Congrats and thanks for your service. As a fellow physician, we both know the burnout rates for medics at all levels. Hope you find a way to serve your new patient cohort with your best competence, compassion, and diligence, with a balance for your personal beliefs, your family, and yourself. VA, government, and civilian healthcare may have a whole new lexicon, set of hoops to jump through, and regulations (in short, a whole new set of headaches and hassles standing between you can taking care of your patients.). There is ongoing pressure for “productivity”, which translates to either spending less time per patient (to have a realistic 8-9 hour day) or staying later and later. It is a hamster wheel that is tough to avoid.
having that retirement pay and benefits is a nice backup if the first job doesn’t fit.
best wishes, and I am still hoping to get my PortaPot shot rocket!