Confusing expectations
PGY-1 IM resident on a notoriously busy service and I just need to vent.
Got slammed over the weekend. My list ended up being capped. After about 12 hours of drowning I finally had a moment to breathe and was chatting with my senior, he asked if I had plans for my off day. Casually mentioned that I would catch up on my PC in basket stuff before clinic later in the week. Then got scolded and told explicitly not to do that and my days off are my days off. So I went home that night, had my day off the next day, didn’t catch up on my in basket, and just enjoyed myself.
Got absolutely beat down the next day on service, got some more in basket stuff on top of it. Ended up pulling a 14 hour day. Afterwards, came home and tried to clear out my in basket as much as I could. Only had one message remaining when I passed out with my laptop on my bed. Next morning had clinic, and was promptly reamed out by my attending for not getting to that one patients message which was them freaking out that they didn’t have a refill for their SSRI (lack of refill not on me, but her prior pcp before they graduated), that has been sitting in my in basket for 3 days, today marked the 3rd day. Apologized and explained being on a busy service with long hours and how I was told to not work on my days off. To which I was then told that the expectation was that I respond to all in basket messages within 72 even if it falls on a day off.
This is all so annoying because this could’ve been avoided if I had just stuck with my original plan of working on my day off to play catch up. But I also have a habit of overworking myself and am trying hard to rein that in during residency. Also wish I had remembered to sort my in basket from oldest to newest, but I was running on 5 hours of sleep after a 14 hour shift and I know I was trying my best. Not upset with anyone other than myself. And frustrated that the expectation is that even my days off aren’t really mine :/