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That said, I am thorough. I don't cheat and write down what the ambulance officers wrote, I take my time talking to patients to get a thorough history and perform good examinations to cover possible causes of the presentation (like we were taught in medical school btw). Sometimes you find out the presenting problem isn't a patient's real problem, and the history takes longer because you have to take it down a totally different path. But my diagnoses had been spot on for the last few weeks - often I know what's wrong with the patients even before they go for CAT scans or other imagings. I managed to pick up a septic joint, rectal cancer, proved gastroenteritis against diverticular disease, and successfully resuscitated a lady with anaphylactic shock.
I just hope that with time and practice, I'll become more experienced and do things and making decisions faster. I wonder if surgeons and doctors notice their juniors who are making precise diagnoses and following through with management plans? And do most junior doctors go through this phase?