My long term care rotation at Gouverneur exceeded my expectations. Before the rotation, I didn’t have a great understanding of the daily operations of the clinical team in the long term setting. I was surprised to find the case variety that I saw and the clinical correlations that I made to be very educational and rewarding. As a result of this rotation, I feel much more comfortable detecting abnormal findings on physical exam and developing plans for large and complex problem lists. My preceptor allowed me a lot of independence to evaluate patients and develop plans on my own. She would then double check my findings and offer validation and/or constructive criticism of my plan. I initially found this to be challenging, but looking back now, I realize how important it was to my growth and confidence as a future PA.