Physical Diagnosis 1
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Physical Diagnosis 2
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Reflection
Throughout PD 1 and PD 2, I have made progress in how I approach and construct the HPI. In PD 1, my focus was on learning the structure of an HPI and making sure I had all of the necessary components. While this helped establish a solid foundation, I often relied on a checklist-style approach and struggled to prioritize clinically relevant details. My strength during PD 1 was thoroughness, but a weakness was difficulty compiling information into a focused clinical narrative.
In PD 2, I became more confident and intentional in the questions I asked the patients as we gained more exposure in a clinical setting. I also improved in organizing the HPI, asking more targeted follow-up questions, and clarifying patient symptoms to reflect severity, impact on daily life, and clinical significance. Additionally, I feel more confident in certain physical exams (HEENT, Heart, Lungs, Abdomen). There are certain components of the musculoskeletal and neurologic physical exams that I would benefit from more practice and clinical exposure to feel confident performing. One of my strengths in PD 2 was my ability to translate patient stories into concise, meaningful stories that supported my assessment and plan. I also became better at tailoring the HPI to different clinical settings and patient populations (PAT vs. Internal Medicine).
As I venture off to rotations, I will continue to work on efficiency in history gathering, physical exams, and developing assessments, differentials, and plans.
