For my site evaluations, I did three History and Physicals on three different patients. The first patient I wrote about was a patient who had right lower back pain for the past two weeks. The patient said that the pain did not radiate anywhere, and laying down alleviated the pain. The second patient I wrote about had decreased hearing out of the right ear for the past 4 days. There was no pain associated with the decreased hearing. The third patient I wrote about came in for his monthly medical evaluation. He denied any pain, fever, chills, shortness of breath, dysuria, or constipation.
During my first site evaluation, my site evaluator went through my drug cards and my first history and physical. My site evaluator liked the drugs I chose and how thorough my first history and physical were. I included an extensive assessment and plan section that I remembered from my internal medicine rotation. We also went through some case studies that I really enjoyed going through.
I think my second site evaluation went better than my first one. The site evaluator really enjoyed listening to my journal entry. My journal entry was about the Prokera amniotic membrane contact lens that goes on a patient’s eye for many different types of pathologies including SJS, corneal erosions and ulcers, severe dry eye disease, corneal infections such as herpetic keratitis or other inflammatory corneal conditions, chemical burns, and neurotrophic keratitis. As a group, we also did PANRE questions to get us ready for the PANCE.