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

The following is a link to a History and Physical I presented during my site evaluation on a patient presenting with a “whooshing” sound in her right ear for 3 days :  am_hp2_tinnitus

The following is a link to a journal article and summary (first page of attached document) that discusses the relationship between tinnitus and anxiety/depression:  tinnitus-patients-suffering-from-anxiety-and-depression-a-review

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:

My site evaluation went well. I met with another student at the site evaluator at NYP-Q. We spent discussing our patients, and the site evaluator asked us several follow-up questions. He promoted scholarly discussion by asking us about associated conditions and their treatments.

The following is my reflection of this rotation:

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

Surprisingly, this was the first rotation where I was able to splint on my own.  When figuring out the right size of the actual splint, my preceptor taught me to use a piece of tape to measure it out and then use that as reference when cutting the splint. The first time I did it, I actually cut too much. He also showed me how the splint can be folded on itself after it’s already been wet and will still create a stable mold.

Managing new types of patients and the challenges that arise from that

We had many patients with sore throat and cough. After seeing consecutive days in a row of over 20 patients each day with the same chief complaints, the days can get repetitive and routine. It is important to stay fresh and see each patient as seriously as the prior patient. It’s important to always keep a broad differential.

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

A 79-year-old female come to the urgent care in the midst of an anxiety attack. She had the fear that she was going to die. I spent a long time helping her calm down and teaching her skills that could help her during other attacks. We discussed breathing exercises as well as accepting her greatest fears. We talked about death being unavoidable and so ensuring to spend each day deliberately doing things that will bring her happiness. She was very appreciative.

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

For the next rotation, I want to be more confident in my assessment and plan. I still had some air of doubt in my voice when I presented my cases to my preceptor during this rotation even though I was usually correct. I want to be able to argue for more routine treatment plans and not have any doubt about them when I discuss them with other providers.