My Clinical Placement For The University Hospital 's Internal Medicine Essay

While touring with Dr. Willig, we observed the general process of a physician who rounds for an internal medicine service on 9 South, one of UAB’s Internal Medicine floors.  The physicians rounding on this particular floor are considered “Adult Specialists” per Dr. Willig.  Patients are routed to 9 South through a variety of entry portals into the health system: the Emergency Department by way of EMS, ED walk-in patients, ambulatory surgery patients requiring post-op admission, or by direct admission from an outside hospital.   Dr. Willig explained that direct admissions are routed through Bed Control who is responsible for deciding where a particular patient will be placed within the hospital.  This decision is made using clinical judgment in reference to each patient’s particular illness/disease process as well as Teletrac, UAB’s software for tracking the clean status and availability of their patient rooms (Willig, 2017).

On this second clinical for med-surg, I felt a bit more comfortable being on the floor. Before starting this clinical I had set a goal for myself to perform well and complete my assessment as thorough as possible. For pre-assessment I was set on just choosing a patient and not being afraid on what kind of diagnosis they had or how many medications they were on. As I selected my patient, I noticed that he had many medications and had had an ST-elevation myocardial infarction. I didn’t want to scare myself off from selecting this patient and caring for him on clinical day.

As I began my medical education my interests had piqued; however, my true passion was ignited when I discovered the stimulating environment of internal medicine. Foremost, with the aid of an exceptional physician preceptor, I discovered that managing a wide variety of pathologies within a varied population is the ideal way to develop a broad clinical knowledge. Additionally, I found that I enjoyed the ‘hands-on’ component that comes with the privilege of performing procedures and resuscitation. Finally, I discovered that managing patients holistically, through collaboration and coordination, is the best way to facilitate excellent patient outcomes. It was after these discoveries that I decided to further my pursuit of a career in internal medicine.

Internal medicine offers the opportunity of clinical practice in a wide variety of clinical settings (communitarian medicine to inpatient in hospital facilities). There is also an innumerable opportunities for fellowships to subspecialize and research opportunities.

The PCP is the main clinician that will be in charge of the patient’s health care delivery.

A physician assistant is a medical practitioner who works under the supervision of a licensed doctor. However the doctor does not have to be present while the physician assistant performs. If a doctor is unavailable and it is an emergency the physician assistant or PAs can talk over the phone with a doctor. Fewer than 100 PAs were practicing in 1970 and about 74,800 physician assistants are employed in the United States now (“Physician”). Physician assistants help the community everyday by helping with illness, and a lot of other health issues. They work every day to help and treat people and they are a big help to doctors. Pas alleviate some stress from the doctors and creates a healthier environment for everyone.

I have learned from my experience that there is no better place in this world other than this country to learn about new cases or to do a research project or to avail the best treatments to my patients.With the latest technologies and rare cases found here, I wish to pursue my career as an internist in the United States.I have many attributes to contribute to Internal Medicine.My family has taught me the values of hardwork,honesty,dedication and commitment to goals.I am a critical thinker and problem solver and I will deliver all these to my residency program.Each patient is a educator for me and this teaching attracts me to academics and I look forward to being part of an institution that provides a healthy learning environment based on open

in the clinical placement, I developed and culturally applied appropriate communication with clients each week I was there. As I would walk down the hall and see a client I always greeted them. As I would enter the rooms that I would be doing client-centered care I greet and introduce the client that I am a nursing student at Humber College doing my clinical placement. If you welcome yourself into a room without introducing yourself that makes the client not feel safe and feel vulnerable, but by saying hello you build respect and develop a trusting relationship with a client. This demonstrates trust-building strategies to develop a nurse-client relationship, introducing yourself and calling the clients by their preferred name. And providing

In 1896 Isabel Hampton Robb formed a group of fewer than 20 nurses and the group became the Nurses' Associated Alumnae of the United States and Canada and in 1911 the organization was renamed as the American Nursing Association. In 1889 Isabel Robb became the first Superintendent of Nurses at John Hopkins Hospital and the principle of the Training School. Isabel Robb wrote the very first nursing ethics textbook.

Clinical Placements have offered me the opportunity to put into practice what I had studied during the past year but also to grow as a person and change the way I interact with different types of people. At the start of my clinical practice I must admit one of my biggest hurdles was the language barrier between myself and the patient. Being (for the most part) a bilingual country Maltese and English seem to intertwine in conversation, a mix and match of different phrases pushed into each of the other languages sentences. Now while this may be normal for me in everyday conversation, I found myself very uncomfortable and even embarrassed to not be able to speak fluent Maltese to the fluent speakers that so often come to the department. I would imagine myself (as you would) not being able to find the right word in Maltese and switching to using my native English, which I found or at least thought to be quite unprofessional. And so at the start of my clinical placements I more than often tended to observe how patient care played its role in the procedures and for the most part assist in

My long journey to fulfill my lifelong dream of becoming a doctor has provided me with the opportunity to balance my passion for science with my eagerness to provide care to those in need. My desire to reach this dream has and will continually fuel my passion for a field that I love and this desire is reinforced with every rewarding opportunity I experience as a healer, a thinker, and a friend. My interest toward internal medicine started growing during my clinical years when I had the opportunity to rotate through many different specialties. I have observed each to have its own unique commendable approach to healing. Nevertheless, what echoed through my mind and heart was "internists are the ones whom people think of when the need calls."

During the second month of the internal medicine clerkship, I was on an inpatient gastroenterology and hepatology team. I appreciated the complexity of the pathophysiology behind the patient illnesses, and understanding these principles helped guide management of patients in various severities of illnesses. This month of the clerkship also still integrated principles of internal medicine outside of the gastroenterology and hepatology that was used for patient care. In addition, the attending physician would sit with the patients and their families for extended periods of time to explain their illnesses and plans of management to them. I noticed that the patients and their families would be more comfortable and receptive to what the physician was discussing with

It is apparent from visiting with Dr. Nael P. Ghael on yesterday December 21, 2017, she was no more prepared or familiar with my medical history then she was on November 22, 2017. In November she said she would order my records from Care Now and wait on the results from the MRI. She did not know that I had physical therapy, she said to call you again about me being off work she could not do that. I told her when I did call you, you were so nasty to me and rude I did not get you to listen to why I was calling. I am going to ask you the same question I asked The Human Capital Staff if you are sending me to a doctor that does not have or will not allow one off work to heal, where will I get a doctor’s statement from. It appears I

Working as an extern in USA in different institutions in the last 6 months has reinforced my commitment to internal medicine. During this period I had firsthand experience of interacting with the patients and observing the

My university’s hospital being the one with the largest department of internal medicine in the city, exposed me to a variety of clinical cases that solidified my initial interests. Since internal medicine provided me with a platform to intertwine the ability to solve “puzzles” along with maintaining the interpersonal skills in the form