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1. Goal: To enhance proficiency in performing clinical procedures commonly encountered in primary care settings.
- Specific: By the end of the practicum, demonstrate competence in performing cerumen impaction removal using irrigation and curette techniques on at least five patients.
- Measurable: Achieve a success rate of 80% or higher in successfully removing cerumen impaction.
- Achievable: Practice cerumen impaction removal under supervision and seek feedback to improve technique.
- Relevant: Cerumen impaction is a common issue seen in primary care, and mastering this skill will enhance patient care.
- Time-bound: Complete the goal by the end of the practicum period.
2. Goal: To improve skills in the assessment and management of acute ophthalmologic conditions.
- Specific: Within the first month of the practicum, become proficient in performing fluorescein staining and corneal foreign body removal.
- Measurable: Successfully diagnose and treat at least three patients with ophthalmologic conditions using the learned techniques.
- Achievable: Seek guidance and supervision from experienced preceptors during practice sessions and clinical encounters.
- Relevant: Ophthalmologic conditions are frequently encountered in primary care, and mastering these skills will enhance patient outcomes.
- Time-bound: Achieve proficiency within the first month of the practicum.
3. Goal: To develop confidence and competence in managing minor dermatologic procedures.
- Specific: By the midpoint of the practicum, demonstrate proficiency in performing shave biopsies and punch biopsies.
- Measurable: Receive a satisfaction rating of “competent” or higher from the preceptor after performing biopsies on simulated models or under supervision.
- Achievable: Practice biopsy techniques under guidance, gradually increasing independence as proficiency improves.
- Relevant: Dermatologic procedures are commonly encountered in primary care, and mastering these skills will contribute to comprehensive patient care.
- Time-bound: Achieve proficiency by the midpoint of the practicum.
4. Goal: To strengthen knowledge and skills in wound care management and minor trauma procedures.
- Specific: Actively participate in wound care clinics and emergency room rotations to gain exposure to various wound types.
- Measurable: Demonstrate proficiency in wound debridement, suturing techniques, staple placement, and skin adhesive placement.
- Achievable: Seek opportunities to practice procedures under supervision and seek feedback to refine skills.
- Relevant: Effective wound care management is essential in primary care settings and contributes to patient satisfaction and outcomes.
- Time-bound: Continuously improve skills throughout the practicum period with the goal of achieving consistent positive feedback from preceptors.
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References:
Taylor I, Bing-Jonsson PC, Finnbakk E, Wangensteen S, Sandvik L, Fagerström L. Development of clinical competence – a longitudinal survey of nurse practitioner students. BMC Nurs. 2021 Jul 16;20(1):130. doi: 10.1186/s12912-021-00627-x. PMID: 34271923; PMCID: PMC8283382.