Raphael Banahene Brenya

I work in a district hospital, managing various adult and pediatric conditions.

• Conduct daily ward rounds, order appropriate investigations, and develop treatment plans for patients on
  admission at the female and pediatric wards.
• Manage medical emergencies at the emergency department daily.
• Review and refill prescriptions for patients with chronic conditions like hypertension and diabetes at OPD.
• Perform surgical procedures like incision and drainage of abscesses and suturing of lacerations.
• Refer patients to the regional hospital for specialist management when indicated.
• Give presentations at mortality meetings and educational sessions to fellow medical officers and physicians
  assistants

Clinical observer at an advanced pain management outpatient center.
•Observed multiple initial patient history and physical examinations for commencement of pain management program
• Observed patient encounters for pill counts and refills of prescriptions for controlled pain medications.
• Learned and discussed various pain management plans with attending.
• Learned about state and federal regulations for controlled substance prescriptions.
• Observed procedures like epidural cortisone injections, sacroiliac joint injections, and joint nerve blocks.

• Conduct initial patient interviews and gather medical histories.
• Perform physical examinations and document the findings accurately.
• Compile and maintain comprehensive patient medical records.
• Collaborate with supervising physicians to analyze patient symptoms and formulate preliminary diagnoses.
• Advocate for preventive measures and healthy lifestyle choices for patients.

• Collaborate with supervising physician to analyze patient symptoms and formulate preliminary diagnoses
• Educate patients about their medical conditions, treatment options, and preventive measures.
• Explain medication instructions, potential side effects, and proper usage
• Participate in case discussions to enhance treatment strategies.
• Stay current with medical literature, research, and evidence-based practices relevant to primary care.

• Conduct thorough medical interviews and examinations to gather patient histories and assess their current
  health status.
• Analyze symptoms, order relevant diagnostic tests, and formulate accurate diagnoses.
• Develop personalized treatment plans based on diagnoses, medical history, and patient preferences.
• Educate patients about preventive measures, vaccinations, and screenings to maintain their health.
• Provide guidance on healthy lifestyle choices, nutrition, exercise, and disease prevention.
• Monitor and manage chronic illnesses such as diabetes, hypertension, asthma, and others to optimize patient well-being.

A 6-month rotation as a House Officer at the Department of Pediatrics under the supervision of specialist
pediatricians.

• Presented at biweekly general ward round sessions.
• Managed various pediatric emergencies like severe malaria, acute asthma, and seizures under supervision
  at the pediatric emergency unit.
• Managed various neonatal conditions like prematurity, neonatal sepsis, neonatal jaundice, and
  hypoxic-ischemic encephalopathy under supervision at the neonatal ICU.
• Checked daily weight gain, performed physical examinations, and reviewed feeding charts of preterm
  neonates undergoing Kangaroo Mother Care.
• Reviewed and refilled prescriptions for patients with Sickle Cell disease and HIV at weekly Sickle cell/HIV Clinics under the supervision of a specialist pediatrician.

A 6-month rotation working under supervision at a regional hospital.

• Managed and stabilized trauma emergencies like hemorrhagic shock, fractures, and head injuries at the
  Accident Center under supervision.
• Managed the postoperative care of patients who have undergone surgical procedures like mastectomy,
  thyroidectomy, inguinal hernia repair, and laparotomy under supervision.
• Assisted surgical procedures like appendectomy, hernia repair, and laparotomy.
• Reviewed new complaints, performed physical examinations, and ordered appropriate investigations for breast cancer patients presenting for chemotherapy.
• Performed procedures such as debridement of infected ulcers, urethral catheterization, and application of
  plaster of Paris.
• Rotated through general surgery, trauma and orthopedics, and urology units

Worked as a house officer at the Internal Medicine Department of a teaching hospital.

• Performed detailed examinations of patients and made relevant differentials; requested appropriate lab
  investigations and treatment regimens under supervision.
• presented medical cases to colleagues and supervisors during ward rounds.
• Attended weekly residents educational sessions and workshops.
• delivered a presentation on spontaneous bacterial peritonitis during my gastroenterology rotation
• Performed the insertion of peripheral intravenous access, femoral venipuncture, and passage of nasogastric
  tubes.
• Performed procedures like thoracocentesis and paracentesis under supervision for diagnostic and
  therapeutic purposes.
• Rotated through various subspecialties such as cardiology gastroenterology, neurology, and infectious
  medicine

A 6-month period working as a house officer at the Obstetrics and Gynecology Department in a teaching hospital

• Participated in biweekly general ward rounds and actively participated in teams' duty reviews and handing
  over every morning.
• Consulted at the antenatal clinic once a week under supervision.
• managed various obstetric conditions like hypertensive disorders in pregnancy and antepartum
  hemorrhage under supervision.
• I learned to make differential diagnoses of abnormal uterine bleeding, what investigations to order, and
  how to manage the various causes.
• Reviewed the progress of labor at the labor ward during weekly 24-hour duty shifts and consulted with supervisors on the management of patients with poor progress of labor.
• Assisted surgical procedures like cesarean sections, myomectomies, and salpingectomies.

• Attended daily neuroradiological conferences and learned the interpretation of the imaging results of various neurological lesions on different imaging modalities.
• Participated in discussions about the management of various adult and pediatric neurosurgical conditions like hydrocephalus, brain tumors, and spine lesions.
• Observed surgical procedures like craniotomy for brain tumors and laminectomy.
• Visited Aesculap AG, Tuttlingen (a medical technology manufacturer), and learned about the philosophy and
  modern production of surgical instruments, implants, and devices.