Monday, March 22, 2010
HHHMMM....Im too young to be THIS stressed!!!!
Friday, March 19, 2010
Blizzard 2010 and Clinical Rotations


Caption: Me, Jen and Dan in NYC just after finishing the didactic year!The last time I wrote in my blog was right at the end of the didactic year. This is my catch up! I have just been too busy. Just ask Tony (our Director) he has been yelling at me for weeks.
Well, Christmas vacation has come and gone and so has my first (almost my second) clinical rotation. Let me say that if you are thinking about applying to physician assistant school (especially here at Shenandoah University) - do not second guess yourself! The hours of studying and course work become totally validated when you get on to clinical rotations. While we have all had our ups and downs, the SUPA program does one thing very well – it prepares you for the world of clinical rotations. On my first rotation in the emergency department, I got to see everything from babies with sniffles and RSV to patients with congestive heart failure, myocardial infarction, stroke, respiratory failure among other things. I took part in running codes, gave CPR, injections, sutured, put on splints, interpreted EKGs and X-rays, assisted with lumbar punctures, inserting central lines and much much more. I have found that most of the doctors who I have had the opportunity to work with were glad to have the help of a PA student, and all of the nurses and staff were happy to show me the way around a very busy ED. The ED was a very enriching and humbling experience to say the least. After sitting in the classroom for 16 months learning about things like administering t-PA in an acute ischemic stroke, I was very happy to actually watch the process of evaluating a patient for its use and watching their diminishing vision and motor function return to practically normal.
Throughout my second rotation in internal medicine, I have gotten to work with patients who have more chronic conditions. Lots of diabetes, hypertension and hyperlipidemia, but mixed in there I have seen dementia, gout, cellulitis, multiple sclerosis, depression, COPD, and lots of other disease states. My preceptor does a lot of her own dermatology work instead of referring out, so I have gotten to do more suturing and superficial skin biopsies than I expected to on this rotation. During the third week, she and I were about to remove a skin lesion for biopsy and after we had numbed the patient and set up our sterile field, she says, “okay, grab the scalpel and remove the lesion.” It is very exciting. However, the best part of every rotation is when the patients ask if they can see you next time instead of the doctor or the person that they currently see, or they tell you how nice you were to them. All the book work pays off and it all leads back to working with and helping people, which is what we all wanted to do in the first place.
Lastly, lest we forget, the clinical year is just as much for learning as the didactic year, but it is such a different style. You get to hear what your classmates and colleagues have seen and you share what you’ve seen and your knowledge base becomes just that, a base. You are more than prepared by the SUPA program by the time you start working with professionals on rotations, so fear-not. We have all enjoyed clinical rotations so far, and I cannot wait to be out there in the work force!