Isabella K.

November 20th – January 6th (28.54 hours) –  One meaningful experience that I have had within the past few weeks would be completing my first ever chart prep. Chart prep is the information that each provider uses for the today, and this is created in advance to the patients appointment. The information on these sheets ensures that providers can see what they did before on the patient, and consent sheets before starting the procedure. This is something that is really lengthy and difficult to complete, especially as I am inexperience with this task. I finished the task in time to do all of the other work I needed to, and there were only minimal issues that were brought to my attention. I learned that if I believe in my abilities I will be able to accomplish things effectively. This experience helped me to grow because in the future when it is necessary for me to do chart prep again, I will be fully prepared and hopefully will not make any mistakes.

A time when I needed excessive guidance was when I was completing the chart prep. The chart prep has many intricate details, and even though one of my mentors had created a cheat sheet for me, I still needed clarification for many things. When completing the prep I had to ask about many things, including how to find previous notes that were scanned onto the computer and how to decide which notes and consents to print. Each provider likes to do things a little differently. Some of the people at my office like to receive their information via the Nexttech due to saving paper, while others like to have hand held copies of the patients records and charts. I had to ask Stefanie multiple times to ensure that I did not mess up anyone’s appointment. I had to learn how to do this over a couple lessons and many reviews of my cheat sheet. When Stefanie is busy I will ask Gayle, another Patient Coordinator, because she also knows how to do chart prep the way that the providers desire. My mentors encourage that I ask questions, because it is better to be safe that sorry in every patients case. To figure out my problems I use printed sheets, previous patients as examples, and my coworkers.

I was able to gather the correct information for the chart prep that I was completing. I needed help from my mentor many times, but a few times I was able to figure things out myself. I figured things out by myself by looking at some of the previous patients and deciphering the differences between each. After finally finishing the chart prep I completed it and my mentor checked over it. She explained to me the small details of how to arrange the papers, and to which provider they belong to. Overall I was able to finish in decent amount of time while doing a pretty good job.

This weeks industry specific word is “sternocleidomastoid”. This long word was the highlight of my break. I already knew this word, as I had be studying the muscles around the body. This muscle was one that I presented to my class in anatomy and physiology. This is the word of the week because I was in surgery with Dr. Maloney and Susan watching two different face lifts and blepharoplastys. Each time during surgery I noticed some small striations lateral to the base of the ear, and immediately recognized it as the sternocleidomastoid. I quickly asked the doctor to clarify what I was seeing, and when he reassured me I was correct I was ecstatic. I had seen this muscle before on my rabbit that I am dissecting in class, but it is way differently placed inside the human body. It was truly fascinating to see that muscle on the human body, and that was an experience I never would have had if it was not for this internship.

January 7th – January 14th (0 hours) –  One meaningful experience that I have had within these past couple of weeks would be getting to know Dr. Maloney and Susan a little more. While I was inside of the surgical room I got to know them individually and medically. Each patient is different, some like to converse, while others tend to stay silent. When the patients like to converse we have the best conversations, not only about individual/personal issues, but environmental and governmental concepts. I felt really happy about the whole experience, and I feel like it was really great thing for me to be exposed to. I do not get to spend large amounts of time with Dr. Maloney and when I am in the operating room I get a better sense of his personality and I get to ask so many questions.

An industry specific soft skill that I have obtained from this internship would be customer service skills, and computer skills. This job requires you to understand all of the technology that inside of the office to help run efficiently, and customer service skills because I have to deal with a lot of different types of personalities. My mentor helps me by showing me exactly what to do and how to treat customers. I engage in a large portion of self study, it may take me a while but I do learn many things by trial and error. I can improve my computer skill by spending more time on the computers, and spending more time in the operation rooms/preop- postop rooms. I can help myself by making myself available to learn and try so many new things involving these categories.

I will benefit from these two skills in college because I am hoping to go to school to become a nurse. As a nurse I will need to be able to communicate with the patients in the office, and with my coworkers. In nursing and working inside of a medical office, it will be a requirement that I can learn and have prior knowledge about computers and logging information. I will be able to chart patients information in nursing school/medical school by learning the computer programs to the best of my ability. With good costumer service I will be able to converse and deal with patients of all different variety. I am very excited to improve even further within these areas.

This weeks word is “Greater Auricular Nerve”. This is a word I learned in the procedure room when a patient was cut open. I saw this nerve on the patient , and Dr. Maloney explained to me what it was. This nerve is placed behind the ear and is a sensory nerve. After Dr. Maloney explained this term, I researched it online and found out even more information about the nerve.

January 15th – January 28th () –  One meaningful experience that I have had within these past few weeks at my internship site would be getting to work by myself. Usually I have to come in, and have someone establish my goals for the day. Usually Stefanie and or Janelle, assist me in finding something productive for me to do. For the past few visits to my site, I have arrived while my main mentor was out at lunch. I decided to take initiative, and begin working on something that I knew could help out my mentor while she was gone. I began filing all of her extra paper work, I started to write the lists of people who needed to be taken care of, and I tried to finish all of the start work to get ahead to help Stefanie. This has turned out very well, and my mentor has begun to leave me specific messages when I come in to get started on things alone. This has shown me that I can be responsible, and also that I can work more independently around the office. This is going to help me when I get out into the work force, as I will need less direction from my superiors to get activities done properly.

This weeks industry specific word would be “consult”. The word consult is not only used by myself on a continuum but by my fellow coworkers. I have known what this word is for a while, but I am just realizing how important it truly is. A consult is something done between either a doctor and patient, and or provider and patient. This is where the patient comes in to find out prices, and overall information about the procedure they desire. I handle a lot of the information for consults, I prepare paper work, and also find consent forms for new patients. I first heard this word when I went into the consult room with Dr. Maloney. Those consults were so academically rich, and helpful to me in understanding the paper work that I am providing.

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 (6.5 hours) – Advancing in the office has been quick and rich, as my mentors have made sure I am interested and working hard. One meaningful experience I have had so far is, learning that mistakes are acceptable. I learned that although the medical field and this position require the closet thing to perfection, its reasonable to accept failure. My mentors have taught me in a short time that I am not perfect, but with time and practice I can better myself to be more perfect than I currently am. I am very grateful to have mentors that understand how It feel to be new, and can empathize with me. Along with grateful, I am very excited to be able to not only learn new things but learn from my mistakes. In no way am I done growing in this area, but this little bit of encouragement has helped me to better understand my place in the office.

I hope to learn an unlimited amount of new skills while being in this program, but one specific thing I would like to improve is my ability to focus on a certain task until satisfied with the outcome. Ways I can improve myself within this area is working and pushing myself to continue on a job. I can set up an individual reward system that will encourage me to complete all work that I have started. Another thing I would like to learn is how to completely remember medical terms and this would be best learnt by my mentor Lindsey Moss. I tend to notice that she can pick up and recognize medical terminology very quickly, this is due to her experience in the field, and time committed to obtaining this information. By focusing on the information I’ve been informed about and retaining the specific details that make all the difference I can achieve my goals.

I have already learned many things not only about myself, but the program, and the field of my internship. One thing I have learned from my time in the program would be that I may have to struggle a little by this year. Admittedly I added a lot onto my plate this year and have not been able to find the perfect balance between all of my classes and my personal life. This is a good challenge for me to have, as it will prepare me for college and many other challenges in my life. One professional aspect I have learned about myself is that I am a very personable person, meaning I understand people. I have gotten along with all of the people around and inside of my internship site, including some patients. I think not only will this aspect of my personality flourish in this environment, but my professionalism will be tested and perfected.

August 14th – August 27th (9.35 hours) – Within my time in the program I have already learned so much, especially about the medical industry. Although I have only begun to work on the computers and utilize the systems, only now do I realize how much goes into one small consultation. The medical records we use online such as NextTech, and Brilliant Distinctions, holds an absorbent amount of information. Normally, I m assisting someone, and or they are helping me in the office. Last week, Mrs. Moss and Mrs. Margarita were very busy, so I was helping the patient coordinator, Mrs. Stefanie. We had begun new patient packets and I was still slightly unfamiliar with the system, but Mrs. Stefanie encouraged that I do the work on my own, and on top of that fill out patient points. I was very nervous, but also very excited and genuinely appreciative that they entrusted me to do this task alone. I was very proud of myself, because not only did I finish all of this weeks patient packets, but some from the week ahead. I learned even better how to use the system, and find my way around challenges. This experience really showed me how well perseverance and dedication can work together fluently. Im excited to achieve even more things with my mentor and alone in this program.

August 28th – September 10th (6.5 hours) – One meaning full experience that I have had in the internship program would be that I have begun to become close to the people that I work with. I have found good, and caring people at and around the office of Maloney Plastic Surgery. I enjoy coming into work each week, and understand that if I needed something from my coworkers I could easily ask. Particularly I have become closer to Stefanie, who is the patient coordinator, we have shared personal stories and become accustom to the way each other work. I appreciate all that she is showing me and it has made a big difference in my comfort-ability in the office. Overall I feel as if I am going to learn many things from my coworkers, medical and personal. As I continue in this program I hope to better understand my superiors on a personal and relate-able level.

At my internship site it is expected to dress in blue/navy scrubs, and keep your self looking professional and friendly. This atmosphere seems like it would consist of only serious behavior, but there is a sense of comfortableness, and lightness about the office. At Maloney’s office, the staff including myself is expected to perform the tasks given to them when they are given. This creates a much more ordered structure in the office to allow fluidity through the day. Many of the things we do during the course of a work day is to prepare for the following days and or weeks. My coworkers are constantly running around but having fun at the office. Overall it is a great environment to work in.

I am actively working to better fit into the run of the office that I have joined through this program. Although they have made the quick transition very simple and very nice, they understand that I am still learning. Coming into this office I instantly felt like I belonged here, not only because I loved the occupation but the people were outgoing like me. One thing I need to continue to working on in order to progress in this industry is communication, but the medical communication aspect. I am used to talking to adults, but not specifically adults who know an enormous amount of information. Sometimes talking to my coworkers and or doctor Maloney I get a little nervous. The longer I am at this office the more manageable my nerves will become, they may even dissipate.

I came across the term BBL inside of small magazine like book that was inside of the office I work out of each week. I had begun to read it, thinking it was going to talk about something that has to do with Brazilian Butt Lifts. I am very interested in this aspect of cosmetics, and had nothing to do for a little while. I quickly learned two types of BBL and this was the Broadband light laser treatment. This is a laser that passes over the skin using wavelengths and light to remove scars, blemishes, and pigmentation problems specifically around the face. Looking at these before and after pictures inside of the book I was astonished, the laser does absolutely amazing work. This is more cosmetic and less surgical which makes it a more desire-able choice to the customers.

September 11th – September 24th (6.85 hours) – One meaningful experience I have had very recently is becoming closer to my mentor. She had noticed many times that my mother drove me and had to stay in the parking lot for the 3-4 hours that I was there. Mrs. Moss, kindly offered to drive me half way or more to meet my mother after work. She has and continues to make herself available to relieve my mother of staying in the parking lot. Although I have not taken Mrs. Moss up on the offer, it has greatly affected how happy I am at Maloney Plastic Surgery. I finally feel that I am becoming a part of the family at the office. Overall I am glad that Mrs. Moss has become my mentor, and I am so excited to continue to working in this office.

I was inside of my work room and I was filling out brilliant distinctions when I noticed only people with Botox got points. I was wondering what types of Botox there were, so I looked around the room to find the answers. That is when I found a slip that told me all about the different kinds of Botox, and what they were used for. The terms I learned were, Juvederm, Voluma, Restylane, Lyft, and Silk. These are all types of fillers, used to fill in the nasal-labial folds (by the mouth and nose) , and also enhance the lips and cheekbones.

September 25th – October 8th (36.7 hours) – One meaningful experience that I have had within the last two weeks would be, seeing my very first procedure at the office. At my meeting with Mrs. Polivchak, and Mrs. Moss, we discussed goals for myself, this being one of them. This reflection is more of an uplifting and exciting experience rather than something I learned from, although I learned many new techniques and a little about different stitches. The procedure that I watched was an upper blepharoplasty, and what I saw was amazing and surprisingly quick. I am very happy that I got to experience this procedure live, as I am always watching it over my phone. I continue to hope that I will get to experience many more of these operations. being in the room during the procedure showed me that the cosmetic and reconstructive field is something that I am very interested in, and It allowed me to envision myself as the doctor performing the surgery.

At my internship site all forms of communication are appropriate, depending on the situation. Most of the time the office is full and busy, and my coworkers including myself are running around the office. Certain things need to be approved by other coworkers, and sometimes it can be nice to receive confirmation and concrete reasoning to a situation. A quick phone call to the office of another coworker can save a person from having to run all around to either find them, or just ask a simple question that could easily be answered over the phone. Texting between coworkers is dependent on how close those two people are, and how deep their intimate relationship is as friends. Many of my fellow coworkers, text each other if it is something more personal, and or if it is something just between the two people. Email is definitely appropriate with something long, and over the computer. Some of the things we do here at Maloney Plastic Surgery are online, as we do as many things possible to save trees and be environmental. The things are easier stored this way, and also make it easy to attach a file to the email and send it off. The most common form that I use at my site, would be face to face. I like to get physical confirmation on the things that I do to make sure I am doing it to the best of my ability.

I am very comfortable talking to most of my coworkers, of course there are some instances where conversation does not flow naturally. I expect myself to, over the year, become more familiar with everyone in the office, and begin to talk to them professionally and casually. For almost all of the questions I have throughout the day at my internship site, I immediately ask someone who I believe can answer them. If I am inside of a post-op and or pre-op, I wait and hold my specific questions until we leave the room out of respect for the patient. During procedures it is a little easier to ask what is happening, but even then most of my questions are saved until the end of the procedure. I have written down a few questions when talking to my multiple mentors, and have asked them once they were done explaining, to overall better my understanding. When I am not at the office with my mentors/coworkers, I email them to confirm appointments, talk about any questions I have in regards to anything, and overall communicate over email.

A word that I have learned recently would be the term “capsulectomy”. I learned this word when I was looking through the schedule in next-tech. When I saw this and had never seen it prior, I asked my coworkers what it was. A capsulectomy is the removal of scar tissue and hard tissue around a breast implant. This happens and is more common in women who have had breast implants for 15-20 years. Although, it has been seen in women who have had recent breast augmentations, for example, under and over a years worth of time.

October 9th – October 22nd (3 hours) – One meaningful experience that I have had recently would be unfortunately getting sick. I got sick the day before I went to my internship site, and this was not planned obviously. Although I had not been sick before, I had known what to do , which was email my mentor Mrs. Moss a day before preferably. I did this and eventually got an email back that had basically said it was perfectly fine if I did not show up, and that she was glad I did not bring the sickness to the office. Not only was I glad that I was able to not go to the internship site, but I was appreciative that I had been able to bank a huge amount of hours from the weeks prior. I had gotten to see procedures and do many things for whole days at a time. Mrs. Moss and my coworkers are very flexible and help me deal with not only personal but internship/school related set backs. This has not only helped me to better understand the process of informing a superior of sickness in the adult world, but showing me that I can make valuable connections with mentors and coworkers.

One word that I have learned within this weeks log was the word “otoplasty”. I learned this word, when I was filing paperwork in my coworkers bins. She has many types of words down there, but this word caught my attention. I did not ask the coworkers what this word meant because there was an extra slip that is usually handed to the patients obtaining the procedure, I read that and learned many things about the procedure. Otoplasty is a type of procedure that enhances, minimize and restores the ear. This procedure has been done in our office before, and is a procedure that uses the crooks and folds of the ears to tighten, and reshape the ears as needed.

October 23rd – November 5th (3.48 hours) – One meaningful experience that I have had within the last two weeks would be making a mistake on new patient packets. I had made a stretch mistake, and tried to be a little less reliant on my many mentors, and I learned that it is not a bad thing to have your work double checked. From this mistake, me and my mentor have therefore created a much more successful process to ensure that our work is double checked while still being efficient. I create all of the new patient packets for my mentor, I put in the information that I believe needs to be inside of their individual folder. I then put this all inside of its mailing folders and address it to the correct people. I leave the packet unglued, and allow my mentor to check the information in each folder, and then we glue them together, and weight them for their mailing stamp. I as well as my coworkers think that this is a much better way to go about perfecting the new patient packets, and I am very appreciative that we could come to this solution.

A time when I interacted with someone who was not my mentor would be the day that I followed around a multitude of people over break. I followed Cynthia to her many laser and BBL treatment patients. I then followed around Doctor Maloney to some of his post and pre-ops, along with some procedures. My mentor initiated the conversation between me and my other coworkers, and engaged with us all throughout the day. Our conversations were about the procedures themselves, and the circumstances of the office. We talked face to face, and although some of the conversations were brief, I learned an a lot of information in those two days.

A word that I recently learned would be “visceral fat”. I found this word when I was looking through a patients profile, to find information for their brilliant distinctions. This women had a previous note within their note section describing what type of fat she had, and what Dr. Maloney could do to get rid of it, if he even could. As I read on I found those words and decided to quickly look it up. I found that visceral fat is body fat stored within the abdominal cavity, and is stored around a number of important organs. Examples of this fat is around the pancreas, the liver, and the intestines.

November 6th – November 19th (6.3 hours) – One meaningful experience that I have had within these past couple of weeks would be finishing almost all of the brilliant distinctions for Botox week, and being able to remember the complete process for doing so. I really appreciate all of the work that has been put in to making sure I understand how things work inside of our office. I am getting to a point where I am understanding how to complete things, and decipher the meaning of numbers and wording inside of our programs. I am super excited to learn even more things about our systems, so that I can help as much as possible every time I go into my internship site. This meaningful experience has helped me to better understand that with a little bit of work, I can pick things up quickly and efficiently. Although I have improved within the aspect of learning things quickly, I realize that I can work on fixing the redundant mistakes I make by creating notes to myself for future reference.

For the majority of this year, I have had a steady work day of every Wednesday from 2-5 pm. I came into my internship understanding that I could only come on Wednesdays, unless it was over a break, in which I could bank several extra hours. With my mentors leniency, we quickly came to a great schedule, where I could come as early as possible on Wednesdays, and I could even stay till 6 if it was needed. I believe that they would say that I do stick to the schedule and I even work my vacation days around my work days, so I do not miss an exorbitant amount of office hours. To personally succeed within my internship, I try to ask questions and do the things I am supposed to days before it is due. I have occasionally made mistakes, such as missing this reflection log, but I am working toward not missing anything else for this internship. I do not think I would have been able to do the amount of hours that I did, if my mentor was not as flexible and kind as she is, and I am so thankful I am able to work with the people I do each Wednesday.

I have tried very hard this year to juggle all of the things that I am supposed to do for my internship, school, and home tasks. I usually try my best to complete all of my work for school , during school and or as soon as I get home. My internship work is left with my mentor, days before it is due, and my reflection logs are usually completed a day or two in advance. My goal for the end of this year is to find the perfect balance for myself to complete all of the things that are necessary within my daily life. I have missed a reflection log turn in date, and that was due to my lack of checking my calendar. I am improving this by adding vibrations, and notifications to my calendar schedule, so that I do not miss another deadline.

The industry specific vocabulary word this week would be “unit”. This is a measurement of the amount of Botox that is given to a person either in bulk and or small sections. I learned this on my way home with my fellow coworker Susan. She described to me what this was, and how each one of our providers in office, sells it at different prices. The average price is around 12 dollars, give or take a little. The providers have gone down to about 9 dollars when they have their specials. This draws in many people, and it keeps regulars coming back for the deals.