My site visit with PA Andrea Pizzaro during my Internal Medicine rotation was an enjoyable and educational experience that greatly enhanced my understanding of adult patient care. One particularly memorable case was presented by my colleague Anja, involving an elderly patient with a complex medical history with multiple comorbidities. We discussed the intricacies of balancing blood thinning medications with fall risk, while also addressing the patient’s quality of life and potential for medication adherence. This highlighted the importance of a patient-centered approach, considering both clinical and personal factors in treatment planning.

Additionally, we delved into the management of SVT, focusing on the latest guidelines for treatment management and the role of newer medications in reducing risk of recurrent episodes. Given that, presenting my chosen journal article on the impact of new intranasal medications happened to be particularly interesting and applicable. In summary, the comprehensive discussions and case analyses during this rotation significantly improved my clinical reasoning and decision-making skills in Internal Medicine.