Practice Inquiry

Practice inquiry is conducted at two of my clinical facilities by bouncing each of the practitioner’s idea to one other. One example I can cite is a patient who came in the urgent care setting after coming back from a weekend snowboarding. The patient fell when he was snowboarding and hurt his left ankle. X-ray was done to rule out the problem from a very painful and swollen ankle. Initially, the physician assistant (PA) was the one seeing the patient, but the PA was uncertain of the right diagnosis to make based on the x-ray films that was obtained. The PA then called and asked for help from the medical director who has fair experience with sports medicine. In this example, practice inquiry was conducted in a way that each of the practitioners exchanged ideas to articulate a plan of care and to solve the problem. In my opinion, discussion of practice inquiry through exchanging ideas to another colleague is a way to be certain that the diagnosis given to the patient is precise. Precision will produce a provision of an appropriate management for the problem. Furthermore, before PA called the medical doctor, she stated that she used UpToDate application. Based on my personal experience, UpToDate is one of the most reliable apps I used when I am in the clinical setting especially if I have some reconsideration about patient’s health problems. I believe that the use of this kind of electronic resource can improve practice inquiry at the clinical site in a way that it does not only provide accessibility on the part of the practitioners but also provides evidence based and peer reviewed source that can be applied to the appropriate population group.


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