For my first site evaluation for this surgery rotation, I presented two cases: a 25 y/o male with SBO, and a 55 y/o female with severe GERD as a complication after partial sleeve gastrectomy. I also prepared 10 pharm cards. The feedback I received was very helpful and I was given tips that I will carry for the rest of my PA career. First, the structure of my presentation was a bit disorganized in terms of how I ordered diagnostic test results, differential diagnoses, and assessment and plan. I was told to put test results immediately after the physical exam portion of my presentation, which makes sense given this will put the “objective” information all together. Next, I was told to order the elements of my physical exam findings in the way that I would perform the exam (so for instance, I should start the abdominal exam portion with what I saw on inspection). Then, I received great critiques on how to write the assessment portion of my note. This is something I never really understood in the past, but now I know that it is a very quick summary of the history, pertinent exam findings, test results, and anything else relevant to the case in order to create a picture of what is going on with the patient. For my second site evaluation, I presented the case of a 60 y/o male with necrotizing fasciitis and found a related journal article. I applied the critiques I received from my first visit and my presentation was much improved. My evaluator was pleased and took notice of the improvements I’ve made since the first time. My presentations and notes will now be much more organized and cohesive.

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