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. One thing I am looking for in a specialty is a good amount of "interesting patients". Communicative. May enter into the computer data such as patient history, anatomical area to be scanned, orientation specified, and position of entry. The hospitalist role combines generalist and internist work. FREE HEAT FOREVER! I'm assuming you've thought hard about what interests you, what type of workday, patients, environment, etc. New comments cannot be posted and votes cannot be cast. “It’s setting up quality improvement initiatives,” Dr. Kripalani explains. 0 0. Happy is arbitrary, big cities pay less and workload is more but socially you can do stuff. Trending Questions. hope this helps. You will make far less than a hospitalist. A friend in the ICU referred me to a hospitalist opening. 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). You'll stop caring about that 250k fast. Paid more to not be in a congested urban area? 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. Even bigger hospitals or academic hospitals may have an NP only hospitalist service for lower complexity cases. 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. The GI/Cards docs I know work a LOT. 7 on 7 off schedule for 250K a year seems pretty nice. Benefits of Being A Hospitalist Opportunities Abound for Hospitalists. Both make excellent hospitalists, once they are trained. Great thread OP. Hospital medicine programs are going to have to reward work that is harder to do. Still have questions? Most hospitalists work 7, 12-hour shifts a week either on days or on nights. The founder, chairman and CEO of IPC The Hospitalist Company responded thusly: “Join IPC [laughs]. SHMLive 5,601 views. I don't do skut work, the essence of being defined as a resident. Your life at 55 will probably look pretty different than your life at 29. 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. Can I ask approximately what you mean by "small midwest city"? If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. 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)? You need to develop strategies to avoid burnout though. "Being a hospitalist is all about managing teams, coordinating care across specialties, understanding health care economics and applying best practices," Dr. Singer points out. Join Yahoo Answers and get 100 points today. 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. 7 on 7 off schedule for 250K a year seems pretty nice. 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. Is this true? … Plus those fields require 2-3 years more training than a hospitalist. The scope of hospital medicine includes acute patient care, teaching, research, and executive leadership related to the delivery of hospital-based care. Internists who work in specialty hospitals such as cancer institutes are the most highly compensated. 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. How long have you been doing so? 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). Archived. I have just finished my … Press J to jump to the feed. May interview patient, explain MRI procedures, and position patient on examining table. 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. The term hospitalist was first coined by Robert Wachter and Lee Goldman in a 1996 New England Journal of Medicine article. 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. 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're the dump for everybody in the hospital and your patients suck and everything sucks. 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. 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. Better the pay the more patients and less support staff. Its not like you are going to have your inpatients change hospitals. Nursing is the opposite. A good pro is that when things go sour you can blame it on the emerg docs. I have to schedule fourth year courses by the end of next week, so really trying to move fast on this decision. Its boilerplate in many large system contracts, but your in a buyers market so have them take it out. Prescribe medications or treatment regimens to hospital inpatients. Medical student with questions about hospitalist medicine. What are the downsides to being a hospitalist? Nice, how long have you been doing this? Third year med student here who literally likes almost every specialty. Press question mark to learn the rest of the keyboard shortcuts. Very happy. Order or interpret the results of tests such as laboratory tests and radiographs (x-rays). Anyone care to weigh in? Do you mind sharing which specialties steal these from IM? What about pros of being a hospitalist??? All the interesting patients get taken or managed fully by other services, you are just left managing chronic disease. 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. By using our Services or clicking I agree, you agree to our use of cookies. On my medicine rotation only 1/8 attendings I worked with really seemed to utilize their weeks off for stuff like travel. Posted by 5 years ago. Press J to jump to the feed. Mr EastCoastMan Recommended for you. Busting Myths About Being a Hospitalist - Duration: 3:38. Thx man, yea I agree, this has been helpful feedback!! May administer gadolinium contrast dosage intravenously. Please read the rules carefully before posting or commenting. Then retire, transition to locums, cut back hours, do a non-competitive fellowship, do outpatient, or whatever. Not sure if their pay is worth it though. Like, ballpark approximate population, # of beds in the facility you're at, etc? Problem-solving. 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 critical care and cards do not work less than a hospitalist. 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. Academic medical center at.80 FTE and get some extra time off and tiring... 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