I had the privilege of rotating at the pediatric office of Dr. David Hurwitz. There was a high volume of patients, and as a result I was able to perform many exams. I learned to move through my exams quicker in order to see as many of his patients as possible. Surprisingly, I found the newborns to be the easiest group to work with. The two year olds on the other hand were challenging. This was because they are stronger and better able to resist. Additionally, positive reinforcement techniques, such as offering them stickers, didn’t work as effectively as it did with older age groups. I found the best way to handle them was to first examine the parent or older sibling. I would allow them to sit on their parents lap so that they would feel safer. I would then start with the easiest part of the exam which was auscultation of the heart and lungs. Although these methods are not perfect, they helped to decrease anxiety in most of the patients I saw and decreased the need for force in many patients. I also had a hard time doing throat exams in children under the age of three. Professor Maida told me on my site visit to try to be a little stronger with my tongue depressors. I tried this technique and have made some significant improvement. However, I still need to practice this skill more. One memory that will stick with me is the time a patient came in for abdominal pain. I did a full exam on the patient and found the patient had mild rhonchi. I was second guessing myself, because of how subtle it was. I asked my preceptor to listen to her lungs and was surprised to find out the patient had a very mild case of bronchitis.