I did Nephrology Consultation at the New York Presbyterian Hospital in Manhattan. Over the duration of 1 month, I experienced a formative learning experience unlike any other experiences that I ever had. The rotation helped me improve as a medical student and challenged me to become an even better human being.
The schedule of the rotation was such that we had to pre-round on all of our patients before rounding with the supervising Fellow and Senior Attending. There was a variety of cases that I was exposed to at each floor and every patient presented a new opportunity to enhance my understanding. The idea that each patient is looked over by a specific team dealing with each organ system aided me in understanding the organization of the departments in the hospital.
During my rotation, I was given new consults on patients every day so that I can not only present them and follow up on their situation but also document their hospital course in my notes.
The conferences that the Nephrology Department provides proved to be extremely informative. There were two kinds of conferences: Rounds and Lectures. On two days of the week, the conferences for rounds presented new and challenging case studies for me and I got the opportunity to learn from actual approaches to treatment as done by the fellows. The lecture on Hyponatremia given by Dr. Vesh Srivatana was one of my favorites. I was kept informed of the innovative advances in the field of Nephrology through these experiences.
I also had the opportunity to observe Dr. Vesh Srivatana in his outpatient clinic for Peritoneal Dialysis. We were able to follow up on many patients and were able to comprehend the mechanism of this form of dialysis.
The strength of doctor to patient relationship was well highlighted by both Dr. Line Malha and Dr. Vesh Srivatana. By observing them, I realized the importance of addressing each and every concern of the patient and I believe that this experience indeed will serve as a high point for my professional development. We had brief discussions with Dr. Malha on various topics and those topics were always related to our patients; it created an environment where we understood the practical aspects of the theory we usually study.
I am grateful to Dr. Supriya Suresh Gerardine who critiqued the management plans that I would draft for each and every patient and the fact that she highlighted the importance of clinical research for me.
This rotation was indeed a phenomenal experience. Being a part of the team provided me with a sense of responsibility and encouraged me to present my ideas. All the fellows and attendings as well as the staff treated me as a crucial member of the department. I would recommend this rotation to all of my peers and collegues and I am immensely thankful to the Office of Global Health, specifically, Ms. Dianne Young and Ms. Savita Birbal for all their help in this journey.