 I wasn't on the rotation with any other PA students I was the first PA student that this particular site had ever had so it was like really a heavy burden on my shoulders I was like, oh my gosh. I have to like I have to do this for the PA profession What's up you guys, it's Madonna welcome back to my channel you guys before I get into that I just want to welcome you all to my channel Thank you guys so much for watching if you have not been on my channel before take a look around if you like what you see Go ahead and subscribe and hit that notification bell so you can know every single time I put a new video out Which is every Sunday anyways for those of you who've been me been with me for like the last Pretty much two years now. We've been doing this thing. I am so happy you guys I am just a few short weeks away from Happy, okay I just finished my last Rotation which was primary care and that is what this video is going to be about So I'm gonna talk about every single thing that I've done on my primary care rotation and just give you a play-by-play on what a PA Student does on their rotations at least what I did. So for primary care, I started my day out at 8 It was from like 8 to 5 was the typical hours We had an hour for lunch, which I rarely ever took Because like I said before in all of my outpatient rotation sites We actually do our own like note You know documenting So that kind of takes up a lot of time and you don't necessarily want to take documentation home You don't want to be doing work when you're like not at work So it's just easier and it's just a better thing to kind of finish it when you're there So typically I would wake up maybe around like I don't know like seven ish 630 645 ish like closer to seven than Before because my primary care rotation was like right down the street from my house So I was so excited about that. I could literally like roll two steps and I was there But so I woke up pretty like kind of late-ish, you know got my devotion in took a shower I got my kid off to school dropped her off And then I was able to actually go to the rotation site and start my day which began at 8 So patients didn't really come start coming until like 8 15 8 30 So we got an opportunity beforehand to see exactly how many patients there were for the day I was on this rotation with another like another I wasn't on the rotation with any other PA students I was the first PA student that this particular site had ever had so it was like really a heavy burden on my shoulders I was like, oh my gosh, I have to like I have to do this for the PA profession I have to make sure that they know that we are like actually adequate and competent and can do this So I was really excited about that opportunity, but there were other Students with me so there were NP students and med students at this site with me So we'd all get there on eight, you know between eight and eight ten Sometimes eight thirty depending on the day because on Mondays the days started at nine So I would get there around that time We would look at the patient list kind of see who was coming in for the day and then after that like once patients started Coming in we were there like that was it like we'd see the patients first So the MAs would go and they would triage the patient You know get the weight and vital signs all of that good stuff and then bring a little slip of paper With all of those vital signs for us and then kind of what their chief complaint were if they were coming in for a lab review We would get the paperwork from their last labs And we would have to review that prior to going into the room and then go You know in with a plan to talk to them about the things that we saw if there was anything abnormal Any abnormal lab values? We talked to them about that And if there wasn't anything abnormal we just come in say hi If there were any new issues going on with them and kind of send them on their way But typically once I got that paper I would go through it and then depending on what the chief complaint was I would kind of gather myself gather the information together and then I would go in and And I would go let us something like this Hi, my name is Adana. I am the PA student. So what's bringing you in today? Now if they were waiting for a little longer than expected, I'd be like, hi, my name is Adana I'm the PA student that will be seeing you today. Thank you so much for your patience I really appreciate we've been kind of slammed today, but I'm so grateful that you were really patient and waiting on us So that really I learned that from my first rotation ever it just kind of like Diminishes any kind of ill feeling any type of animosity or you know tension in the air That patients tend to have when they're waiting for a long time and a lot of times in Outpatient offices they wait for a pretty like, you know, a significant amount of time They may have been there earlier than their appointment should have started So they're like trying to get in early and then you know, they're patients prior to them that their Actual appointment time runs a little bit longer. So it's always nice to kind of diffuse that situation So I'd always go in and do that I would just kind of get the history from them What's bringing them in if it was something some type of a cute issue like a pain or nausea vomiting diarrhea Things like that a rash then I would tease that out with like my old cart So the onset, you know Location duration the characteristic anything making it better or worse And then like have they done anything to treat it and obviously severity of it if it is pain And then after that I've gotten that history and I've written that down and I've gotten their past medical history Then I would actually go in and again listen to their heart and their lungs Make sure that all of that is in within normal limits And then I would be more focused on exactly what area they were talking about now in primary care people come in And they have so many different comorbidities So a lot of people are coming in with like diabetes hypertension hyperlipidemia like as a baseline So just making sure that you're still doing you know patient education and counseling on that was also part of my daily Like what I talked to them about and then after that after I did my little kind of jazz with them in the room And I would ask them if they had any other questions for me and then I would let them know Okay, I'll be right back. I'm gonna go talk with the NP because I worked with an NP and I also worked with the physician So I would either say I'd go talk to the NP and we'll come back and talk to you about everything or I would go and you know talk to the physician and they come back and talk to you about everything So then I would go and I would present to my attending and I'll just let them know what's going on with the patient They would like put in some lab work if any lab work needed to be done any imaging needed to be done There was this really cool thing. It was called a platysmograph where it looks like a Man, what is that thing called? I can't remember right now a pulse ox So it looked like a pulse ox that you put on your hand But it's like so much cooler because it talks it kind of just shows you happily your heart rate How well your vessels are perfusing like your peripheral arteries And just kind of tells you maybe like how clocked some arteries or vessels in your body Maybe like are you at 50% 30%? 100% free and clear and it was a really cool tool that they had at this office that I was working on And so we would talk to them about that as well. So when we went back into the room We would address that we would address the issue I would obviously tell the physician what I felt my plan was and then you know He would be like, okay or what else or you know, like that's a good plan or things like that We just discussed the patient go back in the room talk to the patient Advise them of the plan and then send them on their way and I that it was just like do that repeat repeat repeat And it was a pretty busy office We'd see like over 20 patients a day and that you know eight to four eight to five period like I said I sometimes we had lunch sometimes I didn't have a lunch again Just run downstairs get a really quick snack because I wanted to make sure that I could write up all my notes And then after that my day was done by 4 or 4 35 o'clock. I can go home Like do two little rolls on the way back home and then like have my day You know just study and kind of enjoy family and I really love that like outpatient I really liked it because you get to spend so much more time talking to the patient and building Relationships with the patient and that is why like, you know I've talked to you guys about this a lot that although I want to do women's health I want to also be able to have like that outpatient aspect where I can build these relationships with my patients So and this solidified it even more for me and I was really excited. I had a great time and I did change You know the physician's mind on PAs and just kind of educate him a little bit more on the PA profession And what PAs can do which I felt really really proud about So I liked it guys. I like my primary care rotation I'm glad that it's over because now that means that I'm just a few steps closer to graduating But that was everything that it did on my primary care rotation If you have any questions for me anything like specific, please leave them in the comment section below Thank you guys so much for watching. Please follow me on Instagram at adana the PA and I will talk to you guys next time