u/Immediate-Animal-846

I’m a first year IM resident. I have my continuity clinic every week. I have a patient with SCD requiring very high doses of opioids. Because of concern for misuse and recurrent crisis, we see her every 4 weeks and in between appointments, I spend plenty of time taking care of her refills/new sxs/answering her messages. She’s a high demand patient with very tough social situation, she broke our pain contract many times and I ignored. I’m frustrated that 50% of the work I do for my clinic is for her. I wanted to see if there’s anything I can do with that. Would it come off unacceptable if I ask my preceptor to assign her to someone else? Maybe an attending who gets paid for this?