I  completed my eighth rotation in family medicine from September 30 to November 1, 2024. This rotation provided me with the invaluable opportunity to follow patients over several visits, enabling me to track their progress and adjust treatment plans according to their evolving needs. For instance, I worked with a patient with hypertension during routine follow-ups, where we observed his response to medication adjustments, discussed lifestyle changes, and monitored blood pressure trends. Additionally, I encountered patients transitioning from acute care back to primary care, such as one individual discharged after hospitalization for pneumonia. Ensuring proper follow-up appointments and medication reconciliation was critical, as it illustrated how continuity of care prevents gaps that could lead to complications.

During my rotation, I performed routine screenings for conditions like diabetes (using HbA1c tests) and colorectal cancer (utilizing FIT tests for eligible patients). I identified pre-diabetic patients and initiated discussions about diet and exercise interventions aimed at preventing progression to diabetes. I also provided vaccinations to both children and adults, emphasizing the importance of the influenza vaccine for children to reduce hospitalizations during flu season. Engaging patients in discussions about smoking cessation and weight management was another key aspect of my practice. For example, I assisted patients in developing personalized plans for quitting smoking, incorporating counseling, nicotine replacement therapies, and regular follow-up. Management of chronic diseases involved ongoing assessment, treatment, and support for conditions requiring long-term care, such as diabetes, hypertension, and asthma. Effective management significantly improves quality of life and reduces complications. In managing a patient with chronic obstructive pulmonary disease (COPD), I coordinated care with respiratory therapists for pulmonary rehabilitation and pharmacists for medication management.

I utilized the teach-back method to confirm that patients understood their health conditions and treatment plans. After discussing an asthma management plan, I would ask patients to explain how and when to use their rescue inhaler to ensure comprehension. Throughout my rotation, I made it a habit to reflect on each patient encounter. I assessed what went well and what could have been improved. There were instances when I felt uncertain about my clinical decisions and diagnoses. These moments presented valuable opportunities to seek help or consult with more experienced providers, such as Dr. Devicka Persaud. In future rotations, I plan to be more proactive in seeking guidance when needed.

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