Surgery Rotation 3 Site Visit Summary

Site Evaluation Presentation Summary – Your summary of what you presented, feedback received, and changes planned.

In the mid-rotation evaluation site visit, I presented a case on appendicitis. It was an 18-year-old female complained of right lower quadrant abdominal pain.  I chose to present this case because I learn that in a young female with lower abdominal pain, not only that appendicitis and urinary symptoms should be rule out, but it is also important to rule out gynecology problems. Then my site evaluator reviewed my procedure log book to make sure that I was on track with the completion of the procedures. Lastly, I got quizzed on pharm cards.

In the final evaluation site visit, I presented a case on a male with septic shock secondary to acute severe pancreatitis. I chose to present this case because I learned acute critical care for this patient and assisted in central line placement. The patient was eventually transferred to ICU and got intubated. My site evaluator also discussed the differential diagnosis with me for patients presents with epigastric pain and back pain. After the case presentation, I also presented a recent article on treatment of acute severe pancreatitis.  Severe acute pancreatitis can also be associated with persistent organ failure. There is no specific drug in treating severe acute pancreatitis. Therefore, the article explore how continuous blood purification might benefit patients with severe acute pancreatitis. Lastly, my procedure log book is reviewed by my site evaluator and I also got quizzed on my pharm cards.

Feedback from my site evaluator include the need to work on presentation. Up until now, I still need to rely on looking at my printed copy of H&P in order to present the patient. I need to work on knowing the case more so that I can present more fluently. The goal for my next evaluation is that I will be presenting without the need to keep referring back to the printed copy.

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