zeusfaber Posted September 11, 2013 Share Posted September 11, 2013 For reference, please see my previous post. Hello all, I posted previously about being a new grad in a crazy busy ER and being completely unprepared to handle my patients and work with the level of independence that's expected of me. It's definitely a tough first job and my supervisor recognizes that. She said that she herself would not have been able to handle it if she started now (vs when the hospital was smaller and lower volume). In any case, I have failed. I am not able to keep up, I don't feel safe seeing patients, and it has been mutually decided that I should not work there anymore as of the end of this month. My problem, to sum up, was a lack of clinical experience prior to PA school, being an average student, and not working well under pressure. I can't think on the fly. I can't see a patient that is completely new to me, digest all the HPI, PMH, lab results and pick out what is relevant to make a plan. I have a really hard time going back to my desk, keeping track of everything I just learned about the pt, and then reaching into the back of my brain for differentials. Sometimes I don't even know what tests I want or why. Every attending I work with has a different style and this further confuses me and makes me nervous about presenting the pt. Basically, I feel like I am bumbling through each patient, having to rely way too much on the attending, either doing way too much workup or not enough, or sometimes just not even getting a good clinical idea of what the patient is actually there for. I look stuff up on uptodate and it still ends up being the wrong thing to do sometimes. This all has made me feel like I don't know 'how' to be a PA. I'm not clinically savvy, and I still feel like a student who has to ask about everything. I feel like I got this degree without really having the skills that are supposed to come with it, and I don't know why that happened or how to fix it. Others in a similar situation experience-wise are doing just fine. I don't know where to go from here. My confidence is shot. I don't know what to look for in a job, other than less chaos and more training. How can I do my best not to get into this situation again? I am considering a residency but I don't know what specialty I would want. Definitely not ER! I don't know what kinds of jobs to look for. I just know I cannot handle failing again. Thank you for being a place where I can talk about this, I really have nowhere else to turn. I really appreciated everyone's feedback last time and I hope that anyone with words of advice, any thoughts, anything at all to say will tell me because I can use it. Link to comment Share on other sites More sharing options...
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