The job is going well. Very well , actually. I’ve been in the clinic for over a month, gradually building my own panel of patients and seeing the patients whose oncologist had left during a recent period of high staff turnover. My scheduled was blocked at 50% for the four weeks, which allowed me to learn the different systems and clinic organization without a lot of stress. There are 2-3 people around at all times to answer work flow questions. I haven’t rotated inpatient or taken weekend or nighttime call yet. I’ve been seeing mostly women with breast cancer, and although this is not what I was hired to do, I’m actually enjoying it.
It’s funny to think how different this transition has been when compared to that of residency or fellowship, where “orientation” consisted of being handed a massive stack of papers on “code of conduct”, a pager, a list sick patients, and best wishes on finding the bathroom. Before I started in the clinic I had a week of training, where for the first time I actually learned the EMR program I’d been using (far less efficiently) for the last six years.
I like the people I work with. It’s not a perfect group, and still dealing with the aftermath of a difficult period of painful changes, but the other new (ish) hires seem enthusiastic and hard working. The staff that decided to weather the change are less disgruntled than I had anticipated. I’d been warned that my group’s relationship with the hospitalists (very important colleagues when many of your patients require inpatient stays) was unpleasant if not overtly hostile, and this too seems to be improving.
So, I am feeling optimistic. Optimistic that, with time, the move home and into an uncertain work situation is going to prove the right decision.