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Name:
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LaKisha Chapman
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Credit Hours Sought:
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8
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Hours required to be earned:
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250
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I understand that all hours must be earned within the time frame bounded by the first and last days of the semester.
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Please place your initials to the right to indicate agreement.
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LC
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I understand that the majority of my hours should be earned in either direct observation (DO) or directed practice (DP)
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Please place your initials to the right to indicate agreement.
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LC
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If I have not earned at least 40% of my required hours by the midterm submission date, then I will provide a plan indicating how I plan to complete my hours.
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Please place your initials to the right if a plan is included. Write N/A if you have at least 40% of your hours completed by Mod. 8
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LC
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Date
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Times
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Hours Earned
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Type*
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Observations/What I learned today…
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Total Hours
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1-22-18
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630AM-3PM
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8 HRS
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DO
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I observed how to perform a variety of clerical tasks to process patients for their radiation appointments. I observed interviews and patients being registered and compassionately interacting with patients and their families. I observed confirming with the patient all applicable medical insurance company information and accurately entering data into the computer. I observed multi-tasking and adjusting priorities with attention to detail.
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8
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1-23-18
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630AM-3PM
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8 HRS
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DO
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I observed informal educational experiences for health care professionals looking to gain exposure to areas such as clinical care, dosimetry, medical physics, proton therapy, and photon therapy, within the field of radiation oncology for patients. I attended chart rounds, lectures, and educational seminars within the department.
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8
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1-24-18
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630AM-3PM
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8 HRS
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DO
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I observed the most important information about radiation oncology that all cancer patients are supposed to bear in mind. It is important to call the following to mind avoiding being shocked by the outcomes of the treatment. This may be shocking to anyone learning about this for the first time. But, it is actually very true. If you undergo the treatment procedure, you will be at risk of ending up with body cells whose wellbeing has been compromised by the high doses of radiation.
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8
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1-25-18
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630AM-3PM
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8 HRS
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DO
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I observed cancer treatment options doctors recommended depending on the type and stage of cancer, possible side effects, and the patient's preferences and overall health. In cancer care, different types of doctors often work together to create a patient's overall treatment plan that combines different types of treatments. This is called a multidisciplinary team.
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8
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1-26-18
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630AM-3PM
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8 HRS
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DO
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I observed being diagnosed with cancer will most likely influence you emotionally and physically. You must learn more about self-image because self-image is how a person can view himself or herself. Because of the many physical and emotional changes after a cancer diagnosis, people may experience positive and negative changes to their self-image. I observed how to manage stress, and coping with anger, anxiety and depression, fear of side effects, guilt, and grief and loss with cancer patients.
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8
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1-29-18
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630AM-3PM
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8 HRS
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DO
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I observed many people reporting positive changes about their treatments today including appreciation for the strength of their bodies, peace, gratitude, new important relationships with caregivers and other patients. I observed patients getting their last treatments and awareness and appreciation that life is short and special. I observed clarity about meaning in life and personal goals.
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8
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1-30-18
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630AM-3PM
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8 HRS
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DO
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I observed many patients today being nervous because it was their first appointment and didn’t know what to expect. I observed how patients were accepting a cancer diagnosis and undergoing treatment may change their life. It takes time to adapt so treat yourself with compassion and kindness, and allow time to adjust. I observed how patients were building a network of friends and family who can support them and help them feel positive. I observed patients talked with others who have been in similar situations. Many times, having one-on-one conversations or attending support groups with people who have been in the same situation can provide understanding and hope.
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8
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1-31-18
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630AM-3PM
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8 HRS
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DO
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I observed today to let your health care team know your worries and concerns. For instance, if you are worried about losing your hair during treatment, you may consider cutting it very short or even shaving it. Taking control over the process may help you feel less scared. I observed as much as possible to remain active. Physical activity creates energy and may help you feel better during treatment. I observed social activities can also help you focus on something other than cancer. Seek counseling if you need professional support. A professional can help you cope with and understand confusing feelings and deal with physical changes.
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8
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2-01-18
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630AM-3PM
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8 HRS
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DO
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I observed today a lot of men with prostate cancer. I learned that not every patient wants or needs surgery or radiation. For many men, including those with low risk or early stage prostate cancer, those advanced in age or those with other serious health problems, observation is preferred to more radical treatments.
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8
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2-02-18
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630AM-3PM
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8 HRS
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DO
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I observed today many patients getting the beam radiation. This is when men usually have 5 treatments per week in an outpatient treatment center over a period of about nine weeks. The treatment itself is painless.
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8
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2-03-18
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630AM-3PM
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8 HRS
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DO
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I observed today at times it can be hard to decide whether to have surgery, to have a test, or to continue with treatment. I observed many patients today that just didn’t know what to do and really wanted to give up completely. I observed many doctors that had collaboration between patients and caregivers that helped them come to an agreement about a health care
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8
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2-04-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was that I really needed to get an understanding of the way that the clinic flows, the types of patients that we see in an oncology setting. I was also told that the thing that’s important for undergraduates to understand is that medicine is a multidisciplinary field so it’s not only doctors. There are nurses, nutritionists and many others involved in medicine. It is something that involves a multidisciplinary team so despite your position you still must work with people.
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8
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2-05-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was I was sent to the S. Lee Kling Proton Therapy Center at the Siteman Cancer Center and it’s the only proton therapy center located in Missouri and the surrounding region. I had the chance to meet the doctors and nurses and I learned that Proton therapy cancer treatment can be used as a solo treatment option or it can be used in combination with other radiation therapies or chemotherapy.
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8
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2-06-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was meeting and working with social workers I learned that the social worker plays an important role in meeting the overall goals of the multidisciplinary oncology team caring for cancer patients and their families. Social workers help bridge the gap between high-level medical care and the patient's every day, practical human needs. Social workers also attend to the psychosocial support of patients and their families too.
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8
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2-07-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was letting the patient’s family know how to take care of them at home. Letting them know what type of cancer it is and what stage it is in. We consulted with the doctors and nurses and discussed treatments, medication, diet restrictions, what to do during emergency situations, and when to schedule appointments
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8
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2-08-18
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630AM-3PM
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8 HRS
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DP
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My directed practice for today was working with a team of radiation oncologists seeing patients in clients in clinic who are candidates for radiation therapy. My direct practice involved consultations with them and discussing radiation therapy. The second part of my day involved planning radiation therapy for patients who had previously consented to receive radiation.
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8
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2-09-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was I witnessed doctors and staff working with patients and helping them find clinical trials that may help patients with their treatment.
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8
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2-12-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was registering patients. I was explaining forms, and collecting demographic and health history information. I answered phone calls, booked new appointments, and helped patients with their billing questions. I prepared charts, and answered a multi-line phone system.
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8
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2-13-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was taking intake forms from doctors and residents on call for patients who had been admitted in the hospital before they could get their treatment done.
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8
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2-14-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today seeing some patients complete their last day of treatment. The staff and doctors were all happy and would come in with balloons for the family and take pictures as they ring the bell signifying that they completed all their treatments and didn’t have to come back. It was a great pleasure to witness happiness instead of sadness.
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8
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2-15-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was handling concerns and questions about health insurance.
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8
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2-16-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was preparing the children that had appointments today for medical procedures. I informed the parents of who which parts of the procedure may be painful or frightening for their child and how they can best prepare their child to be relaxed.
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8
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2-19-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was letting patients know the risks of the procedures and signing the HIPPA forms for privacy act and letting them sign forms that they have been informed of the procedure as well.
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8
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2-20-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was going to meetings talking with social workers and psychiatrist and learning about ways to cope with patients. Take time to acknowledge and cope with your own emotions about the diagnosis before you see him or her. This way, you can keep the focus on helping the patient as much as possible.
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8
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2-21-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was meeting with a married couple after a cancer diagnosis, both individuals had experience sadness, anxiety, anger, and hopelessness. It was very hard to deal with but the doctor and nurses helped them a great deal. This field can really take a toll on you so you must stay strong as well.
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8
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2-22-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was validating that the order is complete with two patient identifiers, a dated signature by the ordering provider, an appropriate diagnosis is indicated for the test being ordered, and correct that the correct test is indicated for patients.
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8
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2-23-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was performing medical chart abstractions and applied clinical vocabulary and terminology in the health information system.
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8
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2-26-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today was demonstrating composure and patience in stressful situations and able to process incoming written correspondence including requests for policy changes, return policy documents, address changes, coverage forms and return mail as necessary.
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8
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2-27-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today I got a chance to talk with a psychiatrist about how to deal with patients and their thoughts. I learned techniques to relax such as breathing, imagery, and yoga. Try doing something to help another person. Consider professional counseling for yourself and your family.
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8
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2-28-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today I was using a remediation tool called EPIC, CLINDESK, and SOARIAN to Identity to remediate over 600,000 records.
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8
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3-01-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today I reviewed health records and insurance claims and ensure compliance with privacy laws as patients got set up with their radiation treatments.
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8
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3-02-18
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630AM-3PM
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8 HRS
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DP
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My direct practice for today I interacted with families who needed assistance with places to stay while their loved one was in the hospital and stayed 3 to 4 hours away. I had to keep in contact with social workers to see if we could help them out with expenses.
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8
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3-05-18
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630AM-3PM
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5 HRS
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DP
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My direct practice for today I performed a variety of clerical tasks to process patients for their radiation appointments. I also walked around and thanked the doctors, nurses and staff for allowing me to be a part of a caring team and teaching me so many things about radiation therapy and making me feel welcomed during my internship.
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5
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3-06-18
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630AM-3PM
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5 HRS
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DP
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My direct practice for today I registered patients and demonstrated composure and patience in stressful situations. This was my last day and I must say I have taken in so much knowledge and learned how to show compassion and to always remain humble no matter what. My supervisor is a very humbled caring individual and I hope in the future that I can be a part of their team in the Radiation Oncology Department. They all wished me well on my journey and gave me books to read to learn more.
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5
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TOTAL HOURS
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250
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