During my emergency medicine rotation, I was given the opportunity to work with a diverse community of patients from all walks of life, many of whom faced significant challenges related to mental health and substance abuse. Working with these patients changed my perspective entirely. A lot of patients were kind, calm, and simply wanted to have a conversation. As the student, I took my time performing a thorough physical exam and asking questions. I learned a lot about their personal lives and the circumstances that led them to the present. Sometimes, patients came to the ED seeking food/water, and protection from the elements outside. It highlighted an important social issue that requires addressing, but I am glad to have been part of a facility that was able to provide these necessities, even if it was only for a few hours.

One of the most rewarding aspects of this experience was being able to participate in hands-on procedures. I was able to perform IV placements, venipuncture, digital blocks, laceration repairs, pelvic examinations, incision and drainage, and rhino rocket placements. Some procedures I may never get to perform again in my career so I am glad that I was able to do them as a student. Unlike previous rotations, I felt more assured in my clinical knowledge and ability to perform focused physical exams. I attribute this to studying for my OSCE shortly before starting this rotation, but I also saw such a large volume of patients that I eventually developed a methodical way of asking questions and performing examinations.

An experience that left a lasting emotional impact on me was witnessing the death of a young patient. It was the first time I had ever witnessed a code, and I was told to observe with the other students so that I could develop a proper sense on how these situations are handled. I recall anxiously looking at the monitor and hoping that the rhythm would change, and a feeling of dread washing over me during each pulse check. The other students became emotional once it became clear that there was nothing left for us to do. We learned that in a specialty like emergency medicine, a very strong sadness exists, and that that sadness is okay to feel.

Beyond performing procedures, collecting a proper history, and doing the physical exam, I sought to support patients in small but meaningful ways. I made sure to offer food, water, and checked on the status of their labs/ imaging. I know these acts of kindness mattered to the patients and I wish it was something that my team would have noticed during my time there. This rotation taught me that every action, no matter how big or small, contributes to the patient experience. I learned how to be more patient and empathetic, recognizing that patients are often at their most vulnerable in the ED. Although my time was split between being in acute care and trauma, I was able to work with amazing providers who helped me hone my clinical abilities, and gave me the opportunity to learn. I will always be grateful for this!