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Hi, So here's the story. I am beginning my first rotation and it is in the ED (no previous ED or UC experience). My preceptors are all very nice and willing to help, but I can't help but feeling like I am neither measuring up nor reflecting my program well. I wanted to get some feedback to gauge if this is a normal experience, as there are no other PA students at my site to compare notes with. I received an hour training on the EHR and beginning the second day was expected to see a few patients on my own and present them to my preceptor with assessment and plan. This wouldn't be a problem except that I am very slow in addition to having forgotten a lot of the medicine (I have a 3.8+ GPA from didactic year, but once I took the test most of the info seemed to blur into general confusion). I have no idea what to do with the mass of lab results from the current and previous ED encounters, nor sure that I've ruled out even 50% of the serious conditions. I am also very slow at charting (for reference, my program allowed multiple days to finish one entire SOAP or H&P note). I am also very poor at multi-tasking, which is an awful quality for the ED. I know I am trying and that I am reasonably intelligent, but this makes me think I should have stuck with some desk job rather than managing healthcare. For all of these reasons I can tell that I am a drain on the preceptors who are already busy. I get that I am here to learn from the preceptors, but can't help but feel that this is not how things should be. I do ask for feedback, but the preceptors are SO nice that I can't tell what they truly think. I'd appreciate any advice, what's normal, whats not, etc.
I'm a recent grad and am looking for my first job. One place called and asked me if I had my letters of recommendations ready. She said "Just for future, you should have these on hand." This caught me off guard. Should I have these done before even applying for any jobs? Should the letters of recommendation be generalized or specific to the job I am applying for? Does this mean I have to ask my references for new letters of recommendations for every job I apply for? Any input is appreciated! Thank you!