Ambulatory Care is one of the rotations I was looking forward to the most because I worked as a medical scribe for about two years before attending PA school. For this rotation, our mid-site evaluator tasked us with preparing one H&P and creating 5 drug cards. While I was confident in my presentation, certain aspects of my H&P such as the assessment and plan were lacking. My site evaluator taught me that I need to flesh out the plan more extensively and focus on not only managing the history of present illness but making sure that chronic medical conditions are being addressed as well. For example, the patient in my first H&P had a history of uncontrolled hypertension but presented to the clinic for perichondritis. Although I understand her blood pressure is something that requires management, I did not include it in my plan because I was focused on addressing the issue at hand which was the infected right ear. The site evaluator also explained that this patient may not have been the best person to choose for an H&P as she was in significant pain and may have been brushing off certain questions for the provider to come in sooner.  During the final site evaluation, we were tasked with providing two H&Ps, a journal article with a summary, and 5 more drug cards. I presented the case of a patient with suspected hypertensive urgency and was able to develop an assessment and plan that addressed the issue at hand while also focusing on how to manage her stress and inability to follow up with a primary care provider. Additionally, I adjusted my assessment to include the pertinent history, physical exam findings, and any positive results that we acquired in the lab on the day of the visit (ie: urinalysis). For my first H&P, my assessment was not as detailed because it was difficult to get a history from the patient while she was in pain. I felt more confident in this history and physical after taking my site evaluators’ comments into consideration. My classmates and I answered questions for each other’s cases and conversed with our site evaluator about the best course of action for each patient. Moving forward, I will be fleshing out my plan the way I did for this rotation as it is more comprehensive.