Bailey T.

January 7th – January 14th (18.5 hours) –  A meaningful experience I have recently had in the internship program is my site visit with Mrs. Wahl. I was nervous at first because my mentor didn’t really know what to expect, as she hadn’t done it before. As things progressed, however, it made me realize how much I’ve accomplished over the first semester in such a short time period, especially for starting late. I was able to set realistic goals, and it makes me feel great just knowing that they’re realistic and that I can actually accomplish these things that are going to help benefit me in the future. It was really cool being able to show Mrs. Wahl what my responsibilities are, and talking to my mentor about them afterwards. Jackie, my mentor, told me that if there’s ever anything else I want to try, I can just ask her and it’s super cool having that opportunity.

An industry specific skill I have developed is the ability to efficiently take vitals. I developed this skill from various practices with patients over the break and in the last month or so. After observing my mentor for the first few weeks, she let me room the patients myself and take their heart rate, blood pressure, and temperature all in under a minute. Since the first time, I have engaged in many practices as I often am able to help my mentor out and room patients while she is away with another task. I can continue to improve this skill with continued practice on patients of all sizes, as there are different size blood pressure cups and different thermometers. I will also begin to manually take blood pressure as well.

In college, I can benefit from this skill in my pre-med major as I will already have knowledge of something that will be critical for me to learn. It will also give me a head-start in med school, where I will be efficient in these things that will help out the patients. With this skill, I am now able to complete the first part of a routine check-up on any kind of patient and I believe that will be very helpful to have the practice of it. As a career, I can implement this in my practice daily. However, it may not directly benefit me in my career because medical assistants are the ones normally who are taking vitals, before the doctor comes in. It will be useful for when I need to check, or if something is forgotten!

I was seeing a patient with my mentor, and noticed that on their problem list, was a tongue tie. I was informed by her that it is common in infants, as it was with this one and that it is typical to get it clipped. A tongue tie is a thick tissue that connects the tip of the tongue to the bottom of the mouth, and it interferes with feeding.

January 15th – January 28th (4.5 hours) – A meaningful experience I recently had in the internship program is the chance to talk to the pediatrician at my site. Instead of interning with my usual mentor, Jackie, I had the opportunity to follow the pediatrician around that day. Since that’s exactly what I want to do when I’m older, I asked her a ton of questions about how she got to where she is and I heard her story, which was very inspiring. She was in the Air Force, and a single mom at a very early age but still was able to become valedictorian and earn so much for herself. She said that medical school wasn’t as hard as it lives up to be, but I hope she’s right about that! It made my goal of becoming a pediatrician seem more plausible, as I wasn’t sure if I could handle the work but after talking to her about it, and what she’s been through, I believe I can definitely get the schooling done for it and I’m excited about that.

A vocabulary word I’ve recently learned is spatial concepts. This is a developmental milestone for young children, which is just prepositional phrases like “behind” or “on top of.” I learned this after observing the pediatrician check on the milestones of a 4 year old!

January 29th – February 11th () –

February 12th – February 25th () –

February 26th – March 11th () – 

March 12th – March 25th () – 

March 26th – April 8th () – 

April 9th – April 22nd () – 

July 20th – August 13th (0 hours) – One meaningful experience I have recently had in the internship program is the opportunity to work with so many people like me that I had never met before. Seeing people as ambitious as I am, as responsible and caring as I am that want to also get ahead on their future is inspiring. Every meeting we have had, I have sat next to someone new, or a few new people. And every meeting I learn something new about everyone that I am in the program with, which I think is really cool. I reconnected with my friend Sarah from freshman year as well, and it was really nice to catch up with her and see ourselves in the same position. It made me realize how grown we are.

One thing I hope to learn from Mrs. Wahl (Mrs. Polivchak) is how to present myself in an interview. I hope to learn how to introduce myself and my strengths and weaknesses. I also want to learn how to do a follow-up after an interview, and when the appropriate time to do that is. In addition, I would like to know how to give the best interview possible. From my mentor, I would like to learn how to behave in my workplace and how to professionally interact with my coworkers. In that specifically, I would like to learn the procedures that are daily in the medical field, like how to properly wash your hands.

Two things I have learned from my time in the program is to always maintain contact as a professional, and to stay on top of my schoolwork as a student. In maintaining contact, I keep everyone around me in the loop as well as making new friends to help me when I need it. I had to miss a meeting in order to shadow, but I let Mrs. Polivchak and my boss know a week in advance and they were perfectly fine with it. As a student, it is hard to balance the internship, school, and work. This is where I have learned to manage my time better. It is easier to stay on top of things when I am organized.

August 14th – August 27th (16.3 hours) – One meaningful experience I had from being in the internship was my shadowing experience at Banner. I got to shadow a dietitian and see her do her clinicals with her patients. It was really humbling because these patients had been waiting years for a transplant, for kidneys or lungs. The kidney patients had been on dialysis for the same amount of time, and you could see the energy it drained from them. Seeing them all so strong and positive made me realize how thankful I am for my health. They all wished me luck in my future career.

August 28th – September 10th (8.5 hours) – One meaningful experience I have recently had in the internship program is the ability to experience the ICU unit at the hospital I was shadowing at. At Banner, I was following a pharmacist for a few hours when she took me to see her husband, who was a resident for internal medicine. He worked in their ICU and they were in their office area discussing a patient. This patient was brought in and all of his organs were shutting down, as we stood there. I watched them trying to figure out what to do, and if there were ways to save him. I was scared for the patient, although I had never met him, and this is another example of how I learned not to take life for granted. I was standing there, perfectly healthy while this man didn’t know if he was going to make it. It was an insane experience and very enlightening onto how lucky I am.

While I have not actually gotten to see my internship location, I can describe what I saw during my 24 hours of shadowing at Banner. For the dietitian I shadowed, she was required to dress business casual, and so I did too. However, for other professionals on her team (surgeons, pharmacists, doctors, nurses), they all wore scrubs. There were also social workers wearing business casual. We are not allowed to talk of patients with anyone outside of the team (due to HIPPA) and must always treat the patients with respect, even if they are very rude. It is a very busy atmosphere and my mentor was expected to always be preparing or doing something for the next patients if she was not seeing any others at that moment.

On the first day, it was a little nerve-racking because I had never interacted with so many professionals for such a prolonged time. However, I find that it is easier for me to interact with adults than I’d thought, because my job at the Vail Inclusive Preschool requires me to every day. I also am not allowed to talk of the children I work with, so the confidentiality portion came naturally to me. One part that was more difficult was finding enough business casual attire to last me the three days I was shadowing, as I only owned one outfit deemed formal. It was also different interacting with patients, I found that harder than speaking to the professionals at my site. Especially because you have to maintain a professional standpoint while they are typically more immature.

On my first day, my mentor was talking about the kidney transplant patients she works with and how they often are on dialysis. Dialysis is a filtration of the blood for those whose kidneys aren’t functioning properly to do that. It is essentially a part time job, as it drains them for the rest of their day because it takes a few hours, and must be done at least 3 times a week typically.

September 11th – September 24th (0 hours) – One meaningful experience I have recently had in the internship program is the virtue of patience. I have not gotten to speak to my mentor at United Community Health Center yet, but have been waiting for her to contact me. This has taught me that professionals have busy lives, and that I must be patient. I know that I’ll be able to get in eventually, and that is what makes waiting worth it! I am very excited to start and hopefully she responds soon, however, I am glad that I have had this period of time to reflect on what I want to do when I’m older in my career. It’ll be awesome to see how a health clinic works and I’m going to spend my time researching and learning more while I wait.

While it was not in this log, a few weeks ago when I was shadowing the dietitian I learned another word, BMI. It stands for body mass index, and while I had already heard it before, I learned that it was the measure of weight, to height and how healthy you were. However, it is not very accurate as my mentor believes you can be healthy at any size.

September 25th – October 8th (6 hours) – One meaningful experience I had while recently in the program was the opportunity to sit in with patients while the dietitian assessed them. She works on a transplant team, and most of these people are older and suffering, looking for a transplant as quick as possible. There was one older gentleman who had had a previous lung transplant, that his body rejected. So, he had to have another before it was too late. I got to watch him come in seemingly healthier, enjoying life and his new lung. He can do so much more now, even as he is still weak and it made me happy seeing him happy. He asked me what I wanted to do after school and said it was really cool seeing me there furthering my education and advancing into a career, and it was really touching!

I am not on my phone or electronics where I am temporarily at as things are busy and there is no need. However, I do use it to maintain contact with friends and family on lunch breaks. I use in-person conversation a lot, however, because I am surrounded by the whole transplant team, and I typically have a lot of questions. There are social workers, surgeons, doctors, nurses, dietitians, pharmacists, and more! I speak to all of them, and also the patients as well. It is how I learn, and the only form of communication.

Typically, I initiate conversation as soon as I have a thought because they are mostly questions about what she is doing in the moment. I am also confident that I am able to converse appropriately without saying the wrong thing. The only time I ever email my mentor is to thank her, or ask if I can come again on a certain date. I also knew my mentor formerly because her child comes to the preschool where I work. Spending time with her at lunch we can talk about him and it’s friendly and professional, and easy to talk. I’m able to give her help with the preschool paperwork and she gives me so much knowledge about the organ transplant world!

One vocabulary word I’ve learned is percutaneous gastrojejunostomy tube. I was at the desk with my mentor, and watching her type up notes for a patient. This patient had previously had this tube placed in them, it is a narrow plastic feeding tube placed directly into the stomach. Typically, feeding tubes like these are used after organ transplants either because the patient is either too weak or unwilling to eat and they need nutrients.

October 9th – October 22nd (0 hours) – Over the two weeks, I have not made contact with my previous mentor from Banner. I have, however, finally made contact with Ms. Pratt at United Community Health Center! Yesterday, I went to meet with her and discuss our expectations and requirements as well as times, and she was very welcoming. They were willing to get me started as soon as I could, and there was no problem to that. I suggested Friday (10/26) and she made it happen immediately! I’ve learned that the wait has been worth it, and due to their welcoming feel I’m really excited to be able to formally begin my internship.

A vocabulary word I learned the last time I met with my former mentor was edema. Her patient was talking about his edema, which is the accumulation of fluid under the skin. It causes swelling that may hurt to walk.

October 23rd – November 5th (7.6 hours) – One meaningful experience I have recently had in the internship program is the experience of actually being able to intern overall. It has been a wonderful week as my first full week there, and everyone has been so nice to Emily and I, since we pretty much intern at the same time. One thing I found interesting was that they only have six staff there altogether! This has been meaningful to me as even just a week in, I have already been able to make connections with all of them. There are two doctors, a family doctor and a pediatrician that I met. I also met with their MAs!

Last week on my first day, my mentor sent me off to observe Ms. Jackie, the MA for the pediatrician there. Because I am not working with my mentor, Ms. Pratt directly, I will be observing coworkers. Ms. Pratt showed me Jackie’s office and introduced me to her, so it was a very verbal communication. I ended up spending the rest of the day with her. She had a very busy schedule and she showed me all that she had and the patients she had to see. I also saw her give a physical!

During this interaction, I was nervous at first because this was my first day there and I didn’t know anyone. Obviously, I didn’t know Ms. Jackie yet but I didn’t know what to expect as far as how I would be observing her for the day. However, I soon began to get comfortable and our conversation flowed really well. It was easy for me to talk to her because of my high interest regarding her field of work, and I learned a lot within that hour. Throughout the week, I learned that I will regularly interact on a social level with my coworkers because most I will be switching between observing. I also need to communicate with Sylvia the receptionist to be let into the back!

One vocabulary word I’ve learned this week is diastolic blood pressure. It is one of the measurements used to determine one’s blood pressure, and I learned it while Ms. Jackie was taking the blood pressure of a child for her physical. It is the pressure in between heartbeats!

November 6th – November 19th (9.2 hours) – One meaningful experience I’ve recently had in the internship program is the opportunity to finally observe the pediatrician’s point of view. During these last two weeks, I got in with the pediatrician’s MA and saw a lot of infants and small children. None had serious ailments, but the few who did have complications in some way were kind of sad to see, but good to know that they are going to get the treatment needed. I also got to watch shots and vaccines be given to the babies, and I learned how much skill you need to be able to inject a needle into a flailing child. I grew from this experience because I finally got exposure into what I want to do in the future. It taught me the hard points, and the skills needed to be a pediatrician and to work with kids, and even though it is a lot of work, I’m super excited to see more.

From my mentor’s perspective, I believe my attendance has been great. My mentor did not give me a schedule, and allowed me to make my own, which I did. On Monday’s and Thursday’s, I wrote on their calendar that I would come in from 1-3, and I have every day since my first day there. I knew it would be hard to get there by 1 because of after-school traffic, so in order to succeed this way I let my teachers know ahead of time that I needed to be at my internship site at that time. They have been perfectly fine with letting me leave five minutes early in order to beat the traffic! This has made me successful in staying to my schedule, and it provides routine for everyone which I enjoy.

Balancing my school schedule, homework, work, and my internship has been a challenge, however I believe I have been fairly successful in managing them all. I did miss the last professional development meeting, which I felt awful about. I had put it in my calendar for the next week, however, because I am so busy I forgot to check and make sure. It’s little things like that I have learned since then to be more aware of, and I stick to my calendar to a tee because I am always doing things back to back. Other than that mistake, I have stayed on track of everything and even gotten all my grades back to A’s, and I have managed to intern in between school and work. Calendars help a ton, and just being mindful of time management, there is no procrastinating!

One vocabulary word I learned at my internship site is microalbumin. A urine microalbumin test is a test to see how many proteins of a certain type there are in a patient’s urine, to see if they are in danger of kidney disease. I learned this from a urine analysis observation with the MA I was shadowing!

November 20th – January 6th (14.6 hours) –  A meaningful experience I have recently had in the internship program is connecting with a child at the pediatric clinic that I know formerly from my work at Vail Inclusive Preschool. He came into the clinic with a very bad flu virus and wasn’t in good condition. However, his mom and him recognized me immediately and were very excited to see me. We did a strep test and a flu test on him and were able to figure out what was wrong. It made me realize how much my connections matter, as the mother then went on to tell my mentor how great I was at the school. It was a really nice feeling being able to see how my relationships with the children are effective and I was able to assist in the process of determining how to help him with his flu, so it was very cool.

I typically shadow a medical assistant at my internship site, and the first thing we do with every patient visit is room them and take their vitals. After observing my mentor do this countless times a day, I finally was able to have the opportunity to do this on my own with an explanation of how to run the vital machines. I went down to take the patient back to the exam room and still wasn’t quite sure on how the machinery operated, as I wasn’t looking close enough at the buttons she had pressed before. Since I was unsure, I went to as the pediatrician next door, and she gladly helped me complete the task of taking the child’s blood pressure. After this, I needed to take the child’s temperature, but the thermometer was missing from its typical location. I ended up finding it on my own in a drawer outside of the room, and this helped me complete the task as well.

After this occurrence, I revisited with my mentor to go over the buttons on the machine. I also went over the typical locations of the various thermometers used in case they are missing again. I also tied up loose ends with enough practice on patients, and now I’m very proficient with the vitals machine and the processes taken when rooming a patient. With this new found knowledge, I have been able to help my mentor out a lot when things get busy in the clinic. If she has another patient she must see and give shots to, or help the pediatrician, I’m able to grab the patient so they don’t wait in the waiting room for a long time. I’m allowed to room them and start the process of their appointment in order to speed things up for my mentor and the doctor!

One vocabulary word I’ve learned at my internship site is sharps. This may seem simple, however, I didn’t know that this was the universal term for devices such as needles and syringes. I saw that the containers everywhere were “sharps” containers, and I also learned that it is very easy to accidentally stick yourself or the patient, and that is why there is such extensive training on it.