Welcome to the forums, MarleyRN10!

I'm so sorry you had that WTF moment! WTF indeed! Very unprofessional (not to mention sexist and patronizing...) and absolutely IRRELEVANT to why you were there(!) Yikes.

That out of the way, I think #1 (Pdoc relationship) and #3 (med mgmt) are ideally kind of tied together. Personally, I find it useful to have a Pdoc that will work in partnership whenever possible (as opposed to simply dictating from on high). This assumes a responsibility for self-education, but being an RN, I bet that's right up your alley. Working from a premise of what is the least that gets the job done and when adjustments/additions are needed, doing just one at a time so as to know what is affecting what. This may not always be possible, but it's certainly what I'd aim for.