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8/9/2019 Job Shadowing (Allied Health)
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Job Shadowing1
Running head: JOB SHADOWING
Job Shadowing
Mrcio Padilha
College of Southern Idaho
ALLH 202 Janak
Spring/2010
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JOB SHADOWING
On April 29, 2010, I had the opportunity to job shadow Dr. David Reed Hadlock. A
Doctor of Osteopathic Medicine,Doctor Hadlock is Board Certified in Reproductive
Endocrinology and Infertility, Gynecology and Obstetrics as well as in Addictions Medicine
besides being a Certified Medical Review Officer, Certified Correctional Health Professional,
Certified Addictions Professional and DUI Evaluator. He has his own private small-size
practice, geared to Womens Health, Family Practice and Addictions Medicine, at 496 Shoup
Avenue in Twin Falls, Idaho, (208) 735-0000.
With six examination rooms, four of which are equipped fordifferent gynecological
and obstetrical procedures, the facility is well-structured, clean and organized. The staff is
made up of the Doctor, one Registered Nurse, two Certified Nursing Assistants and an
Office Manager, all of whom are professional yet relaxed, friendly and welcoming. Both
CNAs and the office manager function as the patients first contact, both on the phone and
in person, into the office. As usual in these practices, the patient is called in by the CNA who
checks the vitals and, in case of addiction-related follow-up appointments, administers a
urine analysisscreening panel for a number of common drugs and inventories the patients
substance abuse since their last appointment. Although the RN also carries out these
functions, her presence is intended to provide monitoring for walk-in acute detox patients
who, in light of the condition, do not necessarily schedule appointments, but rather just
drop in needing immediate help.
Doctor Hadlock runs a voluntary drugs and alcohol detox program and is one of two
physicians in the area who canprovide opioids detox, which, as per federal regulations,
must be achieved via Suboxone (buprenorphine) which, while demonstrating the depth of
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his training simultaneously affords him a guaranteed share of the local addiction
business.On the flipside, as an independent practitioner, Dr. Hadlock stands to take any loss
should a client default in payment or file for bankruptcy. Detox clients are referred in by
word of mouth, professional counselors and other medical professionals, who, in addition
to the patients families, are integral to each individualized treatment plan.
I had the opportunity to sit in on four Suboxone follow-up consultations. To my
surprise, the patients, upon knowing of my intent to become a Drugs and Alcohol
Counselor, promptly accepted my presence, disclosed their personal medical/addiction
issues to me and allowed me to take part in their treatment session. Whereas three of the
four patients seen were conscientiously engaged positively in their treatments, one was
defiant and, as such, demonstrated denial, reframing and rationalizations, all negatively
impacting the outcome of the treatment. For the one patient in question, the doctor held a
family session where he requested that the patient submit to a greater level of care or
accept prompt discharge. Despite no paperwork increase, the doctor exceeded by far the
time allotted for this patients consultation in order to covey that no rationalizations would
justify the intermittent use of an assortment of drugs other than the primary drug of choice
and that the drug screening tests were accurate despite the patients denial.
Although the financial rewards are evident, I do not believe that one would provide
such services without an intrinsic component of altruism at some level because the nature
of therapeutic alliance in the addiction recovery process seems to be very contentious,
highly legalized and potentially dangerous.
This job shadowing experience is not within the scope of practice I seek to obtain,
but it is congruent to the nature of the business I want to get into. Having the opportunity
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to be an integral part of someone elses treatment was very interesting as it brings the
academics to life in the form of hands-on practice. Despite the fact it will not bear an impact
to the outcome of this class, I have left my contact information with Dr. Hadlock, who has
agreed to call me to come back in and observe different detox proceedings, i.e. alcohol
detox, opioid detox and so on, and I am looking forward to the experience.