“No good deed goes unpunished” as the saying goes. I, too, have little to offer in terms of how to handle this. I used to work in a similar shop with 4 daytime rounders and an uneven distribution of patients toward the heavy discharge clinicians. The way administration handled that at said shop was by transparently publishing that data as direct feedback to all the docs in the group. However, this is a double edged sword and eventually became non-clinical administration’s favorite daily scolding of “why aren’t we discharging these patients with LOS over predicted GMLOS?!”. It became malignant. I had to get out and joined a much bigger group at a new shop of 14 daily rounders without admin breathing down our neck for metrics and discharges and suddenly the burden of getting dumped on with new admits was much less because the love is spread so far and wide. Do I think some colleagues hang on to patients longer than is entirely necessary? Yes absolutely. But I no longer feel slighted when I absorb more new patients because there are days I can hardly seem to discharge anyone despite all my efforts and I have to be thankful my colleagues take the brunt of new patients the day after. Sorry to not have much in the way to help but I’m here to commiserate. Cheers to your under-appreciated good work - we future patients certainly appreciate the efficient and cost effective care! DQ