Just mostly work.
I am currently down to approximately 5 call weeks/year. When I started at my current job, it was 13! The number has changed because a) we have grown (from 4 providers to 7) and b) my clinical role is only 0.4FTE. I hemmed and hawed about reducing my call, but when I finally confirmed that my GME salary does not come out of my division’s budget, I felt comfortable asking for a reduced call volume.
Otherwise, it was like I was providing free call. And I couldn’t wrap my head around that!
(Notably, the GME portion of my job does not have call, but it contains other after/before hours responsibilities that my colleagues do not have to content with. Which also make me feel like things are fair.)
Anyway, 5 week of call per year is . . . not a lot of call. It’s similar to what my colleagues at big academic centers take (though some of them have fellows to help answer those overnight calls!). I am very very happy that I have managed to lower this portion of my job, because it is just . . . not for me.
It IS more manageable when it’s fairly infrequent. I also spent time thinking yesterday about how there is definitely a ‘parenting guilt’ ingredient that makes things more emotionally fraught. I really consciously tried to IGNORE THAT this weekend and leaned on Josh to do the bulk of the parenting (we also had babysitters both mornings, a favor for him that I had forgotten I had scheduled).
Notably, I don’t typically feel bad when I am entirely away on a conference. I am trying to take that mindset about my call. While I don’t have to spend the entire days in the hospital, I usually have several patients to see and have to be available 24/7. It just is what it is. But it’s better when I just lean into it, knowing that Josh is perfectly capable and that it’s my job and it’s time-limited.
OKAY. Enough about call. One report tomorrow and I promise to shut up about it until at least April! Hopefully this was interesting to some 🙂
Day #6/7 Report:
Hours worked: ~9am – 1pm. 1 discharge, 3 follow ups. Calls at 2pm, 3:15pm, 3:50pm, 7:00pm, 8:00pm, and 8:57pm. Based on that, I was bracing myself for a terrible night, but . . . NO overnight calls!
Hours slept: 7ish.
Tomorrow I will add up all of the hours. I know I am well under resident limits (80) at least!