Clinical Practicum Physician Interaction Log

Students Name: Valencia McClora Clinical Site: LeBonheur/Baptist Memphis

Instructions for Use:
Complete an entry for each interaction you have with a physician that day.
Identify the physician interaction type as either: Patient Focused, Tutorial, or Small or Large Group.
Identify the first and last name of the physician with whom you interacted.
Document key points learned during this physician interaction and the length of time of the interaction.
Identify and explain 3 key things that were introduced, learned, or reinforced to include in the summary

Type of Physician
Date/Time Physician Name Topic
Interaction
2/09/17 / 1100 Dr. Nadeem Shafi Small Group Pulmonary
Hypertension
Brief Summary of Interaction
In this session of physician interaction, Dr. Shafi spoken residents and other healthcare providers/students during
daily patient rounds about the 3 forms in which pulmonary hypertension presents itself. When a patient has
pulmonary hypertension, there is either an increase vascular resistance issue, a flow issue, or an output issue. He
make it clear that it was very important to know what type of pulmonary hypertension your patient has, as it
could affect the course of treatment. He also spoke the things that could cause pulmonary hypertension in small
children such as lung infections and respiratory distress in the newborn infant.

Type of Physician
Date/Time Physician Name Topic
Interaction
2/23/17 / 1400 Dr. Jeffery Wright Small Group Case Presentations
Brief Summary of Interaction
Dr. Wright focused on several points. The first thing he spoke about is the use of an impella a bridge to patients
receiving an LVAD. An impella is a mechanical pump that is placed in the aorta, and it pumps blood to the body. It
is indicated for acute systemic failure and it augments flow. Next, he spoke about the effects of PPV on the heart.
When a patient is on PPV, preload increases and the heart pumps more efficiently when there is normal PEEP.
When a patient is placed on CPAP trials, the pressure that augments preload is taken away and the patient is at risk
for suffering from cardiac ischemia. Dr. Wright pointed out that when patient have a heart condition, and cant
seem to be liberated from the ventilator, it is likely effects of cardiac ischemia.

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RCP303: Activity and PI Log: Revised 5/2016