For my first site evaluation, Dr. Davidson evaluated me. I was presenting one of the first patients that I had seen in the Long Term Care setting. The patient was relatively young, but had a million diseases. I took interest in this patient for that reason. During the presentation, I think I did a decent job in keeping eye contact with the evaluator because I knew the case inside out. The comments that I received from Dr. D included, organization, and details about the patient’s condition. In terms of organization, all the infromation of the H&P was there, but it was not formatted in the way the handbook clarifies so that needed to be taken care of. Also, I did not mention the medications that the patient was on until much later, which was a huge mistake on my part, and I should have realized it much earlier because the patient had so many illnesses. In terms of details, I should have included pertinent lab values, and also discharge summary, considering that the patient had been transferred to a hospital soon after admission. As for the pharm cards, I did not know we were being tested on them, so Dr. Davidson graciously let me read them outload. Again, I should have connected the dots, I should have known that the only reason they would want use to make pharm cards would be so they can test us on them.

For my second site evaluation, Dr. Davidson evaluated me again. This time, I felt less prepared and there were several reasons for that. One of the main reasons was that the patient I had presented was initially interviewed in the beginning of my rotation, so she was not “fresh” in my head. Even though I could check up on this patient consistently, I became unsure of my findings during my presentation. I had no reason to be doubtful, but I think what I should have done was presented a patient that I had done a full physical on recently (within the past week). Also, the patient had bilateral plantar calcaneal heel ulcers, which I did a horrendous job in describing, to the point where Dr. D thought they were pressure ulcers, which was not her fault, it was just the way I presented the case. Also the case that I had picked, was not completely clear, meaning the reason why she had lymphedema in all her extremities was never investigate or they found no cause to it. I think one of the biggest weaknesses in presenting this time was the description of the ulcers on the patients heel. As for the pharm cards, I tried to memorize them as much as I could, but to be honest, I could have spent more time doing so. I think I did worse on my 2^nd evaluation than my first, and I will work harder to make sure this is not a future problem.

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