The following are links to documents that I have created throughout my first rotation.

The following is a link to a History and Physical I presented during my site evaluation on a patient presenting with painful bowel movements: constipation_hp

The following is a link to a journal article that I used during my week in the Asthma clinic to help me formulate my asthma action plans: fped-06-00234

The following is a link to a report generated via Typhon that lists my hours, diagnoses I saw, and some of the procedures I did: tally

The following is my site evaluation summary:

I had 2 site evaluations. We were expected to know and understand our pharm cards very well. Our site evaluator quizzed all the students on each other’s cards. This allowed us to have greater familiarity with more drugs. We were also given detailed feedback on our history physicals with detailed explanations on how to improve them.

The following is my reflection of this rotation:

Exposure to new techniques or treatment strategies – how did that go?

It was very different treating pediatric populations. After 3 rotations of adult medicine, I definitely had to change many of the ways I did things. The main thing I had to change was the way I took my history. The patient themselves are poor historians and so you have to rely on the parents for most information. This complicates the picture since the parents can’t accurately describe what their kids are feeling much of the time. It was difficult trying to piece together stories from more than one historian while also being efficient.

What one thing would you want the preceptor or other colleagues to notice about your work in this rotation?

Pediatrics is probably one of my weakest specialties. I am just not as well-versed in pediatric conditions and get nervous about dosing and the varying managements. As such, I studied a lot during this rotation. Every night I went home and did rosh review questions and read rx for the boards or pance prep pearls. On my last day, one of the residents did tell me that they could tell that I was reading every day by the questions I would ask. I was really happy to know that my hard work could be noticed.

What was a memorable patient or experience that I’ll carry with me?

All of these children were extremely memorable because of their resiliency. The most memorable of these experiences was when I had to watch a 5 day old ex 30 weeker get bagged. The infant was so small and was trying its hardest to breath. Without the help of the bagging, the infant may not have not made it. I will never forget watching that.

What do you want to improve on for the following rotations? What is your action plan to accomplish that?

I need to work on my presentations. Once I notice that the attending is no longer interested, I feel like I’m doing a bad job at presenting and get side railed and my presentation becomes sloppy. I need to focus on maintaining a systematic approach to presenting.