Please tell me about a typical day or week for you.

  • I average 60 hours a week plus the on call. On call is evenings taking calls from patients. Weekends and holidays taking calls and going to the hospital to see the patients in the hospitals.
  • I gave up going to the hospital. I used to spend a lot of time there. I got up at 4:30 and came here and 8:30. The money paid for going to the hospital is not worth it. But I feel badly about the lack of continuity of care. I get here at the office at 8:30 and see patients until 4:30 or 5. I see 25-28 people a day. That’s not bad. Some people see 50. I don’t see how they can do it. Shameful. Our phones never stop. The pre- authorization and insurance bullshit never stops.
  • Wake up at 5:30 or 6. Go to hospital and make rounds. Do grand rounds and see patients in the office. Do chores. Make phone calls: messages, labs results, family calls, other doctor calls. And then back to the hospital to make rounds.
  • Pretty chaotic. I mix seeing patients and management, but it doesn’t get compartmentalized. One flows into the other and vv. I do report and phone calls when I am home at night. Lots of multi- tasking. Lots of interruptions. The best times are when I am alone with the patient. I get a lot of gratification out of that. That is the doctoring part, the hardest part of doctoring is time management and the administrative work not related to the patient. Record keeping and other things.
  • Getting up around 4:30. If I have real pressing amount of administrative work, I do that first. I try to go to the gym for ½ hour. Then go to work by 7:15. If I have too much work and I was too tired the night before, I might work for an hour. In the day there is barely a bathroom break. At 8:15 I might go and see 2 or 3 hospitalized patients before 9 am office hours start. I usually see patients through my lunch hour. First bathroom break is around 12:30. Microwave food and eat until 12:45, making calls all through. From 1-5, I am seeing patients and dealing with patient issues. Maybe until 5:30. Once the last patients are finished I might have tests that take time to interpret or make call. Or I might see more patients. I typically don’t get home until 7:30. I see my kids for an hour or an hour and a half until they have to hit the sack at 8:30. Usually by 9:30 I am exhausted and I drag myself upstairs to bed fall asleep on the couch. Maybe by 10. I have call weekends every 4th weekend. This is 6am -2pm nonstop in the hospital or 8pm depending what is going on in the hospital. Usually at least a solid 6 or 8 hours a day. I try and do it earlier and earlier in the day so that I have more time with the children. This is for the whole weekend.
  • It’s 24/7.
  • I still see my own hospitalized patients. I am at the hospital 6:30. Office at 8. I start seeing patients at 8:00 or 8:30. Take an hour for lunch. Eat breakfast and lunch at my desk. See patients until 4:30 or 5. Leave the office at 7. Have dinner. Often 30-60 more minutes of work at home. That my day. I see patients for ½ day on Friday. I catch up on Friday afternoon. I can usually get to the Y. I see patients at 1 on Thursdays. So I can sleep an hour later. I typically put too much in on that morning though.
  • Get up at 5:15. Go to the hospital or nursing home and do rounds. Office hours and go back to the nursing home. Work ‘til 7 or 8. If my kids have something to do or I want to be there, I break and then go back. I am on call 24/7. Always on.
  • I have always been in a group practice. The days you work, you work very hard, but you have your days off. Before electronics, if you were off, you are off. Partners would take care of it. I work 10 hour days. 7-8 hours seeing patients. Then following up on results, messages and doing paperwork. I average 4 days a week. I don’t mind always being connected. I used to come home to a big pile of messages and charts. At the end of the day now I take out my iPad and knock off 20-30 messages. My spouse is asleep and kids are asleep. I can send a message if something needs to be handled. I take my Ipad with me where ever I go.
  • All different. Monday I go to nursing homes to do consults. Today I did 2 consults. I did follow ups on 5 other people. These people are pretty sick. One had already gone back to the hospital before I even got the labs back. Then I went to the hospital and did consults and followed up patients. Got here to the office around 12:30 then stayed until 6 and did paperwork. Went home and got dinner going.
  • I am usually up between 5:30 and 6. I go to the hospital and make rounds on my patients. Then I come to the office. On certain days I also go to nursing homes and see patients there. That varies on the day.
  • Try for a mix between family and work. But we work 7 days a weeks. By and large we live a nice lifestyle, but we are always working. Never have 24 hours off. We get 2am phone calls on a regular basis. Rarely that both of us sleep all night. I moonlight and do part time work. I have the nanny there because we might both be out at 2am. I often miss family events. In Disney World I was taking calls. Skiing in Vail, taking phone calls. We don’t go anywhere without 2 cars. I can’t have a beat up car. I have to get there. If I am late someone could die or have a different outcome for the rest of their life. In a corporate world, being late 15 minutes is nothing.
  • Pretty hectic. Now I have a partner and it is a lot better. I go to one or two hospitals before coming to the office and see 15-25 patients before getting to the office. Then in the office I see 10-15. I get a million calls, texts, and a lot of forms to fill out.

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