Rotation Summary

My experience in a Family Medicine clinic presented me with many opportunities to use clinical skills, critical thinking and practice patient care. Throughout the weeks at my rotation, I was pleased that I continued to develop better interviewing skills and felt increasingly comfortable developing diagnoses and treatment plans for the patients that I saw. During the final week of my rotation, I saw a patient with Bell’s palsy. He presented with relatively classic symptoms such as unilateral facial drooping. Upon physical examination, he was not able to wrinkle his forehead. While this is an important differentiating factor between Bell’s palsy and a stroke, it was critical to complete a thorough neurological exam to rule out any other neurological deficits. During this process, I was able to use the physical exam skills which I have been improving throughout my previous rotations. I was slightly disappointed that I was not able to recall all of the tests for the cranial nerves. This was a good reminder for me to continue practicing my physical exam and to refresh various parts of my physical exam that need improvement. For my next rotation, I plan to be better prepared and be able to complete a full neurological exam. I also had the opportunity to meet many patients that were not English speaking or did not speak English as a first language. This presented me with the opportunity to practice observing patients and the various emotional and physical signs which they showed me. I also was able to practice conducting interviews in a language that was not my own. This allowed me to focus more wholly on my task and invest much energy and efforts into making sure that I was completely focused on the task at hand and the patient in front of me. For my upcoming rotation in pediatrics, my goal is to use the skills that I learned in regards to observing facial expressions and other physical signs when conducting my interview to better gain a picture of my patient and their presenting illness. In particular, I think that these skills are critical when treating pediatrics as children are not typically able to properly express their symptoms.

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