- Joined
- Sep 12, 2017
- Messages
- 330
- Reaction score
- 274
More of a tl;dr version of my situation. I've gotten better at doing notes fast and doing less outside of appointments, but I don't feel happy in my current job. In fact, I am getting progressively more resentful.
Current job:
300 k per year, salary.
-No call
-35 patient contact hours, 60/30
-complex patient population with lots of substance use, behavioral issues, violence, drug seeking behaviors, inappropriate regimens, court ordered patients, etc. Substance use resources nonexistent in-house. Case management complex to access. No care coordination.
-staff turnover, among MDs and support staff. Not enough support staff. We had no nurse at all for several months. Support staff always overextended, resulting in a culture of MD's having to do things that support staff do in other places.
-small dept, and the MDs who had potential to mentor me left
I talked to current job about considering leaving, and they said they can find me a mentor by recruiting one of the inpatient docs, and there are plans in place to improve support structure in the next year.
Potential new job:
265 k per year first year, then productivity with possibility of making 300+ k, but I'd probably have to work pretty hard
-35 patient contact hours, 60/30 vs 60/20. Most people do a mix.
-patient population more "suburban" and high functioning
-department has a care coordinator, and at least one therapist who does substance use assessments
-2:1 or 3:1 RN to MD ratio, which MDs say works well. MDs report hardly needing to do anything outside of seeing patients.
-Call. q3 mos cover consults at local hospital and phone calls (refills, side effects, things like that). Average 3 patients per day. Also cover phone calls at night 1-2 times per mos (usually nothing past 9 pm but in theory could be woken in middle of night), and cover others' refills/calls during day 2-3 times per mos. The last bit actually makes for a robust safety net if you need to be out.
-large department, and people stay a long time
-the first 2 years are an extended evaluation process, which instantly makes my anxiety shoot up
I already turned down job 2 once before, and I worry I won't get a third chance with them.
I also have to somehow find time and energy to study for boards, so I am thinking of dropping either job to 0.8 at least for a while. But in my present job I don't feel comfortable doing so because things may not be managed appropriately without me. Unless maybe I still work 5 days but have a shorter day and can chill at work and study in the afternoons.
Money matters kind of but not really, won't go into it now. I did make the decision to take job 1 back in the day mostly because of money.
Current job:
300 k per year, salary.
-No call
-35 patient contact hours, 60/30
-complex patient population with lots of substance use, behavioral issues, violence, drug seeking behaviors, inappropriate regimens, court ordered patients, etc. Substance use resources nonexistent in-house. Case management complex to access. No care coordination.
-staff turnover, among MDs and support staff. Not enough support staff. We had no nurse at all for several months. Support staff always overextended, resulting in a culture of MD's having to do things that support staff do in other places.
-small dept, and the MDs who had potential to mentor me left
I talked to current job about considering leaving, and they said they can find me a mentor by recruiting one of the inpatient docs, and there are plans in place to improve support structure in the next year.
Potential new job:
265 k per year first year, then productivity with possibility of making 300+ k, but I'd probably have to work pretty hard
-35 patient contact hours, 60/30 vs 60/20. Most people do a mix.
-patient population more "suburban" and high functioning
-department has a care coordinator, and at least one therapist who does substance use assessments
-2:1 or 3:1 RN to MD ratio, which MDs say works well. MDs report hardly needing to do anything outside of seeing patients.
-Call. q3 mos cover consults at local hospital and phone calls (refills, side effects, things like that). Average 3 patients per day. Also cover phone calls at night 1-2 times per mos (usually nothing past 9 pm but in theory could be woken in middle of night), and cover others' refills/calls during day 2-3 times per mos. The last bit actually makes for a robust safety net if you need to be out.
-large department, and people stay a long time
-the first 2 years are an extended evaluation process, which instantly makes my anxiety shoot up
I already turned down job 2 once before, and I worry I won't get a third chance with them.
I also have to somehow find time and energy to study for boards, so I am thinking of dropping either job to 0.8 at least for a while. But in my present job I don't feel comfortable doing so because things may not be managed appropriately without me. Unless maybe I still work 5 days but have a shorter day and can chill at work and study in the afternoons.
Money matters kind of but not really, won't go into it now. I did make the decision to take job 1 back in the day mostly because of money.
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