This is your issue that needs to be addressed. I don’t understand the rush. One of your issues seems to be a rushed attempt to get through the “requirements”. Patient care requires time, patience and balance.
Our daughter attended UCSF and graduated from their program. She was there in the middle of Covid.
A huge hole is in your lack of patient contact or experience. Do you have your own social support network? They do ask about everything. They may ask about your medical experience as a patient
Have you even done vitals on a patient? Do you know how Medicare works? Can you communicate well with patients who speak another language? Most of my daughter’s SOM classmates spoke languages other than English. They were native or near native in fluency. Our daughter did an internship in Spain to learn about patient care and medicinal trials in a different system. She had to do everything in the Kings Spanish. She spoke my version of regional Spanish. It’s different. That came with experience. The SF community has a lot of Chinese languages and dialects. Are you fluent in any of these?
Most difficult cases? Every case is difficult when you have a patient who is ill.
I also participated in these case reviews, but not as a physician, since the reviews involved every medical professional in patient care, and the team sought out our progress levels.
You are lacking community contact and human experience. It’s not just about the physicians’ view of the profession but it’s being a patient that matters.