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INTERNSHIP PORTFOLIOARELLANO UNIVERSITY DEPARTMENT OF PHYSICAL THERAPYThis portfolio documents my clinical internship experiences in Physical Therapy, highlighting the knowledge, skills, and competencies I developed through patient care, rehabilitation programs, and professional practice in various healthcare settings. KATHLEEN KATE O. BELTRAN
INTERNSHIP PORTFOLIO ARELLANO UNIVERSITY DEPARTMENT OF PHYSICAL THERAPY 2 0 2 5 - 2 0 2 6
ARELLANOARELLANOVISION A model insitution of learning where relevant knowedge is acquired and skills are developed in response to the needs of the global community. MISSION To provide equitable access to learning through relevant, innovative, industry- sensitive and environment-conscious academic programs and services.
UNIVERSITYUNIVERSITYCORE VALUES C - Competence Sufficient knowledge, understanding, and skills that will enable him/her to act reasonably in a wide variety of situations Wise and responsible management of resources Strength and courage to face adversity or difficulty Attribute of looking at things in a fair and impartial way towards all concerned, based on the principles of evenhanded dealing Capability of doing the right thing in a reliable and upright manner because he/she has the wholeness of character Being able to let go of oneself and be courteous and respectful of othersH - HumilityI - IntegrityS - StewardshipE - EquityF - Fortitude
WHERE RESTLESS NIGHTS MEET RELENTLESS AMBITION The Internship Times BS PHYSICAL THERAPYINTERNSHIP PORTFOLIO BREAKING NEWS
ContentsJUNE 20251Kapampangan Development Foundation, Inc.Community-Based Rehabilitation – KaisakaJULY 20253AUGUST 20255 Armed Forces of the Philippines Health Service Command (AFPHSC): Department of Rehabilitation MedicineArellano University - Physical Therapy ClinicSEPTEMBER 20257Non-Clinical Rotation9OCTOBER 2025Philippine Orthopedic Center (POC): Out-Patient DepartmentNOVEMBER 20251 1Philippine Orthopedic Center (POC): In-Patient DepartmentDECEMBER 20251 3Community-Based Rehabilitation – KaisakaJANUARY 20261 5St. Camilllus Medical CenterFEBRUARY 20261 7MARCH 20261 9Kapampangan Development Foundation, Inc.
KAPAMPANGAN LEARNING TO D E V E L O P M E N T F O U N D A T I O N June 2025 | 1st Rotation ADAPTABILITY Meets Individualized Rehabilitation Move, Adapt, and Restore P A G E 1
EXPLORE PROSTHESISas some patients tend to lean their trunk forward. The most challenging part for me was teaching and guiding above-knee amputation (AKA) patient which requires more process in gait training compare to below-knee amputation (BKA), where the patient retains their natural knee joint. KAPAMPANGAN DEVELOPMENT FOUNDATION, INC KAPAMPANGAN DEVELOPMENT FOUNDATION, INC OVERVIEW “PATIENCE IN CARE, PURPOSE IN EVERY STEP” JUNE 2025 1ST ROTATION The Kapampangan Development Foundation, Inc. (KDF) was established in 1987 to provide assistance to individuals with disabilities and those in need of disability-related support. This rotation taught me two (2) scoliosis-specific exercise named “Mariano Exerciseˮ and “Sail Exerciseˮ which was developed by my Clinical Instructor. Learning these techniques allowed me to appreciate how individualized positioning and active postural correction influence ones alignment, balance, and trunk control. This kind of experience encouraged me to be more curious, adaptable, and confident in developing my clinical reasoning. We also have cater pediatric patients in Olongapo, most of whom are diagnosed with Cerebral Palsy. This was a meaningful experience that gave me the opportunity to work with children with different types of CP, instilling in me the importance of patience, empathy, and ingenuity. Over the course of my rotation in KDFi, I learned how to assist an amputee patient during their initial use of Prosthesis which has Three (3) essential aspects to keep in mind. First, equal wight distribution rather than relying solely on the unaffected leg. Second was to emphasize heel strike first then toe-off, to promote normal gait pattern. Lastly, postural alignment needs close monitoring and correction P A G E 2
KAISAHAN NG Magulang at Anak NA MAY KAPANSANANKAISAKA, Inc. began as a parish outreach program in 1989 and was registered in the Securities and Exchange Commission (SEC) as a Peopleʼs Organization (PO) on August 6, 1998. The program was pioneered by mothers and persons with disabilities themselves as the frontrunner of the program. The Arellano University Department of Physical Therapy provides rehabilitation services that help patients improve mobility and develop independence. JULY Kaisahan ng Magulang at Anak na may Kapansanan (KAISAKA) Inc. is a Community Based Rehabilitation (CBR) program for children and youth with disabilities. P A G E 3
KAISAKA, INCCOMMUNITY BASED REHABILITATION INSIGHT Think beyond simply following an established treatment plan and use clinical reasoning to determine when and how interventions could be advanced based on each patientʼs progress. Manage my energy wisely, prioritize tasks effectively, and stay grounded even during high- pressure situations. 2ND ROTATION AUGUST 2025 On my second clinical rotation, I was met with a wave of emotions, particularly when I first saw the patient decking. I took my extra time to review my previous notes and revisit what I had learned from my pre-internship and read different treatment approach related to my patientsʼ conditions to help me prepare for their sessions. One of the biggest milestone for me was learning how to manage up to three patients wit- -hin a one-hour time frame. This kind of experience challenged me to improve my time management, organization, and ability to prioritize each patientʼs needs while ensuring that everyone received appropiate and quality care. It was overwhelming at first, but gradually I became more confident in handling multiple patients and learned the importance of staying organized and make the most of every minute. P A G E 4
ARMED FORCES OFARMED FORCES OF THE PHILIPPINESTHE PHILIPPINES ARMED FORCES OF THE PHILIPPINES The Physical & Rehabilitation Medicine is dedicated to restoring the function and mobility of their patients, especially our wounded heroes. This rotation felt like a roller coaster ride—an overwhelming mix of excitement, pressure, and exhaustion. Each day challenged me to traverse from Metro Manila to Quezon City, organize patient schedules, and attend to patients with a wide range of conditions. Although the experience was physically and mentally demanding, it pushed me beyond my comfort zone and taught me to become more disciplined, resilient, and adaptable. Looking back, I realized that the challenges I faced were not only part of the rotation but also opportunities for me to grow both personally and professionally. GROWING THROUGH RESILIENCE 3RD ROTATION AUGUST 2025 he Armed Forces of the Philippines Medical Center (AFPMC) is a major medical and health- service organization within the Armed Forces of the Philippines. It provides healthcare and medical support to AFP Personnel, their dependents, and other authorized beneficiaries. T
F A C E U N C E R T A I N T Y & C H A L L E N G E S H E A D - O N I felt the weight of the uncertainty while managing a convalscent patient whose pain had no clear identifiable source. Given the unexplained nature of the symptoms, I consulted with my clinical instructor and the physician-in- charge to determine the most appropriate course of action. We temporarily withheld exercises and prioritized the use of modalities while awaiting the laboratory results. This experience reinforced the importance of clinical judgement and interprofessional collaboration in ensuring patient safety. Effective clinical practice does not always mean proceeding with treatment as planned. There are circumstances in which pausing, reassessing, and awaiting further medical information is the most responsible course of action. P A G E 6
ARELLANO UNIVERSITY PHYSICAL THERAPY CLINIC ARELLANO UNIVERSITY PHYSICAL THERAPY CLINIC “WHERE ATHLETIC CARE MET CLINICAL GROWTH” The AUPTC is a non-profit training facility for Physical Therapy students and interns, providing opportunities to apply clinical knowledge and skills under the supervision of licensed Physical Therapist. As Arellano University is part of the NCAA, the clinic primarily caters Student-Athletes. 4TH ROTATION SEPTEMBER 2025 My 4th clinical rotation provided me with the opportunity to handle student-athletes while challenging my physical stamina and adaptability in a fast-paced environment. P A G E 7
AUPTC ENDURANCE IN MOTION Handling athletes was challenging as it required not only physical strength but aslo creativity in designing and modifying exercises. I managed numerous cases of ankle sprains and muscle soreness secondary to overuse and trauma. Although these conditions may present with similar symptoms, each patient differed in pain intensity, functional limitations, and response to treatment. This taught me the importance of adapting interventions to each patientʼs presentation rather than relying on a one-size-fits-all approach. Every morning, I handle CVA patients and Bilat. knee OA cases, which further strengthened my clinical knowledge, assessment skills, and confidence in managing different patient conditions. My Clinical supervisor played a huge role in my progress—he guided me patiently, answered every questions, and constantly checked on my performance. His teaching approach made me feel supported rather than pressured, motivating me to continuously improve and learn each day. This patient challenged me the most because the source of the pain and limitation remained unclear. Although cold compress provided temporary relief, modified exercises continued to provoke pain, challenging my clinical reasoning and emphasizing the importance of adapting treament based on the patientʼs reponse. P A G E 8
Non Clinical GROWING BEYOND THE ROLE OF A STUDENT CLINICIAN WHERE KNOWLEDGE MEETS PURPOSE Non-clinical rotation is designed to provide training opportunities in the other areas of responsibilities of the Physical Therapy profession. This non-clinical rotation focuses on practice of physical therapy as an educator, a researcher, a manager, and an advocate of physical therapy practice and functional movement for health. My Non-clinical rotation provided me with opportunities to grow beyond clinical practice through teaching, evaluation, community service, and patient education. I balanced OSCE and Oral Revalida preparation with developing teaching materials and facilitating discussions on Fibromyalgia and Myofascial Pain Syndrome. This taught me the importance of thorough research, creativity, and adaptability in effective teaching. Evaluating student presentations helped me develop the ability to provide constructive feedback, recognizing the impact of words on studentsʼ confidence and motivation. Rotation The medical mission allowed me to witness the value of selfless service and community advocacy. My biggest takeaway from this medical mission was realizing how fortunate I am to witness people who, despite not holding any position in the government, still find ways to help patients and their families have better access to healthcare. It was inspiring to see those advocates how generous they were in giving their time, effort, and resources without expecting anything in return. It takes the willingness to do something and the genuine desire to help. P A G E 9
he Infotalk regarding Stump Care and Bandaging gave me the opportunity to share my knowledge with patients who had lower extremity amputations. I discussed proper ways to care for their residual limb, appropriate bandaging technique, and exercises they could perform while awaiting for their prosthesis. I also emphasized precautions to prevent complications such as contracture. This experience required me to communicate information in a simple, practical, and patient- centered manner that they could easily understand and apply at home. Knowledge becomes more meaningful when it is shared, communicated effectively, and used to empower others. Through teaching, doing admin works, participating in community service, and educating others, I developed greater confidence and it taught me that a good clinician must also be an effective communicator and a willing contributor to the learning and well-being of others.CLINICROTATION BEYOND TRANSFORMING KNOWLEDGE INTO LEADERSHIP, SERVICE & IMPACT T NON-CLINICAL ROTATION5TH ROTATION OCTOBER 2025 P A G E 1 0
PHILIPPINEORTHOPEDIC CENTER The Philippine Orthopedic Center (POC) is a government tertiary specialty hospital under the Department of Health (DOH) that primarily provides specialized care for patients with musculoskeletal disorders, orthopedic conditions, trauma, and related disabilities. POC has historically served as a major national center for orthopedic and rehabilitation care. The Department of Physical Medicine and Rehabilitation (PM&R) plays an important role in restoring patientsʼ mobility, functional independence, and quality of life.OVERVIEW During clinical rotation, the department provides Physical Therapy students with opportunities to apply their clinical knowledge in patient assessment, therapeutic exercise, functional mobility and gait training, rehabilitation planning, and patient education while gaining experience in managing diverse orthopedic conditions.
LEARN • TREAT • GROW OUT-PATIENT DEPARTMENT FROM NON-CLINICAL ROLE, BACK TO CLINICAL CARE During my POC rotation, I was exposed to a combination of lectures and hands-on clinical practice that challenged both my clinical understanding and physical endurance. The lectures covered upper and lower extremity conditions and their corresponding rehabilitation protocols, as well as spinal assessment, which included an in-depth discussion of pelvic mobility and its underlying biomechanics. These strengthened my understanding in the assessment and rehabilitation of my patients. Over the course of my OPD rotation, I was exposed to a wide range of orthopedic conditions that I had not encountered in my previous clinical centers, particularly fracture cases. This provided me with valuable opportunities to apply my knowledge while gaining greater familiarity with the assessment and management of patients recovering from various injuries. NOVEMBER 2025 CMILL buddies P A G E 1 2
THE JOURNEYE M P O W E R I N G R E C O V E R Y , S H A R I N G T H E C H R I S T M A S S P I R I TD E C E M B E R 2 0 2 5
IN-PATIENT “MAJOR CLINICAL SHIFT ENTERED IPD TERRITORY”WHAT HAPPENED? CONDITIONING New Clinical Challenges Unfold as Interns Enter the In-Patient Department My second month at POC marked my transition from Out-Patient to In- Patient Department, providing a different clinical environment and new learning experiences. I was with the Rehab Team wherein we traverse various wards everyday, namely the Rehab, Male Traction, Male Post-Operative, and Childrenʼs wards, where I gained experience managing spinal cord injury (SCI) and post-op patients. One of the most memorable experience was conducting conditioning exercises in the traction wards, which required clear and loud voice, precise commands, and coordination with the drummer. Managing an SCI patient with severe muscle spasms was also challenging yet valuable as it allowed me to observe firsthand the manifestations discussed in the textbooks while learning to adapt to the patientʼs condition despite limited responce to medication. Gising!!! (3x) Hingang malalim! Buga! ( 3x) Hingang malalim! Ubo! ( 3x) Shoulder Flexion (16 counts, 2 sets) Shoulder Abduction 1 set, ready, Go!st Biceps Curl 2 set, ready, Go!nd Triceps Curl Hawak sa Trapeze!!! Up! Down! (10x) Hip SLR (16 counts, 2 sets) Hip Abduction 1 set, ready, Go!st Heel Slides 2 set, ready, Go!nd Ankle Pumps (20 counts) Ready, Go! Stretch!!! (3x) Hand shake!!! (3x) Hingang malalim! Buga! ( 3x) Hingang malalim! Ubo! ( 3x) This experience highlighted the realities of managing complex patients and translating textbook knowledge into clinical practice. A progress is not always linear and that effective rehabilitation requires patience and consistency. 7TH ROTATION DECEMBER 2025 P A G E 1 4
COMMUNITY BASED REHABILITATION J A N U A R Y 2 0 2 6K A I S A K A , I N C
KAISAKA, INCCOMMUNITY BASED REHABILITATION 8TH ROTATION JANUARY 2026 During my 8 month of clinical rotation, I was given the opportunity to assist and guide pre-interns alongside my responsibilities in managing patients. Explaining the conditions of the patients included in my decking, discuss their prescribed management, and elaborate on the clinical reasoning behind each intervention. Guiding them in careful handling of neurologic patients and provided feedback on proper SOAP note documentation. th P A G E 1 6 I was able to revisit and reinforce knowledge that I had gained from my 1 to 3 years of study. It also challenged me to communicate information clearly and ensure that my explanations were both clinically appropriate and understandable. st rd T E A C H I N G I S A F O R M O F L E A R N I N G
ST. CAMILLUSM E D I C A L C E N T E R The St. Camillus Medical Center (SCMC) is a secondary private hospital. It is part of the Camillian Healthcare institutions, associated with the Camillian Fathers and the legacy of St. Camillus de Lellis, who is recognized as the Patron Saint of Hospitals and the sick. The Physical Medicine and Rehabilitation Department is a hospital-based rehabilitation service focused on restoring movement, function, and independence among individuals affected by injury, ilness, pain, or chronic conditions. Majority of the conditions that Iʼve handled was diagnosed with musculoskeletal conditions.
uring my month at St. Camillus Medical Center, it exposed me to a predominantly lower back conditions with only one neuro- logic patient among the cases assigned to me. One of my biggest challenges was completing an IE and/or RE notes, as my staff emphasized not only correct documentation but also understanding clinical reasoning behind what I wrote. This made me realize that, in my previous rotations, I approached my clinical responsibilities primarily as requirements that needed to be completed rather than opportunities to genuinely take ownership of my patients’ care. I also gained hands-on experience in using lumbar traction, which I performed three times a week. One of my most memorable experience was during group therapy when my aphasic CVA patient suddenly shouted “Wapin” that I taught him, catching everyone off guard. SCMC taught me to move beyond simply fulfilling my responsibilities and to become more intentional and it reminded me that communication extends beyond spoken language. LEARNING MEETS CARE A JOURNEY OF GROWTH, PURPOSE, AND CARE D ST. CAMILLUS MEDICAL CENTER9TH ROTATION FEBRUARY 2026 P A G E 1 8
10TH ROTATION MARCH 2026
MARCH 2026 P A G E 2 0 KDF was both the first and the last training ground of my clinical internship journey. It was where I was first introduced to the realities of clinical practice and where I learned lessons that extended beyond what could be taught inside the classroom. Returning to KDF at the end of my internship felt meaningful as I was no longer the same student who first entered its doors. The experiences, challenges, and lessons I gained throughout my rotations shaped the way I approached patient care, responsibilities, and my role as a future physical therapist. It's not just about where my clinical journey began or ended—it’s about the people who welcomed me, the lessons I learned, and the place that, along the way, came to feel like home. ENDING MY INTERNSHIP WHERE IT ALL BEGAN
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