• Home
  • PA Trek Academy
  • Services
    • Shop
  • Blog
  • Contact
  • About Us
    • Coaches
  • Free Phone Consultation
  • Login for returning clients

PA Trek Coaching

Stay up to date with all our latest posts and services!

The “Crease”…..Your Gyn Rotation

in PA-S on 03/13/16

 

shocked

 

 

If you’ve made through the didactic year and started rotations, chances are this may be a dreaded clinical. Prior to starting clinicals, my program hired people to allow us to practice the GU exam. I have no idea what low spot these people were in to allow 42 pelvic exams in a row, but maybe they were just dedicated to higher education. Luckily, I had some idea of what I was doing on my Gyn rotation….spending a lot of time in “the crease” before I set foot in the door. My most memorable patient was an elderly demented woman brought in from a nursing home. The chief complaint was “She put something in down there”. I was sent into the room with a non-verbal patient to do a pelvic exam. One of the CNA from the home was there to “help”. The speculum was lubed and inserted and….Whaaaaaat? There was not just one thing, there were THINGS. Plural people. I removed bottle caps, tea bags, and an eraser. What kind of nursing home was this? The emitted smell sent me to another world and I felt horrible for this frail old woman. I discarded the objects into the garbage and finished up the exam. After completing this almost impossible task, I got chewed out for not double gloving the previously inserted objects prior to throwing them away. I banked that one for future use! The following are a few heads up that no one ever told me.

1) Many gynecologists are not practicing obstetricians. If you want any experience with pregnancy or deliveries, make sure you find the right clinic.
2) Get your game face on, you will be seeing and hearing about some of the most intimate issues women face. Do not show any signs of surprise or you just lost your patient. As far as they know, you have always known that people get irritation around their recent clitoris piercing.
3) Prior to starting rotation, go over birth control methods. A large portion of the rotation will be about starting/adjusting/discontinuing contraceptives.
4) Dysfunctional Uterine Bleeding….own it.
5) If there are any procedures done at the clinic, get involved! Colposcopies, IUD insertion, Bartholin’s abscess I&D, marsupialization, among others are all really cool things to see, and will cross over to primary care and the ED
6) There will be pro-life/pro-choice discussions…its uncomfortable.
7) Women come to the clinic with very scary situations and diagnosis. Cancer diagnosis and abuse are two examples that pop into my mind. Guide and care for these women carefully.
8) Don’t judge. Its not our place. Gentle discussions about lifestyles are within our scope. Making them feel horrible about themselves because they are in being treated with a second STI from the same partner is not our place.
9) Please…..please, from the bottom of my heart, use lube on that speculum, every time.
10) This may be the job for you if you enjoy seeing many patients a day with similar complaints, but you get to know them at deeper level. There is some variation and higher complexity, but you have to be dedicated to pelvic exams. Many PAs enjoy a high level of autonomy in this field!

FOOTNOTE- I was corrected by a veteran PA who is in the Gyn field. She states that too much lube can actually ruin the wet prep or cytology results. Use in moderation

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Add a Comment

Stay up to date with all our latest posts and services!

« Blood, Guts, and Bones- Your ER Rotation
Slice Em’ and Dice Em’- Your Surgery Rotation »

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Search

  • Email
  • Facebook
  • Instagram
  • Pinterest

Start Here!

  • Services
  • Schedule
  • Shop
  • Common Questions

New on the Blog

  • Patient Care Hours: what they are and why they matter
  • Control what you can and trust the rest
  • Organization for the Win: Get organized now and stay on top of the PA school application process
  • How to Say “Nay” to the Naysayers
  • Failure as a DREAMER

Stay up to date with all our latest posts and services!

Instagram post 17924630659487826 Instagram post 17924630659487826
Merry Christmas! 🎄🐶💁‍♀️ Merry Christmas! 🎄🐶💁‍♀️
Bring on the vaccine! Looking forward to better da Bring on the vaccine! Looking forward to better days ahead! #covid_19 #vaccinetruthadvocate #covid19fighter
Hello to all my new and old followers! My name is Hello to all my new and old followers! My name is Rachael and I am so lucky to be a part of this awesome pre- PA community. Being a PA since 2007 and coaching since 2014 has given me a lot of perspective and insights into the PA profession. I’ve been thinking a lot on this last year and the collective trauma healthcare workers experienced. It really makes you think about what’s important and what you want out of life and out of your career. For some, I’ll bet it has made you question if you even want to be in healthcare. For others, it has given them laser like focus on their goals to be a part of the healthcare team. It’s always good to reevaluate your goals and make sure you are working towards the right one! I’ve been sort of drifting these last few months but I’m working towards creating my own vision for 2021. You can’t hit the target if you don’t have one, right? What sort of vision do you have for 2021? Are you laser beam focused, or are you like me, trying to figure out what you want? #pa #physicianassistant #paschoolbound #physicianassistantmom #pastudentproblems #pasofinstagram #physicianassistantstudent #physicianassistantlife #physicianburnout
Truly one of my favorite texts to get! In 2020, e Truly one of my favorite texts to get! In  2020, especially! This year has additional challenges- mentally, physically and spiritually for everyone. I am so honored to work with the Pre PA community and my clients. To see people constantly pushing and striving for this profession just makes me remember how great it is. This client In particular, first gen college grad, first generation US citizen, and all around a bright star!  Keep it up, fam! I know you can push through any mental block to get to your goals! #paschoolbound #paschool #physicianassistant #physicianassistantlife #physicianassistantstudent #physicianassistants #paschoolbound
It’s great to have support. To have people that It’s great to have support. To have people that understand your goals and ambitions. It’s also not always possible. When it comes down to it, when it comes down to who has grit and who doesn’t, having your own back is extremely important. You are the one who has to stay focused. You are the one who has to sacrifice. You are the one who has to wade through the rejections and get to the acceptance. Have your own back. Don’t rely on others for confidence. Don’t rely on others for ambition. Don’t rely on others for self worth. You have what it takes and if you don’t believe it, you won’t get your goals! #motivationmonday #paschool #paschoolbound #physicianassistant #graduateschool #medschool #aprn #npschool #caspa #interviews #emt #lpn #ma #cma
What does it take to be a ✨great ✨ PA-C? Swipe What does it take to be a ✨great ✨ PA-C? Swipe right to see my list. Do you agree? 
1. Compassion- true care for your patients’ wellbeing, they are people, not diseases or numbers. 
2. Humility- you need to know when you don’t know. And be able to ask questions. Asking for help is one of the best things you can do for your patients when you are unsure of the best way forward. 
3. Creativity- Thinking outside of the box and creative problem solving will help you become an extraordinary clinician. 
4. Curiosity- medicine is constantly changing. People and culture is constantly changing. Being curious and open to change will keep you on the forefront of medicine. 
5. Perseverance- never quit. Keep pushing. For your own learning and for the health of your patients. 
6. What’s on your list of necessary qualities to be a great PA-C?
It’s tough to keep morale up when everything fee It’s tough to keep morale up when everything feels so.... uncertain. But we can wade through the uncertainty with hope or with despair. We can choose to push through adversity or let it swallow us up. I have to choose hope daily because I can feel it when the fear starts gripping my throat. I want to live a life of positive perspective, not always looking at the things that are going wrong. Do you think positivity is a choice? How do you get through uncertainty?
Ouch! I had to get this done today. Anyone guess w Ouch! I had to get this done today. Anyone guess what this is and why I got it? #physicianassistant #pac
One thing that Covid has brought to many is fewer One thing that Covid has brought to many is fewer distractions. Fewer social engagements. Fewer opportunities to say yes to the wrong thing. I have definitely felt that life has gotten smaller. But with the smallness comes opportunities to focus on what I want to, actually what I need to. Covid has said “no” for me and I can say yes to my goals. What are you focusing on this weekend? Studying? Connecting with family? Organizing your space? Getting through your shift? Say no to things that aren’t serving you!
Load More... Follow on Instagram

What people are saying about PA Trek Coaching

I would like to share some excited news with you. I recently was accepted to 2 PA schools and still have another interview coming.

I was accepted to Marshall B. Ketchum in Fullerton, CA, and Touro University- California.  and another interview at Western University of Health Sciences in Pomona, Ca.

I wanted to thank you for giving me the best coach ever. He is super supportive and always check if I was ok during the process. I am so happy and proud of myself that I even got in the first year. I know how competitive PA schools are, so I am just so thankful that I found you all.

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Betty, accepted at Marshall B. Ketchum and Touro University, California Coaching Package

I took your advice and went into my interview with confidence. I just want to thank you so much for all your help!!! I am truly grateful for what you’ve done for me. 🙂 

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Robin Coaching Package

I don’t even know how to thank you for all your help!! I was accepted to my first choice program at the Yale School of Medicine Physician Associate Program Class of 2019! Not only that, but I was one of those they called right after the interview. I am absolutely excited (and scared)!

Thank you again for all your through assistance! I don’t think I could have done this without you!

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Angela, accepted at Yale School of Medicine Physician Assistant Program Coaching Package

I just got their acceptance email. Beyond excited and grateful. Thank you so much for everything. I would not have come this far without your help!

 

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Aleena, accepted at UTGRV Mock Interview/Personal Statement Critique

My experience with PA Trek Coaching was great. The team really provided me with the guidance I was looking for, plus tons of extra information that really came in handy. Initially, I was struggling with my personal statement but my PA Trek coach encouraged me to look inside myself and dig deep. Without their help, I’m not sure if I would have been able to articulate my story in such a professional way. Additionally, the mock interview with my coach gave me a new perspective and insight on the entire process. I know the mock interview helped me gain confidence with my interviewing skills, which really paid off. Thank you, PA Trek Coaching! 

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Liza Chapman, accepted at Emory University Coaching Package

I used personal statement review and interview bootcamp. These resources were INVALUABLE to me. I felt my confidence grow, and when it was time for my last interview at my top choice school, I killed it!

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Lindsay Hickman, accepted at St. Catherine University, MPAS Personal Statment Critique/ Interview Bootcamp Personal Statement Critique and Interview Bootcamp

I just wanted to share that after my ONLY interview this cycle (aaand my first cycle applying), I was just accepted to Carroll University’s PA Program and will be starting this coming May!!!!!
I will be forever glad that I took advantage of  PA Trek! My coach gave me great advice and suggestions which I definitely took to heart and worked on the week following our mock, and knowing what I needed to work on gave me the confidence that I needed. I felt I truly rocked that interview and clearly I did something right. 🙂

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Mary, accepted at Carroll University Mock Interview

We took an hour for a mock interview at the end of September and I just wanted to give you an update on my interviews! So far, I have gone to four. I was accepted at South University (Savannah, GA) and Western Michigan University! Your mock interview helped me so much. At WMU, I had an impromptu essay about the state of health care in America / pros and cons of the current health system and I felt completely prepared – I wouldn’t have had too much to say if you hadn’t recommended I look into it further! Just wanted to let you know! Thanks so much for your time. It was well worth it.

Share this:

  • Facebook
  • Twitter
  • WhatsApp
  • Pinterest
  • Reddit
  • LinkedIn
  • Tumblr
  • Print

Laura, accepted at South University and Western Michigan University Used our Mock Interview

Copyright © 2021 · glam theme by Restored 316 customized by MakeMediaOver

Copyright © 2021 · Glam Theme on Genesis Framework · WordPress · Log in

  • About Us
  • Privacy Policy
  • Shop

Login

Lost your password?

Reset Password

Lost your password? Please enter your username or email address. You will receive a link to create a new password via email.

Log In