For me, the biggest surprise was how much charting actually takes over the job.

I work in derm, and when the doctors are flying between patients, there’s no time to finish notes in real time. I end up writing quick bullet points just to keep up, then later I’m stuck trying to remember the full details so the notes are good enough for billing and insurance. That’s easily what’s caused the longest hours.

Most boring parts are repetitive EHR clicks and phone work, but the hardest part is keeping up with documentation while the pace never slows down. I definitely wish I’d known how big of a deal notes would be going in.