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- Feb 9, 2017
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Hello all, wanted to welcome other perspectives on this recent feeling I've been having about working inpatient. Throughout training and as an attending, I've always enjoyed inpatient work (the flow, the quick change in presentation, team environment, walking around vs sitting, etc). However, lately, a few things about working inpatient have changed its appeal to me:
Whether it's the IMO noticeable decrease in competency in nursing, lack of professionalism (on cell phones whole shift, knowing nothing about the patients), or whether it's the new grad social worker adamant about a patient's diagnosis and treatment with little evidence for it (and being looked at as uncaring if we don't provide the BPD patient with a substance dependency problem a stimulant or benzo they're really pushing for), or whether it's the balance of having patients stay for x amount of days but then getting pressure to discharge when no longer being covered, wonky processes in place to facilitate surprise DC requests for voluntary patients who don't meet hold criteria in the afterhours...
These things have really sucked the joy from inpatient work which I always loved before. Perhaps it was because it was more academic but these things were not prevalent in my training. Seeing it more and more as an attending.
Always open to the possibility of a "maybe it's me," perspective but wanted to vent and hear feedback.
Whether it's the IMO noticeable decrease in competency in nursing, lack of professionalism (on cell phones whole shift, knowing nothing about the patients), or whether it's the new grad social worker adamant about a patient's diagnosis and treatment with little evidence for it (and being looked at as uncaring if we don't provide the BPD patient with a substance dependency problem a stimulant or benzo they're really pushing for), or whether it's the balance of having patients stay for x amount of days but then getting pressure to discharge when no longer being covered, wonky processes in place to facilitate surprise DC requests for voluntary patients who don't meet hold criteria in the afterhours...
These things have really sucked the joy from inpatient work which I always loved before. Perhaps it was because it was more academic but these things were not prevalent in my training. Seeing it more and more as an attending.
Always open to the possibility of a "maybe it's me," perspective but wanted to vent and hear feedback.
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