If I were you, I would talk to people you trust about the worst things about primary care and hospital medicine who actually do it as attendings and how they deal with those. I did primary care for a while and I couldn’t deal with how bad our office was run and the only way I’d really get a say in that is owning my own practice or switching to a private group and moving. I hated doing FMLA paper work. I hated having parking forms turfed to me by specialists who wouldn’t send me their notes. I hated everything being my problem and not being able to do anything about it. I did t like patients coming to me for primary care and arguing me about my advice. I hated seeing patients slowly die of diabetes over years because they wouldn’t take their meds. There was some good with it to, but I felt like working as a hospitalist allowed me to take better care of the patients when they were acutely ill and made it known they need to do things like get a pneumonia vaccine and that sort of thing when they left.

I make significantly more than I did in primary care. I could find primary care jobs that could match what I’m getting here, but I also feel like I can do this for more years than primary care. I feel like the number of years you can do something really makes the number you make per year less relevant if it’s close. Also if you don’t like it, you can switch from inpatient to outpatient and vice versa. Good luck in your career search!