monotony

[CordMcNally]

When I encounter "challenging" patients, I delve into mitochondrial/metabolism talk. I get a lot of nodding and subtle hints for a speedy exit.

Does that mean the forum is being challenging when you talk about it here?

[Dusn]

Part of the boredom for me stemmed from not having colleagues to discuss interesting cases with like in resident/fellowship. Having residents to teach helped a bit. Also joining a private online forum of specialists in my field (you may have to create one with colleagues if one doesn’t exist) also helped.

[AR]

I still like the challenging stuff. Keeps things interesting. Also helps provide a sense of accomplishment. Many of them are things that colleagues with the same qualifications were not willing to handle.

The key for me is to have it spaced out appropriately, so all the challenging stuff doesn't come in at the same time. That is sometimes easier said than done.

[burritos]

Does that mean the forum is being challenging when you talk about it here?

Is that a rhetorical question? I don't want to trigger anyone.

[8arclay]

Considering all the other things that come with running a private practice, Im very thankful that the medicine part of my job is mundane for the most part.

[jz-]

I retired from ER. During the last years, my curiosities were satisfied by learning tangential to my specialty --like derm and rheum and psych.

[Kamban]

What you need is to find balance. If you see say, 10 follow ups and a 2 consults a day you should have 14 routine follow ups and one routine consult. Maybe have that one follow up or consult where you need to look up on the work up, new drugs or new research by Google or UpToDate. Luckily it happens in hem/Onc and makes me not want to go into admin or Pharma. Yet..