During my rotation at Centers Urgent Care in Middle Village from June 24 to July 25, 2024, I underwent a comprehensive site visit evaluation conducted by PA Fahim Sadat. This evaluation included two key meetings—one midway through the rotation and a final assessment—each lasting approximately three hours. During these sessions, I presented two complete History and Physical (H&P) reports, discussed a pharmacological drug, and patient management strategies, and reviewed one journal article. The meetings also included two other classmates, which facilitated collaborative learning and discussion.

PA Sadat provided constructive feedback focused on enhancing our clinical skills, particularly in patient assessment and medical management. One notable case I presented involved a patient with a persistent cough lasting ten days, accompanied by a runny nose, headache for one day, difficulty swallowing, chest tightness when coughing, throat sensation, and weakness. Through this case, I gained insights into managing Viral Upper Respiratory Infections (URI), Acute Bacterial Sinusitis, and Allergic Rhinitis. PA Sadat emphasized the appropriate use of medications such as Ibuprofen, Augmentin, and steroids for these conditions. He also highlighted that antihistamines are most effective when taken before exposure, ideally in the morning.

Another case involved differentiating between epididymitis, testicular torsion, and kidney stones. This discussion sharpened my diagnostic skills in distinguishing these conditions based on their presenting signs and symptoms. In addition, PA Sadat explained the use of ESR (Erythrocyte Sedimentation Rate) and CRP (C-Reactive Protein) tests for monitoring inflammation. These markers are valuable for assessing the effectiveness of treatment and tracking disease progression.

I also had the opportunity to present an article on the appropriate use of GI endoscopy. The article provided an overview of various GI endoscopic procedures, including Esophagogastroduodenoscopy (EGD), Colonoscopy, Flexible Sigmoidoscopy (FS), Endoscopic Retrograde Cholangiopancreatography (ERCP), Endoscopic Ultrasound (EUS), Enteroscopy, and Video Capsule Endoscopy. I discussed specific indications and contraindications for each procedure.

Furthermore, I discussed the use of Proton Pump Inhibitors (PPIs) and H2 blockers in the management of Gastroesophageal Reflux Disease (GERD). I detailed the differences between these medications, noting that H2 blockers generally have a rapid onset of action and that PPIs, preferred for long-term management, have a slower onset but are also effective in symptom control.

Overall, the site visit and evaluations provided valuable insights and reinforced essential clinical skills, contributing significantly to my professional development.