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NP & PA Student Blog

My First Day of Rotations

Published December 3, 2012 9:17 AM by Caroline Pilgrim

"The first month of a job is the worst and you basically have that for a whole year." And that is how my friend described this next year of my life. November began the clinical year of PA school for me and she's not too far wrong in observing the first month at anything involves a learning curve -- like that of the horrors of Algebra I (the first time, I took it twice).

PA rotations are typically one month long covering the major medical disciplines. It's a great way to get a feel for what you'll like and what you won't like, gain a little experience to cement some medical concepts, and hopefully network with a future employer. The first months are humbling and the first day is nerve-wracking. 

My first day was in OB/Gyn clinic and for the first time since 5th grade, I actually planned what I was going to wear the night before, versus 15 minutes before I walk out the door. My white coat pockets were stuffed with my Boards and Wards, five ink-pens, a mini clip-board, and a note pad. I was prepared to learn. I'm glad I was prepared but I should not have been nervous. It turned out to be a great day of practicing interacting with patients, getting to know the nurse, understanding the flow of the clinic, and I even got home early.

That first day seemed so easy and by the last day, I knew why it seemed easy: I didn't know how much I didn't know. Clinical rotations are teaching me that medicine is an art, a science, and an evolving encyclopedia. Day one can be easier because a lot of the concepts you observe are taken for granted but by day 27 or 28 you realize, "I've got to know this stuff for my patients. Whoa. It's complicated."

I don't know if I'm cut out for this or not because the knowledge base is so extensive and wonderfully complex, but, in the words of my professor, "Caroline, people dumber than you have passed the boards and been great PAs." I'll take that as a good omen and enjoy these 12 months of humbling. Bring on the firsts!

5 comments

Sounds like you already know the most important aspect to keep in mind on any rotation:

"First, know what you don't know".

Also , always keep in mind that you will never know everything about everything and that is okay. You are always going to be a life long learner in this profession.

You are going to do great! Just keep going forward!

Sonny Talbot, Rural Medicine - PA-C March 13, 2013 9:48 PM
Pomeroy WA

One of the best pieces of advice I ever got about this was from a professor of radiology.  He said the key to succeeding through rotations is actually quite simple.  "Just keep showing up!"

Ben Auliff, PA-C December 6, 2012 2:00 PM

"True knowledge is when one knows the limitations of one's knowledge." - Confucius

I've only been NP for couple months and working with some very knowledgeable ED physicians. I always be suprised whenever I asked questions re: ways of providing better care & tx. The answers/explanations even better than what I usually get from textbooks/guidelines.

And remember - "Many scholars study to impress others, only few studied to improve themselves."

Hengky, UrgentCare - NP-C December 6, 2012 11:52 AM
West Covina CA

Don't be afraid to ask questions. There is no such thing as a dumb question. If you don't know, look it up. Epocrates is your second brain. Good luck!%0d%0aSusie Enriquez RN FNP-C%0d%0a

Susie Enriquez, Primary Care - RN-FNP-C, Christus Spohn Freer Clinic December 6, 2012 8:58 AM
Freer TX

I can remember those days all too well.  Every day still brings more to learn!  It can be overwhelming.  My recommendation is to have a good pocket guide for whatever field of rotation you have as well as for medication.  Uptodate on a smart phone is also good.  Form your own plan of care before asking questions of your preceptor is always a good idea.

Theresa Curtis, primary care - ARNP December 6, 2012 7:12 AM
St. Petersburg FL

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