IM: Site visit reflection

For IM rotation, my evaluator was Professor Malavet. We had our meeting over the phone, and had one in the middle and at the end of the rotation. Professor Malavet was such an incredible evaluator, as he explained everything so well. Even in school, he has always been one of my favorite professors, as he was always so easy to talk to and joke around with. He taught everything very clearly and thoroughly in a way that allowed the information to stick.  

For the first eval we reviewed one H&P and my journal article. I wrote up a complete H&P for him, as we were taught tin PD lab, which proved to be quite tedious at first, but became a lot easier. This taught me to be thorough with my work, and think about how every body system can play into the patients presentation. He then critiqued my history and physical and asked why I included certain things and why I left certain things out and how those would be relevant to the patients presentation. I then presented an article to him regarding the H&P I presented, and we had a nice discussion. My patient came in with Myasthenia Gravis, and the reason I chose ot present this was because it was a condition that we always mentioned in class, but never really saw. The patient also presented in a very classic way, so it was helpful to research more about the disease.  

In our final eval meeting, we discussed another H&P as well as my 10 pharm cards. I had sent him 3 H&Ps in total. In a similar fashion, we went through the history and labs, and he taught me the importance of why certain electrolytes were being looked at. My patient came in with hypoglycemia secondary to Glipizide overuse. However, the ICU team was called due to the patients current AKI presentation. We then had a nice informative discussion about AKI presentation, and their risks and complications in certain patients, and what we should look out for. We also then discussed my pharm cards, he did this by asking me about the patients that I saw that were on these medications. This helped me remember the drugs even more, as I was able to relate it back to real patient scenarios.  

Over all I had a wonderful time speaking to and learning from Professor Malavet.