I really want to first enjoy the work. The rest just caught up on a week's worth of chores and rest. Press question mark to learn the rest of the keyboard shortcuts. As requested, H&R2019 was recorded, and "The Essentials" is now available on-demand - CME is currently under processing, so it is currently offered at a temporarily reduced price, until formal accreditation is finalized. There are pros and cons to this system. Press J to jump to the feed. You're the dump for everybody in the hospital and your patients suck and everything sucks. 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. 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'd like to think my bias is fairly limited since I'm applying combined EM/IM this year. 5 Must-Have Apps for Physicians The New Overtime Rule Explained—in Plain Language The 5 Best Places to Practice (That You Probably Haven't Considered) How to Pick Your Perfect Practice Setting 3 More Ways to Write an Effective CV Negotiating Your Contract The Approach of the Interview … I miss being around academic medicine but for now life in a private practice group is too good for me to consider changing. I know it’s more money/hour but definitely not in my case because it felt like i was working much more. New York City has 11 public hospitals, an example of which is Bellevue Hospital Center. The hospitalist works within the hospital. Press question mark to learn the rest of the keyboard shortcuts. Rheum? So that 84-hour work week can easily become a 100+-hour work week. Rheum seems pretty chill though! Do ppl doing GI hospitalist work get RVU based pay or fixed pay per week? Cookies help us deliver our Services. Read “The pros and cons of physician incentives” and other informative articles in Today’s Hospitalist. That week on is a BIG week and very tiring. Planning to go the nocturnist route + pick up extra shifts here and there or primary care. Most of my friends who are hospitalist do the 7on/7off schedule but usually at least 2 or 3 days are spent recovering. I run into a variety of challenging clinical, physical, and social situations on a daily basis. Welcome to /r/MedicalSchool: an international community for medical students. Follow us for news & tips in the medical career field. This is likely hospital dependent though in terms of how high your census gets. Typically more affordable because public hospitals are not-for-profit. So we don’t consult as much as people think EM docs do and handle everything as much as possible by ourselves. One con is that a hospitalist (or group of hospitalists) cannot know everything there is to know about a patient who has multiple complications or diseases. We have family in New England so Vermont, NH, and Maine looks good to me. Hospitalists Have Scheduling Flexibility. I’m dual applying EM and IM, but the EM sub-I I am on currently has been brutal. A Today's Hospitalist< Survey found that the average hospitalist makes a base salary of $259,674 annually. Other big con in hospitalist as touched on in SerPounce but i'll expand is the SW issues. Compared with traditional inpatient care, the hospitalist model has a number of advantages. What Are the Pros and Cons of Hospitalist Practice? At least on my rotation. 1. 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. Autonomy in field. At least, in an academic facility. Plus those fields require 2-3 years more training than a hospitalist. And critical care and cards do not work less than a hospitalist. 2. 9. Pros & Cons of a Hospitalist. Pros. Obviously the complicated cases we have to get the specialists on board or transfer them to another center. Scheduling hassles. I'm an Internal Medicine resident in USA and I'm thinking about my options once out of residency. Benefits and drawbacks of major hospitalist models Model Pros Cons Hospital-based or hospital corporation • No worries about patient payer status or billing issues • Hospital is responsible for practice management and liability • Good working relationships with hospital staff • Limited, or no, running between hospitals Applying IM for this reason. 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. Staff - Sunday, May 12th, 2013 Print | Email. Every once in a while I legitimately solve a medical problem or make enough of a difference with my interventions that a person lives longer than they would have without me. 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. Basically, administrative garbage for which you did not go to medical school to do. For hospitalist, the difference in pay can be greater than $100,000 a year! My father did Hospitalist medicine for academic and community setting, he likes community more. Pros and cons for hospitalists. All the interesting patients get taken or managed fully by other services, you are just left managing chronic disease. The ability to make decisions and provide treatment that directly influences the quality and standards of care delivered to a patient is often a coveted career choice for clinicians. Oof, baby M0 ran into their first down voting brigade. I’m an EM intern so I’m a bit bias. Cons of being a hospitalist? Cardiologists probably have the longest hours of any medicine specialists. NPs have a lot of responsibility and that it can be too much at times. 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. And to my earlier point, I did feel drained on my inpatient medicine rotation but at least my circadian rhythm was not zonked. Cons: the pay is not much better than what you would make as a hospitalist Pros: your patients will worship you, and 95%+ of you patients are compliant (this is a testament to how horrible SLE and RA are that rheum patients will do anything to alleviate their symptoms). And you can work as little as 12 shifts as an attending and still be considered full time. Welcome to /r/MedicalSchool: an international community for medical students. “We have to weigh the pros and cons and—ultimately—do what is best for each individual patient.” Most of Dr. Reinstein’s patients—the majority of whom are 65 and older—want to get back to their homes and communities, and the team works hard to make that happen. 3. One pro is the 24/7 coverage provided by a hospitalist. Any advice/pros-cons/tips are welcome! 1. 3. The origins of the seven-on/seven-off schedule are a bit murky. Regardless of pedigree, the model has grown to be just about the most common schedule for HMGs s… Better the pay the more patients and less support staff. Compensation is the number one motivator for hospitalists to moonlight. It feels very cerebral, but I also have not had my EM rotation yet so idk? Community hospitalist work is extremely chill. This number jumps to $286,892 a year when you factor in bonuses, with the highest paid Hospitalists making over $310,000 annually (2). More Pros & Cons - Pros & Cons of a Gastroenterologist - Pros & Cons of a Nephrologist - Pros & Cons of a Stethoscope - Pros & Cons of an Anesthesiologist. Pros: 1. A good pro is that when things go sour you can blame it on the emerg docs. Also I’m at a county hospital and in an unopposed residency. Less physicial work. EM shifts are taxing but I only work 18 shifts the entire month so more free time to spend outside of medicine. Yea pros and cons vary based on what you want but Pros: quick results, lots of physiology, less patient interaction in general (awake patients at least) Cons: low salary, high stress, have to deal with and please annoying surgeons. The Pros and Cons of Public vs. There are new unexpected problems from every new patient-This is one of the major benefits of emergency medicine. I'm torn between Fellowship in Rheumatology vs Hospitalist. The former tend to be much larger than the latter, so they are also called "big hospitals." I know the 7 days on thing can be tough, but still, 26 FULL WEEKS OFF EACH YEAR. Then add language barriers and personality conflicts to name a few other challenges. Emergency medicine has a couple of pros and cons that you should familiarize yourself with today. Cons. I'm considering a mix of EM and academic IM (vs academic crit care), which is significantly more cush. You need to develop strategies to avoid burnout though. Finally, if it is relevant I’ll be graduating with no debt so I am not burdened by needing to pursuing like an ultra-competitive sub-specialty or work insane # of EM shifts when it comes to pass. Cons: The pay. Cons: 1. I would imagine it's tough to have career longevity when you work that kind of schedule. I knew nights were part of the deal, but it has me less enthused about the specialty now given how drained I have felt recently. Research suggests that hospitalists may reduce lengths-of-stay, improve quality of care for specific conditions, … For all intents and purposes, there are two main types of hospitals: public hospitals and private hospitals. There have been several studies done which show a reduction in the risk of Sudden Infant Death Syndrome or SIDS for babies who use pacifiers. 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. By using our Services or clicking I agree, you agree to our use of cookies. [Serious] Pros and cons of Emergency Medicine vs hospitalist Internal Medicine Serious I've been looking into both EM and IM for a while, but haven't had a chance to rotate through either specialty yet (I'm halfway through MS3). You will make far less than a hospitalist. I hated rounding so I couldn’t imagine doing it for 3 years of residency. The GI/Cards docs I know work a LOT. Anyone care to weigh in? Jump to: navigation, search. 2. Pros: 1. Community hospitalists do all the work themselves and have pretty shitty schedules. 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. From Gomerpedia. Fun Stuff. 2. On the flipside, the reason I initially discarded IM was because I felt like the 7am to 7pm shifts were full of so much fluff ie lounging around in between seeing patients. (wow, that sentence is terrible). However, money is not the only benefit. Credit: Regenstrief Institute INDIANAPOLIS - Researchers from Regenstrief Institute and Indiana University School of Medicine have conducted the first time-motion I know my own indecision is probably greater than most, but I am not a do-or-die kind of person (ie I have always wanted to surgery since I was 5). I’m not sitting there bored the entire time so the day flies by for me. These aren't the nocturnists; it's the ones who get to the hospital at 6:45am and are trapped in the hospital until work is done. 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. Serious. Extra income from moonlighting can range from $10,000 up to about $50,000 annually, depending on number of shifts performed, said Dr. Dunn. What are the downsides to being a hospitalist? I think the one point that tipped me towards EM was the higher pay, but the way things are going for EM it seems like IM hospitalist = EM pay in the near future. Is this model sustainable long term? Cookies help us deliver our Services. I'm on a consult service right now and routinely see the hospitalists throwing in notes at like 10pm. Private hospitals, on the other hand, tend to be a lot smaller. Can a C&A psychiatrist be a hospitalist or do they traditionally hire a general psychiatrist? You're a goddamn hospitalist. Although considered one of the most challenging endeavors in the health care field, starting a medical private practice is also viewed as one of the most rewarding accomplishments for a physician or medical professional. I’m dual applying EM and IM, but the EM sub-I I am on currently has been brutal. While she doesn't recommend changing the hospitalist model as we know it today, the study did point out some potential pros and cons in terms of … Do you mind sharing which specialties steal these from IM? Internal medicine allows you to do more options. Press J to jump to the feed. Most hospitalists work 7, 12-hour shifts a week either on days or on nights. On my medicine rotation only 1/8 attendings I worked with really seemed to utilize their weeks off for stuff like travel. Lifestyle is great especially if you're a work hard/ play hard type person. Honestly hospitalist work seems awful. ... Hospital jobs are so diverse and each one comes with pros and cons. ... one of the attendings said hospitalist isn't something you can do for 30 years because it is thankless soul crushing work and most people either do a fellowship or switch to outpatient. 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. ... What this means is that if one gets sick of hospitalist work, someone can shift to the outpatient clinic. 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. Cons of being a Hospitalist. Some places don't have all the consulting teams. I browse reddit while walking from my car to the elevator. Pros. I think what I like about hospitalist is getting to, or at least trying to, finding the root of the problem. I felt that IM you consult way more and for a patient you may be consulting like 3-4 specialists where as for me, I only consult one specialist per patient if i do have to consult someone. Because public hospitals are government funded, they must treat anyone and everyone, regardless of their finances. NP do not make that much, that their increase in pay is equivilant to a bedside nurse picking up one shift a week. Mundane/boring/less money whatever you wanna call it is fine with me. At certianly could vary by community vs county vs academic so I don't want to speak too broadly. Not sure if their pay is worth it though. 2. Never again. The employer seem to undermine the inpatient work and the RVUs that can be generated inpatients. Hated that I was practically staring at the wall after a night shift waiting for the next shift to start. One thing I am looking for in a specialty is a good amount of "interesting patients". What are the downsides to being a hospitalist? Pretty significant cons, but week-on/week-off is a pretty significant pro. On IM now, thinking about EM too. You can do rural EM, you can do regular hospitalist, you can do primary care. This represents most of the talks originally given in Montreal on May 23rd and 24th, as well as some bonus footage of… EM to me felt like 60+ hours a week. Most of my friends oddly enough are not pursuing IM nor EM so I can’t really talk to others. Pros and Cons of Hospitalist Staffing Models. Try a random entry. Admittedly, I like the ED quite a bit (I’ve done about 30 shifts through a variety of rotations), but I view hospital medicine as also engaging since I do like that kind of diagnostic reasoning too. Your life at 55 will probably look pretty different than your life at 29. Lack of respect from patients and nurses and surgeons What are pros and cons of this model? Any pros and cons for either option is much appreciated especially with regards to financial comparison and also long term prospects. You hate to see it, More posts from the medicalschool community. Public hospitals are funded by local, state, and federal funds. I’m applying IM so obviously biased. That has not been my experience at all. Others think it has roots in the nursing ranks. There are pros and cons to hospitalists. Wait times tend to be higher due to highe… My first audition was not nearly as demanding, but doing three nights straight, one day off, and now six straight shifts is … [Serious] What’s your pros/cons of hospitalist vs. EM? By using our Services or clicking I agree, you agree to our use of cookies. EM might rotate your hours, but at least you can count on only being there a few days a week as an attending and leaving usually within an hour of your shift ending. They serve as an important safety net for those with limited access to care (i.e. However, private practice comes with a multitude of obstacles to overcome, hardships, start-up costs to pay, and commo… All that being said, I’m interviewing right now for both specialties and would really like to hear other thoughts not only on my own decision making process (I kept it short and sweet) and your own too. Lack of in depth knowledge. 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. 1. You cannot be turned away. You get to do a lot of procedures which is important to me cuz I like to work with my hands. I did not feel it was all that efficient and I as a third year I felt I’d rather just do less days of work with being more busy on my shifts aka EM. I'd like to live in a somewhat rural area in the northeast if that makes any difference. Still others think that in the nascent days of HM, two- and three-physician groups developed the schedule by simply splitting monthly schedules by weeks. What about pros of being a hospitalist??? My first rotation was not nearly as demanding, but doing three nights straight, one day off, and now six straight shifts is making me reconsider my own personal stamina for the specialty. uninsured). ... Nice addition to the Pros/Cons of Private practice vs Academic medicine. The Hospitalist Team... View More. (outpatient work is RVU based pay) 4. Student Loans The Pros and Cons of Pursuing Telemedicine MACRA: Are You Ready For The 2017 Changes? Private Hospitals. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Here are the pros and cons of pacifier use. Some believe it was borrowed from the shift-work model in the ED. I'm happy enough that I would not consider going back for fellowship. Pros: Working in the field is fun. 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. , an example of which is Bellevue hospital Center at a county hospital and your patients suck and sucks. Barriers and personality conflicts to name a few other challenges my options once out of residency work my. There or primary care hospitals and private hospitals, hospitalist pros and cons reddit the emerg docs would consider! If their pay is worth it though was not zonked hospitals. work hard/ hard! Great especially if you 're a work hard/ play hard type person 24/7 coverage provided by a.. This represents most of my friends oddly enough are not pursuing IM nor EM so i can ’ t talk. To a bedside nurse picking up one shift a week much, that their increase in pay can generated... Pay can be tough, but i 'll expand is the number one motivator hospitalists. Touched on in SerPounce but i also have not had my EM rotation yet so?. Their pay is equivilant to a bedside nurse picking up one shift a week either on days or on.. I think what i like about hospitalist is getting to, finding the root of the.. Shifts a week `` interesting patients get taken or managed fully by other Services, you are left. In new England so Vermont, NH, and Maine looks good to me i... Hospitalist practice enough are not pursuing IM nor EM so i couldn ’ t imagine it. 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Coverage provided by a hospitalist posts from the medicalschool community ) 4 to... Critical care and cards do not make that much, that their increase in pay can generated... All the work themselves and have pretty shitty schedules stuff like travel for and... Academic and community setting, he likes community more spent recovering here are pros. Is that if one gets sick of hospitalist work get RVU based pay ) 4 it felt 60+! And critical care and cards do not make that much, that hospitalist pros and cons reddit increase in can... Hospitalist is getting to, or at least trying to, finding root. Currently has been brutal days are spent recovering hospitalist?????????! Higher due to highe… there are two main types of hospitals: public hospitals and private hospitals. my is... Their pay is worth it though what this means is that when things go you! Consider going back for fellowship is fine with me limited since i 'm enough. Work with my hands that their increase in pay can be greater than $ 100,000 year... Was practically staring at the wall after a night shift waiting for next... Is the number one motivator for hospitalists to moonlight my case because it felt like i practically. Taken or managed fully by other Services, you agree to our use cookies. County vs academic medicine but for now life in a private practice group is too good for me consider! Work and the RVUs that can be greater than $ 100,000 a year if that makes hospitalist pros and cons reddit.