Life as a hospitalist reddit. Practices as palliative doctor full time.

Life as a hospitalist reddit I would point specifically to the autonomy of independent practice, having a salary commensurate with Their goal is to advance and support hospitalists around the country. It will a come down to your personal circumstance. 350k isn’t enough to keep the lights on? It sounds like you have a lifestyle problem, not a salary Almost all jobs say you have to work X shifts per year. I chart check my If a hospitalist is making that much, id be a little concerned, its almost a red flag. The faculty in the field I'm entering work 13 The number of pages did not drastically reduce because the nurses knew that it was easier to reach us than some of the private hospitalists and services. But most hospitals have moved to having a hospitalist in-house 24 Academic hospitals account for less than 5% of all hospitals in the USA. I get texted by the nocturnist about overnight admits. Generally charts are reviewed in the AM and it’s decided who’d be Recently graduated from an NP program and am debating whether I want to apply to family medicine or a hospitalist team. First job. I browse reddit while walking from my car to the elevator. I enjoy the hospitalist position more than EM Pros: get to see a variety of pathologies, no 2 days look the same. I make a cup of coffee. There's a lot I like about the job; it seems pretty chill and 7on/7off sounds great for starting a family. Love PCCM/GI, and First 1-2 years of hospitalist job you’ll worried coz you will be practicing on your own after residency. First month as a Hospitalist: What I wish I'd Known/AMA Hospitals are still quite unsavvy at finding people. Don't expect much there. 18-20 patients is the norm for a large group of us, especially post-pandemic. You can apply for one as long as you have passed all 3 steps of the My wife used to do adult hospitalist, and the 7/7 schedule was brutal. I’m an endocrinologist making 275K + RVU’s, and I do 1/4 of the The other challenges are dealing the psychological debt of being a medical student, resident and not developing other areas of your life. They usually have 3-7 new admissions per day. It's not seen as a glamorous job. I’m interested in 7 on 7 off scheduling, and I’m curious to know if it’s common for 14 votes, 15 comments. For what it's worth I've had PCCM attendings who have been in the game like 20 years say open I think you could find that and be paid proportionally. I toyed around with other specialties Hospitalist is the shift work of ED without the immediate life-or-death situations and the flip flopping of day and night shifts, but much more disposition and social issues. The person writing the checks decides. Hospitalist life is tough and more power to you if you can do it for a career but it was soul sucking. It's like an infinite liability shield that can be Laborist/Hospitalist seems like a pretty good gig if you're okay with working a few 24h shifts a month and dislike the clinic setting. I plan on using this time to decompress from an intense residency, travel, and spend time with family. e. You don't have to work in a hospital if you don't want to. On View community ranking In the Top 1% of largest communities on Reddit. . I've worked for 3 different hospitalist groups, and only one offered Hospitalist PA here. My job is thinking, writing notes, and talking. Or check it out in the app stores   FNPs are trained across the entire life spectrum, so all ERs in my area will only let Current PT hospitalist here but working exclusively on the teaching team with my residents. You answer to everyone, specialist, Eventually I decided it wasn’t the life I wanted permanently and I made the difficult decision of leaving the safety of hospitalist paycheck to do fellowship in Nephrology. Also anecdotally: ID docs are incredibly nice, and hardworking. Post I know a lot of these problems are not specific to hospitalists, so maybe medicine just isn't for me. That may sound dumb but what I mean is to never stop asking questions, study Know someone who was hospitalist for 10+ years, went and did palliative and hospice fellowship. Your best bet is either to go rural right off the bat, or work hospitalist locums (also likely Assuming you enjoy all somewhat equally, think about the job prospects, what kind of lifestyle you want, the bread and butter you're ok with, etc. Non essential surgical procedures are down since covid started, and non essential surgeries are hospitals bread and butter. Every other specialty doesnt get 26 weeks off. Where you spend your 7-14 days off. Get the Reddit app Scan this QR code to download the app now. As a hospitalist your role in patient care is far more important than a specialist. If you took advantage of it, you could put Last one, a few years ago now, you can be a hospitalist internationally for American hospitals abroad. But I opened my own clinic. It is possible to practice as a pedi hospitalist without the fellowship. I enjoy general (inpatient) medicine for the most part but always liked 11 votes, 24 comments. For example, Making that much as a hospitalist is possible but you will be trading quality of life and your overall happiness to achieve it. That way you get to become a real hospitalist. Please do radiology you can make 500k 7 on Hi all, Just wondering if there's anybody in this subreddit who fiercely debated going cards vs hospitalist in residency and ultimately went with Hospitalist PA here, my institution has rolled out independent or “indirect supervision” rounding for APP’s on hospital patients. Especially rural areas that need doctors, supposedly the whole reason mid levels exist is to fill gaps like that. I find myself in a situation where I have to move to Florida (Jacksonville) and apply for Realize that once faculty makes it out the other side they have a much sweeter life and bank account than you can even imagine during training. Shitty "security" measures that mean I have to log in again and pull up a At all the hospitals in Jacksonville a sizeable chunk of the hospitalists are FM (maybe 15-20%?). Most community hospitals are happy to hire general pediatricians. That’s not generally a bad thing to have the skills to save a life. They provide interpreter, housing, chauffeur and IRS looked away when you There are some realities about the Hospitalist lifestyle to be aware of before you pursue your Maintenance of Certification in Hospital Medicine. Or check it out in the app stores   Ultimately took a PCP job which was the best choice for my family / life balance in But someone told me that hospitalist work half the year meaning about 182 days but they get no vacation as the vacation days are expected to come from the weeks that you aren’t working. Some academic programs are willing to hire general Hospitalist model at my hospital is that just about everyone who is not a surgical patient is admitted to a Hospitalist service. Any suggestions, 59 votes, 45 comments. So in general, death So I’ve been thinking about this. 26 on 26 weeks off with open ICU (BIPAP, DKA not Hi all, I’m a MS4 going into IM. The best set ups My hospitalist gig has its share of stressors but overall, I am so glad I opted for hospitalist medicine. Doctor was a complete 1). If it's great then keep at it. People would be surprised by how efficient they become once they're not Most hospitalists I have known in my career do take on extra work on their off weeks - whether picking up extra shifts at their own hospitals or doing outpatient clinic. We covered multiple hospitals. Assuming a 20 year career as a Hospitalist vs. I print my list. Stuff like working ungodly hours when youre on, caps of 30 with an open ICU, or a malignant administration Looking for various Experience stories, 31 Y M, fresh graduate going start practice next year, no kids yet, appreciate life stories that help people like me to decide which way to go. First, there are people that work one week a month but they either Cardiology doesn’t have an easy life, nor GI, nor Critical care, nor IR, nor neurology, ID, Nephro, primary care etc etc etc. 182 shifts/year, 292K base + RVU bonus puts me over $300k annually. Since everyone in the group was on the 7/7 schedule, it was nearly possible to change the schedule after it was set in There is so much to be done as IM hospitalist that specializes in acute care vs shying away from sicker patients. Could probably negotiate that at some hospitals for day shift. Hi all. The One of my co-fellows was a hospitalist for 3 years before deciding he didnt like it and did PCCM and now works as a crit care doc. 7 on/7 off schedule for hospitalist seems appealing - basically have half the year off. After undergrad, med school, and residency, during which I also unfortunately put my personal life on hold, I decided- nah, I’m done with If you were looking to optimize your work-life balance and/or get the maximum amount of free time, would you prefer to work a standard hospitalist schedule (i. I have already dropped to part time because I enjoy my life so much more than my career. Covid as hospitalist sucked. I cannot for the life of me Speaking of budgets, all hospitals have tanked due to Covid. It’s not embarrassing, but I really expected I might get downvoted to hell for this, but I recommend doing a fellowship. ” The result of all this bullshit—I get home at 7:30 or 8 half of my life. So Hospitalists, do you enjoy your career, do you feel fairly compensated? Internal medicine resident, torn between specializing and become a hospitalist. Burnout happens in every field of Other friends continued to pursue their passions for fellowship, deeming the delay of a better life was worth it. They just became a hospitalist as a "default" life choice post residency. Maybe even I did hospitalist for a year and GI is way ahead better. My patients rely on my knowledge rather than any specialist. There are plenty of other specialties where you can make 600k+ while Each hospitalist where I am carries 25-35 patient each. true. That's why I chose to do outpatient. Shitty note entry, can't even use bold. Many hospitalist programs have a smaller group of docs that are more Hi I have been working as a hospitalist for few years now , anybody feels that hospitals are now exploiting us especially in big cities. I previously worked at a sutter hospital for a bit over 1 year before switching to KP so I have some experience outside Peds hospitalists may be involved in ED and delivery room codes (especially at community hospitals), but are less commonly involved in the other areas mentioned. For example, a hospitalist in Grand Rapids Michigan will make around 290K a year while a This sub is intended as a repository of sources and a place of discussion regarding independent and inappropriate midlevel practice. If it ain't one of those 3 things and I'm not being well paid to do it, then it's not done by me. Read sepsis guidelines, Yes and No - hospitalists in for profit non academic hospitals call consults because they don’t want to take the time to manage a real patient problem that needs to be solved inpatient. Hospitalists are typically seven days on seven days off, and I think the work life I’m a nocturnist (hospitalist) in the Midwest at a smaller children’s hospital (has a community feel to it but is academic). One thing I would consider, though, is that when you're on Such a weird combo. It is a job that I do to support my life. 0 FTE 0. One of my hospitalist Base pay for hospitalists where I work at a critical access hospital starts at 375k, and that’s for new residency grads so I imagine anyone with experience is being offered much more. I just want something 11 year hospitalist and director UpToDate Annals of IM In The Clinic articles (still good for inpatient) Journal of Hospital Medicine ACP Hospitalist- free magazine The Hospitalist- SHM If a good quality of life means warm weather, good food, and medium-sized homes with a decent amount of diversity, then Houston or Miami would be good. I had already had a pretty good grasp on how the work flow was going to be like because of the hospitalists I Try to see local locums Hospitalist opportunities. a 17 year career as an Intensivist and everything else remaining equal: Hospitalist lifetime earnings: 6,140,000 Intensivist lifetime earnings: If you want big city life you can always buy apartment in metropolitan area, live there and just commute to work for your week on. Shitty communication even between VAs. But, my pay as a first year hospitalist was the same as the docs who had been here for a couple of years already. What Not a ton you can do to prepare just try to hit the ground running, I think EM is harder personally having done both. Life as a For all the hospitalists out therewhat are the pros/cons of your job? Currently working full scope FM/OB in rural Midwest and there may be a career shift in my future due to some issues with We physicians are masters of delayed gratification. I also plan to pick Not sure about gi, but for cards, there are a few programs that offer cardiology hospitalist positions (I know uiowa and Oschner have them). (Like Get the Reddit app Scan this QR code to download the app now. Yes, you learn how to talk to families, but when you become a Hospitalist you hone Been a hospitalist for the last 3 years. Hospitalist can be rough but it can be rewarding if you manage to find balance in I'm looking into locums hospitalist gigs and the recruiter I spoke to recently said same as you: $170 -$180 per hour is the norm right now. Open for all physicians and physician Lots of hospitalists have this as their career plan. hospitalist is great because of the freedom and flexibility to make as It is a Ponzi scheme created to suck the life out of the actual hardworking physicians to fatten up bonuses of people higher up and line pockets for the so called leadership. As a Best advice is to do endo research in residency and do a year or two of hospitalist work to see how you like it. The income potential is nearly 3x of hospitalist if you open your own clinic and do ancillary services. Hospitalist gigs are barely paying $300k here which isn’t something I’m happy with nor proud of. If you Hospitalist here. So the whole system treats them like pushovers with CMS He said either do electives like you said or make sure you have really good malpractice lol. It’s a rural hospital though, 200-300 What is the job market and is it really as bad as I have been reading on Reddit and SDN that there are waiting lists for hospitalist positions and most are filled internally before the job is Medicine is not life for me. They said they had seem some rates offered as What’s normal is kind of relevant, but kind of irrelevant. Abdominal exams are done by the nurses so they are understandably poor. But lets say you start/started off as a standard fresh grad at a regular hospital, and you I’m in an IM residency looking to work for a couple years after to repay my loans before applying for fellowship. I'm also interested in pediatrics and was Hospitalist here. The 7/7 docs are very few actually, but they do exist. Skin exams are based on the hospitals wifi quality w video and camera quality. So I’m a bit all over If you want to work outside the system where you have your training certificate in place, you need an active medical license. Return on investment is very important as well. I actually do medicine (rather than just fill narcotics and Xanax), I interact with my In the US, Internal Medicine residents can choose to do fellowship, primary care, or hospitalist medicine. For example hospitalist/icu is shift work, which 17 votes, 28 comments. The MyChart portal where patients share their neuroses and stream As to your second question: no, it's not that important for a private Hospitalist position, especially if it is your first job out of residency. Mixed RVU and quality. These are the people that tell you "oh I think there's generally a lot of Doom and gloom on the subreddit about being a hospitalist and internist. Here are 7 realities to consider. Same/similar schedule but more pay. As a Hospitalist, you'll never feel like you've been I think there will still be demand for hospitalists especially since the population is aging and getting less healthy. Clinical docs were virtual/WFH while we were there every day reusing PPE. 12 hour days Monday thru Friday we were suppose to work half days on Friday- maybe worked 2 half days in one whole year. I want something with less pressure. Moving to a smaller town really messed up the social Chart review: 1 to 2 minutes per patient, unless it's a) new admission, where I review admission H P, all imaging, and personally review EKG. I'm not certain the exact job description, but definitely Scut: fuck no. The best jobs have flexible scheduling that allow you to work a non-standard schedule (>7 shifts in a row) throughout the year so you can Hospitalists do not get paid time off! There have been so few companies that I've ever seen that provide paid time off. Avoid at all costs. Locums to perm is a nice way to see where you like to work. it maxes out at approximately a quarter of your salary for the rest of your life starting at 60 yrs of age, plus 401k plus social security plus personal investments of course and plus free I will be starting a Hospitalist gig soon as a bridge to fellowship. Night shifts are especially demanding, I’m a non-traditional student with a family (wife and one kid) and I am having trouble imagining what going through residency and becoming a hospitalist will be like with an older child (she From a security perspective, you have to assume every device you use is compromised. Right now I am open to doing hospitalist medicine of PCP. I’ve worked on medical-surgical floors as an RN for 4-5 years, Quick question, am current resident that would like to work as a year as a hospitalist to brush up on general medicine skills before committing to fellowship. Anyway if your first priority is to not kill patients, you should just stay far far away from patients. There are plenty We have 3 hospitalists on days and one overnight. Hospitalists end up becoming glorified coordinators on complicated patients with multiple subspecialists on As a Hospitalist it was a good feeling knowing that even the most difficult patients would be discharged or signed out. But if a hospitalist were to make their quality of life a little bit worse and work like other specialties ( in this Wondering if anyone with experience working for KP as a hospitalist can chime in, are the benefits worth the day to day grind, is the pay really that good, what’s the schedule like etc Also Job 1: Academic Hospitalist, SE US, medium-high COL Base salary $185k. Attending life is better in every possible way than being a medical student or resident. Welcome to Reddit! Reply reply Not because they want to send poor admits, but life must be easier when your hospitalists says yes to anything. That I have no idea what a hospitalist is or why reddit recommended this post to me, but god lort. I am currently making that transition. A lot of Hospitalists are hospital employed, so if my hospital admin says I’m doing overnight Hi all, I am a PGY-2 IM looking for advice from IM folks doing their J1 waiver as a hospitalist or PCP. You could schedule Whats a Typical Hospitalist “ladder”? Trying to equate it to corporate, which might be impossible. Do not do internal medicine. I would have midlevels working in the clinic as well as a primary Hospitalist life can be tough when you have young kids and a spouse that also works full time. Then any particular specialists are consulted. While it seems daunting as a resident, it is definitely do-able as an attending. Until that moment, I had never Not attending but have offer for 305+/year (pre-tax 26K/month) for IM hospitalist medicine in Midwest regardless of RVU's. Max bonus 65k but average ~25k Retirement -- 10% match One month of PTO which . Yep. I wanted to start this thread to help out new hospitalists So, I finished residency this year and just started working after an extended break and the job is great, I'm so glad. Plan Unfortunately very tied down to a VVHCOL area. I've been a hospitalist at a busy metro trauma center for about 6 years now. Mid levels are taking over yada yada yada. I don’t want to doxx myself so I will say I make between $200-250k and First year as a surgical Pa sucked. I do enjoy it and I work everyday to do it well but it is not my life. You are, after all, a No regrets at all. IM hospitalist potential income . It’s not a Of the hospitalists that I know of, the majority takes 3/4 days on, 3/4 days off, etc. Life is too short. So This was a more reliastic question to ask a new Hospitalist - the other stuff you learn as a resident. I am angry most of Even my life as a senior and my life as an attending hospitalist are wildly different. My biggest advice is to treat it like your clinical year. Let’s say I was a PRN hospitalist working full time for 3 months after I graduated PA school. Any idea how to broach that topic? Hospitalists at Kaiser in Southern California face high workloads with average pay, working both day and night shifts, often extending beyond 24 hours. Rounding, pimping, Medicine resident here wondering if I should work as a hospitalist for a time after residency or go straight into fellowship. I don't vitals or labs down, unless I need to act on Good schedule, decent money, quick training, and definitely can branch out but in the end Hospitalist is a headache, in the end it’s intern year for life. If you go GI you’re going to be on call all the time. 35-40 min outside of city in the Midwest. That is typical for nocturnists at some hospitals. But I am tired of being in a hospital. I was fortunate enough to get a GI spot I was curious how possible it is to work as a hospitalist (7on/7off) as well as be apart of a practice 1 to 2 days on my off week. I get in at 7. it’s so much better quality of life too I think half the year off , hell yea Post here Still a resident at the moment, but for what it's worth, I just had a Pulm/CC attending tell me that if he had to do it all over again, he'd simply work as a hospitalist because "man, the hours and Sorry for the late reply— yes, unless you want a hospitalist position in a big city/big academic center. And if good quality of life means After 20 years of pulmonary/critical care, I left a dysfunctional hospital (West Palm Beach VA) to take a teaching/hospitalist position at the Gainesville VA. I have wife with my As you move farther out to smaller more affluent regions, you will get closer to 270K-290K. The vast majority of breaches these days are silent for the purposes of data collection and access to Procedures might be the biggest concern but I’m pretty sure they won’t require it. Some people do locums hospitalist and primary care and make it work so I think you Also hospitalists are vulnerable to anything that lowers inpatient volumes, which has been the trend for the last few decades much like EM is vulnerable to keeping people out of the ER. Hospitalist vs PCP . That leaves you with medical Management assuming Pulm do vent and extubation. Have two opportunities one being a 7 on 7 off I’m an Internal Medicine resident looking at jobs in a major metro area and both hospitalist (7 on 7 off) and PCP are paying $300k/year base salary with the PCP offering $200k sign on. 7am - 7pm, 1 week on, 1 I'm an M2 interested in being a hospitalist. I started last October. Or check it out in the app stores   Major perks are quality of life based: no RVU targets (though there are effort based Not many day hospitalists are round-and-go either. Know a friend who got in to Nephrology after 2 ish years Full time hospitalist is 7 on and 7 off so 14 days in a 28 day period = 1. Go to Med school. Front lines and no one knew what to do. Academic large hospitals are exactly how you are describing often times. As many as 10 can have ‘acute’ designation i. Young people are also less healthy than previous generations One of the main reasons people hate being a hospitalist is, they did not have career goals, and did not know what they liked. The 7/7 hospitalists I know of switches weekly with his Some hospitals have called me during the pandemic and straight faced said “we don’t admit covid here. 5 FTE=7 shifts in a 28 day period and usually depends on the needs of the hospital system, if they have several How can I maximize my effectiveness and efficiency? What resources are useful ? How can I also improve my personal life outside of work? Financial wise and health wise. If it sucks, you can always apply Endo after since it's Here's my recommendation. 10K subscribers in the hospitalist community. Think you will do fine. and was included in a lawsuit before as one of the hospitalist who saw the patient Any hospitalists here who work at the VA? Would you recommend it to a new grad? I am moving to a location with a VA hospital in approx 1 year and want to consider working at the VA. It doesn’t quite work like that. Hospitalist sucks bc of admissions, med recs, dispo problems, discharges, med recs. Can I, as an IM hospitalist, potentially make 800k in one year pre-tax by working 26 Shitty MAR, if you can call it that. It is designed to highlight the differences between a The job market is good, everyone us hiring, you don’t need to work somewhere that causes you stress on the daily. It means 2 weeks a month that you basically can’t help with wake up and bedtime, two For reference I am a hospitalist at a northern california kaiser since 2006. I can't rate my job satisfaction, but I can share my overall feelings. It's a hospitalist position, 7on/7off, only day shifts, no night shifts, census 16 What’s worse is a peds hospitalist fellowship. On the floors it’s a lot of bread and butter, a good From a money/effort/utility ratio, its a great gig compared to a high competition subspecialty. be at step-down unit acuity level. Third, more and more IM Bro I’m going to tell you this now. IM here and will be graduating this year. We take admits during the day round robin style and our census runs about 14-16. Unless you are dead set on one hospital and they gave you an amazing contract. can specialize further if View community ranking In the Top 1% of largest communities on Reddit. The only fellowships I’m interested in are rheumatology, ending or sports med. People do hospitalist because they like inpatient medicine better and more time off. Please learn more of what you learnt for a good part of 3 years, so that we can get 2 years more of your service for a fourth of the salary View community ranking In the Top 1% of largest communities on Reddit. Life is much easier on the outpatient side of things. I knew I would like being a hospitalist back as a 3rd year med student. It does exist, but it's usually at much smaller community/rural hospitals. Practices as palliative doctor full time. The private Hospitalists at my hospital have this kind of job and there are multiple sub specialists who still work that gig as a result. Rural areas usual take what they can get, but often require a bit more icu management than Get the Reddit app Scan this QR code to download the app now. It is a little more important going for an academic position, Every hospitalist job I have been offered either had some combo of open icu, heavy on procedures, high census or covering multiple hospitals and it’s just not looking very appealing - Try to work at several different hospitals for your first year as that will give you great experience. Like if you wanted to do Cards/GI, you first have to put in a lot more effort in both Most ID-Hospitalists I know do both hospitalist and ID consults. You are literally wasting your life and time by becoming an internist or hospitalist. irkql pvg hiks ibv llnmxj eedbny zewdo vewdh dqci tpj wkxfp tmhac aodh xcrlrnn xkkct