Reflection This was my last rotation as a physician assistant student and I feel very fortunate that is was internal medicine. Internal medicine encompasses all specialties therefore I found it advantageous for me to have already completed my other rotations. I was familiar with a lot of the diagnostic practices and treatments for conditions therefore could focus real-life application and nuances of these practices. During this rotation, it was a great review of all of the organ systems, their dysfunctions, and treatment plans options. I enjoyed looking at labs, correlating them with symptoms and seeing how they decided which specialist …

I chose this topic due to one of the patient’s surgeries I was a part of had a unilateral hip replacement with the intent of having her other hip replaced in three months, as known as staged bilateral total hip arthroplasty. She was 42 years old with severe osteoarthritis due to developmental hip dysplasia. I chose this article as I thought based on her age, health status that she was a good candidate to for a simultaneous bilateral total hip arthroplasty (simBTHA) but I wanted to see what the difference in the outcomes of simultaneous versus staged bilateral total hip …

Reflection on Rotation            I had a feeling I would enjoy Family Medicine as really enjoy educating patients and building relationships. I saw several of the same patients for follow-up in the last week of my rotation that I had seen the first week which was wonderful to see the story full circle. I enjoyed the fast-paced environment of Dr. Dairo’s office but do wish there was more access to certain tests. My ideal environment would be a bend of urgent care-like testing with quick results combined with family medicine follow-up for complete care of patients. I was able to …

Reflection on the Rotation  I enjoyed each week at my OBGYN rotation from clinic weeks to overnight gynecological/labor and delivery shifts. During clinic weeks, I was often with a physician assistant who saw patients for annual gynecological check-ups, gynecological health concerns. I also had the opportunity to be a aprt of obstetrical appointments when with a midwife or physician at clinic. I learned how to do a do a pelvic exam with pap smear or cultures, bimanual exam and breast exam on women of different ages, body habitus and parity. I was very happy that I got so many opportunities …

During my time at NYPQ I got to see how patients are brought into the emergency room either from the waiting room or ambulance and then triaged and placed in various areas of the hospital. I saw how a chief compliant and vitals are a starting point but cannot always be trusted and you need to start from scratch yourself and re-verify the story several times to make sure you are not missing any red flags. A lot of the emergency room is trying to decipher if there is an emergent diagnosis that requires immediate action or if this is …

Site visit summary: The site evaluation was an enjoyable experience. I was told that for ambulatory care I should choose H&Ps that were adult cases and not pediatric so I will pass that on to my classmates. I chose a child because they are less commonly seen and present as a challenge in ambulatory care. I presented a case on a 7yo M who presented with lethargy and malaise and was diagnosed with influenza with a rapid in-office test. I discussed that children can be prescribed tamilfu or xofluza, a new one dose medication. However xofluza is not recommended for …