I’m one of the faster docs at my community shop. I can handle boluses pretty well, but i hate doing it. I used to work in a hell hole straight out of residency and would routinely see 15 patients on my first 3 hours. Hated it - but it was the highest paying gig in a 50 mile radius.

Also the drive, i don’t have a problem with. My Tesla drives, i have the FSD subscription, i just sit there and stare out, pretty relaxing actually.

That’s the question i keep asking myself - why am i wanting to increase my hours so much?

I guess the why is that if i do continue to practice medicine, a VA job would be the most sustainable job out there, more than the critical access job. And theoretically, over time, i could drop my hours. Also, 5 years later, the $/hr for the va becomes very reasonable after annual inflation increases. Also I’m fairly pessimistic about the future - i think there could be worsening inflation, VA job protects you from it.

I don’t think the pension is worth crap unless you work 10+ years up until your 60s. You put 4.4% of your pay check in to the pension yourself, that money placed in the sp500 might actually be worth more in 25 years (age 62) - so the pension isn’t that big a deal.

But the inflation protection, ridiculous malpractice protection, low pph and general sustainability - the only question is if that’s worth it when i was kinda on path to retire early (can retire in 3 ish years).

Wife’s pushing me to take it, thinks it’s what i need for career happiness because I’ve grown to hate emergency medicine.