Second week done, six more to go!

Friday. The close of another week on the pediatrics affiliation. Had a couple other conferences and rounds with the MDs, talked about private practice issues, differential diagnoses, wheelchair and equipment issues; surprisingly, those docs turned out to be a bunch of friendly and informative groups of fellows.
Phrase of the week: OCCAM'S RAZOR. (look it up)
Started taking a lead role in patient treatment planning this week, jumping out of the nest, cutting that cord... whatever analogy you wish to insert here. Sometimes I feel like a dog on a leash. I feel like I know what to do, but I'm just waiting to be let loose on the floors. Other times, I feel lost in all the issues of treatment and planning and rationalization, that I get overwhelmed, but my instructor is great and gives me a hint whenever I feel shaky.
Had a couple deaths this past week. Natural process, especially on the oncology floor. Trick is to stay upbeat for the rest of the staff and patients, stay objective, don't get attached.
I think that's the lesson of the week.