During the first clinical site visit, I presented 1 focused H&P and five drug cards. I discussed a patient who presented with abnormal uterine bleeding who was scheduled for a total vaginal hysterectomy. My site evaluator and I discussed her case fully and also several causes and treatment options for abnormal uterine bleeding. He provided good constructive feedback on how I could elaborate on the patient’s story and how to document a more detailed preoperative note.
During the second site visit, I presented another focused H&P, five drug cards, and an article. I discussed a patient who came to the clinic for a routine GYN exam and frequent, heavy periods x2 months and right labial pruritis. My site evaluator and I discussed a variety of assessments and plans. The article was about delayed versus immediate pushing in the second stage of labor in women. We both discussed our opinions on the study and how we would practice this in the future with our patients in labor.