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[quote=Anonymous]FWIW I'm a physician working a primarily policy job with VA, but seeing patients 20% time.  After realizing that Emergency Medicine was not going to be a long-term life choice  for me,  I started out working at HRSA.  Really enjoyed the work there, but was surprised by how much I missed having at least some regular patient care.  In my case,  I realized that I wanted to maintain a weekly clinic and teach some residents,  so I ended up going back and doing a fellowship in Preventive/Occupational Medicine and  working for VHA.  Bureaucratic troubles aside,  every day that I work with and for Veteran patients,   I go home knowing my work matters.  And the clinical work definitely makes me better at my policy job.

If you find you still want to practice, there are a variety of ways to to that.  Moonlighting,  pediatric urgent care shifts, locum tenens an be viable.  Public Health Service can be an excellent option that directly enhances your federal career (particularly if you're FDA).  Or volunteer work with Mobile Med, a WOC (without compensation physician) with VHA,  or an adjunct faculty position.

It is definitely possible to strike the right balance with clinical/federal policy work.  After you've had a little time to recover from private practice,  there are some great options for meaningful part-time clinical work as a fed.  Best of luck![/quote]

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