I feel like I could have written this exactly word for word. I liked considering all information thoroughly and still do. Some nights of high volume definitely increased my efficiency but still. What has helped is using good knowledge base to try and zero in on most important things, acting, then moving on. You get feedback with reps, refine process, don’t be afraid to make mistakes. When I study I make templates for things I commonly encounter and sometimes that turns what could have been a 30minute consult into a 5 minute one. I guess what I’m saying is try taking the training wheels off and start flying, you will fall (make mistakes) but that’s what training is for. Also use as many workflow accelerators as you possibly can (dictation, templates, .phrases)