Blog 24: Last Presentation Reflection

(1) Positive Statement

What are you most proud of in your block presentation and/or your senior project? Why?
             I am proud that I was able to amuse the audience with some of my stories from my mentorship. The audience seemed to really enjoy my tales.

(2) Questions to Consider

a.     What assessment would you give yourself on your block presentation?  Use the component contract to defend that assessment.

AE       P          AP       CR       NC

          I would give myself a P+ for my block presentation. I dressed as a medical doctor for my presentation as my topic was based around the medical field, being pediatrics. I also justified my answers through articles, my mentorship, and interviews I had with my mentor. I believe that my activities showed the audience the benefits of my answers as well.

b.     What assessment would you give yourself on your overall senior project? Use the component contract to defend that assessment.

AE       P          AP       CR       NC

          I would give myself an overall grade of a P for my senior project.  Even though I completed tasks on time and made a total of sixty-six hours of mentorship, my first two practice lessons and sporadic alteration of my original Independent Component 1 put me at an overall P.

(3) What worked for you in your senior project?

          I would say the references of my mentorship as well as my overall explanation and justification worked well for me in my senior project.

(4) (What didn't work) If you had a time machine, what would you have done differently to improve your senior project?
          If I were to improve my senior project, I would have created a second copy of cue cards for me to have for my final presentation in order to have more context to explain to my audience.

(5) Finding Value

How has the senior project been helpful to you in your future endeavors?   Be specific and use examples.
          The senior project has shown me how difficult challenges will be in my future endeavors. In my pursuit to become a pediatric psychiatrist, I will be tasked to learn and memorize vast amounts of knowledge and procedures. The senior project has proven to me that even though a task may seem extremely difficult, I shouldn't throw in the towel. For example, there were points during my independent components that I wanted to quit, but I persevered through the tasks at hand, and if I was able to overcome the entirety of the senior project, then I can I perceive through any tasks that I come across in the future.

Blog 23: Exit Interview

(1) What is your essential question, and what are your answers?  What is your best answer and why?

          My essential question is how can a pediatrician build a healthy doctor/patient relationship? My best answer to my essential question is my third answer, patient-centered care. I chose this as my best answer due to the fact that patient-centered care is essentially the building block for my other two answers. Ironic how I found my best answer at the end of all my research.

(2) What process did you take to arrive at this answer?

          I went through multiple articles and hours of mentorship. I began with just researching articles that gave out pediatric related information as well as shadowing my mentor as she worked, taking down notes of what she did as she checked each patient. As soon as my essential question was established I focused on finding articles that would help answer my essential question. It wasn't until I reached Source 53 that I found my best answer, and by that time I had already found two potential answers that could act as my definitive answer for my essential question.

(3) What problems did you face?  How did you resolve them?

          It became somewhat difficult finding articles that provided me new information and methods that could answer my essential question after I had discovered two potential answers. It seemed that there wouldn't be any new information I could use. However, as I kept on searching deeper throughout the multiple articles I researched, I was able to find the articles with the answers I needed.

(4) What are the two most significant sources you used to answer your essential question and why?
          The two most significant sources I used to answer my essential question are Sources 53 and 68. I consider these to be my most significant sources due to Source 53 being my introduction to patient-centered care, and Source 68 providing me the most beneficial information on patient centered care.

Blog 22: Independent Component 2

(a) Include this statement: “I, Jose Hugo Moreno, affirm that I completed my independent component which represents 30 hours of work.”
(b) Cite your source regarding who or what article or book helped you complete the independent component.
             

“Enhancing Your Cultural Communication Skills.” Med.umich.edu. N.p., n.d.. Web. 3 Apr. 2016.

             

e-Patient Dave. “’People without medical background can understand if you tell it in a language they understand.’” E-patients.net. Society for Participatory Medicine, 24 Mar. 2012. Web. 2 Apr. 2016.

Hernandez, Lillian. Personal Interview. 13 Apr. 2016.

             

“Paediatric History.” Patient.info. EMIS Group plc, n.d.. Web. 3 Apr. 2016.

              

Sutton, Marla. “Improving Patient Care Cultural Competence.” Aafp.org. American Academy of Family Physicians, n.d.. Web. 2 Apr. 2016.

 
 
(c) Update your Independent Component 2 Log (which should be under your Senior Project Hours link)
(d) Explain what you completed. 
             I created a presentation that explained the importance of understanding a patient's background. I had to research articles full of necessary information and then construct a presentation explaining what I've learned, not only from the articles but from what I learned from my interviews as well.
   
(e) Defend your work and explain the component's significance and how it demonstrates 30 hours of work.   Provide evidence (photos, transcript, art work, videos, etc) of the 30 hours of work.   
https://www.powtoon.com/online-presentation/cFUgebxVVqo/independent-component-2/

(f)How did the component help you answer your EQ? Please include specific examples to illustrate how it helped. 
             The component helped me answer my EQ by explaining to me how a relationship between a doctor and patient can be improved through the means of understanding the background of a patient. Many doctors in all forms of medicine have had difficulty approaching new patients. Not every patient is the same, so when meeting a new one, a doctor asks for a background check on each patient. In one of my interviews I asked if understanding the background of a patient helped overall during medical appointments? The individual I was interviewing replied by saying that it was and explained to me that by understanding a patient's background, the medical staff can work together to make a patient's visit enjoyable. I also read in one of my articles that understanding a patient's background helps a doctor establish empathy where empathy is needed for the patient and family of the patient, which in turn helped established a stronger doctor/patient relationship between the doctor and not only the patient, but the patient's family as well.

Blog 21 - Interview 4 Reflection

1. What is the most important thing I learned from the interview?
        The most important thing I learned from this interview is he fact that communication with the parents of a patient is extremely important. By communicating with the parents of a patient, a doctor can be ensured that a patient will be treated without the assistance of the doctor. A sense of trust is built between the doctor and parents, resulting with the patient being healthy.
  
2.  How will what I learned affect my final lesson?
         I might incorporate the knowledge I gathered from this interview in an activity during my final lesson. I can create reenactments for the audience to either or perform, showing how the pediatrician also speaks to the parents during a patient's visit and how it helps improve a pediatric doctor/patient relationship.
 

Blog 20: Fourth Interview Questions

1.  Who do you plan to interview?  What is this person's area of expertise?

          I plan to interview Lillian Hernandez. She is one of Dr. Rosado's medical assistants. As a medical assistant, it's Ms. Hernandez's job to answer calls, help make appointments, prepare/give shots, and gather basic information about each patient such as height, weight, blood pressure, etc. Due to the fact that Ms. Hernandez is basically around the patients as much as Dr. Rosado, therefore, I believe she is qualified to interview.


2.  Post 20 open-ended questions you want to ask an expert in the field concerning your senior project. Your focus should be finding answers to your EQ.
         What is it like working as a medical assistant?
         How do you introduce yourself to each patient?
         Have you had any trouble with patients before?
         If so, how did you resolve the trouble?
         Where do you enroll to become a medical assistant?
         What classes did you take?
         Have you had any problems with any of your colleagues?
         What would you say helped lead you down the path of becoming a medical assistant?
         Has the thought of becoming a pediatrician ever come across your mind?
         If it has, how come you haven't pursued this career?
         Why did you decide to work at Health Care Partners instead of any other medical         facilities such as Kaiser or LA County General Hospital?
         What is it like being Dr. Rosado's medical assistant?
          Have you had any trouble seeing eye to eye with her?
         What do you think is the best method to establish a healthy relationship with the patient?
         What is the most challenging part of being a medical assistant? Why?
         Are you surprised of how involved you can become with the patients?
         In the years of service in this field, what is your most memorable patient?
         What is one of the biggest challenges working with this community?
        What are the challenges you've faced with multilingual communities?
        What do you believe is the best method to establish a healthy relationship with the parent(s) of the patients?
        
         
         

Blog 19: Third Answer

Just like you did for answer 1 and 2 post your:

• EQ 

             My essential question is the following: How can a pediatrician build a health doctor/patient relationship?

• Answer #3 (Write in a complete sentence like a thesis statement)*

             In order for a pediatrician to build a healthy doctor/patient relationship, a pediatrician must focus on patient-centered care.

• 3 details to support the answer

              Patients who are aware of their doctors focusing on their well-being have had a better experience during appointments. 
              Better communication between a doctor and his or her patient results from patient-centered care, which in turn results with a doctor getting to know his or her patient better.
              When patients feel that they are the center of a doctor's attention, they feel that they can trust their doctors and rely on them.

• The research source(s) to support your details and answer

              Source 53

              Source 51

• Concluding Sentence

              I believe I have found the final answer to my essential question. In fact, I would have to say that this answer might be my definitive answer.

Blog 18: Answer 2

1.  What is your EQ?
            My essential question is the following: How can a pediatrician build a healthy doctor/patient relationship?

2.  What is your first answer? (In complete thesis statement format)
           In order for a pediatrician to establish a healthy doctor/patient relationship, a pediatrician must establish a partnership between him or herself and his or her patient and patient's parent(s).

3.  What is your second answer? (In complete thesis statement format)
        In order for a pediatrician to establish a healthy doctor/patient relationship, a pediatrician must establish an empathetic relationship with the parent(s) of the patients.

4.  List three reasons your answer is true with a real-world application for each.
           As I have read in many articles as well as hearing it from my own mentor, establishing an empathetic relationship with the parents of patients is incredibly important when it comes to establishing a healthy doctor/patient relationship for a pediatrician. Reason number one, knowing more about a parent makes it easier for a doctor to work with them when treating a patient during an appointment. Reason number 2, understanding a parent's background assists a doctor when it comes to understanding how a family operates. Reason number 3, by establishing an empathetic relationship, the doctor and parent(s) develop respect and trust  between one another.

5.  What printed source best supports your answer?
            A printed source that supports my answer would be my Source 43, an article published by the Fox News Network. Although the article itself states to establish an empathetic relationship between a doctor and patient, this concept is also taken into consideration between a doctor and a patient's parent(s) when it comes to pediatrics due to patients being extremely young.

6.  What other source supports your answer?
            During my interview with my mentor, I asked her how a pediatrician could establish a healthy doctor/patient relationship? She responded to me by saying that it mainly had to do with establishing a good relationship with the parents of the patients as the patients themselves are usually really young. Knowing the parents's background can help in the long-run by understanding how the family operates, which in turn helps a doctor know how to approach each patient and parent for future appointments.  

7.  Tie this together with a  concluding thought.
             It's not as easy as it looks when it comes to interacting with the patients and parents of patients. A lot of thought needs to be taken into account such as ensuring the environment for the patient is comfortable not only for the patient, but for the parents of the patient as well. It's also important to have a team to help when it comes to setting up appointments and ensuring a patient receives his or her medication.

Blog 17 - Interview 3 Reflection

1. What is the most important thing I learned from the interview?  
             The most important thing I learned from this interview was the fact that it is incredibly important to establish a good relationship with the parents of patients, as the patients themselves are usually really young. It's also important to make the patients comfortable in a non-threatening environment, and treat everyone with respect.


2.  How has your approach to interviewing changed over the course of your senior project?
               I have come to develop stronger questions over time and it's been somewhat easier to construct these questions as well. As for conducting the interview itself, I find myself a bit more confident when asking the questions and having a more professional manner.


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Blog 16: Independent Component 2 Approval

For this blog post and approval, please answer the following questions.

1.  Describe in detail what you plan to do for your 30 hours.


               I plan to construct a presentation of instructions on how to establish an empathetic relationship with the people in El Monte's community. I specifically chose El Monte due to the fact that it is the city my mentor works at.

2.  Discuss how or what you will do to meet the expectation of showing 30 hours of evidence.
              I shall keep a log of what I have done in my Senior Project Hours file. I shall also take photos of what I've done and recordings of interviews I plan to conduct.

3.  Explain how this component will help you explore your topic in more depth.
              This component shall show me the importance of understanding where my patient is coming from. Understanding a patient makes myself a better doctor.

4.  Post a log in your Senior Project Hours link and label it "Independent Component 2" log.

It has been done

Independent Component 1

• LITERAL
  (a) Write:“I, José Hugo Moreno, affirm that I completed my independent component which represents 30 1/2 hours of work.”
  (b) Cite your source regarding who or what article or book helped you complete the independent component.
•  Simpson, Jeanette. "7 Qualities of Excellent Pediatric Waiting Rooms: Does Yours Measure Up?." kidspaceinteriors.com. KidSpace Interiors Residential And Commercial Design For Children's Spaces, June 2011. Web. 10 Jan. 2016.
• 
  (c) Update your hours in your Senior Project Hours link. Make sure it is clearly labeled with hours for individual sessions as well as total hours. Found Here
• (d) Explain what you completed.    
• I created a scale model of the Health Care Partners Clinic that I mentor at. The model includes the opening of the clinic and the pediatric section of the clinic itself. The model of the pediatric section itself contains the waiting rooms for both kids and elders, my mentor's office, examination rooms for the patients, the area where I work at, the bathrooms, a couple of the offices of some of the employees, the area where the nurses & medical assistants answer calls/schedule appointments, as well as the check-in area.
• INTERPRETIVE 
  Defend your work and explain its significance to your project and how it demonstrates 30 hours of work.   Provide evidence (photos, transcript, art work, videos, etc) of the 30 hours of work.  
• According to the article I read from Ms. Simpson,  first impressions are incredibly important when it comes to a pediatrician and his or her patients and patients' parents. A pediatrician's waiting room is the first impression a patient and patient's parents have on the pediatrician's skills. If a waiting room is comforting and inviting, then the patients and parents, especially the parents, see how serious the pediatrician takes their job and how well they perform. Upon acquiring this knowledge, I decided to add my own contribution to make the waiting room more inviting. I created a model set of the Health Care Partners Pediatric Area out of Legos for the patients and parents to see. It brings a more caring environment for the patients. What kid doesn't love Legos?
•  
  
  
  
  
  
  
  







• APPLIED
  How did the component help you understand the foundation of your topic better?  Please include specific examples to illustrate this. 
• My component helped me understand a method that never crossed my mind before hand of being a pediatrician. I knew first impressions were everything when it came to introducing myself to new people, and it's even more important if those first impressions revolve around my patients. However, I did not realize that those first impressions actually begins with the waiting room itself. I now know that the waiting room plays an important part of first impressions. According to real-life events, the most complaints parents have come from the way the waiting room is presented. An example of such a complaint is, “The toys aren't kept clean. The books are beat up and germy. The little Tykes Play House, play rugs and little tykes chairs started out new, cute and clean, but need to be replaced on a frequent basis. 2 years and they look like a mess. Books need to be replaced monthly. They need to be cleaned and turned over like a day care. There needs to be a larger sick kid area. More boxes of kleenex. More physical separation between family seating groups. More hand sanitizer. Bathroom off of the waiting area with full view. A step stool at the water fountain or NO waterfountain with a cooler and cups...spit and mouths all over it..ick. Colors need to be calm rather than invigorating. Chalk boards sound like a good idea, but they are a mess and the kids suck on the erasers. Kids mouth things." This quote was from a survey recorded by Ms. Simpson and presented in her example. The waiting room is incredibly important, and now that I know this piece of knowledge, I will incorporate it once I obtain my medical degree.

Lesson 2 Reflection

1.What are you most proud of in your Lesson 2 Presentation and why?

           I am most proud of my hook and energy of my presentation. I believed my hook was clever, and enough people understood my reference. I believed I was energetic and for the most part enunciated.

2. a.     What assessment would you give yourself on your Lesson 2 Presentation (self-assessment)?

       AE-/P+

     b.     Explain why you deserve that grade using evidence from the Lesson 2 component contract.

       I believe I presented well. However, I let my nerves get the best of me so I rushed through my presentation at some points instead of taking my time, and my activity could've been better.

3. What worked for you in your Lesson 2?

       Having a presentation overall worked for me in my Lesson 2 and having a supportive audience.

4. What didn't work? If you had a time machine, what would you have done differently to improve your Lesson 2?

             I'd say my activity didn't work as well as I would've liked. If given the opportunity to improve my Lesson 2, I would improve my activity to make it longer, and I would include my mentor ship in my presentation as well.

5. What do you think your answer #2 is going to be?

           My answer #2 is providing a comfortable environment for the patient and patient's parents.

Blog 14: Interview 3 Preparation

1.  Who do you plan to interview?  What is this person's area of expertise?
         I plan to interview to interview my mentor one last time. My mentor is the pediatrician at the Health Care Partners Clinic in El Monte and has been for the past 28 years. She is also a graduate from Harvard's medical school.

2.  Verify that you have called your interviewee to schedule an interview.  What is the date and time of the interview?
         I have set up an interview date with my mentor for next week, January 19, 2016 sometime between 2:00 p.m. to 5:00 p.m., as the time of the interview will ultimately have to be when there are no patients.

3.  Phrase an open-ended question that will help you find research resources that would help to answer the EQ.
         Do you by any chance know any articles that can help explain some ways a pediatrician can build a healthy doctor/patient relationship?

4.  Phrase an open-ended question that will help you think about other useful activities you might do to help you answer the EQ (IC2, possible experts to talk to, etc).
        By any chance, do you know any other individuals I could possibly talk to regarding a healthy doctor/patient relationship for pediatricians or just a healthy doctor/patient relationship in general?

5.  Phrase two open-ended questions that help you to understand your interviewee's perspective on an aspect of your EQ.
       1. As a pediatrician, what are some ways to establish a healthy doctor/patient relationship?

       2.  What would you suggest are some ways that improve a doctor/patient relationship for a pediatrician?

Blog 13: 10 Hour Mentorship Check-In

1.   Where are you doing your mentorship?

          I am doing my mentorship at the Health Care Partners in El Monte. It is a couple of blocks away from the El Monte Bus Station. The exact location is 3144 Santa Anita Ave, El Monte.

2.   Who is your contact?  What makes this person an expert?

        My contact is Dr. Mayra Rosado, the pediatrician of the Health Care Partners team in El Monte. She is an expert due to the fact she has been the pediatrician at the Health Care Partners in El Monte for the past 28 years and is a graduate of Harvard's Medical School.

3.   How many  hours have you done during the school year? (Summer Mentorship Hours and Mentorship Hours should be reflected separately in your Senior Project Hours log located on the right hand side of your blog).

      During my school year I have currently done 32 hours and 20 minutes of volunteer hours. During the summer time I earned 28 volunteer hours.    

4.   Succinctly summarize what you did, how well you and your mentor worked together, and how you plan to complete the remaining hours.

       Essentially, I shadow Dr. Rosado, my mentor, as she works with her patients. Sometimes I shadow Ms. Hernandez, Dr. Rosado's medical assistant, as she gathers information about the patients for Dr. Rosado. However, I have limitations on who I can see with Dr. Rosado. I am restricted toward seeing only 10 year olds and younger as the adolescents and preadolescents needed privacy. On some accounts, I will make copies of articles that Dr. Rosado hands out to patients. Dr. Rosado and I work well together as we've both known each other for a long time as Dr. Rosado is in fact my pediatrician as well. I plan to complete the remaining hours by continuing to shadow Dr. Rosado and helping out around the clinic.

Blog 12: Holiday Project Update

1.  It is important to consistently work on your senior project, whether it is break or we are in school.  What did you do over the break with your senior project?

      I spent some time volunteering at the Health Care Partners Clinic during my winter break, shadowing my mentor as she worked with her patients. I also did some research on possible ways to have a patient enjoy their appointment and feel comfortable during it.

2.  What was the most important thing you learned from what you did, and why?  What was the source of what you learned?

      During my time at the clinic, I learned that it can sometimes be extremely busy in the mornings. A patient's health and well-being is also the number one priority to the medical staff especially to  the doctor of that patient. I learned this during my time at the clinic, as I witnessed my mentor take time out of her lunch break to ensure a patient was healthy enough to leave the clinic. This shows me that the job of a doctor is a very serious one, whether it be for adults or youth.

3.  Your third interview will be a 10 question interview related to possible answers for your EQ. Who do you plan to talk to and why?

       I plan to interview my mentor once again, for the second time, for my third interview. If I am unable to interview her, then I will interview Ms. Hernandez, one of Dr. Rosado's medical assistants, due to the fact I've shadowed her as well during my time volunteering at Health Care Partners, and the next person who would know the best ways to make a patient's trip to the doctor's enjoyable and comfortable would be the doctor's medical assistants.