Following, as I am in the same spot (cards, not pccm) and my upper-levels are digging up hospitalist jobs in the 400s near us. Of course, life is not all about “how much?”

Still, “What is the damn point?” becomes a daily mantra. Despite my doubts I think I still fall on the side of desiring to “be a consultant,” desiring to pursue terminal training—partially for the joy of learning, partially because the narrowed, deepened scope really drives me to “be better” for my patients sake.

IM is great, the variety is great, my training is great. I have the utmost respect for my generalist attendings, but the specialists are on another level entirely. And maybe it’s not the best reason to continue training and forego profit, but some days it’s just that I want to be able to answer the phone, “Cards, this is Trilaudid.”

We’re all gonna make it homie