I find that my first H&P was more about my history taking and being able to gather the information regarding the issue that brought my patient in that day. My second H&P, I was able to focus on asking the correct questions regarding each body system related to my patients chief complaint. I was able to actually do a physical exam on the patient that was more centered around the primary issue and not just at random.

My history taking has improved in that it is more organized. I am able to ask questions that pertain to the problem the patient brings up before moving on to another topic. I have also found that at my last hospital visit, I was able to follow the ROS way easier than the first time and found the relevant questions much quicker.

Although I received the same mark on my first and last H and P, I believe that my history taking has improved and I have been able to obtain the information needed in a more efficient and organized way.  I felt that I was missing less pertinent negatives in the last H and P compared with the first.

I feel strong in assessing the ears, nose, and throat compared with the heart and lungs. I feel that I need more practice in those areas to understand what it is that I am actually listening to and what the normal is versus the abnormal.

I hope to get a better understanding of the heart and lungs. I would like to be able to listen to a patients heart and lungs and know what that something is normal versus abnormal at the very least.