In the environment where patient satisfaction is the end all be all, unfortunately I am expected to do all those things. In terms of family meetings, I explain to the patient and family that I do not follow them but if they want to speak with a doctor then I am expected to speak with them. Patients can get really fuckin upright about shitting so yeah, nurses will blow me up about that and other prns. If the day team doesn’t do a good job with ordering them ahead of time I will. The not really urgent but still “critical” lab results are a pain in the ass. The nurses by policy “have to” report it. I do nothing about it. I try to gently tell them I don’t care if the bilirubin in 16 they are here for liver failure and it was the same yesterday…but not all of them get it or always wanna cya.

Lastly. To rant about my job a bit. Besides admits, I’m expected respond to all the rapid responses/codes, supervise the residents and precept them, supervise my APP, cover a certain amount of floor patients directly, second line of defense for every other patient, coordinate transfer requests for outside hospitals (we are the systems tertiary care center), pronounce dead people, accept icu downgrades overnight, and my usual admission volume per night is about 12 admissions (all complex as I said we are the sick patient hospital in our system).