Phase 2 Internship Policy - Midwest College

The purpose of Phase 2 internship is to help the student gradually build skills in needling and diagnosis through the performance of assigned treatments and determination of diagnoses with the help of the supervisor. During Phase 2 of internship, the student performs treatments that have been developed with the student and then assigned by the instructor. These treatments will include acupuncture, as well as, accessory techniques. Emphasis will be placed on correct location of points and safe insertion with minimal pain. Students will continue to conduct pulse, tongue, and palpatory examination, and will have the additional responsibility of conducting patient interviews and asking necessary questions.† Emphasis will be placed on the thorough gathering of diagnostic information and accurate reading of pulse, tongue, and palpatory examinations. The studentís work will be monitored carefully by the supervisor and observed as directly as possible, in order to ensure compliance with clinical safety standards and correct application of clinical skills. Students must develop an ability to project a professional manner and appearance, and need to show sensitivity and caution in their interaction with patients.

Students need to have 150 hours of observation in order to begin Phase 2. For this phase students will be issued a treatment badge. They participate with the TCM intake, evaluation, and treatment of patients.

They work more closely with the supervisor, who will approve of treatments and supervise the procedures. Besides needle techniques, other procedures of Oriental medicine may be used to gain treatment hours as long as the therapy is called for by a TCM diagnosis. These include moxibustion, cupping, guasha, tui-na, and auricular therapy. Many students will have completed observation just as they begin the first weeks of Needle Technique class. It is up to the student to keep track of their progress by watching the completion of their workbook. This point will likely be reached during the fourth quarter. Turn in the all the Phase 1 Workbook demonstrating a total 150 hours; even if it is in the middle of a term. Students may then use a Phase 2 Workbook and gain treatment credit.

Prerequisites for Admission to Phase 2 internship:

The student must complete a Request for Promotion to New Phase Level form that is included in the workbook, which will include the following signatures.

1.   Verification of 150 internship hours in observation.

2.   Signature by clinic supervisor verifying sufficient competency.

3.   Signature by a records officer verifying completion of all Phase 1 requirements.

To begin needling in clinic, students submit a form from the needle technique instructor. This may occur, at the earliest, just after the midterm of the fourth quarter.

Phase 2 Performance Objectives

  Correctly administer assigned treatments in acupuncture and accessory techniques and to develop clinical skills

  Demonstrates development of skill and accuracy in the interpretation of Oriental medical diagnostic exams, including pulse taking, tongue observation, palpation, etc.

  Routinely insert needles with minimal pain.

  Demonstrates ability to conduct interviews with patient and to gather sufficient Oriental diagnostic information to form an Oriental medical diagnosis.

  Demonstrates ability to record a detailed patient history, record accurate and thorough soap notes.

  Demonstrates mastery of standards of clean technique.

  Demonstrates ability to locate major acupuncture points without occasional reference to charts or written material.

  Maintains a professional manner and appearance, and is sensitive and attentive to the patientís needs.

  Demonstrates ability to work cooperatively with clinical staff, to accept corrections and respond appropriately to constructive feedback, and to avoid exceeding the limits of acquired skills or assigned activities.

  Demonstrates ability to cautiously apply knowledge that has been learned in other areas of the program, including pattern differentiation, symptom analysis, and selection of treatment.

When beginning Phase 2, it is expected that students see at least 2 patients per clinic session. Then as interns gain experience, the number of patients treated each session will increase; perhaps to 3, 4 or more per session.

Phase 2 Evaluation and Grading Process:

1.   Each quarter students are graded on performance objectives.

Phase 2 Completion Requirements:

2.   Passing score turned in each quarter.

3.   Sufficient attendance.

4.   Completion of the Phase 2 Workbook showing 260 hours and a minimum of 120 patient treatments.

5.   Book turned in when completed.

Assessing Quality of Life† (QoL)†† A new measurement added to all intern workbooks in 2007

Most simply, 5 domains are considered when deciding on a number:

1. Mobility / lack of mobility

2. Ability to care for themselves / assistance needed

3. Usual activities / limitation of these activities

4. Pain / discomfort (use the separate line for pain score if it is a pain related problem)

5. Anxiety / depression

Impact of disease on QoL

A 31 year old man who developed ankylosing spondylitis said it totally changed his life. ĎMy plans for a career were stifled. I couldnít move around my house. I became dependent on my parents. I have since become depressed and have stopped my hobbies. The patient rates themselves a 3.

Indications of Improvement in QoL

After receiving acupuncture, my ability to walk improved. While I can no longer play sports, I again am enjoying my hobbies. I can now take short walks and am less depressed. The patient rates themselves a 6.

You may need to help the patient select a number through discussion.

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