During my Senior Internship, I plan to explore my interest in health care, particularly surgery. My goal is to gain experience in clinical and academic settings, while learning from experts in the medical field. I aim to develop the skills and experience that will serve me well years down the line. This early exposure will help me to build a strong foundation for my future career in surgery.
In order to experience more diversity with health care settings I have chosen to split my internship hours between Englewood Orthopedic and the Hackensack Meridian Health Network.
At Englewood, I shadow and assist Dr. Asit Shah, MD PhD, Chief of Orthopedics. On most Mondays, I shadow Dr. Shah in the operating room. There, I learn about sterile procedures and proper charting practices. I will work with him on joint replacements. Often, I collect bone fragments, sort them, and place them into specimens before being sent off to pathology.
Most Tuesdays, I will be with Dr Shah at his practice in Englewood Cliffs, where we see well over 40 - 50 patients per day. Some of these are for pre-op consultations and post-operative follow-up, and others are for an in-office procedure. In addition to learning human anatomy and physiology when reviewing images and tests, I have a few roles in patient care including handling patient forms/handouts, collecting preoperative MRSA cultures, and assisting with injection procedures.
For the rest of the week, I will be at Hackensack University Medical Center working with the Trauma Surgical Critical Care and Injury Prevention division. While at Englewood I have the pleasure of interacting with patients during their treatment, I am more behind the scenes at Hackensack, observing the ins and outs of a hospital system and collaborating on various research projects.
Most mornings, I attend rounds in the Surgical Intensive Care Unit (SICU). During SICU rounds, I observe how the care team (Attending Physician, Residents, PA-C, RN, etc.) discuss each patient's history and current status as well as adjustments to their treatment. So far, I have been warmly welcomed, and the providers seem glad that I am eager to learn.
After rounds, I head to the division office, where I work with Trauma Operations Manager Sarah Monchar, PA-C. Typically, she asks me to attend hospital leadership meetings with her. The topics tend to range from patient satisfaction scores to major safety issues.
Later in the afternoon, I work on research projects related to critical care and injury prevention. I have enjoyed working on several of these in the past two weeks. Some of my contributions include: designing posters for scholarly articles presented at conferences, establishing official protocol for patients who received contaminated blood products, and beginning a literature review on paediatric radiation exposure, collaborating with physicians, residents, and medical students on research initiatives. Looking towards the future, I have been asked to co-teach Stop the Bleed classes at local Bergen County High Schools and Community Centers. So far I have learned a lot and I look forward to the rest of the spring.