This rotation I got to work at North Shore University Hospital. I was able to rotate through many different floors such as cardiology and oncology. I was even able to see many procedures. For example, I was able to see two ERCPs, a MitraClip, a TAVR, colonoscopies and endoscopies. The MitraClip and TAVR surgeries were both so interesting and unique. The doctor explained to me the whole process and before the surgery showed me how the Mitraclip and the valve replacement would dislodge once placed in its correct position. This rotation also allowed me to work on the MICU floor for one whole week. I was able to see both hemodialysis and peritoneal dialysis. The providers really helped me understand the function of the machines and the process of each of the types of dialysis. I was able to see also very traumatic cases that required ICU intervention. One such case was a man who had necrosis of the small bowel from a scooter accident the day prior. This man was so deadly afraid of doctors that he shoved his own bowels back into his body post the accident and wrapped himself in paper towels and went to sleep. It was so interesting to see how the providers both addressed the patient’s anxiety as well as dealing with the physical issue of his necrosed bowel. The floors also allowed me to perform many procedures. For example, I was able to place IVs, remove foley catheters, perform bladder scans, COVID testing, and practice my general physical exam. It was also an amazing experience being able to present rounds to the physicians and PAs on the floor. I was able to really develop my style and work on focusing on the most important parts of the patient’s history. One thing that I learned on this rotation that was very eye-opening, was how much work and documentation goes on in the hospitals. Many PAs that I shadowed in this rotation spent countless hours writing orders, progress notes, full H&Ps, in addition to the actual examination of the patient.