Hi im a new attending started hospitalist job a month ago with 7 on and 7 off schedule being 7 months pregnant.im due in december.im finding it very difficult being an attending.quite exhausting and at times confusing.no motivation to work at all.my job is not what i expected it to be.we have census of 19 pts to round with 3 admsn eveyday and recently also changed the rules dedicated icu hsopitalist rounding which happened after i signed the contract.all of my residency colleagues got in to very good hospitalist jobs with closed icu and average census of 18.i feel like i made a very wrong decision by chosing this job. i hate my new job.im not comfortable with icu.i knew it was open icu when i signed the contract but if it was only 3-4 pts of mine in icu i can manage but being a full icu attending im freaking out as i dont have that much experience.i want to quit my job but have to give 90 day notice which cant do now as i will be taking maternity leave soon.so after delivery i have to work for 3 months and get out of that job.im dreading my 7 on week.i hate going to hospital i dont know if pregnancy,moving and this new job is affecting the way i think.i desperately need some advice.
Hi firsttime mom, that sounds very stressful. I think the good news is that you will be getting that ICU experience that you feel you lack. It sounds like your contract will make it difficult to leave this job anytime soon, unless you can find some legal way around it. Maybe the changes in the job that happened after you signed your contract could invalidate the contract or at least force them to make your working conditions better...ask a lawyer. Good luck!
Is there a pulmonologist in your hospital that you can consult to help you with difficult patients in the ICU? I have worked as a hospitalist in an open ICU setting in the past and for our vented patients or very difficult patients, we would always consult pulmonary to follow along. If not, then your respiratory therapists and ICU nurses can be very helpful as well. Don't be afraid to ask for help from other hospitalists and specialists. Pregnancy of course can be very exhausting so maybe once you have your baby, you'll have more energy and not be so exhausted at work (though an infant probably is even more tiring). Depending on how competitive your job market is, you may be able to get your work conditions to change. If there is a great demand for hospitalists in your area, your current employer might be willing to do things so you don't eventually leave your job (for example, hire a PA or NP to help you, hire another hospitalist to cut the work load down. Definitely don't leave your current job without making sure you give proper notice, etc. If you leave before your contract is up, you might be responsible for paying the tail coverage for your malpractice insurance, which is quite expensive. Hang in there and good luck!