u/sandnsea99

I'm taking the EM EOR next Saturday (my 7th EOR out of 8). I feel like ROSH Qbank is significantly harder for this blueprint than others I have taken like women's health, psych, peds, surgery, etc. I'm about halfway through the blueprint doing targeted questions for the topics I have reviewed and am scoring 62% average on all the questions I have done so far (completed 144 out of the 250 total). It's making me nervous because I usually score 70%+ on ROSH qbanks. Does anyone else feel that ROSH for EM was insanely more challenging for EM than others? What was the EOR like in general?

For those of you that did really well on your ER rotation, what was the feedback that you got from preceptors like? What did you do that made you stand out do you think? How specific were you with assessment and plans?

Currently on my EM rotation and struggling. No one has overtly told me I'm doing a bad job per se, just that I need to be quicker in patient rooms. I know my oral presentations are all over the place and sometimes too long. I struggle with immediately coming up with an assessment and plan for almost all my patients I see. It seems all didactic knowledge has left my brain, and I worry given I graduate in December even though I plan on working in derm ultimately.

I try to show up to each shift and be engaged, safe, and teachable. I try to ask questions and look things up. I just feel very in over my head and feel like I am failing as a student.

I’m on my ER rotation right now and really struggling. Before I go into a room, I try to think of a differential and write it down on my H&P notebook and cater my interview with the patient to help narrow my differential. However, when I get in the room, I feel like my mind goes blank. I’ll gather some history and struggle through a focused exam, then leave the room. The ER is so fast paced and when I leave the room my preceptor pretty much immediately wants to hear what I have to say so hard for me to then try to generate an assessment and plan that quickly— or honestly form an assessment and plan at all. I fumble through my oral presentations and have all of clinical year despite trying to hard to keep them precise and pertinent. Despite this, I keep showing up and trying. I try to review what I saw that day when I get home at night and study for my EOR too.

On top of that, I constantly feel like I don’t know anything. I have been passing my EORs which I am thankful for but I feel like I’m only good at taking tests, not because I actually understand things. I graduate in December and thought I would be feeling better about things by now :( I feel like I am regressing as a student.

I'm midway through clinical year and don't really have drug dosing down at all. Thankfully I don't get pimped on it much on rotations so far, but I am growing concerned that I will graduate in December without a real clue of med dosing. What has your experience been like on rotations with this? Do you feel like you can dose meds pretty well at this point?

I've been struggling a lot during clinical year with wondering if this career is for me after all. I am on rotation 7/12 and am not enjoying this. I actually loved didactic so much more. The constant changing of schedules, molding myself to new preceptors, and simultaneously feeling like I know nothing all at once has been eating away at me on top of anxiety about what things will be like when I graduate in December. EORs have been going well in the 410+, but I attribute this to being a good test taker and good recognition skills, but not truly knowing things. I'm not sure if I am making sense, but I just overall feel burned out and wake up every morning with dread about what my rotation will bring that day, if my preceptor will be nice, will I have a decent enough assessment and plan/oral presentation. All the performance has been really killing me on top of feeling like I don't know anything.

Any thoughts, comments, or advice is very welcome. Thank you so much

Just wondering if anyone else is in the same boat. I've completed 5 rotations so far and have passed all of my EORs with scores > 410. Despite this, I feel like I am not retaining any information from rotation to rotation. I feel horribly incompetent every rotation I am on and am overall worried about what post grad life will be like when I graduate in December. At this point I just feel like I'm good at taking exams and that's it.