This semester, in addition to our normal H&P write up we would do for our patients in the past, we focused on developing an assessment, differential and a plan for the patients that we saw. I found this exercise to be tremendously helpful, as it allowed be to use what I have learned thus far and apply it to real-life cases. As the semester went on, I worked on expanding my differential to include diagnoses outside of “the expected”. Throughout PA school, I’ve learned the importance of not having “tunnel vision” when diagnosing patients, and so, I would try to think outside of the box for disease processes that could cause the symptoms my patient was experiencing. Developing a differential is definitely challenging, but I believe this practice has allowed me to practice this skill efficiently.