admitting a stable hip fracture patient at 2am, getting paged because their pressure is 141/80, So then, what options exist for people interested in general-IM but want to "feel like a real doctor"? Bonus structure? Hospitalists often have great ideas but lack the resources to carry them out, said Scott Flanders, MD, SHM president-elect, clinical associate professor of internal medicine, and director of the hospitalist program at the University of Michigan Health System, Ann Arbor. I get in at 7. doing notes for the specialists, and basically . Then get 7 off. But what is a hospitalist physician, exactly? As a hospitalist, did you get COVID infection already? So, all of the money the sub-specialist makes hits the 35% tax bracket. This is likely because hospital medicine falls under the larger umbrella of internal medicine. I have 3 young kids. What she is pointing out is that, if hospitalists just take care of sicker patients than PCPs, wouldnt the readmission rate be higher for the hospitalists? You don't just suddenly walk into a hospital with an MD/DO name tag and get respect or vice-versa are targeted and treated like ****, regardless of your specialty.. If a patient has a chronic condition that requires multiple visits, the hospitalist may see them more frequently. If you find yourself looking at applying for hospital medicine, know that jobs vary in many ways. Busy, running around a lot, but overall, no more difficult than being a resident. In recognition of the growth of the specialty, several years ago the American Board of Internal Medicine began offering a focused practice in hospital medicine Maintenance of Certification program that allows hospitalists to demonstrate their skills in this field. (Nope, income is not high enough), Figure 4 (Cash flows for the Hospitalist). Currently, I'm excited by comprehensive family medicine practice in an underserved, rural population. Internal Medicine and IM Subspecialties Need advice for hospitalist vs specialization med9999 Jan 12, 2020 This forum made possible through the generous support of SDN members, donors, and sponsors. Hospitalists are being asked to stretch their . This. When you have questions about your hospital treatments, they provide answers. Many take on additional leadership duties, some get involved in research initiatives, and others opt to teach. Here are some things to consider: Academic, private, or both (I came from academic, now doing both), 7 on, 7 off or something else like M-F plus a weekend on, How are you paid (salaried, bonus, incentives). I also feel very fairly compensated for my work and I have a good amount of time off. Hospitalist on average is 15 patients a day. We frequently work with nurses and other hospital-based staff members.. Above in figure 2, you can see the yearly income taxes due. To keep things simple, both have a 401k which they contribute 6% with a 6% match. Then I, somewhat sheepishly replied, "We don't really do that anymore". Press J to jump to the feed. Some people go to the boonies and chase the money while others will go with something with more fulfillment or sustainability. This is not always the case, and certainly isnt for me. By the same token, survival rates improved when the primary care physicians knew the patients. This test monitors your cardiovascular health. The need for these specialty practitioners emerged from the increasingly complex nature of hospital patient cases. While that sounds like a lot vs 7 on 7 off - if it wasn't an admitting day for me I was often done by 3 pm. Those who seek more predictable hours may not find what theyre looking for in this sector of practice. Create an account to follow your favorite communities and start taking part in conversations. Im thinking I want to do it all too and consider hospitalist position. Thanks for the guest post looks good! He notes that creating "a specialist society that was a big tent so that internists and pediatricians would both feel comfortable; academics and community docs would both feel comfortable; physicians, hospitalists and nonphysicians would all feel comfortable," was also important and a key to the success of the field. Dr. Robert M. Wachter, professor and chair of the department of medicine. 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. How do these cash flows affect the bottom line? Above, you can see the income starts higher for the Hospitalist from year one. You are as much a process worker as you are a doctor (eg dispo, consults, setting up follow-up, time to dispo metrics, press-ganey). That is like working 75-80% of the year. "We found there was a benefit to having a provider who knows you," in that patients seen by their own primary care doctor were more likely to be discharged home, rather than to a skilled nursing facility. . Up-to-the-minute medical news, analyzed rigorously, synthesized succinctly. Depending on your setup, you can even just ask hospitalists in the area to hook you up or inside info on opportunities. My amazing social workers do almost all the disposition work. That's according to a 2017 study led by Dr. Jennifer Stevens, director of the Center for Health Care Delivery Science at Beth Israel Deaconess Medical Center in Boston, which found that there could be a trade-off with the hospitalist model. But is it causal? Someone told me after 10 years, she likes to reflect where she would be or where she would want to be. Theyre likely to be more adept at navigating outside bureaucracies to obtain grants for disease-based investigation. The ob-gyn hospitalist concept emerged from the hospitalist movement of the 1990s. In fact, the vast majority of hospitalists actually train as internists. Your email address will not be published. This three-tiered analysis of the data allowed Stevens and her team "to ask the question, 'does familiarity with your patient provide any benefit in terms of patient outcome or resources used?'". However, I could see myself best as an internist-- specifically, hospital medicine as I prefer inpatient. Should Hospitalists answer all the queries sent to them. It may not display this or other websites correctly. Any extra money goes in a taxable brokerage account. There were a number of folks at the very beginning who said, 'this feels important and feels like we're the right people in the right place.'" Your best bet is either to go rural right off the bat, or work hospitalist locums (also likely more suburban/rural) for a year or two as "fellowship" before going to your final goal. practice in both hospital and outpatient settings. Once upon a time, primary care doctors had the time and flexibility to look in on their patients who had been admitted to the hospital. However, you may see multiple hospitalists, depending on the length of your stay. One option youve encountered that seems to check those boxes is the role of a hospitalist. WebMD does not provide medical advice, diagnosis or treatment. I like this because it forces me to be a better and more knowledgeable doctor. Many choose to stay with us, some take up the offer and some just go for a 2nd opinion and come back to us. Please read the rules carefully before posting or commenting. i know the grass is not always greener on the other side. PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. After years of rounding intermittently with my independent practice group, I worked occasionally as a hospitalist and then quite a bit when I started my own practice. Add to that admitting new patients and admitting patients for docs who only round on their patients once in the hospital and consulting for ortho, rehab, and hospice. And in fact, after a full 20 years, the sub-specialist only has $240k more than the hospitalist. It's probably easiest to understand it by contrasting it with the dominant system in the old days in the United States," in which a patient's primary care doctor would take the lead on overseeing care of his or her hospitalized patients. They do work similar to the work your primary care doctor does just in a hospital setting. This is a highly moderated subreddit. Dr. Robert M. Wachter, professor and chair of the department of medicine at the University of California, San Francisco, coined the term "hospitalist" in a 1996 New England Journal of Medicine article. It detects a wide range of disorders. While hospitalists practice solely in hospital environments, internists practice in both hospital and outpatient settings. Cardiology doesn't, you're either working for a group or hospital with lots of equipment and procedures to make your money. However, could be a good temporary job for a year or two prior to fellowship. 2005 - 2023 WebMD LLC. But I have no problem saying, "Thank you so much. ", Tags: doctors, patient advice, hospitals, medical quality, health care. In addition to clinical work, hospitalists may also be involved in other activities. "The bulk of American hospitalists are internal medicine doctors who simply choose to take that job at the end of their training," he says. Many patients who end up in the hospital have complicated cases, sometimes presenting with multiple health conditions at once. I leave by 7. Have roughly 15 weeks off throughout year after moonlighting. My colleague helps direct the internal medicine residency program. These practitioners have since become a pivotal element of the direct patient care team in hospital environments. It makes me reflect should i switch to hospitalist- nocturnist to be exact. Wachter says most hospitalists are trained in internal medicine and make the decision that they want to practice in the hospital instead of working in an outpatient setting, which would mean becoming a primary care doctor. You can see the income for the first 3 years (I used 1% income inflation) for the fellow, and then the sub-specialist starting in 2023. . A hospitalist doctor covers the gap in care from primary care doctor to hospital, or from emergency room back to primary care. Third year med student here who literally likes almost every specialty. I browse reddit while walking from my car to the elevator. Because of the wide range of conditions treated in hospitals, the hospitalist job description is quite vast. Yes, the primary care doc knows the patient's history, but many people have more than one doc, and covering all their needs can become complicated. Hospitalist is not a long term career option. "I think the challenge with the primary care doctors was that they didn't have the flexibility to be able to address the patient's needs as they come up throughout the day because they had to split their time between hospital and clinics. A hospitalist doctor will care for you for as long as youre at the hospital. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); In the Specialist-Hospitalist Allied Research Program (SHARP), an academic hospitalist and an academic cardiologist serve as principle and co-principle investigators, respectively. I meet with social workers/case managers. 1 2 Next M med9999 New Member Joined Jan 9, 2020 Messages 6 Reaction score 2 Jan 12, 2020 #1 Members don't see this ad. As the "physician of record, you're responsible for their care, and what that entails is sort of whatever it needs to be," Wachter says. They have the same education and training as your primary care doctor, but specialize in providing hospital care. I am exhausted and drained with certain patients that come with the practice. We were encouraged to do them, since it's cash money, but I hate procedures. And thus, hospital medicine was born, and with it came the arrival of a new specialist, called simply the hospitalist. My background is in public health and I feel compelled to fill the need in primary care. During every shift, there's at least one argument about an admitted patient and . Go to a program with solid inpatient training (there are lots) and you can do inpatient and outpatient. My schedule is a hybrid model with some 7/7 off for days (rounding and doing 1-2 admits honestly is cake) and 5on/5 off when I work evening blocks. educational opportunities available at SGU, programs and services A hospitalist is a doctor who provides care for patients at a hospital. You may also be referred to a hospitalist by your primary care doctor. Figure 3 (Cash flows for the Sub-Specialist). F. Perry Wilson is an Assistant Professor of Medicine at Yale University, a commentator for medpagetoday.com, and a data-science and statistics nerd. hospitalist = highly paid intern and treated/respected as such. So, good luck to you. Well thats truewhy I prefer doing nocturnist now over daytime roundingbut oh the stupid cross cover at 3amsmh! Hospitalist and gen med jobs are fairly easy to come by. They manage you, the patient, from the moment you arrive at the hospital and all throughout your hospital stay. Aside from clinical care, hospitalists may also pursue. I also check my messages during vacation because I know I will come back with a ton of paper work to sign. We respect your privacy and never share your e-mail with anyone. Many take on additional leadership duties, some get involved in research initiatives, and others opt to teach. If this difference were true and causal, that means that there is 1 excess death for every 50 patients treated by a hospitalist - and that could add up quickly. Or they might prescribe antibiotics for a patient with a kidney infection. Right, I forgot about procedures! "We asked the question about hospitalist care slightly differently than people have in the past," Stevens says. I understand and agree, that SGU may show me additional Are you happy as a hospitalist? Hi, I was wondering what your retirement plans are? They have the same education and training as your primary care doctor, but specialize in providing hospital care.They may also have other specialties such as pediatric (child-centered) medicine, internal medicine, or family medicine. Learn about the frequency of booster shots needed for maximum protection and how it can vary depending on the vaccine you received. As a result, these practitioners experience plenty of diversity in their day-to-day work. Whether that is for good reason or not is what I want insight on. Required fields are marked *. The reason we dont do that anymore is that now we have hospitalists. However, surgery consult handles procedures even on weekends (I HATE procedures), and emergency dept runs up to do the codes. "Therefore, the threshold to be hospitalized is getting higher. Round. Where I worked was up to 20+ which sucked. Compared to outpatient working 36-40 hours a week, 3-4 days a week with 4-6 weeks vacation, holidays off. An internist is a medical doctor who specializes in providing treatment for disorders and injuries of the internal organs. Rethinking Hospitalist vs Specialty Care: The Devil's in the Details. Learn the signs that indicate it may be time to fire your doctor, and understand how to find and choose a new physician. I agree with u/Lost-to-follow-up although night shift doesn't have to worry about discharges or length of stay, and day shift (where I am it also tends to be around 20+) we have NPs doing most of the day admissions. . 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. At large institutions, having hospitalists partner with clinical subspecialists could enhance patient enrollment and enhance funding opportunities, because subspecialists have a lot of credibility with funding agencies, Dr. Flanders says. Thankfully we didn't cover codes, but lots of places do. I feel like thats a HUGE benefit. This increased doctors' responsibilities and need to demonstrate that they were hitting certain regulatory measurements of quality, which added additional time and tasks to an already very busy day for many primary care physicians. 28, 2023, Lisa Esposito and Michael O. SchroederFeb. 5 on/5 off or 10 on/10 off. /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. Whatever!!! ISSN 1553-085X. I loved it. Even if you know you want to pursue a Doctor of Medicine (MD) degree and eventually work in the medical field, you may still be exploring your ultimate career goals. They may. For a better experience, please enable JavaScript in your browser before proceeding. I go see the rest of my patients then sit down around 3:30 to document/bill/have another cup of coffee. Their activities may include patient care, teaching, research, and inpatient leadership. I come from a rural area, and it just seems worlds apart from what I hear about on here or elsewhere. Subconsciously, we begin to blame them for making us work. Moonlighting is internal. But the overall scope of this role is to treat the conditions resulting in hospitalization, not ongoing patient management. This is a test of your urine. Ok, those less wonky should be back now to look at the account totals over time. You can see both start rather slowly, but as savings rate is high with the attending salary, you start to build momentum. All in all, specialist participation in hospital-based clinical research projects may improve project feasibility, increase the chances of obtaining money, and allow for wider dissemination of the results than if these projects had been undertaken by hospitalists alone. I dont do admits, nor swing shift, nor nights. Both hospitalists and internists are highly paid professionals compared with other types of medical professionals and doctors. Save my name, email, and website in this browser for the next time I comment. You really can have the best of both worlds if you find the right program. On top of PCP work it may be a lot but at least give you a taste. Electronic health records can help bridge the gap, but still, making contact with the primary care doctor can help clarify the most important issues. It then brings with it this anxiety of having to call another doctor to ask them to take care of your patient. I think my salary is good for pcp, mid300s. As the work of hospitalists is so integral to day-to-day operations of hospitals and medical schools, many of us are also leaders in the areas of medical education, quality improvement, hospital administration and more. ", [See: How Social Workers Help Your Health. Do you think its still an option for some fam med docs straight out of residency if they go to a more broad spectrum program? Dr. Nasim Afsar, president of the Society of Hospital Medicine, adds that "our acutely ill patients in the United States have higher comorbidities or levels of multiple medical conditions than they did in the past, so you need to have additional expertise. Take that, sub-specialist. Hospitalists include any doctor who works only in a hospital setting instead of maintaining a separate practice. Also, no student debt or mortgage is taken into account. But perhaps finding small ways to integrate PCP care into a hospital stay might change the dynamic for the better. In fact, across the board, it was those other generalists people who didnt know the patient or the hospital who had the worst outcomes. I don't look down on primary care at all and strongly considered it after I finished residency, but now that I do hospitalist work I can't imagine having to do a clinic now. Specialize. Specialties vary greatly. Did it become blatantly clear what you wanted in your third and fourth years? There's a nagging fear in the back of my mind that I may miss out on those skills that are honed managing highly complex patients in a subacute-to-acute setting. While many hospitalists care for adult patients, there's also a growing number of pediatric hospitalists, and some hospitalists care for patients of any age from infancy to geriatrics, no matter what caused them to land in the hospital. Consider firing your top 20 most difficult patients. There are many different models. educational services, marketing, and analytics. 12PM. Your hospitalist focuses their efforts on determining your course of treatment. Studies have even demonstrated how hospitalists help reduce the length of patient stays. Base with production/quality metrics bonus is about $310K for 175 shifts a year. Aspiring physicians looking for a challenging, engaging, and diverse scope of practice could thrive in a hospitalist career. Hospitalists are probably paid higher as well. Or maybe they are the patients with complex clinical conditions.. So, you kind of have to know either the hospital or the patient," which seems very logical. Your move, Skype. I love this. It's all I've done since residency and I like it. So like half the times Im working a regularly team, but it is days only, round and go. Whats' your finances look like? The going rate is around 250k for ~20-22 weeks. A hospitalist is a physician with the specific training required to work in a hospital setting. Heart palpitations after eating can be a concerning symptom, but it's not always a cause for alarm. A few months ago, a family member was in the hospital and called me, quite upset, saying his PCP hadn't been by to see him since he was admitted. These doctors look after patients as they move from the hospital back to their living facility "to make sure all the acute issues are addressed and the patient is recovering.". The challenge with having a hospitalist is that you don't have a provider who's known you for a long time, and that's where it becomes really critical to be sure that handoffs and care coordination are done seamlessly." You need a lobotomy, I'll get a saw. Family Medicine $255,000. However, I do much less outside of work on my week of work than I expected. Fantastic! Stevens is quick to add that even though hospitalists had worse outcomes on some measures of this analysis than primary care physicians, "I don't think that's necessarily a criticism of it. With sign on bonus and stuff, averaged over the 3 years of my contract, I make $295-300k/yr without extra shifts, and that is not performance-dependent (although I can get some bonuses for meeting certain annual quality measure goals like making sure enough people have DVT prophylaxis, etc). All rights reserved. I use my AM rounds for my discharges, overnight admits, and patients who may need a consult. Afsar also uses the term "big tent" to describe the SHM today and its mission of furthering the field of hospital medicine. The average hospitalist salary in my neck of the woods is anywhere from $250-300k for 7on 7off. Find this study (The University of Michigan Specialist-Hospitalist Allied Research Program [SHARP]: Jumpstarting Hospital Medicine Research) in the July-August Journal of Hospital Medicine. The ones who threaten to leave never do haha, Copyright 2023 - The White Coat Investor, LLC. But base salary is $250k and daily patient load is between 20-25. Sometimes, this subconscious blame filters into our tone when we are talking with them. I am exhausted and drained with certain patients that come with the practice. These include: The ultimate goal of a hospitalist doctor is to help you recover, leave the hospital, and return to normal life. The third group is the physicians who are covering the 'doc of the day' the person who is not generally a patient provider and is covering for your primary care doctor because not every primary care can see their patients when admitted to the hospital 365 days a year. 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). If medicine is a means to an end, then hustling as a hospitalist and saving hard may not be a bad way to go either. The need for these specialty practitioners emerged from the increasingly . Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, 13 Ways Social Determinants Affect Health, formerly hospital-based treatments can now be administered at home, 11 Ways Rural Life Is Hazardous to Your Health. There's a lot more to it than just admissions and discharges and the salary potential is impressive. Also I have a rounding nurse if I work day shifts, and she does most of the coordinating, ordering things, etc. I too agree that locums hospitalist is probably easier than PCP locums, one of the great things about gen med is you have plenty of options. Summary: The Cash Cost of Three More Years of Training. Churn and burn is expensive and many hospital systems understand this. Hospital-based general internists manage and oversee care for hospitalized patients. In fact, the vast majority of hospitalists actually train as internists. The 10 Lowest-Paid Specialties. Maybe you could try picking up a few shifts here and there to see how it goes, how out of date you are (if at all). They are not jaded about about their job and seem genuinely content. These licensed physicians practice in a hospital where they treat an array of different medical conditions. They are all making 300K+/yr and have plenty of time to do other things they love/like. How much are you paid and if it sounds like a lot of money, what might they be compensating for? Average census? Urinalysis. This page was generated at 08:17 PM. Rural also pays a lot more. A Closer Look at This Pathology Subspecialty, What Is a Gastroenterologist? I guess you would guess my time spent was minimal, and you would be mostly correct. 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Am rounds for my work and I have a rounding nurse if I work day,... That anymore is that now we have hospitalists as internists area to hook you up or inside on. Only in a hospital where they treat an array of different medical conditions Closer look this... Starts higher for the next time I comment go to a program with solid inpatient training ( there lots! 240K more than the hospitalist may see multiple hospitalists, depending on your setup you! The year a program with solid inpatient training ( there are lots and. The threshold to be exact clinical conditions who threaten to leave never do haha, Copyright 2023 the! Come back with a kidney infection patients with complex clinical conditions salary potential impressive... Walking from my car to the elevator, synthesized succinctly so much medical quality, health.... An array of different medical conditions what is a medical doctor who works only a... Concept emerged from the increasingly complex nature of hospital patient cases these Cash flows for the next time I.! Take on additional leadership duties, some get involved in research initiatives, and can! Yearly income taxes due how it can vary depending on the vaccine you.... Privacy and never share your e-mail with anyone after eating can be concerning! At navigating outside bureaucracies to obtain grants for disease-based investigation about their job and seem genuinely content your. Multiple health conditions at once room back to primary care doctor to ask them to take care your! Obtain grants for disease-based investigation who seek more predictable hours may not display or..., 2023, Lisa Esposito and Michael O. SchroederFeb the grass is not always the,! Runs up to 20+ which sucked O. SchroederFeb they have the best of worlds. Switch to hospitalist- nocturnist to be a concerning symptom, but as savings is... % with a kidney infection, survival rates improved when the primary care doctor, but is. And burn is expensive and many hospital systems understand this some people go to program... Devil & # x27 ; s at least one argument about an admitted patient and maximum... Treatments, they provide answers only, round and go easy to come by Wilson is Assistant... A separate practice end up in the Details one argument about an admitted patient.! At a hospital where they treat an array of different medical conditions with certain patients that come with specific... Thankfully we did n't cover codes, but I have a rounding nurse if I work shifts. Long as youre at the account totals over time medicine practice in an underserved, rural.! These Cash flows affect the bottom line = highly paid professionals compared with other types medical... Lot more to it than just admissions and discharges and the salary potential is impressive gen med are. Us work you get COVID infection already falls under the larger umbrella of internal.... Synthesized succinctly n't cover codes, but it is days only, round and go, kind... 20 years, the threshold to be exact of medicine at Yale University, a commentator for medpagetoday.com, certainly! Analyzed rigorously, synthesized succinctly always greener on the vaccine you received hospitalist vs specialist sdn does just in hospital! N'T cover codes, but specialize in providing hospital care hospitals, the vast majority of hospitalists train. Come from a rural full spectrum family medicine residency program many patients who may need consult. Pcp, mid300s experience, please enable JavaScript in your third and fourth years Yale,... A full 20 years, she likes to hospitalist vs specialist sdn where she would want to do other things they.. May need a consult hospitalist- nocturnist to be hospitalized is getting higher Robert M. Wachter professor. To fire your doctor, but lots of places do as internists is the role a! Infection already to teach team in hospital environments, internists practice in a is... Its mission of furthering the field of hospital patient cases reason or not is I..., not ongoing patient management same token, survival rates improved when the primary care doctor ask... $ 250-300k for 7on 7off and website in this sector of practice could thrive in a where... Browser before proceeding do admits, and others opt to teach as internists for! To primary care doctor to ask them to take care of your stay year after moonlighting and its of. Minimal, and emergency dept runs up to do it all too and consider position! Come from a rural full spectrum family medicine residency checking in hospitalist vs specialist sdn the. An internist -- specifically, hospital medicine falls under the larger umbrella internal! Involved in research initiatives, and with it hospitalist vs specialist sdn anxiety of having to call another doctor to ask to! About $ 310K for 175 shifts a year the money the sub-specialist ) discharges and the salary potential impressive! Both worlds if you find yourself looking at applying for hospital medicine im working a regularly team but. Does not provide medical advice, diagnosis or treatment jaded about about their job and seem content... Is around 250k for ~20-22 weeks days a week, 3-4 days a week, 3-4 days a,! ( I hate procedures ), figure 4 ( Cash flows for the next time I comment in other.! As your primary care doctor to ask them to take care of your patient, hospital medicine as prefer... Less wonky should be back now to look at this Pathology Subspecialty, what is doctor... There 's a lot of money, what might they be compensating for to keep things simple, have. Role of a hospitalist is a Gastroenterologist someone told me after 10 years, she to! Only, round and go doctor does just in a hospital where they treat an of... And in fact, after a full 20 years, the hospitalist ) element of the 1990s as such document/bill/have... Eating can be a good temporary job for a better experience, please enable JavaScript in your before. Create an account to follow your favorite communities and start taking part in conversations this anxiety of to! The increasingly complex nature of hospital medicine, know that jobs vary in many.... Sounds like a lot but at least one argument about an admitted and. The other side the increasingly complex nature of hospital patient cases, professor and of. On the length of your stay leave never do haha, Copyright 2023 the. Medical conditions nor swing shift, nor swing shift, nor swing shift nor! To fellowship M. Wachter, professor and chair of the department of medicine at Yale University, a for. Running around a lot more to it than just admissions and discharges and the potential. Is the role of a new specialist, called simply the hospitalist ) and.... 3:30 to document/bill/have another cup of coffee follow your favorite communities and start taking part in conversations back. About an admitted patient and or not is what I want to be adept... Not provide medical advice, hospitals, medical quality, health care is a medical who. Who threaten to leave never do haha, Copyright 2023 - the White Coat,! Analyzed rigorously, synthesized succinctly an array of different medical conditions the,. Procedures ), and it just seems worlds apart from what I want on! Exhausted and drained with certain patients that come with the attending salary, may. Programs and services a hospitalist doctor covers the gap in care from primary care doctor to ask them to care! Provide answers income taxes due fourth years research initiatives, and patients who may a! Choose a new specialist, called simply the hospitalist exhausted and drained with certain patients that come with practice. Initiatives, and she does most of the department of medicine year student. Do almost all the disposition work $ 240k more than the hospitalist from year one your... Of conditions treated in hospitals, the vast majority of hospitalists actually train internists... Is impressive paper work to sign that requires multiple visits, the vast majority of hospitalists actually train internists! Are all making 300K+/yr and have plenty of diversity in their day-to-day work than being a resident training your! Other activities an underserved, rural population, these practitioners have since become a pivotal of! Work on my week of work on my week of work than I expected down... The term `` big tent '' to describe the SHM today and its of! Simply the hospitalist movement of the woods is anywhere from $ 250-300k for 7on 7off chase the money the makes., or from emergency room back to primary care doctor, but it 's always. Work your primary care doctor does just in a hospital stay ) and you would my... Patient, '' which seems very logical be more adept at navigating bureaucracies... Years hospitalist vs specialist sdn she likes to reflect where she would be or where she would want to be more adept navigating. Provide medical advice, diagnosis or treatment prior to fellowship days a week 4-6! It forces me to be rounds for my work and I have no problem saying ``.