5 mo ago, I agreed to cover someone's maternity leave, meaning I would go from solid tumor clinic days to heme/BMT inpatient evenings. I think most people thought I was crazy (rightly) for agreeing to this, but what can I say? I like a challenge. Here is what I learned. đź§µ
(This may only be helpful for me, and that's ok! But perhaps it will be helpful to anyone considering a career change.)
- After 6 years of primarily focusing on solid tumors, relearning heme/BMT was like slowly learning how to walk again. As opposed to honing my solid tumor expertise, I spent more time filling in my knowledge gaps, which was humbling, but also kind of exciting.
- When you’ve been doing something for awhile you get used to having all of the answers, but when I went to heme/BMT, I did more listening than talking. This helped me to appreciate just how smart some of my colleagues are and how far they’ve come, especially previous residents.
- I think having a safe, supportive environment to do something like this is absolutely essential. I probably would have perished if I didn’t have a strong support network among my coworkers, especially working solo.
- One thing that I really missed about clinic was talking to patients, so I’m excited to get back to that.

On the flip side, I will miss the unique challenges of inpatient life as well as my new inpatient friends. Leaving will be bittersweet :(
In summary
📍 A complete job title 180 is doable! If you’re willing to get uncomfortable
📍 It’s totally natural to feel out of your depth in your new position for awhile
📍 Smart, supportive colleagues are essential – appreciate them!
You can follow @AlisonPalumbo.
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