"If you work here you're going to lose your skills over time," he continued. "And you're going to become complacent. You need to work for a teaching hospital, a place where they have traumas, really sick people, RT Driven Protocols and lots of ventilators," he said.
"I think this small-town hospital is a great place to work, but it's nowhere to hone in your skills," he said.
I kind of figured he was right, although being of a phlegmatic personality I wasn't motivated to hunt for a new job. Plus all my friends were in shoreline, and I didn't want to have to make new ones. Funny thing is, I met my wife while working, and when that happens you sort of give up your friends to raise a family.
So, in retrospect, and from discussing this topic with other bloggers and coworkers who work for large hospitals, I'd like to list some of the advantages of small town verses large town hospitals.
- Forced to learn quick because you have to do it all for all age groups, and often you work alone.
- Lower patient load, so you may be asked to do things below your educational level, like EKGs
- You'll also have to do breathing treatments on people who don't need them so the hospital can justify your existence.
- There's a greater risk for apathy
- Low times allow time to do other things, like blog
- Ability to spend more time getting to know, and taking care of, your patients due to lower patient loads.
- More intense due to more critical patients and higher patient loads
- Can specialize in one area: neuro unit, critial care unit, peds unit, neonatal intensive care unit, adult general care
- More protocols that can result in better patient care, and better morale
- Patient overload, that can lead to burnout
- Doctors available at all times
- More risk for burnout.
I could go on. I'm still looking for a person who works for a large hospital to write me a post on life at a large hospital. You can take any angle you like. Let me know if you're interested. Or what you think.