Overall it was actually a very straight forward and easy exam. And that just makes it all the more painful when my nerves get the best of me and I miss the easy points.
Square yourself away and get your act together, brain!
The thing to keep in mind is that during your training, you are constantly supervised: your work is evaluated and checked; your reasoning and thought process is scrutinized. You are constantly given feedback as to what you are doing well, what you need improvements on, and what steps you should take to make those improvements.
There is a lot of educational cycles you go through that prepare you to work independently. It is through this period that you learn from your mistakes. You learn how to cover your bases, to rule out life threatening conditions, to understand prioritization, to do a proper work up.
Everybody is only human. Nobody is perfect. Take it from Dr. Brian Goldman. I set high standards for myself that can be both good and bad. It can be quite hard on myself when moments do not move smoothly, but it is also what motivates me to try to learn from those moments. If I can learn from those mistakes now, I can reduce the possibility of something going awry in the future. I resign myself to the idea of doing my best to prepare myself, and eventually let the training and experience run its course and guide me.
You cannot predict the outcome of everything, and sometimes through factors within and without, mistakes can be made. I stay on the level and humble that there are things I am uncomfortable with, things that I do not know, and things beyond my control. Keeping that healthy dose of caution and knowing where your limits are also helps to protect yourself and also your patient from harm.