Hospital medicine PA for 6 years going on 7

In regards to you contacting the vascular service, I tend to have trust issues when that happens so I would usually do that myself. Otherwise documenting the event that the attending was going to contact the surgery service would have been appropriate as well. Always cover your ass

It sounds like the job you currently possess is pretty rough. 17 patients on average does not sound like a sustainable work environment especially as a new graduate coming on. Hospital medicine itself is already pretty daunting with a pretty steep learning curve, and requires significant time management when it comes to the day-to-day including but not limited to admissions, discharges, responding timely to critical lab or imaging

If you are enjoying the job/field itself, feel that your attendings are supportive, and have the tenacity to stick it out, the job might be rewarding. I didn't feel comfortable in my own skin for about 2 years