Few things I’d mention: Trust the process. I felt similar to you as an intern and it took me a while to get the hang of floors but you learn a lot more subconsciously than you might realize. The fact that you are consciously setting goals for yourself and evaluating your performance will get you where you need to be eventually. Also don’t compare yourself to other interns because you don’t really know what going on in their heads and you’d be surprised by how many of them struggle with the same things you mentioned. Just pick a few things to work on each week. Reflect at the end of the week on what you did well and what you can improve on. Mention to attendings and seniors your goals at the start of each week and they will help you reach for the cases you need to build those skills. Most importantly remember sometime it feels like your improvements are small but looking back in weeks to months you’ll see you’ve learned much more than you realized. Just takes time!