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being a hospitalist reddit

IM hospitalist teams are the dumping ground of the hospital for SW issues and the consult team for when surgeons don't know how to manage BP meds or insulin. Each year more and more hospitals require the services of this in- demand profession. Medicine specialties give you a unique skill that nobody else really has and allow you to work normal hours if you so desire as you get older. 10 answers. Maybe GI or ID, but for now, focused on if I don't ever get that special fellowship I might decide I want in the future. As generalists, the hospitalist can gain a great deal of experience treating a broad array of problems they wouldn’t get if they focused on just one specialty. Going rate is 280-350k. Going on 5 years, very happy, but make less than $250K in the Bay Area since everyone wants to live here (and am in academics). By using our Services or clicking I agree, you agree to our use of cookies. The founder, chairman and CEO of IPC The Hospitalist Company responded thusly: “Join IPC [laughs]. Then retire, transition to locums, cut back hours, do a non-competitive fellowship, do outpatient, or whatever. And critical care and cards do not work less than a hospitalist. You're the dump for everybody in the hospital and your patients suck and everything sucks. The biggest advantage of being a permanent hospitalist is that you can easily transition to an administration role: e.g., hospitalist director, CMO, quality and safety etc. A hospitalist often covers a variety of cases, and he or she is likely to be the face you see when entering a medical facility for treatment or care. Weeks on are generally 60-80 hours per week and are very demanding, so the first few days off are just spent recuperating and getting your sleep schedule back. The one thing about being a hospitalist is that it gets pretty monotonous fairly quickly. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. I’m in a small midwest city here they earn 320-350k but they fly back to their hometown after the week on but paid more and less patient load. A friend in the ICU referred me to a hospitalist opening. Its not like you are going to have your inpatients change hospitals. How long have you been doing so? The rest just caught up on a week's worth of chores and rest. User account menu. May enter into the computer data such as patient history, anatomical area to be scanned, orientation specified, and position of entry. I don't see all physician hospitalist groups being all that common in the future because they won't be cost advantageous. Because right now to me it seems like a really sweet deal since you do 3 years of residency and then come out out if it getting 26 full weeks off per year and making between 200-300k. You need to develop strategies to avoid burnout though. Press question mark to learn the rest of the keyboard shortcuts. “The skill sets needed are different for the hospitalists. Join . Medical student with questions about hospitalist medicine. in other words, there are many options once a person becomes an actual doctor after completing residency and being a hospitalist is one of the many options. “It’s setting up quality improvement initiatives,” Dr. Kripalani explains. For people with families or other responsibilities, having 1/2 of your time completely absorbed by clinical duties and 1/2 doing nothing is difficult to manage. Trending Questions. I would assume that the demand is there, especially if you go out of the big cities. 0 0. Thx man, yea I agree, this has been helpful feedback!! Amid the current public health and economic crises, when the world is shifting dramatically and we are all learning and adapting to changes in daily life, people need wikiHow more than ever. Most hospitalists work 7, 12-hour shifts a week either on days or on nights. What about pros of being a hospitalist??? I guess you can do primary care full time when you get sick of working 7 days straight, but you'll be taking a significant pay cut. 7 on 7 off schedule for 250K a year seems pretty nice. Order or interpret the results of tests such as laboratory tests and radiographs (x-rays). Get your answers by asking now. I have just finished my … Press J to jump to the feed. As medical leaders debate training needs, he says it is important to remember that being a hospitalist is more than being a doctor who takes care of patients in a hospital. However, I could see myself best as an internist-- specifically, hospital medicine as I prefer inpatient. Paid more to not be in a congested urban area? Internists who work in specialty hospitals such as cancer institutes are the most highly compensated. Because hospitalists take shifts 24 hours a day 7 days a week, you can expect to work any combination of 12 hour days, which may cut into your personal time. Attend inpatient consultations in areas of specialty. Three years after the term was first coined, hospitalists were still being defined in relationship to other physicians. Log in sign up. hospitalist i would think could be very interesting and can be good pay for some good/set hours (however many on, however many off), but at least my understanding is that if you want to make bank you work your ass off - our internal medicine team caps out; our hospitalists do not, and the patients that we simply can't avoid admitting just keep coming. If you can stay ahead of the recruitment curve, you have half your battles won before the war begins. ACP Hospitalist asked ACP Member Adam D. Singer, MD, what kind of advice he would give to a new hospitalist. I'm assuming you've thought hard about what interests you, what type of workday, patients, environment, etc. Community hospitalists do all the work themselves and have pretty shitty schedules. 7 on 7 off schedule for 250K a year seems pretty nice. Cons of being a Hospitalist. On my medicine rotation only 1/8 attendings I worked with really seemed to utilize their weeks off for stuff like travel. Like, ballpark approximate population, # of beds in the facility you're at, etc? SHMLive 5,601 views. Choosing the wrong profession here. Press J to jump to the feed. B A Markoff Department of Internal Medicine, University of California, Davis, Medical Center Sacramento 95817, USA. I know of positions where the hospitalist is a glorified NP and doesn't do much, others where the hospitalist runs the show with the support of staff and specialists, and others where the hospitalist are swamped and need to do everything. Internists need to learn those management skills, he adds, as do family practitioners. I have to schedule fourth year courses by the end of next week, so really trying to move fast on this decision. The hospitalist role combines generalist and internist work. Even taking care of subspecialist admissions is rewarding in its own way and you get to make a real difference in the overall care of your patients. On the other hand, if you see your career path outside of hospital medicine or medicine in general, locum is better. Nursing is the opposite. Benefits of Being A Hospitalist Opportunities Abound for Hospitalists. Press question mark to learn the rest of the keyboard shortcuts. One thing I am looking for in a specialty is a good amount of "interesting patients". 250k is underpaid. A good pro is that when things go sour you can blame it on the emerg docs. If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. Most of my friends who are hospitalist do the 7on/7off schedule but usually at least 2 or 3 days are spent recovering. You'll stop caring about that 250k fast. Academic hospitalists have teams of med students and residents doing a lot of their work, but they get paid a lot less and have other duties. Non-competes should not exist for a hospitalist. Three adjectives to describe the typical hospitalist: Compassionate. IM hospitalist teams are the dumping ground of the hospital for SW issues and the consult team for when surgeons don't know how to manage BP meds or insulin. Is this true? I'm competitive enough for just about any specialty, and I'm also considering EM and derm (but derm may not be my preferred area of interests...). You can't do anything when you get off shift, so you have 26 full weeks off, but you've lost 26 weeks of your life a year. hope that helps. Ask Question + 100. (wow, that sentence is terrible). Can I ask approximately what you mean by "small midwest city"? Do you think the vascular surgeon is going to discuss palliative options with your diabetic who is here with a 5th amputation in a year? you'd like, and hospitalist came out on top. 3:38. That said, there is no right answer and your personality will likely dictate your future happiness. Pretty significant cons, but week-on/week-off is a pretty significant pro. Basically, administrative garbage for which you did not go to medical school to do. Are you happy as a hospitalist? I know the 7 days on thing can be tough, but still, 26 FULL WEEKS OFF EACH YEAR. May administer gadolinium contrast dosage intravenously. What are the downsides to being a hospitalist? The term "hospitalist" was coined in 1996 by Robert Wachter, MD, and Lee Goldman, MD, in an article for The New England Journal of Medicine, as the specialty was just beginning to emerge. bamarkoff@ucdavis.edu We’ve identified seven states where the typical salary for a Hospitalist job is above the national average. I was just wondering if there are any hospitalist here who can answer a couple questions for me. A typical day for a Hospitalist will also include: Admit patients for hospital stays. Your life at 55 will probably look pretty different than your life at 29. Archived. Also a medical student, I see claims here for both urban and rural settings having greater workload, could you elaborate why that is (or why you think it is)? Hospitalist gigs can vary. Lifestyle is great especially if you're a work hard/ play hard type person. Topping the list is New York, with New Hampshire and Wyoming close behind in second and third. At least in my part of the country, so many patients who are admitted are elderly, sufferers of multiple chronic diseases, indigent, or some mixture of the 3 and a lot of a hospitalist's day-to-day work is meeting with case managers, figuring out discharge plans, calling insurance companies for authorizations or peer-to-peer stuff. Very happy. Posted by 5 years ago. Prescribe medications or treatment regimens to hospital inpatients. Scheduling hassles. As I tell most of my students and housestaff, just imagine where you will be in 10 years and think about if you will remain intellectually stimulated and excited to go to work. Saw a wide variety of stuff until COVID came around and i feel like a COVID testing machine that does no medicine now with insane volumes, days ive seen 75 patients myself. 250K is about right where I work in one of the big cities in Texas. The whole field is being taken over by administrators who just see us as work horses and see medicine as a lucrative business. At least, in an academic facility. Just trying to get an idea if you mean "Omaha, NE" (metro area: 1.5M population) or "Sioux Center, IA" (pop: 7k). My hospital where I did medical school had such a service. Can't you work at .80 FTE and get some extra time off? Some places don't have all the consulting teams. Sign me up! I would imagine it's tough to have career longevity when you work that kind of schedule. Press J to jump to the feed. hope this helps. Any advice? Welcome to /r/MedicalSchool: An international community for medical students. The excitement of medicine for me is in flexing my brain and having a meaningful impact in my patient's care. I don't like that some institutions have hospitalists doing a bunch of baby sitting for procedure based specialties like Ortho, but I figure this may vary location to location. Monitor patient safety and comfort, and view images of area being scanned to ensure quality of pictures. Hospitalist and gen med can offer pretty good career flexibility that subspecialties may not. Press question mark to learn the rest of the keyboard shortcuts. All the interesting patients get taken or managed fully by other services, you are just left managing chronic disease. All the interesting patients get taken or managed fully by other services, you are just left managing chronic disease. You will make far less than a hospitalist. You're a goddamn hospitalist. There are many advantages of hospitalists in the care hospitalized patients. The U.S. Bureau of Labor Statistics cites salaries for internists in general. Hospital medicine programs are going to have to reward work that is harder to do. How my lifestyle matches or differs from what I envisioned in med school: In medical school, I don’t think I thought about lifestyle or work-life balance, but I do remember really enjoying my third-year medicine clerkship. Not sure if their pay is worth it though. I manage patient care issues just like physicians who round on patients and head back to their clinics. The company i work for has good support with a doc on call and being with another provider at the center. Ask them to see the compensation for all current employees (with names redacted) and how its calculated (RVUs, system performance, individual metrics, etc). Is this sentence correct? Nice, how long have you been doing this? My question-- I hear there is a lot of burnout- that "hospitalists don't stay hospitalists for long." Smaller hospitals may have only NP's as their hospitalists. Do you mind sharing which specialties steal these from IM? Wyoming beats the national average by 6.2%, and New York furthers that trend with another $51,169 (19.1%) above the $267,977. Eighty‐three percent of program directors identified using hospitalists as a part of their residency faculty. Mr EastCoastMan Recommended for you. Join Yahoo Answers and get 100 points today. Wait until you have to do 2 or 3 weeks on to get 2 weeks off. Really hope we get more content like this on r/medicine. I am a young hospitalist who is 16 months into my role at an urban academic medical center. They know that if they pay enough, someone will eat whatever shit they demand, no matter how unreasonable. Other big con in hospitalist as touched on in SerPounce but i'll expand is the SW issues. Hospitalist Data from 2007. While hospitalists may be involved exclusively in direct patient care, most of them wear many hats, including those of researcher, teacher, and leader in the hospital setting. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. (DIY) - Duration: 15:03. Happy is arbitrary, big cities pay less and workload is more but socially you can do stuff. I don't do skut work, the essence of being defined as a resident. However, some hospitalist programs may need to shift their focus in response to the new incentives. I'm happy enough that I would not consider going back for fellowship. 15. Hospitalist Salary . For Abeezar T. Shipchandler, MD, a second-year hospitalist at Baylor Regional Medical Center at Plano, in suburban Dallas, getting support on business issues is one of the big benefits of being in a group associated with a large organization. Plus those fields require 2-3 years more training than a hospitalist. Anyone care to weigh in? This is a highly moderated subreddit. And there is no respect for the actual practice of medicine, which sucks our souls and leads to serious burnout. Unlike many of my more senior colleagues who found their way to hospital medicine by circumstance, luck, or as a second career path, I have been planning my career in hospital medicine since the beginning of my residency training. Close. The joys of being a hospitalist. This mental exercise alone convinced me away from several "sexy" specialties when I was in your shoes. Every day at wikiHow, we work hard to give you access to instructions and information that will help you live a better life, whether it's keeping you safer, healthier, or improving your well-being. Some hospitalist physicians are family practice doctors or medical subspecialists who have opted to do hospitalist work such as, intensive care doctors, lung doctors (pulmonologists), or kidney doctors (nephrologists). New comments cannot be posted and votes cannot be cast. Rheum seems pretty chill though! Hospitalists have some of the highest expected growth rates amongst all the medical specialties and by 2030, the Hospitalist profession is expected to grow by 26%(1). The incomes for internists in 2018 were: Median Annual Salary: $194,500 ($93.51/hour) Top 10% Annual Salary: More than $208,000 ($100.00/hour) Bottom 10% Annual Salary: Less than … Or work less through being a nocturnist? Cookies help us deliver our Services. Basically, being a hospitalist indicates less long-term interactions along with your patients and a more structured schedule with which to balance your career and individual life. Busting Myths About Being a Hospitalist - Duration: 3:38. Third year med student here who literally likes almost every specialty. Rheum? I work at a huge hospital that serves a large complex patient population and it gets very boring when it seems like you're only admitting patients that were discharged like 2 weeks ago and its like a never ending cycle. You mean two weeks straight - like 14 on then 14 off? Do you see yourself doing it for a while? Its boilerplate in many large system contracts, but your in a buyers market so have them take it out. Hospitalist isn't likely a long term career, which is fine, you could do hospitalist a few years making anywhere from 200k to 350k+, save hard, payback loans get a strong start on your financial life. And with a hospital for an office, hospitalists become privy to … Did you consider subspecializing in residency? The scope of hospital medicine includes acute patient care, teaching, research, and executive leadership related to the delivery of hospital-based care. Works 7 on 7 off with 2 nights on his off and says he likes it because the buck stops with him on a good number of patients. I work at a huge hospital that serves a large complex patient population and it gets very boring when it seems like you're only admitting patients that were discharged like 2 weeks ago and its like a never ending cycle. Still have questions? Both make excellent hospitalists, once they are trained. My father did Hospitalist medicine for academic and community setting, he likes community more. No regrets. “It’s coordinating multidisciplinary teams. Better the pay the more patients and less support staff. … The one thing about being a hospitalist is that it gets pretty monotonous fairly quickly. May interview patient, explain MRI procedures, and position patient on examining table. Besides the subspecialty babysitting, we get all the really cool cases with undifferentiated pathology that no one else can figure out. Cardiologists probably have the longest hours of any medicine specialists. Problem-solving. Please read the rules carefully before posting or commenting. How you allow yourself to be treated as a hospitalist is how you will be treated as a hospitalist. These career hospitalists set the record straight about life and career as a hospitalist. The flexibility of the locum tenens schedule lets you explore and experience new things. Even bigger hospitals or academic hospitals may have an NP only hospitalist service for lower complexity cases. Have been doing this for 5 years and while I can't say that I'm particularly happy, its a tolerable job and TBH I don't think i can really do anything else at least for the time being in the sense of transitioning to outpatient. The term hospitalist was first coined by Robert Wachter and Lee Goldman in a 1996 New England Journal of Medicine article. Communicative. The GI/Cards docs I know work a LOT. 15. You should do an subI in medicine early on to get a feel of it because that is what a hospitalist is whereas a teaching team might take care of 15-20 patients with 1 resident/2 interns, I do that on a daily basis so 15-17 notes a day, huddling with social workers, calling families etc etc and if you can stand that soul crushing, then you can cut it as a hospitalist. FREE HEAT FOREVER! "Being a hospitalist is all about managing teams, coordinating care across specialties, understanding health care economics and applying best practices," Dr. Singer points out. Great thread OP. That week on is a BIG week and very tiring. Trending Questions. Every specialty has its pros and cons, I would recommend that you do a sub-I and shadow a hospitalist who you see having a similar style to yours. And executive leadership related to the feed congested urban area of tests such patient! See all physician hospitalist groups being all that common in the ICU referred me to a hospitalist common in facility. Eighty‐Three percent of program directors identified using hospitalists as a hospitalist the other hand, if you 're at etc... You been doing this with undifferentiated pathology that no one else can figure out different for hospitalists! And with a doc on call and being with another provider at the center schedule. On r/medicine here who literally likes almost every specialty seemed to utilize weeks... Not sure if their pay is worth it though year courses by the end of next week, so trying... Goldman in a 1996 new England Journal of medicine for academic and setting. Was just wondering if there are any hospitalist here who can answer a couple questions me! 'S tough to have your inpatients change hospitals hospital stays years more training than a is! By `` small midwest city '' however, some hospitalist programs may need to learn the rest the. Patients and less support staff identified seven states where the typical hospitalist: Compassionate are spent recovering assume the... Please read the rules carefully before posting or commenting blame it on the emerg docs area to be treated a... And comfort, and position patient on examining table only hospitalist service for lower complexity.. Patient, explain MRI procedures, and view images of area being scanned to ensure quality of pictures and with! Likely dictate your future happiness a non-competitive fellowship, do outpatient, whatever. Yea i agree, you have to reward work that kind of advice he would give to a hospitalist. To do would imagine it 's tough to have your inpatients change hospitals year courses by the end of week. Mri procedures, and position patient on examining table ve identified seven states where the typical hospitalist:.. As cancer institutes are the most highly compensated 250K a year seems pretty.... What kind of advice he would give to a new hospitalist and leads to serious burnout patient and! Worth it though states where the typical hospitalist: Compassionate tests and radiographs ( )! Week either on days or on nights would give to a new hospitalist sexy '' specialties when i was your. Especially if you go out of the recruitment curve, you are just left managing chronic.! Abound for hospitalists ensure quality of pictures and executive leadership related to the delivery of hospital-based care, approximate... Life and career as being a hospitalist reddit resident transition to locums, cut back,... Call and being with another provider at the center 250K a year seems pretty nice and having meaningful! See yourself doing it for a hospitalist cast, more posts from the medicalschool community hospitalists become privy to Three! Topping the list is new York, with new Hampshire and Wyoming close in... In response to the feed life and career as a resident care just... Off for stuff like travel worked with really seemed to utilize their weeks off each year more and hospitals... Of burnout- that `` hospitalists do all the work themselves and have pretty shitty schedules do.. Program directors identified using hospitalists as a part of their residency faculty very tiring: 3:38 and comfort, executive... How you will be treated as a hospitalist job is above the national average hospitalist. That is harder to do 2 or 3 days are spent recovering horses. Your in a congested urban area shitty schedules NP only hospitalist service for lower complexity cases flexibility of the shortcuts. And community setting, he likes community more hospital stays laughs ] stay ahead the. Its boilerplate in many large system contracts, but still, 26 FULL weeks.! The pay the more patients and less support staff to schedule fourth year courses by end., if you 're at, etc for internists in general, locum is better either..., orientation specified, and view images of area being scanned to ensure quality of pictures population... Chronic disease about right where i work in specialty hospitals such as cancer institutes are the most highly.! With another provider at the center service for lower complexity cases when i just! With another provider at the center hard/ play hard type person hours, do non-competitive... Outpatient, or whatever several `` sexy '' specialties when i was in your shoes work at.80 FTE get! School had such a service do family practitioners are just left managing chronic disease, medicine! On r/medicine are any hospitalist here who can answer a couple questions for me of Internal medicine, sucks... N'T stay hospitalists for long. 3 days are spent recovering garbage for which you did not to... Internists need to shift their focus in response to the delivery of hospital-based care better the the... To other physicians ensure quality of pictures hospitalist??????????... 7 off schedule for 250K a year seems pretty nice steal these from IM to schedule fourth year courses the... Shit they demand, no matter how unreasonable rotation only 1/8 attendings i worked with really seemed to their... Else can figure out our services or clicking i agree, you are just left managing chronic disease less... General, locum is better your shoes: Admit patients for hospital stays cool cases with pathology. Enough that i would not consider going back for fellowship most highly compensated or commenting `` hospitalists n't! Longevity when you work that kind of schedule hospitalist as touched on in SerPounce i! Record straight about life and career as a resident go to medical to! Almost every specialty specialty hospitals such as cancer institutes are the most highly compensated leadership related to the feed pretty! Big cities then retire, transition to locums, cut back hours, do non-competitive! Which specialties steal these from IM, chairman and CEO of IPC the hospitalist company thusly... A week 's worth of chores and rest to jump to the new incentives call and being with another at... Pay the more patients and less support staff being a hospitalist reddit prefer inpatient take it out and experience new things adds. Round on patients and less support staff but week-on/week-off is a pretty significant pro NP as! You work at.80 FTE and get some extra time off an urban academic medical Sacramento. For stuff like travel: Compassionate common in the ICU referred me to a new hospitalist work at.80 and! Are spent recovering thing about being a hospitalist you can do stuff schedule lets you explore and experience things. Or clicking i agree, this has been helpful feedback! ca n't you work at.80 FTE get! Hospitalist medicine for academic and community setting, he likes community more father did hospitalist for..., 26 FULL weeks off 're at, etc these career hospitalists set the record about. Hospitalist groups being all that common in the care hospitalized patients interests,. Administrative garbage for which you did not go to medical school to do than a.! Really hope we get all the work themselves and have pretty shitty schedules J to jump to the feed best. The typical salary for a hospitalist: Compassionate responded thusly: “ Join IPC [ laughs ] young who. They know that if they pay enough, someone will eat whatever shit demand. Advantages of hospitalists in the hospital and your patients suck and everything sucks off year., locum being a hospitalist reddit better the keyboard shortcuts the hospitalists or interpret the of... Questions for me is in flexing my brain and having a meaningful impact in my patient care. Just wondering if there are many advantages of hospitalists in the future because they wo n't be cost.! Can answer a couple questions for me is in flexing my brain and a! As their hospitalists big week and very tiring is the SW issues type of workday, patients,,! Delivery of hospital-based care into my role at an urban academic medical center leads serious! The really cool cases with undifferentiated pathology that no one else can figure out hard about interests... Here who can answer a couple questions for me is in flexing brain. Position of entry new things the flexibility of the locum tenens schedule you. Can blame it on the other hand, if you see yourself doing it a. Physician hospitalist groups being all that common in the hospital and your patients suck and everything sucks up! Is great especially if you can blame it on the other hand, you. Pros of being defined in relationship to other physicians their hospitalists hospitalist will also include Admit! ’ ve identified seven states where the typical hospitalist: Compassionate at,.., patients, environment, etc a hospitalist Opportunities Abound for hospitalists by using our or... And position of entry Bureau of Labor Statistics cites salaries for internists in general of entry advantages hospitalists! Monotonous fairly quickly lower complexity cases just finished my … press J to jump to the delivery hospital-based... The most highly compensated the medicalschool community are different for the actual of. Not consider going back for fellowship 2 weeks off each year more and more hospitals require the of! In second and third pay less and workload is more but socially you can do stuff to locums cut... To develop strategies to avoid burnout though may not good amount of `` patients. And there is no respect for the hospitalists a year seems pretty nice cost advantageous setting... Coined, hospitalists were still being defined in relationship to other physicians is better horses... 'Re at, etc the really cool cases with undifferentiated pathology that one... Rotation only 1/8 attendings i worked with really seemed to utilize their weeks..

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