NAME

OF STUDENT : Gerrick Evan Sy STUDENT NUMBER :130157

DATE
Preceptor
Code
Patient Age Sex
Diagnosis
Learnings/ Insights
CLINEX
Initials
( not less than 100 words )
MC
CLINCAL ENCOUNTER MODULE SY 2015-2016 FIRST SEMESTER
8/28/15
Dr. Tagle
S5
VM
44
F
Presbyopia
That the consultant in charge may not always be
in control of her current situation. Despite her
title, she had also once been a medical student. I
am very thankful for the stories she shared
because she was very honest in saying that it
was not completely her decision in pursuing the
profession. Dr. Tagle allowed me to be more
aware about the background of each person in
the profession and that none of us are products
of the exact same process. As a whole, my first
CLINEX experience was a pleasant one and that I
am ready to learn more from my future
preceptors. Hopefully I will be able to apply the
lessons Ive learned through out my stay in
ASMPH.
9/4/15
Dr. Tanchanco
P6
AI
7
M
ADHD with concomitant
For this session, our group was divided in pairs.
Autism
We learned a lot about managing pediatric
patients with ADHD. At first, everything was
overwhelming, from the setting to the patient. I
did not know how to act professionally with kids
as my patient but as time went by, Dr. Tippy
made us understand that the encounter should
flow like a game especially since its difficult to
catch their attention more so to sustain it
during tedious exams for assessment. This
session was a fruitful for one for me because it

9/18/15

Dr. Catambay

M6

NP

Molluscum Contagiosum

10/2/15

Dr. Hernandez

M8

n/a

n/a

n/a

n/a

made me appreciate my pedia when I was

younger and how she made me feel comfortable
during my consultations.
Our patient was another child this week and

despite her being well behaved, I realized that I
really have a problem communicating with
younger children. I think its the way I present
myself or the way I appear to them when it
comes to the clinical setting. Despite this, I tried
my best to communicate with the mother and to
test myself on my strategy in pursuing the
situation. Luckily the mother was easy enough
to communicate with and that experience was
pleasant. Other than this, our preceptor made us
feel like a medical team ready to diagnose a
disease right there. Luckily I was able to show
how serious I was in the profession and I think
that merited some points from him.
Dr. Hernandezs session was unique because it

did not involve any patients. Unlike the other
preceptors, he gives a very lively mood and
makes us feel that what were experiencing is a
long planned set of activities which might
encourage us to think about radiology as a
possible specialty when weve graduated. He
allowed several of us to volunteer specific
organs readily seen via ultrasound too and that
was a very interesting experience. He was not
selfish with the information which allowed us to
ask so many curious questions and in a way this

10/23/15

Dr. Nubla

M9

NP

35

Schizophrenia

10/30/15

Dr. Ong

P1

PG

1.2
year
s

Pediatric Community
Acquired Pneumonia

created a very healthy environment which made

me feel that I would gladly accept another
radiology clinex because the experience was
honestly pleasant.
We were fortunate enough to be assigned one

patient who had a very difficult psychiatric
order. Despite her condition, she was open
enough to share her story with appropriate
probing. My most valuable lesson this week was
to gain more confidence in my own knowledge
despite my weaknesses. I should appreciate my
strengths too which surfaced when I was
interviewing the patient with regards to her
illusions and hallucinations. She was kind
enough to share with us precious stories which I
think made her vulnerable. I am thankful for the
experience because she gave me a better
perspective on how hard life is when youre not
completely sure whats happening around you.
First time to handle a patient that was only 1

year old. Aside from the inserted IV and the fact
that we were inside the hospital; our patient
visit felt like it was just visit to my nephews.
Our patient had a diaper wrapped around the
area where her IV was inserted so that was
something new for me.
It was the third day of our patients admission
and her symptoms have already faltered and so
it was very hard for the group to truly diagnose
the patient with convincing evidences.

11/13/15

Dr. Cabigon

11/27/15

Dr. Jimenez

AB

1
mo

Hydrocephalus

In the end it was just a matter of how much we

believed in the knowledge of each other,
because even our physical examination findings
were just a series of exploration ventures which
we werent really sure of.
For this clinex session we were tasked to make a
business plan that would help benefit public
health. For our topic, we chose to make one for
the benefit of blind people. We called our place
the blind spot. Doc Jhason and Doc Cherry,
enjoyed and even contributed in the concept we
made. Although we had some lapses I learned
that its difficult to make a business plan
especially when you are not fully committed.
Initially I felt that this was only a requirement
but as the session drew closer, I became more
invested in contributing my ideas which at the
end I found out to be quite interesting. I was
able to channel my interest to help those in need
by making a fun, interactive and educational
exhibit.
In this experience I learned the difference

between caring based on emotion and based on
being objective. It has been since I was a kid that
I believed that the care I give was one of my
special gifts, but as a doctor, I learned through
this experience that sometimes being a good
doctor calls for a more goal-oriented spectacle.
Specifically I was afraid to palpate the patients
fontanels because of her condition but my



















CLINICAL ENCOUNTER MODULE SY 2015-2016 SECOND SEMESTER
Feb 5, 2016
Dr. Antonio
S2
-
-
-

partner Paul was curious enough to deeply

palpate the head which was at first surprising,
but on the other hand, provided information
that was valuable for the assessment of the
condition. Our preceptor was kind enough to
share with us some experiences she had when
she was younger, and her advices were very
valuable because from the start she pointed out
that all she wanted was that we come out of the
hospital that day and learned a thing or two
when it comes to taking care of neonates .

For this weeks session in ClinEx, we were able

to rotate in an orthopedic clinic. Our preceptor
was kind enough to expose us to different
patients who had varying problems ranging
from a simple ankle sprain to pre-surgical
patients who were unfortunately. We observed
by pairs so he also allowed us to rest in between
each patient. After being exposed to his clinic, he
allowed us to accompany him in an outpatient
procedure center in the first floor of the
building. There he showed us how to re-bandage
and drain wounds while still making the patient
comfortable despite the pain. Sadly, it was also
through this that we were able to witness a
problem in the system wherein Doc could not

Feb 26, 2016

Dr. Cuisa-Cruz

P3

JM

13

Hirschprung disease

Mar. 11, 2016

Dr. Pascual

M3

CI

69

Well Geriatric Visit

operate on a patient because his HMO did not

cover the accident he experienced.
For this patient encounter we were faced with

an adolescent patient wherein we had to isolate
him from his mother to gather more information
using the HEADSSS tool. Our patient had
Hirschsprung's disease which was a very
debilitating disease, but despite this our patient
presented a general light disposition which was
very helpful for our part because he was open
enough to lead some parts of the conversation.
Doc also explained to us the value of review of
systems which at first we could not understand,
but then she explained that by being thorough
with this part, it will be a good habit because we
will be able to catch details which were not
shared by the patient during HPI.
For this session, our preceptor brought 2

patients. Despite the encounter just being in
ASMPH, what was unique with this was that she
despite her being in the room, she allowed us to
conduct the entire session on our own. I really
admired our preceptor in her ability to establish
confidence in her patients upon entering the
room. She treated them with complete respect
and that made her patients respond very well
from then on. We just followed the geria patient
encounter form for this session, and it was a
little difficult to start the test out but then as we
progressed through the questionnaire we were

Mar 18, 2016

Dr. Bernardo

S3

RS

22

April 1, 2016

Dra. Guinto

P4

AL

12

May 15, 2016

Dr. Tanchanco

M4

JO

38

able to finish the entire encounter thoroughly .

Upper Respiratory Tract
Dr. Bernardo is one of the funniest professors

Infection
we have in YL7, her approach as a clinician
though is one that I take note of as one of the
most important to me. Unlike other clinicians,
her method of involving the patient in reaching a
final diagnosis is incomparable. She made the
patient as comfortable as possible and beyond
that it was a delightful experience which I would
love to learn when I have my own private
practice. She is realistic and most of all very
empathetic to her students to which I think is
the main reason we love her.
Community acquired
This session made me realize that beyond the

pneumonia with
efforst we throw into learning our trances there
concominant cellulitis
is really know better way to learn more about
the lessons we learned before but to place them
in practice. Dra. Guinto made us understand that
guessing our way into a diagnosis is not the
proper way of doing things, she grilled us to the
point that it made us feel cautious about the next
things we were about to say. Doktora was kind
enough to give us a great feedback though,
because after the exercise she turned her
pokerface off and explained to us the value of
being honest but at the same time very sure of
the answers we planned to give. A very scary yet
fruitful session.
Gout, Primary Hypertension This session was valuable to me because the

doctor made me feel like I needed to think on

May 22, 2016

Dr. Lacanilao

S4

BS

19

Chronic suppurative otitis

media with Cholesteatoma

Neuro PE

my toes. Dr. Tanchanco is known to be one of

the preceptors who is very thorough, so as soon
as we found out our session was going to be
facilitated by him, we tried our best to be in our
most professional behavior. The most important
lesson I learned here is that you do not pursue
your effort to please the person incharge, rather,
the respect you give to your patient should be as
genuine as the want you showing to help that
person. I think that it is my most evident
weakness to crumble in front of people I fear,
but Dr. Tanchanco allowed us to force
information out of our heads to become better
clinicians for our future practice.
Dr. Lacanilao was a great teacher, he was calm

and was very sure of his actions throughout the
entire experience. Although the patient from this
encounter had a sad story , it taught me how to
be vigilant with my future patients because if I
dont I may cause a great deal of harm from a
seemingly easy case. I do not want to be the
cause of a persons disability simply because I
did not care enough to use my profession as a
tool of accessibility to make them healthy. This
was a very emotional experience for me because
I could not keep myself calm in realizing that
there was no longer a chance for the patient to
hear simply because of the prolonged medical
care.
Today we learned how to conduct the entire

neuro physical examination. It was a long run

through, but our preceptor allowed us to follow
our guide which made the session fruitful for us.
We conducted the tests on each other which
allowed us to correct each others techniques. It
was a really good chance to relearn the skills we
have touched up from YL5-YL8. Aside from this
we also learned how to translate the
instructions of the MSE in Filipino which was a
difficult task for me because I dont have a firm
mastery of the language, words such as to
describe slipped from my thoughts and had to
be suggested by my partner. All in all, the
experience taught me a lot of the skills again.