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Job Stress or burnout?


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22 minutes ago, ArmyVetDude said:

Are you practicing rural? I am in a large city, and a primary care office here here hardly does procedures like punch biopsy or mole removal. Even suturing  for basic lacerations, most often, we refer them out to a local urgent care. Practicing primary care in a big city like here comes  with much limitation, which sucks sometimes 

Yes, I am rural, which is nice because I do have the opportunity to do a lot more, BUT it also comes with its headaches.  The lack of specialists available - or the distance patients have to drive to get to one - is frustrating and a barrier to care and unfortunately there are just things I don't feel comfortable or absolutely CANNOT do.  The good news is that I have built a reputation of not requesting "stat" or "urgent" referral visits without meaning it.  The specialists I refer to regularly know that when I say "stat" or "urgent" I MEAN IT!!!

Rural medicine also comes with a much higher concentration of controlled substance patients - which I am actively trying to work on and having to be very focused on ignoring the impact it has on my income (a large portion of my income is RVU production bonus).

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