regression. am comfortable performing manual and exercise interventions that are appropriate for the cases we have ‘covered so far. I believe I am stronger at the final 15 minutes of an evaluation where I can do some brief treatment and teach HEP exercises, but that is mostly because we have had limited time working on a daily case. B, Areas to be improved: Providing treatment for an entire daily visit is something that I need to work on, but we have only had the one ‘chance to do it. I felt like I knew what needed to be done, but I was not sure on how to best split up my time yet between interventions ~ should I be doing more manual, more exercise, more stretching and mobilizing, etc. also felt alittle overwhelmed during our first two case treatments because I had a plan for the first case and with how fast everything was going, I began to blank on the second case. I will work on getting more organized for intervention orders and durations IV. General problem-solving and clinical reasoning skills (Objective | a-c.)"** Note: Refer to carly lecture materials in this course on problem solving models and clinical reasoning and decision-making processes to assess this area. What steps in these processes are going well for you? Which ones are difficult?*** A. Strengths: 1 believe I am good at problem solving as far as organizing what I need to do for an evaluation in an order that works best for me and being able to take a moment and think of ways to adjust it when needed — positioning during the shoulder case. B. Areas to be improved: The biggest area I need to work on is developing several possible solutions to a treatment. The evaluation I understand pretty well, but when I get stuck for a treatment that might not work I tend to not be able to think of a way to adjust that exercise on the fly and instead just move on to something else. I think that will just come with time, getting comfortable with knowing people’s limitations and finding creative ways to adjust exercises. V. Involvement of patient in decision-making and patient care process (Objectives 2 a-e.) ‘A. Strengths: make sure to involve the patient with everything I am considering during the initial eval and work with them to figure out what will work best for them. I usually have a very good idea of what goals the patient should be at near discharge, and agree on a plan with the patient, but I have trouble writing out those goals and finding short term goals. B. Areas to be improved:Like I mentioned above, writing goals is my biggest weakness. I can visualize where the patient should be at the end of treatment, but writing down the individual components is difficult for me and is something I am working, on VI. Flexibility and professional judgment (Objectives 7 a-d.) A. Strengths: We have not really had much exposure to someone who tests these qualities, but [like to think I am very professional and understanding when interacting with a patient. I am mindful of painful positioning and limitations by the patient, when the shoulder patient couldn’t remove her sweatshirt, I assisted with the right shoulder sleeve, B, Areas to be improved: Again, we have not had much exposure yet, but I will say [ know how draining it can be to work with some people as a coach who just do not want io cooperate. It can be very draining trying to convince someone to do something they don’t want to do and I can always work on taking deep breathes in those moments and trying to find new paths that would work better for that individual VIL. Self'and peer assessment (Objectives 8 a-g.) A. Strengths: usually pick up on things quickly that [ need to improve on. While I am happy to do something correctly, I am always looking to fix something to be better. I know I will not be able to fix everything right away, so focusing ‘ona few things ata time is what I try to do. Talso like to think that Iam very supportive with my friends in the program and work with them often so that we all come out together as better professionals. B. Areas to be improved: can be a little to hard on myself for messing something up. Usually when I make a mistake, I instantly know it and that will be on my mind for quite some time. It is hard for me to look past it sometimes, but I know that I will usually not make the same mistakes over again. I need to remind myself that we are not supposed to be perfect right now, and that it is alright to make mistakes. Goals:I want to become more efficient at the objective portion of an evaluation, so I have more time at the end of a session to provide interventions. I want to write SOAP notes efficiently with minor mistakes and good, realistic, 7+ short term and long-term goals for each note. I want to better include ROM and MMT into my objective findings by creating a better template to follow and by performing critical thinking quicker to make room for more time. I want to be able to complete back to back treatments without running over the time for a single patient, all while providing beneficial interventions and have time for documenting some quick notes between patients. I want to better understand the organization of treatment techniques and apply them in an appropriate order so that better treatment is provided, and less time wasted thinking of what intervention to provide next.