Take it easy. Try to get used to it. You'll have the same thing happen when you take your oral boards.
The more you do it, the more it will become normal for you.
According to the chief of psychiatry here, by the time I take my oral boards, the patient will probably be a video or DVD. Neurology is getting rid of their oral boards and it sounds like psych is going to figure out a way to test us without going to such a huge effort and expense too.
Anyway...my H&P this morning went really well. Once I was in the room, my anxiety was mostly gone.
Now I have about 40 hours to come up with a couple of lectures on topics related to the patient I saw this morning. I will present these topics to an MD and a PhD on Friday morning and they will not be easily impressed. I don't need to sleep for the next two nights, right?
Remember last time I had to do this? The patient had a patent foramen ovale and was having strokes at a young age. At least this time it won't take me 36 hours to figure out what is going on with the patient. It is a straight forward adrenal insufficiency. I just need to confirm the diagnosis with some tests and then I can spend the bulk of my 40 hours working on those presentations. Friday morning I will be ready to throw up again.
At my old job, I joined Toastmasters and gave a series of speeches to try to conquer my fear. I was finally able to speak to that group without getting nervous, but sadly it did not make me more comfortable speaking in front of other groups of people or being put on the spot. I guess I didn't get to that level of comfort.