My Clinical Practicum

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1- How have you experienced the three (3) components of the Community of Inquiry (cognitive presence, social presence, and teaching presence) since your first term in your midwifery, family nurse practitioner, or women’s health nurse practitioner program? Please describe the role the three (3) components played in your education during both your didactic studies and your clinical practicum.
The educational framework used by Frontier Nursing University fosters high levels of cognitive presence. Throughout the program I felt compelled and motivated to study. I found the quality of the coursework not lesser than in-person courses. My test taking experiences feel real with the proctor. I have acquired valuable knowledge and thinking skills from
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The instructors enhanced learning through interaction and different communication methods utilized including discussion forums, Camtasia, and power point presentation. The regular meeting with the advisor and mentor inspired motivation and empowerment during the didactic portion of the program. The regional clinical faculty was always available to answer questions and to address concerns makes a big difference during clinical. I felt supported throughout my clinical rotation. Lastly, I must acknowledge the presence of my preceptors, for they played a vital role in my education. They taught, mentored, and supervised my clinical experience. The teaching presence has prepared me to successfully complete my clinical practicum.
2- Choose something that you have learned during your clinical practicum that really surprised you. Describe how this surprising knowledge connected with what you already knew. Describe how it differs from your previous knowledge. Describe how this new knowledge will lead you to practice differently in your clinical practicum. Discuss your emotional response to the new knowledge and to replacing the previous understanding with a new
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Earlier in my clinical rotation, I was going to two different clinical sites at the same time. It was a challenge to always remember and adopt the techniques and methods that each preceptor used because each provider has his own style. One preceptor would perform a tuberculosis skin only if patients ask for it for employment purposes. The other preceptor, on the other hand, orders quantiferon TB gold test on every patient at initial visit and yearly. I later found out that the vast majority of patients who go to that primary care clinic are homeless, and may not come back for PPD test skin reading. In addition, this group of people are at high risk for latent tuberculosis. In that same clinic, my preceptor would call the pharmacy and order a blister pack for whom noncompliance or misuse is suspected. The experience I gained from these two clinical rotations allow me to be flexible. I had to adapt to each practice and documentation styles. Having to deal with patients of different backgrounds and socioeconomic status help me understand how to individualize patients care needs and improve healthcare delivery as a

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