I did my emergency medicine rotation at NYPQ. During this rotation I had the opportunity to see many patients. Most of the time I would see the patient alone, and then afterwards I would present the history, exam, differential and plan to the residents and attending. My presentations significantly improved over this time and I am more comfortable making plans for my patients as compared to previous rotations. I know I still need practice making my plans and I intend to practice that in my upcoming rotations. NYPQ also has an ultrasound program for the emergency medicine residents. I used this opportunity to learn more about ultrasonography. I got to watch many RUSH exams, ultrasound assisted IV placements and ultrasounds of the kidneys. One of the residents allowed me to perform ultrasound guided IV placement and a renal ultrasound. I practiced and became much more comfortable placing IVs and setting up an IV line. I also read many EKGs. Although I am no expert at reading EKGs, I am definitely more confident reading them now than I was previously. I plan to continue to work on interpreting EKGs. I had the opportunity to perform an ABG, and I learned how to and performed a digital block on a patient that I worked on suturing up with a PA. I found the ABG to be difficult to perform, but I know with practice I will get better. The sonography guided IV was also difficulty, but I learned to fan the vein and follow the needle for a little longer to make it easier to get in. During this rotation I became more comfortable distinguishing adventitious lung sounds. One of the nicest parts of this rotation was being able to see a drastic change in how I started off to how far I have come. During my upcoming rotations I would like to focus on making plans, counselling patients and on performing procedures, such as suturing. I will improve on my plans by seeing patients, making a plan and presenting them to a provider.