Considering some of the personal goals that I have discussed on my midterm exam, I believe I have made some progress in the "thinking habits" I identified that I "would like to improve. For instance, I have improved my confidence and creativity a great deal. Unlike before, I was withhold voicing my opinion on a subject because of self-doubt or lack of self-assurance. However, I have used confidence to facilitate the diagnostic reasoning process to demonstrate integrity, advocate and promote patient’s safety. For instance, I had a patient who recently stated that she does not want to be resuscitated if something ever happens. Later that day, the patient experienced respiratory failure and code blue was initiated. When the covering physician
