I'm starting to feel more and more so. I'm close to finishing up 3rd year, so I still have another year left in my mind to feel like I can be OK with getting an MD, but I'm worried that may not be enough. I did well on Step 1 and had good grades coming in, but this rotation especially has made me feel like I may not make a competent doctor. I'm fine with taking a history, but the physical is another story...I always seem to miss something, and I'm not good at some of the basics. I often can barely hear any heart sounds, much less a murmur, and my fingers creaking often sound louder than anything else (although I'm holding the stethoscope like I'm supposed to and trying to be still). And worst to me, I can't often seem to put it all together to come up with a differential and the most likely Dx. On the floor, with time to research and think more, I managed better, but now on outpatient, it's become more obvious since I have to do it so fast. My mind for some reason seems to blank out on me pretty often. This is mostly my fault, I'm sure...I have been depressed and probably lazy for several years, and I have skipped out on some lectures and studying when not totally required. I don't know why exactly. Now I'm regretting it, and I don't know what to do, or if even more studying would help this situation. I'm not yet sure which specialty I want to go into, and I did feel more competent in one or two other fields I'm considering, but now I'm finding I like internal medicine too. But believe me, I am too much of a responsible person at heart to let myself be an incompetent doctor. I also don't know how much of this is my attending now...she is pretty critical, and I could count the nice comments she's made to me over the month on one hand. Well, at least I vented...anyone have any ideas?