Being a hospitalist sucks, and I'm quitting

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Exactly correct.

Bona fide rheumatology pts tend to go somewhat more smoothly (and faster), mostly because there is usually a more straightforward diagnosis and treatment (but in Rheumatology, this is not always the case!). The fibro/CFS/OA/vague symptoms crowd actually tend to be the most time consuming and annoying to deal with, because they try to consume a lot of time when there is actually very little “wrong” with them from a rheumatologic standpoint. I often joke that these are patients who have a 20 minute slot but want a 40 minute visit. As you might imagine, if you get a day where you have a lot of these patients, it’s difficult to run on time even when you’re seeing 20 a day. 40 a day? Lmfao.
I only spent probably 8 days at a rheum clinic during residency so I don't really remember how sick the patient population was. I can't even fathom having only 20 minutes to see patients if I was an outpatient PCP given how sick most of these people tend to be. I was always running behind in my residency clinic despite a slot time of 30 minutes
 
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