SERVICE LEARNING INTEGRATION ACTIVITY 9:

FOUNDATIONS FOR CLINICAL PROFICIENCY IN ADULT

MEDICINE AND RECORDING

NAME: CAACBAY, KATELENE A.

GROUP NO.: 4
DEPARTMENT: OBSTETRICS AND GYNECOLOGY
TOPIC: FOUNDATIONS FOR CLINICAL PROFICIENCY IN ADULT MEDICINE
AND RECORDING
APPROACH: ONLINE LEARNING
ONLINE PLATFORM: via Zoom Link
SPEAKERS: DR. JESSICA JOANNA RAMOS / DR. GUILVIC TIRSO ASPIRAS
DATE: September 3, 2022

Reflection on the Attainment of the Program

Program Outcomes
1. Demonstrate clinical competence
2. Communicate effectively
3. Lead and manage health care teams
4. Engage in research activities
Outcomes During the Activity
Going back when I was still in the school setting,
our professor in adult history and physical
examination made us submit a video on how we
do our history and PE. Back then, my output takes
about 1.5 hours or more, depending on the patient
I found in the community. But I learned to do it
comprehensively thanks to my former pediatric
residents. They taught us to step by step, from
broad to narrow. In the end, from formerly 1.5
hours, I learned to write my history and PE for
only 30mins per patient. Now I just have to work
on how to do certain maneuvers which I can do on
the adults.
I was told by my former adult history and PE
professor that “I always show compassion and
tenderness” in my return demonstration videos
which is why my written output has a story to tell
because I can draw information from my patients
naturally. During this clerkship, I hope I can
maintain that kind of skill.
I always believe that if I can do my history and PE
efficiently, I can lead my patient to a better approach
to treating her disease. For the past two months of my
clerkship, I began to see what the doctors tell me that,
80% of the patient diagnosis comes from history and
PE.
At the moment, I am still learning ways of
enhancing my history and PE. I would always go
back to my readings on how to do the maneuvers.
Although I am still not that good, I am continuing
my quest in learning them and how I make them
 easier so I could remember them and perform
well.
5. Collaborate within interprofessional This week's SLI with the department of internal
teams medicine helps a lot. I get to review which part of
history taking am I not proficient in or which
aspect of the physical examination must I
enhance so I could also elicit the results that I
need. It was nice that I have something to
compare my learnings in pediatrics also.
6. Utilize systems-based approach to For a patient to be given the appropriate therapy,
health care our history and PE must be organized as much as
possible. Too much information sometimes
confuses me which part of the history will I put
what she was saying. Every time that I make my
history and PE, I do my best to be systematized.
When I forget some aspects of my physical
examination, I would do my best to go back to it
without trying to interrupt my flow or being
confused.
7. Engage in continuing personal and I have shortcomings in history and PE. Once,
professional development twice, sometimes more than I could count. But as I
commit mistakes, I make sure that I learn from
them, and the next time I encounter them again, I
will know how I should react or adapt to the
situation. Adaptation happens a lot when doing
history and PE. Because every patient is unique,
you should adjust according to the patient so your
work will proceed smoothly.
8. Adhere to ethical, professional, and With the lecture last Saturday, I now have a
legal standards standard when doing my adult history and
physical examination. In the future when I get to
be assigned to the OPD or emergency sector of
the hospital, I could use what I learned and be
able to make a history that is acceptable to my
superiors and to the standards of the institution.
9. Demonstrate nationalism, By making an appropriate and comprehensive
internationalism and dedication to history and physical examination, I get to show my
service dedication to my work as a future physician. After
all, I should be able to get to know my patients
and deliver them the best course of treatment as
much as possible.
10. Practice the principles of social The history and physical examination forms
accountability contain all the information that the patient has.
Sometimes the cases are too rare or interesting
that we forget our patient's privacy. I would keep
in mind that not all exciting encounters are to be
shared without care.