CASE STUDY Joe is an NP student entering his second clinical rotation. He receiv

Question

CASE STUDY Joe is an NP student entering his second clinical rotation. He received positive feedback and evaluation from his first preceptor who was a physician very experienced in clinical education of NPs, PAs, and medical residents. For the current clinical experience he is at a busy federally qualified health center with a large immigrant population that are mainly Spanish speaking. Joe does not speak Spanish but has started taking a medical Spanish course to help him communicate with these patients as well as for his future as an NP It has been a very different experience thus far although it has only been 2 full clinical days. The preceptor is a fairly new NP who has only been practicing for 2 years. Her schedule is aways overloaded and there are multiple issues to address with the complex patients on her panel The first day Joe followed the preceptor and did not see any patients on his own. The second day he was directed to see a patient but to be done in 10 minutes so the preceptor could come in and go over the history and physical herself before they made a plan of care. The patient was a 62-year-old male with a history of diabetes hypertension, and depression. He did not speak much English and so Joe had to use the translation services phone line. Joe had barely gotten the translator on the phone when the preceptor entered and was frustrated he had not completed the history and physical so she took over and saw the patient with Joe shadowing once again. The next patient he was sent to see was a 21-year-old female who was at the clinic for a discussion about contraceptive options.

Explanation / Answer

1. Joe can hire a personal traslator with him for the time being he is in the learning the language to avoid such type of condition in future.

2. as the preceptor is also not that my experienced till now he should not behave like this at all. He should try to understand that every student is different and has their own way of working. He should understand the Joe's condition that he is also in the learning phase only and keep on improving day by day.

3.joe can talk to head of the health center directly if his preceptor is not in mood of listening to him.

4. Yes, defintely this experience will going to work for Joe. Its totally different from his previous experience. He is trying to learn a new language and ofcourse its a new thing to be learnt. Also, he is working with a different kinfd of preceptor nw and this will add in his experience

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