Over this rotation I had a mid-site and final-site evaluation. Both of them were one on one with Professor Melendez, with the mid-site being in person and the final-site over zoom. This rotation was one of the few that held site evaluations without my peers, and it is something that I appreciate because I feel that I get to learn more from specific feedback directed at what I present.

For the first visit I presented 5 drug cards. We discussed when and why Rhogam would be given. I also presented a 27 year old patient who was recently diagnosed with PCOS. She had a thickened endometrium on ultrasound and required an endometrial biopsy. We discussed different causes of a thickened endometrium, with the must not miss diagnosis being endometrial carcinoma. These were topics discussed between the provider and the patient as well. This allowed me to learn from the doctor at the time of the visit (in regards to the medical information and with his bedside manner when dealing with the patient) and then again when I presented this patient.

For the second visit I again presented 5 drug cards and a patient case. The patient case involved a 42 year old female who came in to the clinic with complaints of a vaginal bulge and sensation of fullness. She also has associated urinary incontinence. We discussed the different risk factors associated with pelvic organ prolapse, the most likely diagnosis of this patient. Two of the most common risk factors include vaginal births and obesity, both of which were present in this patient. I finally presented a meta-analysis journal article which reviewed the risk factors associated with pelvic organ prolapse. As I mentioned already, vaginal births and obesity were two of the risk factors. some others include age and c-section deliveries.