Thank you everyone! It means a lot that you took the time to write your kind and supportive responses. I have moved on to another rotation and I think this one will help my confidence more as it's within my own field (Psychiatry). Even second year residents seem a lot more confident working in the ER, where I am this month, so I'm excited to see how much I'll grow over the course of the month. I am riding a train of mental health stability recently so hoping that continues. Feeling much more motivated, like I did back in medical school, but my motivation is more practical and directed (back in med school I wanted to learn EVERYTHING, but that is simply impossible). There are a lot of unknowns in medicine, and especially so in Psychiatry, so we gain comfort in the unknowns since they are all around us, compared to other fields where they have lab tests and other studies to help them figure things out. I had my first day in the ER yesterday, and I felt I did a better job with presenting to my attending the case that I had seen. It is a tremendous learning process, and I know I should do my best to enjoy the ride!