I stumbled across your blog when I was trying to decide if I made the wrong choice in choosing an internal medicine position over a dermatology one. I think it's a fantastic site, by the way.
I'm Jenny, I'm a physician assistant, and currently mom to a furry 4-year-old, 70 lb. boy. :) At the time I chose my current internal medicine position, I was leaving a place where I was not treated very well, or respected at all. So I went with the offer that I felt more at ease with as far as the people I'd be working with. And so far, I must say, I love every aspect of my job except the work I didn't know I signed up for.
My patient load here is a lot heavier than my old place, and I see more chronic illnesses than I did at the last place (I saw some follow-ups, mostly acute visits). I find myself working late, bringing work home, and working on the weekends. I am preparing to bring this up with my supervising doc, the owner of the practice, but I wanted some feedback from some women in the field, and I thought you all might be able to provide some insight.
The dermatologist doctor has also told me he was looking to hire a second mid-level provider come Spring. I am tempted, for I feel that derm would not have as much "homework." Am I wrong in thinking this? I'd be taking a paycut and possibly vacation cut too, but at this point, I can't be leaving the office at 8 or 9 every day. HOW DID YOU BUSY DOCTORS MAKE TIME TO MAKE BABIES?! That is another thing on the horizon. My husband and I would like to start a family, but we've refrained from "trying," for fear of stressing ourselves out. So perhaps this is TMI, but we've opted to just try to increase frequency of intimacy instead of plotting calendars and such. The problem with this-there is never any time! I'm always working, we're always tired by the time the day is done.
Internist(s), I feel like part of the issue with my current situation is that it's just the field of primary care. There's always going to be a slew of labs to go through, and it's never ending. The previous doctor I worked for never followed up on his labs for months, and then would just ambush them when he took a vacation, or was about to leave for vacation.
I currently do not take a half day, but I'm thinking about asking for one, to work on labs (so technically I wouldn't be workingless). I currently work over 60 hours a week.
Any advice or input would be appreciated. This is a struggle for me to find a balance between work and home life. Is it something you still juggle? Am I just complaining too much?
Thanks for hearing me out. Again, I'm so glad to have found your site. Great job!