Cardiology and Stroke Placements: Reflections on Practice and Teamwork in Clinical Settings | Desklib

MSc. Clinical Medicine
Clinical Practice in Action Module
Semester A 2021/22
Portfolio of learning
Cardiology and Stroke Placements
Student Name:
Student number:
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This portfolio of learning is the assessment for Clinical Practice in Action Module
7LM0156 It is divided into four parts:
Part 1: Reflection on Practice
During your time on placement you are required to keep a reflective diary. This should
consist of the following:
1.1. An Initial Statement: This should contain your concerns and expectations before the
start of the placement, includes targets for learning whilst on this placement; what do
you hope to experience and learn? (200 words)
Being a medical practitioner in Pakistan I have faced the patients suffering in cardiac illness or brain
stroke and i have learned from my seniors how to investigate and make an effective management
plan which is internationally guided but due to lack of medical facilities really could not have a
chance to learn the real internationally guided investigative or management plans.
By having a chance to study in the world’s best healthcare sector and work with NHS doctors I am
expecting to learn the professional doctor patient history taking plans ,how the doctors at outdoor
patient department interact with patients, an ideal way to approach the medical conditions and
conclude them in a short list, to improve my reflexes to life threatening medical emergencies,
enhance my examination taking skills, get familiar with the advance investigative procedures and go
through from the internationally guided management plans practically.
I am aiming to observe how the care team in the UK interact with each in order to provide the best
healthcare services to their patients.
Furthermore I am targeting to develop a clinical knowledge from the UK healthcare sector which
makes me understand the factors affecting clinical management of patients and amplify them in my
country’ healthcare system.
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1.2 Learning Log: You are required to record key aspects of your observational
placement experience. It is not necessary to describe what you did every minute of
each day. A brief description of your experience & first thoughts. DO NOT mention
any hospitals or clinics, staff or patients by name (confidentiality must be maintained at
all times)
Learning Log Details
Day 1 The day commenced with a morning ward round which was led by the
consultant. The unit was divided into three bays Purple, Green, and Yellow bay.
The consultant and the medicos' team went to visually perceive each patient
piecemeal. Asked about the presented complaints and discussed the further
management plans. In the afternoon I peregrinated to an outpatient clinic
where the patient came for a customary check-up the health system was very
advanced as the doctor was facilely able to access their all medical history by
utilizing their NHS number.
Day 2
It was the day when I was conclusively able to optically canvass the
procedures. I found myself fortuitous as there was a defibrillator
implantation procedure was appointed. The surgeon was very kind and
auxiliary because she invited me into the operation theatre. The procedure
last for three hours. In the afternoon I went to the pacing clinic where the
patients who were on ICD came for conventional check-up to visually
perceive if the pacemakers are working congruously or if the pacemaker
had detected any aberrant cardiac activity.
Day 3
The third day of my placement was spent in the radiology department where
I had a chance to get habituated with updated CT and MRI machines.
Came to magnetize with the system how it works at the reporting station.
Moreover, the consultant radiologist discussed with me the possible findings
and edified me how to report. In the afternoon I went to the stroke
department where the medicos on obligation welcomed me and availed me
to study the cases.
Day 4
An incipient day in the ward of stroke commenced with a morning round
where I and other doctors in the presence of consultant went to take a
history, examination of the patients suffering in ischemic or haemorrhagic
strokes. That was the time when I got exposure to the presenting complaint
which I just had read in the books. After the morning round the further
management plan was been discussed and followed by junior medicos. In
the afternoon I peregrinated to a stroke clinic where a patient with a history
of TIA was visited.
Day 5
After the morning round the consultant edified me and other medicos how to
make a diagnose utilizing the CT or MRI scans and discussed the peril
factors in detail that caused the patient's stroke.
Later on, I went to ER room with one of the doctors observed quick
examination taking method and how the patient is shifted to the ward for
further management withal had a chance to learn emergency treatment
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