Transitions are a way of life in academic medicine. While much has been written about these changes,1,2 less attention has been devoted to a more common shift: the move between academic work and clinical ward time.3 This gap has important consequences. For example, some faculty dread upcoming ward blocks. When on clinical rotations, they struggle to juggle patient and academic activities—often doing neither well. The resulting perceived lack of efficiency and effectiveness leads to weariness, fatigue, frustration, and symptoms of burnout.4 Regardless of clinical effort, most faculty will face this problem. Unfortunately, limited guidance on how best to overcome this common challenge exists. As academic hospitalists, we have made this transition countless times and believe it can be better managed. In this essay, we draw from more than 30 years of combined experience, informal discussions with colleagues, and observations of gifted ward attending physicians5 to provide strategies and tips for assuming clinical duties in the hospital. Our aim is simple: to highlight common-sense management strategies for this neglected yet critical transition (Table).

中文翻译：

---

“光明尽头的隧道”

过渡是学术医学的一种生活方式。虽然已经有很多关于这些变化的文章1,2，但很少有人关注更常见的转变：学术工作和临床病房时间之间的转变。3 这种差距产生了重要的后果。例如，一些教师害怕即将到来的病房街区。在临床轮换时，他们很难兼顾患者和学术活动——通常两者都做得不好。由此产生的效率和有效性的缺乏会导致疲倦、疲劳、沮丧和倦怠症状。4 无论临床努力如何，大多数教师都会面临这个问题。不幸的是，关于如何最好地克服这一共同挑战的指导有限。作为学术住院医师，我们已经无数次进行了这种转变，并相信可以更好地进行管理。在这篇论文中，我们借鉴了 30 多年的综合经验、与同事的非正式讨论以及对天才病房主治医师的观察5，为在医院承担临床职责提供策略和技巧。我们的目标很简单：强调针对这一被忽视但至关重要的过渡的常识性管理策略（表）。