You are now the 3rd person I know to switch from an inpatient specialty (Crit care or ID) to oncology. How was the transition and are you happy?
Learning curve is STEEEEEP, but a lot more relaxed like an office environment vs. being in the trenches of cardiac alarms and general chaos. Bankers hours are nice now with life changes. The increased patient contact is interesting and not as uncomfortable as I thought, still wrapping myself around the whole outpatient contact and follow up piece.
I really like that I can take a deep dive in onc and really have time to get into a patient, their dx, and regimen. I rarely had time inpatient, had to outsource learning to students (we have students at this site, though), and juggle chaos while quickly scanning labs/treatment to get through rounds.
I still sub into our ICU when other staff are on vacation and I help deal with inpatient chemotherapy admissions (sometimes to ICU), so I kind of get the best of both worlds (not getting rusty with inpatient skills). But the longer I’m in onc, the slower I feel in the unit, but most of our staff recoil at heme/onc so it’s a great niche to be in.
The pace of changes takes some getting used to. It took, what, 10 years to formally update sepsis guidelines? I might get flamed for this but crit care hasn’t drastically changed much in 10 years (maybe improvements in delirium prevention). The speed of new drugs and new indications makes working in onc like drinking out of a firehose.
Tl;dr Transition was like a PGY-2 compressed with lots of headaches at first, but I’m happy in this role but am happy I still work inpatient (like one week in an 8 week stretch)
Sent from my iPhone using
SDN mobile