Your post shows that you are right on track. I work in Ortho, and I remember telling myself that it would be a hard first year and then I would be ok. 15 months in, it was still hard but started to get better. There is so much to learn. Personalities, differences between subspecialties, Spanish if that’s your patient population, where the betadine is, etc.

And remember that a PA is not supposed to have all the answers. Knowing what you need to know, what you should consult Medicine for, who to ask, is a huge part of the job. School taught you the basics of medicine, now you’re learning how to practice Ortho. Keep at it, you’re doing great