Rotating through a pediatric office was a great experience. Firstly, the staff was so welcoming and was so eager to teach me throughout the whole day. They taught me about the different procedures and the reasoning behind many of them. I thought it was really interesting that the providers would check each patient’s ears, throat, breath sounds, and heart sounds regardless of the complaint. This is important because in pediatrics the patient is often too young to be able to express their complaint and it ensures that the provider properly checks for the common causes of childhood illnesses. For example, otitis media could present in a variety of ways and could sometimes be overlooked. A patient could be tugging on their ears or just irritable with a fever. It was really exciting when I saw my first acute otitis media and was able to compare it directly to the patient’s opposite ear that was clear of infection. The patient’s who represented with sore throats were often tested for strep and now because of COVID-19 often requested that they be tested for COVID-19. I learned from being in an office with multiple providers that each provider has a different technique or style but what is important is that the purpose is whatever is most beneficial for the patient. Shadowing in a pediatric office I was also able to see how to perform annual visits, visits right after birth, and monthly visits. My preceptor taught me the things to look out for in a newborn- such as jaundice and other color changes, the red reflex, and ensuring that you have checked the fontanelles.  After learning to check the fontanelles I was able to meet a patient who had cranosynostosis. This patient’s sutures were closed prematurely and it was a great way for me to compare what an infant’s skull should and should not feel like. While the majority of the patient’s came in for annual well-visits, there were exceptions. I saw a kid who dropped a chair on his toe and it swelled tremendously and the whole nail was completely blue. Another patient that really made an impression on me was a newborn who was not gaining proper weight. After some time it was found that the mother was not providing her with the proper nutrition she needed. At first, I immediately believed the reason this child was not gaining weight was because of a physiological disease. Through all her many visits and the ways that the providers were trying to help this child I realized the importance of the psychosocial aspect of medicine. It turned out that the mother was concerned because her older children were obese and she was trying to protect her youngest child from becoming obese. The providers helped guide her and explained how to balance the idea of nutrition and proper weight gain and obesity. This patient caused me to broaden my thoughts of each patient and really take into account the psychosocial aspect of their lives. This encounter helped me even during the rest of this rotation because it turned out that many children developed anxiety during Corona and that some of the many complaints, such as stomach pain or chest pain, stemmed from a sense of anxiety. So it was important to understand what the patients felt emotionally as well as physically. This idea is something that will be important in all of my future rotations. One of the major components that I saw was that the medication was dosed based on weight and how the providers were able to calculate them for each individual patient. At first, it took me some time to try and calculate each dose, but as the rotation progressed I was able to calculate the doses of the more common medications more easily. I hope as rotations continue that I will be able to grow in this aspect. It was also very exciting when a patient complained of abdominal pain and we were able to employ the mechanisms that we had learned about in our didactic year such as Rovsing’s, Obturators and McBurney’s to test for appendicitis. In the end the girl was positive on all of these tests and went straight to the hospital. As this was the first rotation I was more reserved in the beginning but as the rotation progressed I realized how much I could learn and grow from being able to see the medicine and ask the providers all my questions. As I move on to my second rotation I feel more confident to ask questions and ask to participate in procedures. This will hopefully help me learn more and grow in my clinical skills.