Internal Medicine Clerkship Report

Many years ago I chose my studies to begin a career in the medical field. My original goal was to become a Pediatrician. However, at the end of my bachelor’s degree and after many hours spent volunteering at Miami Children’s Hospital, I decided that I wanted a career that would give me more patient provider interaction. I spoke with several doctors, nurses, and other health care providers and decided the best career for me was a Nurse Practitioner. I still have not decided on a specialty but I feel that path will come naturally with

Truthfully, as an undergraduate I knew very little about the osteopathic profession. In 2013, however, I began working as a medical scribe with Dr. Ghaffari-Greene, DO, in the Sibley ER and she opened my eyes to the beauty of osteopathic medicine. Thanks to Dr. Ghaffari-Greene, and a number of other osteopathic physicians in the ER, I have come to understand what osteopathic medicine is all about. Three years after my first exposure to the osteopathic profession, I continue to be motivated to become an osteopathic physician for many reasons. These include the following:

Kay says ACS developed a Wishing Well Activity; "I Wish For .....". She says the ACS Gala is 10/13/2017; funded researchers will be present. Kay would like to give an update to Navigators/LCSW/etc. Karen says every patient will be assigned a navigator. She says roles are changing and now will support tumor board. Karen will put Kay on the agenda for the next Patient Navigator Support Group meeting.

The sheer joy, attitude, and bluntness of children turned even the most ordinary tasks into a smile. Working with multiple groups of active and engaged little minds over the years, I witnessed several amusing moments that never failed to brighten my day. I found myself working with children for a good portion of my life, beginning with babysitting to becoming an instructor for various volunteer opportunities including Camp Mosaic and Early Childhood Development Center. This was my comfort zone for a long time and pursuing a career as a teacher seemed like an obvious choice. However, little did I realize that an unexpected turn in my life would lead me into the world of healthcare and to the profession of physician assistants (PAs).

Pursuing careers blindly based only on financial gains was a major mistake that only brought unhappiness and felt hollow and unreal to me until I discovered the existence of a physician assistant (PA) profession. Various reasons led me to a career path of a PA, but the reasons that stand out the most are a patient I encountered while volunteering at a hospital, summer I shadowed and assisted PAs, and the PA students that I met.

Adam Bauman and Joel Wise presented an update to the Physician Contracting project (attachment V).

To say that this incident was the defining moment as to why I chose medicine would be an exaggeration, but it had undoubtedly been an affirmation of my decision. To embark on a career in Medicine was not an easy decision, and it was certainly not something that I had aspired to be from a young age. In fact, it took nearly half a decade of careful consideration and exploration before I reached this conclusion. My motivation to become a doctor stems not only from my love for science, but also from the special connection that is established between a patient and a doctor during diagnosis and consultation. The opportunity for devoting a lifetime to alleviating illnesses stands as my inspiration. I believe that there is no other profession that can be compared to one which utilizes one’s acquired abilities to bring about a more immediate impact on someone’s life, just as this experience had

That opportunity provided me numerous opportunities to work with patients of various medical and social histories, and strengthened my interest in this field. There my supervisors were impressed by my excellent foundation in comprehensive history taking and physical examination. Learning to present my cases in a logical manner and discuss the differential diagnosis in order to suggest the right management for various conditions as well as learning the practical aspects of patient care expanded my knowledge in healthcare. One of my experiences that left an unforgettable impression on me was a 55-year-old patient that came in complaining of severe epigastric pain. It seemed like an everyday case

The scalpel cuts through the leg in a clean slice. It takes a bit of time but we finally get to

Musculoskeletal System: Patient denies having history of arthritis or gout. She also denies the presence of pain, stiffness, swelling, deformity, limitation of motion,

This inflammatory incurable disease Rheumatoid Arthritis came as a surprise to John as he had never experienced such an ‘excruciating pain’ in his joints. Pain initially started in his left hand and the next day he suffered from the same excruciating pain in his right hand. This really disturbed him as he had no idea what to do with it. The pain was absolutely excruciating that he decided to see a doctor and seek medical advice. His doctor was also confused and just recommended him some Analgesic or Paracetamol tablets to mitigate the pain. This indicates that John has led a healthy life in his past and has good medical record, since he was experiencing this kind of disease for the first time in his life; his doctor was unable to learn about his condition in the first place (Charmaz, pp.976-993).

Medical field is one of the biggest fields. When I mention the word medical, the first thing come up to your mind are doctors or nurses. Some people that never work in a medical office, they don't know there are much more position in medical file you could work at, like medical assistant, technician medical coder or biller. Someone like me, don't like to deal with patient. Medical biller and coder is a good opportunity for me to work at. But what are medical biller and coder?

I am looking for a position in a medical office, assign codes accurately and literally, using the right code to describe what it is intended to describe. Documenting of the patient’s medical record. To provide codes that would most accurately describe the patient’s encounter with a healthcare provider.

To preface this assignment I am positive that there have been times that I have been discriminatory to people that I have encountered in clinic and ‘real life’ that I am unaware of. To focus on a more specific problem I thought of how the news and medical attention have been very focused on the opioid epidemic and the inter-professional way that we as providers can help people. I saw a number of patients during third year rotations who are on chronic pain medications. Before winter break I was in the Family Medicine Clerkship and this encounter I remember well because I realized that I had judged a patient based on only a couple of words in their chart. The patient was a black woman in her 40s who had chronic back pain and was receiving an

This is 58 year old AAM. Patient reports he was told several times, by nurses at the health fairs, that he has HTN. Patient is here today to discuses and start on his BP meds. Patient reports intermittent headache at times and blurred vision, denies chest pain, SOB, N/V/ D, or fever. Patient is a current tobacco (1 pack/day) and alcohol user (1 -2 beers at bed time), denies use of illegal drugs.