My experience throughout the Ambulatory Medicine rotation was highly educational. I really enjoyed the vast array of patients that I saw throughout my 5 weeks there and I appreciated that it encouraged me to think broadly. One area in which I gained confidence is conducting a history and physical and developing a treatment plan for the patient. While I have done this in past rotations, during this rotation I found that I entered a patient room with more confidence and remembered to include a complete question list when taking a history. I enjoyed becoming comfortable in my Ambulatory Medicine location and working with the MAs, NPs and PAs on staff. I appreciated being a part of a team and working together with everyone to smoothly evaluate and treat patients. One particular patient that required the assistance of various team members was a young adult that presented with an asthma exacerbation. The patient was audibly wheezing and reported that he typically has an exacerbation around this time of year. He attempted nebulizer treatments at home as well as had been using his inhaler but was not experiencing relief. In the clinic, I worked together with the PA and MA to provide him with a nebulizer treatment in the office, administer a steroid injection, monitor his oxygen saturation and maintain workflow for other patients waiting to be seen. This experience taught me about communication, efficiency, trust and the benefits of working with a team. I also utilized my time during the rotation to work on improving my clinical skills. I volunteered to do blood draws for many patients and found that I became more proficient at finding my own system and successfully drawing blood. During my next two rotations, I hope to continue to improve my clinical skills. I also would like to focus on improving my knowledge of medication doses and better understanding when to use which specific medication when multiple options are available. I found that during this rotation, I would defer to the PA when choosing between two or three drugs that I thought would each benefit the patient and was unsure of which drug to ultimately prescribe. I am looking forward to working on this at my upcoming rotations and utilizing the skills I have developed and worked on throughout my previous rotations.