Both site evaluations taught me a lot about the comprehensiveness of an H&P. Although every single patient that arrived to Medicine had one complaint or problem (often an exacerbation or worsening of an existing problem), a good H&P was much more than just a singular issue. Inpatient stays meant that patients required that so much be managed: chief complaints, sequelae of their complaints, comorbidities, home medications, etc. My site evaluator really drove home the point of making sure that everything relevant to this patient’s medical condition(s) is included in the H&P. In other words: diets should not be forgotten, any prophylaxis must be included, and any changes (e.g. new onset hyperkalemia) must be managed or resolved. I really appreciated that she did this, because it required me to be more thorough in my thinking when I open a chart. I presented my H&Ps, drug cards, and journal article as typical, but this was the first rotation where I felt like I intimately knew my patients simply because I had to sift through their entire hospital course to really understand what I was writing and saying and why. I look forward to being equally and more challenged by my evaluators on future rotations.