Reflective Report on Clinical Experience
Arrangement of the Clinic
The number of first year students is usually limited to 2 (it can go up to 3 depending on the day) together with a third year student. It means that there will be 3 or 4 people interviewing the patient at the same time and treatment in this arrangement.
The third year students can benefit from the support of the supervisor but hardly any suggestion from the first year students as our role in the clinic is mainly observing.
Treatment are conducted in a team setting (two to three 1st year students lead by a 3rd year student) , this will obviously compromise the confidentiality by its very own nature and that carries the disadvantage of a reduced level of privacy.
Feelings / Reaction
At first, most first year students found it overwhelming by the whole experience as we don't know what to expect. Fortunately, most third year students are friendly
Since the kitchen area is quite small, if there are more than 6 or 7 people on the day and you are the last to arrive, you will have to stand up there and pretty much do not know what to do as you are not involve in anything. You do feel quite alone in that set up. It does get better and feel more at ease as times goes by.
As the first year students are only observing and not engaging in any treatment plan. We do feel left out of the whole process and therefore we do engage in the learning process as much as we want.
I have managed to bring a small notebook to drop down the points so to make my own learning process more involve even if I do not engage in the conservation regarding the treatment principles.
If the kitchen area is larger and be able to fit all the students at once, then I am sure most students will feel more comfortable. Indeed, if the room is not a kitchen so that people will not come in and out for drink, then this will increase the level of privacy.
I could arrive the clinic earlier so that I could occupy a seat but then again, if there is not enough seat for everyone, the same situation would occur to someone else.
Operation Procedure of the Clinic
The patient will wait while seating in the waiting area. We will be notified by the receptionist that the patient has arrived. Normally, the third year student will discuss the case with the clinic supervisor (for returning patient). Since the third year student may not be familiar with the case as he/she could be the first time seeing the patient, he/she may only finish the last patient and therefore in a bit of rush. We then invite the patient into the treatment room and the following list of questions will then be asked for a new patient. It is quite a long list but it is necessary if we are to provide a through diagnosis.
There could be 3 to 4 of the students together with the patient, normally the reduced level of privacy has very little or no impact on the ability to carry out treatments in the clinic. Most patient feel comfortable as they know this is a student clinic but I felt that a number of them found it overwhelming sometimes. Obviously, this form of style will suit some more than others.
After the initial interview, we will then looked at the patient's tongue and pulse taking. This could take up to 20 to 30 minutes, we would go back to the kitchen to discuss treatment with the supervisor of that day. The patient is then left alone in the treatment room for about 10 to 15 minutes depending the length of the discussing of the treatment plan.
The whole team is then back in the treatment room. The patient is then being asked to take their cloths off if necessary. The patients are normally comfortable to expose themselves but we do get out of the treatment room and let the patients get themselves ready. Once we are back in the treatment room, the first year student will then get the needles ready and try to write...
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