During the midpoint evaluation, I presented five drug cards and one H&P based on my experiences with the QHC Surgery team. I also submitted a second H&P to my preceptor for evaluation before preparing for my final H&P and article presentation at the final meeting. At the midpoint evaluation, I knew I needed work on my pharmacology cards and noted that point to my preceptor. Given the hours I’d worked prior to our meeting, I hadn’t been able to spend as much time as I would have liked to review the information I’d prepared to present. The feedback was similar to what I was expecting in that I should be more prepared with my drug cards beyond recognizing mechanism of action and few side effects. I received positive feedback on the initial case I’d presented and I’d done a nice job in only sharing the pertinent positives and negatives.  I was looking forward to improving on my final presentation and in preparing for my final evaluation with my preceptor, I planned to change the approach I took with reviewing the drug cards to ensure I was fully prepared to walk through each medication completely.

At the final evaluation, I presented the final 5 drug cards (totaling 10) as well as my third H&P and journal article. I was substantially more prepared and received overwhelmingly positive feedback on my drug card presentation, my case presentation as well as the article I chose to discuss.  Again, I discussed the relevant findings and highlighted the pertinent positive and negatives of the H&P but also the lab results and diagnostic imaging relevant to the surgery.  My case and article were linked and I explained the approach I took to finding the article and to ensure the patient studied was similar in nature to the patient I’d seen in during this rotation.   Given the uniqueness of the case presented, I was excited to discuss and talk through the findings following the surgery as it is rare to see Fitz-Hugh Curtis Syndrome.  The article I presented discussed an approach to a new imaging technique for an older patient population and one that I thought was particularly interesting given the patient seen in this instance was 80+ years old. As I continue with my rotations, I will work to provide substantive articles that help to explain my case and provide sound reasoning to treatment. I will also ensure I am as prepared with my drug card presentations as I move through my rotations.

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