third edition succeeding in the practicum · a preparation guide for medical assisting and allied...
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Succeeding in the PracticumA Preparation Guide for Medical Assisting and Allied Health
Kim Bender, MS
THIRD EDITION
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ISBN 10: 0-13-487420XISBN 13: 978-013-4874203
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Copyright © 2020 by Pearson Education, Inc. 221 River Street, Hoboken, NJ 07030. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright, and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458, or you may fax your request to 201-236-3290.
Note: Previous editions of this book were published under the title Excelling in the Externship: A Preparation Guide for Medical Assisting and Allied Health
Library of Congress Control Number: 2018044820
Names: Bender, Kim (Kimberly), author.Title: Succeeding in the practicum : a preparation guide for medical assisting and allied health / Kim Bender.Other titles: Excelling in the externship.Description: 3rd edition. | Boston : Pearson, [2020] | Preceded by Excelling in the externship : a preparation guide for medical assisting and allied health / Kimberly Halverson-Bender. 2nd edition. 2014. | Includes bibliographical references and index.Identifiers: LCCN 2018044820| ISBN 9780134874203 (alk. paper) | ISBN 013487420X (alk. paper)Subjects: | MESH: Allied Health Personnel—education | Clinical Competence | Vocational Guidance | PreceptorshipClassification: LCC R847 | NLM W 18 | DDC 610.73/7069—dc23 LC record available at https://lccn.loc.gov/2018044820
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iii
Preface xi
Chapter One: The Link Between Your Education and Your Career 1
Introduction 2
The Importance of Your Practicum 2
The Big Transition: Student to Professional 2
What Is Meant by Practicum? 3
Applying Your Skills and Knowledge 3
Professionalism: The Highest Calling 4
Becoming Part of the Health Care Team 4
Spotlight on Medical Assisting: Teamwork Experience During the Practicum 5
Gaining Experience with Legal and Ethical Considerations 5
Organization and Time Management Applications 6
Conclusion 8Self-Prep Questions 8Role-Play Scenario 9Readiness Checklist 10
Chapter Two: Meeting and Exceeding Expectations 11
Introduction 12
Students Are Responsible to Two Parties 12
Expectations of the Academic Institution and Faculty 12
Expectations of the Practicum Site Staff and Trainers 17
Realistic Expectations Concerning the Site 21
Contents
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iv Contents
Going Above and Beyond 21
Join a Professional Organization as a Student Member 21
Prepare Early for Registration and Certification in Your Profession 22
Spotlight on Medical Billing and Coding: Student Membership with the AAPC 22
Conclusion 23Self-Prep Questions 23Role-Play Scenario 25Readiness Checklist 26
Chapter Three: Practicum Site Placement Interviews 28
Introduction 29
Requests for a Preliminary Practicum Interview 29
Reasons for a Preliminary Interview 30
Proactive Measures for Practicum Interviews 30
Researching the Site 30
Submitting Your Resumé 31
Completing Application and Information Forms 31
Presenting Yourself as a Professional 32
Discussing Your Availability and Setting a Schedule 33
Spotlight on Pharmacy Technician Practicums 34
Going Above and Beyond 34Conclusion 35Self-Prep Questions 35Role-Play Scenario 36Readiness Checklist 36
Chapter Four: Attitudes and Perceptions 38
Introduction 39
Attitude and the Allied Health Practicum 40
Recognizing the Human Nature of Perceptions and Attitudes 40
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Contents v
Changing Detrimental Attitudes and Perceptions 41
Detrimental Perception 1: “I provide free labor.” 41
Detrimental Perception #2: “I performed well in school, so I am an expert.” 42
Detrimental Perception #3: “Practicum? Whatever . . . ” 43
Detrimental Perception #4: “My personal problems are more than I can manage
today.” 44
Detrimental Perception #5: “Something’s always wrong.” 45
Attitudes that Promote Productivity and Success 46
Caring for Others 46
Committing to Serve 46
Using Good Manners 47
Showing Enthusiasm 47
Developing Perceptions and Attitudes at the Practicum Site 48
Spotlight on Medical Administrative Assistant/Medical Office Specialist Practicums 49
Conclusion 50Self-Prep Questions 50Role-Play Scenario 51Readiness Checklist 53
Chapter Five: Etiquette and Professional Manners 54
Introduction 55
The Significance of Etiquette 55
Etiquette for Allied Health Student-Trainees and Professionals 56
Posture 56
Verbal Manners 57
Word Choice 58
Avoiding Distracting Behaviors 58
Spotlight on the Surgical Technology Practicum 60
Social Media Etiquette and Behavior 61
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vi Contents
Conclusion 63Self-Prep Questions 63Role-Play Scenario 64Readiness Checklist 65
Chapter Six: Communication and Developing Professional Relationships 66
Introduction 67
Building Professional Relationships 67
Spotlight on Medical Office and Facility Administrators/Department Heads 67
Functioning as a Team Member 68
Building Interpersonal Relationships 69
Communicating Effectively 69
Issues of Conflict and Conflict Resolution 74
Overcoming Personality Clashes 76
Sexual Harassment in Today’s Workplace 76
Conclusion 78Self-Prep Questions 78Role-Play Scenario 79Readiness Checklist 81
Chapter Seven: Fulfilling the “Student” Role During the Practicum 82
Introduction 83
Fulfilling Your Responsibilities 83
Engaging in and Benefiting from Your Practicum 83
How to Engage in Your Work 84
The Problem of Disengagement 86
How to be Fully Engaged 87
Spotlight on Paramedic and EMT Practicums 87
Acting Responsibly 87
Maintaining Contact with Your School 88
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Contents vii
Maintaining an Academic Mind-set 88
Spotlight on Medical Assisting Certification 88
Conclusion 90Self-Prep Questions 90Role-Play Scenario 91Readiness Checklist 92
Chapter Eight: Benefits of Successful Practicum Completion 93
Introduction 94
Your Entrance into the Field of Health Care 94
The Big Benefits 95
Refining Your Skills 95
Career Launch Opportunities 96
Industry Networking 96
Spotlight on Dental Assisting Practicums 97
Field Experience 97
Professional Reference and Letter of Recommendation 97
Final Touches 98
Conclusion 99Self-Prep Questions 99Role-Play Scenario 100Readiness Checklist 100
Chapter Nine: Performance Evaluation and Your Grade 102
Introduction 103
The Significance of Your Performance Evaluation 103
The Basics of Evaluation 104
Medical Assisting Skills Evaluation 104
Medical Administrative and Office Assisting Skills Evaluation 106
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viii Contents
Learning from Evaluation Results 107
Spotlight on All Allied Health Specialties: Maintaining a Positive Mind-set through the
Performance Evaluation 108
Other Practicum Completion Requirements 108
Journal of the Practical Experience 108
Projects and Written Reports 109
Student Evaluation of the Practicum Experience 109
Grading 110Conclusion 111Self-Prep Questions 111Role-Play Scenario 111Readiness Checklist 113
Chapter Ten: Allied Health Practicum: Case Studies 114
Introduction 115
Case Studies 115
Case Study 1: A DELAYED PRACTICUM 115
Case Study 2: ATTITUDES AND IMPRESSIONS 116
Case Study 3: NO SHOW, NO SITE 118
Case Study 4: CONFIDENTIALITY BREACH 120
Case Study 5: THE “A” THAT SLIPPED AWAY 121
Case Study 6: SKILLS REVIVAL 122
Chapter Eleven: Beyond the Practicum: Beginning Your Job Search 125
Introduction 126
A Process with Many Steps 126
Becoming Familiar with the Local Job Market 127
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Contents ix
Resumés 129
Choosing an Appropriate Resumé Format 129
Including Allied Health Information in the Resumé 135
Recommendations for Resumé Formatting and Writing 135
Finalizing the Resumé 138
The Cover Letter 138
Applying for Jobs 138
The Waiting Period 140
Phone Contact 140
E-Mail Contact 141
Familiarity with Organizations to Which You Have Applied 142
Establishing and Fine-Tuning Your LinkedIn Profile 142
The Interview 143
Dressing for the Interview 143
Etiquette for the Interview 144
Nontraditional Approaches: Phone and Video Interviews 145
The Thank-You Letter 146
Spotlight on All Allied Health Specialties: Highlighting Practicum Experience on the
Resumé 148
Conclusion 149Self-Prep Questions 149Role-Play Scenario 150Readiness Checklist 151
Appendix: Selected Allied-Health Certification and Credentialing Resources 153
Index 160
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xi
The title of this edition has been changed from Excelling in the Externship to Succeeding in the Practicum to reflect the updated terminology used by the American Association of Medical Assistants to refer to the off-site training component of accredited Medical Assisting and other allied health programs. This title change puts us in line with the accrediting bodies and professional organizations.
The progression from completing the allied health program of study to becoming a professional within the industry is bridged by the practicum. This practicum encompasses the time and place in which the student has the opportunity to begin building professional relationships and to show off his or her technical skills and unique talents in serving and working with others. It is a time when avoidable pitfalls should not interfere with various profes-sional opportunities. To make the most of the practicum, students must be well-prepared to take on new challenges, act responsibly, learn proactively, and develop themselves professionally, which are all major goals of Succeed-ing in the Practicum.
The overall purpose of Succeeding in the Practicum is to present to students the full picture of the practicum experience. Student readers will realize the value and purpose of the practicum, will be prepared by being familiar with the expectations for all aspects of the journey, and will discover the benefits and opportunities that await them when they begin their careers with comple-tion of a successful practicum. They also will be given tips on the various pitfalls and mistakes to avoid in order to excel in the practicum. Coverage of the practicum from preterm to postterm is provided to guide students’ focus and to help them maintain professionalism, responsibility, a positive attitude, and proactive learning throughout the process. The goal of this text is to prepare allied health students for a successful practical experience. In turn, this helps student-graduates to launch their careers with confidence, motiva-tion, and meaningful experience. This also helps educational institutions send well-prepared students who intend to succeed to their partnering or affiliated offices, hospitals, pharmacies, and other facilities.
The content covered in this text is based on a significant amount of experi-ence I have had with students and their practicums, which makes this worth-while reading for any budding allied health professional approaching the practicum phase. Many colleges and educational institutions may offer, or do
Preface
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not provide, very limited preparation for students in the specific, yet impor-tant, aspects of switching on the professionalism required in allied health fields, which actually must begin before or during the practicum. This guide is intended to fill this gap in practicum preparation when significant face-to-face time between instructors and students for this purpose is unachievable within the established curriculum. It can be used concurrently with other related course material or as an independent study for students prior to begin-ning a practicum.
Succeeding in the Practicum is organized logically, beginning with introduc-ing the purpose and value of the practicum. The text then maps out what the practicum site staff and the college or school expects of students. A chapter about practicum interviews focuses on preparing students who are required to attend an interview prior to beginning the practicum. Appropriate atti-tudes, etiquette, and the development of working professional relationships are discussed.
Next, how students are to fulfill the student role through following instruc-tions and engaging in proactive learning is explored. Meant to serve as motiva-tion for students, the next section discusses the priceless benefits of completing a practicum, some of which are tied to the specific training site. Material covering practicum evaluations and grades touches on the conclusion of the practicum phase. Real-life case studies follow. The final chapter explores the beginning of the job search for allied health careers.
Features of This Text• Tips from Professionals. Brief sections throughout this guide provide
up-front, practical advice. This is one of the most valuable features of this text. These insights based on the general experiences of industry profes-sionals support the many topics in this text while providing information and recommendations.
• Self-Prep Questions. These questions are provided to guide and prepare students for each aspect of their practicum experience. They prompt stu-dents to think about what they will do when put into certain situations, as well as how to evaluate and improve their performance. An example from Chapter 3 preps students by requiring them to think of questions to ask in an interview, while examples in Chapter 5 focus on aspects of their etiquette that they can improve. Students will find ample room to write their answers.
• Role-Play Scenario. Each chapter presents a role-playing scenario for students. Directions describe how to set up the scenario, and questions lead students to observe what is wrong and what is right about how everyone acts. Space for recording answers is provided.
xii Preface
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• Readiness Checklist. All chapters conclude with a Readiness Checklist to ensure that students understand all the objectives presented within the chapter. Students will find a place to check off the objectives as they learn them.
• Journal. At the end of this book, lined pages are provided on which stu-dents can take notes as they make their way through the program or can journal their practicum thoughts and experiences.
• Spotlight On . . . These features throughout the chapters highlight a variety of allied health specialties and how the practicum is important and beneficial in each area presented.
New to This EditionThis third edition includes a new full-color layout; updated, new, and expanded content; and several new features:
• New section on the right mind-set a student should have going into his or her site training
• Updated information on nontraditional interviewing, specifically phone and video interviews
• Elaboration on communicating effectively in professional relationships• New section on communicating effectively with patient subgroups• Overview and awareness of LinkedIn profiles• More details on applying for jobs after the practicum• Spotlight on Medical Assisting Certification
Preface xiii
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xv
I would like to extend appreciation to the following reviewers for providing valuable feedback for the current and past editions of this text:
Acknowledgments
Peter F. Andrus, MDClinical InstructorAlbany Medical CollegeAlbany, New York
Dominica Austin, BSNAcademic DeanLincoln College of TechnologyMarietta, Georgia
Tricia Berry, MATL, OTR/LDirector of Clinical PlacementKaplan UniversityDes Moines, Iowa
Beth Anne Buchholz, BS, CMAMedical Assisting Department ChairWichita Area Technical CollegeWichita, Kansas
Estelle Coffino, MPA, RRT, CPFT, CCMA
Associate Professor/Program Director
The College of WestchesterWhite Plains, New York
Ursula Cole, MEd, CMA, CCS-P, CHIMedical Program CoordinatorIndiana Business CollegeIndianapolis, Indiana
Bernadette Cox, AAS, RMS, AHI, BLS Certified Instructor
Administrative and Clinic Instructor
Ross Medical Education CenterFlint, Michigan
Dawn Eitel, AAS, CMAMedical Assisting Program
DirectorKirkwood Community CollegeCedar Rapids, Iowa
Cindy Garman, CMAMedical Program Director/Director
of Career ServicesAkron InstituteAkron, Ohio
Robyn Gohsman, AAS, RMA, CMAS
Medical Assisting Program Director
Medical Careers InstituteNewport News, Virginia
Deborah E. Jacobs, RN, ENA, PCT
Medical InstructorDorsey SchoolsPontiac, Michigan
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Francie Mooney, CMA (AAMA)Faculty Medical AssistingNorth Seattle CollegeSeattle, Washington
Lisa Nagle, BSEd, CMAMedical Assisting Program DirectorAugusta Technical InstituteAugusta, Georgia
Julie Rismiller, CMAClinical Externship CoordinatorLincoln Technical InstituteAllentown, Pennsylvania
Christian G. Rivera, DC, MSAdjunct InstructorFlorida Technical CollegeDeland, Florida
Janet Sesser, RMA, CMA, BSAssociate Vice President of EducationChubb InstitutePhoenix, Arizona
Donna Stevenson, BA, LPN, CAHIAllied Health Department ChairRemington CollegeLargo, Florida
Nancy Wright, RN, BS CNORInstructor, College of Health SciencesVirginia CollegeBirmingham, Alabama
xvi Acknowledgments
Kim Bender, MS
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