My last day of clinical rotations will be February 5, so I will plan to take the PANCE the last week of February/ first week of March. I will give myself 6 full weeks to prepare for the exam, beginning mid-January. Resources I plan on using include PANCE Prep Pearls, Osmosis, and Rosh Review. The following schedule is a tentative plan (knowing some days will change depending what I need to focus more on). On those days, I will review PPP, watch any Osmosis videos on topics I need more clarification on, and answer 100 Rosh Review questions each day. …

surgeryCV resume

Final CAT

surgery

My surgery rotation was at St. Francis Hospital. Overall, this was my toughest but most rewarding and educational rotation, with shifts ranging from 12-15 hours everyday. The majority of my days was spent in the OR, first assisting general surgeons in colon resections, laparoscopic cholecystectomies, open and laparoscopic hernia repairs. There were no residents at this site, so I did not have to compete for surgeries or cases. Almost every surgeon and PA I scrubbed in a case with was passionate about teaching me different anatomical structures and suturing techniques. During my last couple weeks, I was even able to …

CC: “I am scheduled for a lumpectomy on my right breast” HPI: 46 y/o pre-menopausal female with PMHx of asthma and HTN, and family history of breast cancer, presenting today for right breast resection with sentinel lymph node biopsy. Patient states she went for her routine mammogram, which revealed a “suspicious mass” in her right breast. Patient had the mass biopsied which was consistent with infiltrating breast cancer. Patient states she has been getting annual mammograms since age 38, which have all been normal. Patient performs monthly breast exams due to her family history, and did note a small lump …

Article Summary: Laparoscopic Lavage Versus Primary Resection for Acute Perforated Diverticulitis Meta-analysis of 589 patients that compared clinical outcomes of laparoscopic lavage or colonic resection for purulent diverticulitis  randomized controlled trials, case-matched controlled studies or comparative studies, in which patients underwent LL or CR with categorization by Hinchey classification and included at least 10 cases per group. Primary resection consisted of either a Hartmann’s procedure or CR with or without defunctioning stoma and could be performed open or laparoscopically Operative and postoperative outcome measures included mortality (30 day, 90 day, and 12 months), stoma rates, cardiac and pulmonary complications, thromboembolic …

During my site evaluation, I presented a patient who was scheduled for a sigmoid resection for recurring, complicated diverticulitis. We discussed how diverticulitis can present in different ways, the signs and symptoms, and how it appears on a CT scan. In addition, I also presented 10 drug cards and an article on diverticulitis and the differences in patient outcomes between laparoscopic lavage versus colonic resection in acute perforated diverticulitis. We discussed the types of antibiotics that can be used pre-operatively for patients who are penicillin allergic. I stated that in patients with a penicillin or cephalosporin allergy, the recommended antibiotic …

FamilyMedicine

CC: “I have right hand/wrist pain x4 months” HPI: 29 y/o female with no past medical history presents to the clinic for f/u evaluation for IOD of her right wrist and hand sustained 6/10/20. Pt works for American Airlines as a Fleet Agent, and as she was grabbing luggage from the belt loader with her left hand, she accidentally hit her right hand as she threw the luggage into her stock area. Patient states she was in immediate pain and stopped working. Patient states she reported the injury to her supervisor and was referred to this facility. That same day, …