I have been offered a nocturnist job that I would like to explore your thoughts about especially those who worked/are working as a nocturnist. It is a J-1 waiver job. It is also a new program so if I accepted, I will be the first nocturnist working there, currently, the nights are managed by 2 NPs along with a day hospitalist (from home). They have an open ICU with no intensivist at all. ER runs the codes and do procedures. I am expected to cross cover 70-80 patients in addition to admissions, up to 18 admission/night along with one NP. Day hospitalist census is 20 patients. Not every night has 18 admissions but +12 admissions happened at least half of the days. 7 on and 7 off, No paid time off, they offered a little below 300K annually. I am still a resident (IM) and Kind of geographically restricted but I do not have to accept it so feel free to share any concerns or thoughts.