NYPQ Site Evaluation Summary

Presented

• Patients: I presented comprehensive History and Physicals from patients I had the opportunity to work with while rotating in both Ambulatory and Main Surgical Departments. I purposely chose patients with both complicated histories and straightforward histories so that I could best test my H & P skills. Patient history included but was not limited to patients s/p cardiac stents x 5, DM2, HLD, HTN, (etc). whom eventually was diagnosed with a rare prognosis, cecal volvulus, requiring emergent heme-colectomy with anastomosis.
• Feedback: I met with and discussed my organizational skills about History and Physicals with my site evaluator. I was having issues presenting daily SOAP notes at rounds in an organized fashion.
• Changes: Since then, I have downloaded and am working with a SOAP template to better organize my thoughts. It has helped immensely.
• Article: The article itself came from a trusted source and was pertinent to patient.
• Feedback: Although I did practice presenting the article many times, I must be cautious to present with more organization; I will be using a template in the future.
• Changes: I presented “Management of Cecal Volvulus” which aligned with the patient I am presenting.
• Pharm Cards: I presented a total of 10 pharmacological cards of drugs I encountered while on rotation including: glucagon, morphine, hydromorphine, alprazolam, fluoxetine, lidocaine, omeprazole, polyethylene glycol, and others.
• Feedback: While meeting with my site evaluator, I learned that it is more important to focus on the most adverse reactions of the drugs themselves along with dosing.
• Changes: I will pay better attention to dosing.