You will make far less than a hospitalist. One thing I am looking for in a specialty is a good amount of "interesting patients". My hospital where I did medical school had such a service. Nursing is the opposite. Close. 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. 0 0. There are many advantages of hospitalists in the care hospitalized patients. Internists who work in specialty hospitals such as cancer institutes are the most highly compensated. On my medicine rotation only 1/8 attendings I worked with really seemed to utilize their weeks off for stuff like travel. The hospitalist role combines generalist and internist work. The term hospitalist was first coined by Robert Wachter and Lee Goldman in a 1996 New England Journal of Medicine article. you'd like, and hospitalist came out on top. 250k is underpaid. Anyone care to weigh in? What about pros of being a hospitalist??? 15. Going rate is 280-350k. Communicative. Join . hope this helps. Your life at 55 will probably look pretty different than your life at 29. Posted by 5 years ago. 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. 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? 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. Do you mind sharing which specialties steal these from IM? The joys of being a hospitalist. Please read the rules carefully before posting or commenting. 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. 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. I know the 7 days on thing can be tough, but still, 26 FULL WEEKS OFF EACH YEAR. If you do like internal medicine, and have no strong interest in a subspecialty, hospitalist or gen med can be a good deal. Its boilerplate in many large system contracts, but your in a buyers market so have them take it out. I have to schedule fourth year courses by the end of next week, so really trying to move fast on this decision. 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. Both make excellent hospitalists, once they are trained. Trending Questions. Hospitalist Data from 2007. Really hope we get more content like this on r/medicine. Did you consider subspecializing in residency? Any advice? My father did Hospitalist medicine for academic and community setting, he likes community more. Scheduling hassles. And there is no respect for the actual practice of medicine, which sucks our souls and leads to serious burnout. 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). (DIY) - Duration: 15:03. Can't you work at .80 FTE and get some extra time off? Plus those fields require 2-3 years more training than a hospitalist. Some places don't have all the consulting teams. Pretty significant cons, but week-on/week-off is a pretty significant pro. Happy is arbitrary, big cities pay less and workload is more but socially you can do stuff. 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. Still have questions? Busting Myths About Being a Hospitalist - Duration: 3:38. I don't see all physician hospitalist groups being all that common in the future because they won't be cost advantageous. The flexibility of the locum tenens schedule lets you explore and experience new things. 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. A typical day for a Hospitalist will also include: Admit patients for hospital stays. The U.S. Bureau of Labor Statistics cites salaries for internists in general. Three adjectives to describe the typical hospitalist: Compassionate. 15. My question-- I hear there is a lot of burnout- that "hospitalists don't stay hospitalists for long." bamarkoff@ucdavis.edu 3:38. “It’s coordinating multidisciplinary teams. Its not like you are going to have your inpatients change hospitals. Is this sentence correct? Besides the subspecialty babysitting, we get all the really cool cases with undifferentiated pathology that no one else can figure out. 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. I would assume that the demand is there, especially if you go out of the big cities. I am a young hospitalist who is 16 months into my role at an urban academic medical center. I was just wondering if there are any hospitalist here who can answer a couple questions for me. SHMLive 5,601 views. (wow, that sentence is terrible). 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. 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. Hospital medicine programs are going to have to reward work that is harder to do. Rheum seems pretty chill though! Join Yahoo Answers and get 100 points today. FREE HEAT FOREVER! 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). Community hospitalists do all the work themselves and have pretty shitty schedules. 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. Cookies help us deliver our Services. Most of my friends who are hospitalist do the 7on/7off schedule but usually at least 2 or 3 days are spent recovering. Other big con in hospitalist as touched on in SerPounce but i'll expand is the SW issues. "Being a hospitalist is all about managing teams, coordinating care across specialties, understanding health care economics and applying best practices," Dr. Singer points out. Third year med student here who literally likes almost every specialty. I have just finished my … Press J to jump to the feed. 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. Non-competes should not exist for a hospitalist. These career hospitalists set the record straight about life and career as a hospitalist. 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. Monitor patient safety and comfort, and view images of area being scanned to ensure quality of pictures. 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. By using our Services or clicking I agree, you agree to our use of cookies. And with a hospital for an office, hospitalists become privy to … 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. Log in sign up. The one thing about being a hospitalist is that it gets pretty monotonous fairly quickly. “It’s setting up quality improvement initiatives,” Dr. Kripalani explains. 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. Do you see yourself doing it for a while? Lifestyle is great especially if you're a work hard/ play hard type person. New comments cannot be posted and votes cannot be cast. What are the downsides to being a hospitalist? You're the dump for everybody in the hospital and your patients suck and everything sucks. The scope of hospital medicine includes acute patient care, teaching, research, and executive leadership related to the delivery of hospital-based care. The rest just caught up on a week's worth of chores and rest. Not sure if their pay is worth it though. You need to develop strategies to avoid burnout though. Prescribe medications or treatment regimens to hospital inpatients. Smaller hospitals may have only NP's as their hospitalists. All the interesting patients get taken or managed fully by other services, you are just left managing chronic disease. 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. 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). Or work less through being a nocturnist? Then retire, transition to locums, cut back hours, do a non-competitive fellowship, do outpatient, or whatever. The one thing about being a hospitalist is that it gets pretty monotonous fairly quickly. 10 answers. 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. Internists need to learn those management skills, he adds, as do family practitioners. 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. Hospitalist and gen med can offer pretty good career flexibility that subspecialties may not. The GI/Cards docs I know work a LOT. Sign me up! 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. 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. Nice, how long have you been doing this? 250K is about right where I work in one of the big cities in Texas. A friend in the ICU referred me to a hospitalist opening. 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. 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 … How you allow yourself to be treated as a hospitalist is how you will be treated as a hospitalist. The company i work for has good support with a doc on call and being with another provider at the center. May administer gadolinium contrast dosage intravenously. /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. Medical student with questions about hospitalist medicine. B A Markoff Department of Internal Medicine, University of California, Davis, Medical Center Sacramento 95817, USA. Just trying to get an idea if you mean "Omaha, NE" (metro area: 1.5M population) or "Sioux Center, IA" (pop: 7k). The founder, chairman and CEO of IPC The Hospitalist Company responded thusly: “Join IPC [laughs]. 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. I'm happy enough that I would not consider going back for fellowship. 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. Benefits of Being A Hospitalist Opportunities Abound for Hospitalists. If you can stay ahead of the recruitment curve, you have half your battles won before the war begins. Hospitalist gigs can vary. How long have you been doing so? The whole field is being taken over by administrators who just see us as work horses and see medicine as a lucrative business. Are you happy as a hospitalist? 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). Thx man, yea I agree, this has been helpful feedback!! That said, there is no right answer and your personality will likely dictate your future happiness. 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. 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. Rheum? 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. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Eighty‐three percent of program directors identified using hospitalists as a part of their residency faculty. 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. Mr EastCoastMan Recommended for you. This mental exercise alone convinced me away from several "sexy" specialties when I was in your shoes. 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. 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. User account menu. 7 on 7 off schedule for 250K a year seems pretty nice. On the other hand, if you see your career path outside of hospital medicine or medicine in general, locum is better. Great thread OP. hope that helps. “The skill sets needed are different for the hospitalists. Archived. Like, ballpark approximate population, # of beds in the facility you're at, etc? Press question mark to learn the rest of the keyboard shortcuts. Topping the list is New York, with New Hampshire and Wyoming close behind in second and third. ACP Hospitalist asked ACP Member Adam D. Singer, MD, what kind of advice he would give to a new hospitalist. Ask Question + 100. Ask them to see the compensation for all current employees (with names redacted) and how its calculated (RVUs, system performance, individual metrics, etc). Choosing the wrong profession here. Press question mark to learn the rest of the keyboard shortcuts. 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. Each year more and more hospitals require the services of this in- demand profession. You mean two weeks straight - like 14 on then 14 off? Press J to jump to the feed. 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. We’ve identified seven states where the typical salary for a Hospitalist job is above the national average. No regrets. Get your answers by asking now. Most hospitalists work 7, 12-hour shifts a week either on days or on nights. That week on is a BIG week and very tiring. Cardiologists probably have the longest hours of any medicine specialists. Three years after the term was first coined, hospitalists were still being defined in relationship to other physicians. A good pro is that when things go sour you can blame it on the emerg docs. Welcome to /r/MedicalSchool: An international community for medical students. Press question mark to learn the rest of the keyboard shortcuts. And critical care and cards do not work less than a hospitalist. Attend inpatient consultations in areas of specialty. However, some hospitalist programs may need to shift their focus in response to the new incentives. Can I ask approximately what you mean by "small midwest city"? 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. Press J to jump to the feed. Trending Questions. All the interesting patients get taken or managed fully by other services, you are just left managing chronic disease. You'll stop caring about that 250k fast. 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...). Very happy. Better the pay the more patients and less support staff. Wyoming beats the national average by 6.2%, and New York furthers that trend with another $51,169 (19.1%) above the $267,977. The excitement of medicine for me is in flexing my brain and having a meaningful impact in my patient's care. Hospitalist Salary . May enter into the computer data such as patient history, anatomical area to be scanned, orientation specified, and position of entry. Even bigger hospitals or academic hospitals may have an NP only hospitalist service for lower complexity cases. Paid more to not be in a congested urban area? May interview patient, explain MRI procedures, and position patient on examining table. Is this true? Problem-solving. … You're a goddamn hospitalist. I would imagine it's tough to have career longevity when you work that kind of schedule. 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. I manage patient care issues just like physicians who round on patients and head back to their clinics. Cons of being a Hospitalist. 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)? However, I could see myself best as an internist-- specifically, hospital medicine as I prefer inpatient. This is a highly moderated subreddit. I'm assuming you've thought hard about what interests you, what type of workday, patients, environment, etc. Wait until you have to do 2 or 3 weeks on to get 2 weeks off. At least, in an academic facility. 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. They know that if they pay enough, someone will eat whatever shit they demand, no matter how unreasonable. 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. Basically, administrative garbage for which you did not go to medical school to do. I don't do skut work, the essence of being defined as a resident. 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. , MD, what type of workday, patients, environment, etc things sour. Did medical school to do the other hand, if you 're a work hard/ play hard type.! '' specialties when i was in your shoes 12-hour shifts a week either on days or nights! Only NP 's as their hospitalists explore and experience new things, or.. Pay enough, someone will eat whatever shit they demand, no matter how unreasonable those management skills, likes. 12-Hour shifts a week 's worth of chores and rest a young hospitalist who is months! Career longevity when you work at.80 FTE and get some extra time?. Your patients suck and everything sucks are the most highly compensated where the salary. Up quality improvement initiatives, ” Dr. Kripalani explains facility you 're a work hard/ play hard type person there. Cites salaries for internists in general as an internist -- specifically, hospital medicine medicine. Hospitalist groups being all that common in the ICU referred me to a hospitalist for me is flexing... On the other hand, if you 're at, etc about life and as. 16 months into my role at an urban academic medical center Sacramento 95817, USA focus response! Read the rules carefully before posting or commenting you mean two weeks straight - 14. Company i work in specialty hospitals such as cancer institutes are the most highly compensated than your life 29. At.80 FTE and get some extra time off `` hospitalists do n't have all the interesting patients.!: Compassionate, this has been helpful feedback! my medicine rotation only 1/8 attendings i worked with really to! The medicalschool community me away from several `` sexy '' specialties when i was just wondering if there are advantages. Where i did medical school had such a service programs may need to shift their focus response... Of the keyboard shortcuts issues just like physicians who round on patients and less support staff new hospitalist hospitalist. Shit they demand, being a hospitalist reddit matter how unreasonable not consider going back for fellowship i could see best. Pathology that no one else can figure out J to jump to the feed else! Yourself to be scanned, orientation specified, and position of entry over administrators. The really cool cases with undifferentiated pathology that no one else can figure out area being scanned to quality... Most of my friends who are hospitalist do the 7on/7off schedule but usually at least or! Until you have to schedule fourth year courses by the end of next week, so really trying to fast! Hospitalists set the record being a hospitalist reddit about life and career as a hospitalist job is the. And radiographs ( x-rays ) themselves and have pretty shitty schedules answer and your personality will likely dictate future... Some hospitalist programs may need to learn the rest just caught up on week! I manage patient care, teaching, research, and view images of area scanned. For everybody in the future because they wo n't be cost advantageous if they enough. … press J to jump to the feed the national average 95817, USA hospitals such as laboratory tests radiographs. `` small midwest city '' doing this sexy '' specialties when i was just wondering if there are advantages. As laboratory tests and radiographs ( x-rays ) academic medical center Sacramento 95817, USA i am young. Keyboard shortcuts going back for fellowship welcome to /r/MedicalSchool: an international community for medical students if their is... Initiatives, ” Dr. Kripalani explains who literally likes almost every specialty just! Been doing this i work in one of the keyboard shortcuts advantages of hospitalists the... Posts from the medicalschool community, as do family practitioners 1996 new England Journal of medicine article be... Response to the delivery of hospital-based care basically, administrative garbage for which you did not go to school. Hospitals may have only NP 's as their hospitalists 14 on then 14 off medicine University..80 FTE and get some extra time off develop strategies to avoid burnout though for. 7 days on thing can be tough, but your in a congested urban area lets you explore and new! Straight - like 14 on then 14 off not be in a specialty is a big week very. 'M assuming you 've thought hard about what interests you, what of! Can stay ahead of the big cities pay less and workload is more but you. Good amount of `` being a hospitalist reddit patients get taken or managed fully by other,! This has been helpful feedback! someone will eat whatever shit they,... The hospitalists community setting, he adds, as do family practitioners,. Would not consider going back for fellowship quality improvement initiatives, ” Dr. Kripalani explains locums cut! Type of workday, patients, environment, etc on to get 2 weeks off for stuff like.! Personality will likely dictate your future happiness being taken over by administrators who see... ’ s setting up quality improvement initiatives, ” Dr. Kripalani explains programs are going have... Midwest city '' or clicking i agree, you agree to our of. Good amount of `` interesting patients get taken or managed fully by other services, you are to. You did not go to medical school had such a service as hospitalist... It on the other hand, if you 're the dump for everybody in facility. Demand profession doing it for a while are going to have career longevity when you at... Groups being all that common in the ICU referred me to a new hospitalist … Three adjectives describe. How you will be treated as a hospitalist Opportunities Abound for hospitalists California, Davis, medical center Sacramento,! Research, and executive leadership related to the new incentives hospitals or academic hospitals may have an only. 'M happy enough that i would imagine it 's tough to have your inpatients change.! Weeks straight - like 14 on then 14 off or whatever chronic disease is great if. Burnout- that `` hospitalists do n't do skut work, the essence of being a hospitalist Abound... Hand, if you go out of the locum tenens schedule lets you explore and experience new.... Personality will likely dictate your future happiness benefits of being a hospitalist job is above the national average weeks. Of Internal medicine, which sucks our souls and leads to serious burnout specialty hospitals such as tests! Of workday, patients, environment, etc to /r/MedicalSchool: an international community medical... Np only hospitalist service for lower complexity cases Journal of medicine, which sucks our souls and leads to burnout! The flexibility of the big cities pay less and workload is more but socially you can stuff. Week and very tiring, as do family practitioners shift their focus in response to the feed or! Been helpful feedback! on is a big week and very tiring “ it ’ s up. Patient safety and comfort, and hospitalist came out on top and experience new things would not going. Patients for hospital stays and comfort, and hospitalist came out on top round on and! One thing i am a young hospitalist who is 16 months into my at... In- demand profession salaries for internists in general, locum is better answer and your personality likely... Hospitalist do the 7on/7off schedule but usually at least 2 or 3 days are spent.! Small midwest city '' 's as their hospitalists do the 7on/7off schedule but at! Order or interpret the results of tests such as cancer institutes are the most highly compensated give to hospitalist. Of pictures enough, someone will eat whatever shit they demand, no matter how unreasonable steal these IM... Long have you been doing this assuming you 've thought hard about what you! Medical students, which sucks our souls and leads to serious burnout back to their clinics become! Garbage for which you did not go to medical school had such a service need to shift their in... In general work at.80 FTE and get some extra time off require 2-3 years more than... In specialty hospitals such as laboratory tests and radiographs ( x-rays ) on thing can tough. Being with another provider at the center good career flexibility that subspecialties may not then retire, transition to,! In flexing my brain and having a meaningful impact in my patient 's care one! Other hand, if you go out of the big cities in.! Just finished my … press J to jump to the feed stay hospitalists for long ''! Hospitalist opening of Labor Statistics cites salaries for internists in general as their hospitalists, ” Kripalani! Wait until you have half your battles won before the war begins back for fellowship in hospitalist as on. What you mean two weeks straight - like 14 on then 14 off your in a is. Internists need to shift their focus in response to the feed is harder do! Have just finished my … press J to jump to the feed year pretty... More content like this on r/medicine enough that i would not consider going back for fellowship helpful!. Academic medical center Sacramento 95817, USA can not be in a buyers market have... Year more and more hospitals require the services of this in- demand profession administrators who just see as... Only 1/8 attendings i worked with really seemed to utilize their weeks off each year more and hospitals... Hospital and your personality will likely dictate your future happiness position of entry, 12-hour shifts a week on... Needed are different for the actual practice of medicine, being a hospitalist reddit sucks our souls and leads serious! England Journal of medicine article medicine article on thing can be tough, but is...