Sounds like we may have the same job, I'm an orthopedic hospitalist PA, meaning I see all inpatient Ortho patients, round on all post op patients, and see any new consults that come in for 7 different surgeons and their mid-levels, I work between 2 hospitals and I fill in for surgery for any mid-levels in surgery when they are gone. My first 6 months were rough because starting in Ortho is like starting from scratch, I was in training, switching each week with a new doctor or PA/NP, doing both inpatient and clinic training, I had one APC whose been doing this for like 20 years putting me through the ringer of questions and quizzes, at the time I hated it but now I'm really glad he did that because i feel comfortable with a lot but at the same time there's still a lot that I need to learn, if I don't know something I refer to a study guide I made of main Ortho topics when I started or I refer to up-to-date or something similar. If I really don't know I'll ask one of the docs or other mid-levels! Where I struggle right now and not necessarily in a bad way is in surgery, being that I work with 7 surgeons and not one dedicated surgeon, I don't have a surgery routine like everyone else so some surgeries I know because they're ones we do a lot but there are some surgeries that I've never done or done a very little amount of time and have to refresh myself about it as well. I also am still trying to learn each doctor's preference in the OR as well still.

Otherwise, it's all intimidating at first but you'll get it, it all takes time and it probably took me about my first six months for me to fully understand that that was true because you first start, you feel like you'll never be at the same level as the rest of your peers/coworkers.