For my pediatric rotation I presented 3 cases: a 12-year-old female with sudden onset right foot numbness, a 6-year-old female with bilateral hand rash, and a 3-year-old male with speech delay. For the history portion of my presentations, I briefly discussed the history of the current complaints, pertinent positives and negatives, and any relevant past medical Hx, social Hx, surgical Hx, family Hx. I then went over the pertinent physical exam findings, both positive and negative, and then ended my presentation with differential diagnoses, assessment, and plan. Most of the feedback I received from my site evaluator involved noting the differences between pediatric patients and adults. For example, in my physical exams I am used to writing “PMI in 5th ICS in mid-clavicular line.” My preceptor, who is very experienced in pediatric medicine, informed me that the PMI of young children is usually higher up, in the 3^rd or 4^th intercostal space, and may not be at the midclavicular line. Although I always knew that I should not rely on templates for my notes, it further emphasized that I should only be writing what I am actually palpating and exactly seeing on physical exam. I will not just write what I know is “normal.” Otherwise, I was told that I have been doing well overall and that I have a good foundation of medical knowledge to further expand with.

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