OBGYN – Site Evaluation Presentation Summary

My site evaluator is PA Melendez, and both meetings were done virtually. During the first meeting, I presented 5 drugs and a case about a patient with mischarge. It was a consult from the ED. The patient presented with abdominal cramps and vaginal bleeding for 3 days. On the pelvic exam, there was a large piece of tissue in the vagina, and there was no IUP on the bedside ultrasound. The patient was diagnosed with complete abortion and discharged home with Tylenol for pain control. I saw a few other mischarges during my night shifts, and I thought these cases would be a good representation of the cases I’ve seen in the ED. During the second site evaluation meeting, I presented 5 drugs and a case about the regular prenatal visits because these prenatal visits are the bread and butter of the OBGYN clinic. I also presented an article about HPV immunogenicity and safety in patients older than age 26. I looked into this topic because I saw a 37-year-old patient who came in for her 3rd dose of Gardasil and was wondering about its efficacy in this age group. During both site evaluations, PA Melendez asked follow up questions on some of the drugs to further solidified my understanding of the drugs. We also discussed the current guidelines for HPV recommendation in older adults. I appreciate his time and feedback during these meetings.

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