I guess it is time to get back into the fray and start posting again.

I’ve been too busy to really get back to my blog, but it’s time to start posting again. My compensation is RVU-based and if I don’t work, I don’t get paid. It actually makes for a bad incentive. It makes me want to work more and not take time off which I really need to do. I have a performance bonus in my contract, but it is essentially unattainable unless I want to work 12 hour days. I really enjoy my job which is outpatient internal medicine but there’s been a lot of stress in the last year because I’ve only been working with one MA. I typically work with two MAs, which has slowed my production and made my staff stressed. Unfortunately in my area we haven’t even been able to interview an MA. They all seem to have left healthcare. I wonder if other people have experienced that. I don’t know if they’ve left because they wanted higher pay or they did not want to get the Covid vaccine, who knows.

It has been over 12 years since I actively admitted my patients

and I truly miss it. I loved the inpatient activity, intensive care unit, the camaraderie with all the staff, but going home in the evening at the end of the day at five or 6 o’clock sure beats going back into the hospital and spending two hours doing rounds.