I was glad to get some hands on experience and meet one of the goals I set out for myself during the last rotation. I hope to add more skills that I have not yet had to the chance to complete before this clinical rotation is over.
References Pray, Stephen. (2019). Verruca Vulgaris. Medscape. Retrieved from Mayo Clinic. (2019). Common Warts. Mayo Clinic. Retrieved from - treatment/drc-20371131 Michigan Medicine. (2019). Cryotherapy for Warts. University of Michigan. Retrieved from
Week 6 During this rotation I have learned many things from my preceptor that I didn’t realize prior that I needed to learn. This week I gained some experience that was not listed on my goals sheet from week 1. This week I learned from the practitioner I am following when it is appropriate for a patient to be referred out to a specialist. This week we saw an 8 year old who complained of sore throat, fever, and body aches. She was positive for strep using a rapid strep test. The patient had very swollen adenoids and tonsils. She denied any trouble breathing but the swelling was very concerning. The patient did not show any signs of distress or trouble breathing. However, this was the third time in 4 months this patient was diagnosed with strep throat. I spoke with my preceptor who agreed that this patient would benefit from seeing an ENT specialist to assess options of getting tonsils removed to decrease the strep throat incidences. Referral was sent to ENT and the mother was educated on when to follow up with them. Upon sending a referral the practitioner must document the reason for send ing to specialist, what all has been tried to help this patient, and what all we have done in the clinic for this patient. This may seem like an easy clinical decision to make, however, a recent study shown that referral for specialty are different and require different requirements and expectations to be met. The proper diagnosis must be listed and working to be accepted by insurance as well.
The patient’s current status, concern, results, methods tried, test, history, assessment, and reason for needing specialty treatment must be listed ( Lawrence, Spencer, Sinnott, & Eley, 2015).
- Summer '15
- Human papillomavirus, Wart