As a junior faculty, if you feel that your current load of clinical work, responsibilities, and duties is unsustainable, you might consider declaring "professional bankruptcy". This doesn't mean that you quit your job, but rather hit the reset button. The authors suggest a 10-step approach to negotiating this reset process.
Thornburg LL, Glantz JC, Caprio TV, Gillespie SM. Professional Bankruptcy for the Academic Physician. J Grad Med Educ. Sept 2010, 2(3), 485-7.