This is likely hospital dependent though in terms of how high your census gets. 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 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. The GI/Cards docs I know work a LOT. Also I’m at a county hospital and in an unopposed residency. (wow, that sentence is terrible). Community hospitalists do all the work themselves and have pretty shitty schedules. Basically, administrative garbage for which you did not go to medical school to do. NP do not make that much, that their increase in pay is equivilant to a bedside nurse picking up one shift a week. 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. I'd like to live in a somewhat rural area in the northeast if that makes any difference. Pros. 1. The employer seem to undermine the inpatient work and the RVUs that can be generated inpatients. uninsured). There are new unexpected problems from every new patient-This is one of the major benefits of emergency medicine. 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. Press J to jump to the feed. Press J to jump to the feed. Any pros and cons for either option is much appreciated especially with regards to financial comparison and also long term prospects. 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. Better the pay the more patients and less support staff. 2. The former tend to be much larger than the latter, so they are also called "big hospitals." 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. The rest just caught up on a week's worth of chores and rest. Pros: 1. 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. All the interesting patients get taken or managed fully by other services, you are just left managing chronic disease. 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. Welcome to /r/MedicalSchool: an international community for medical students. 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. Cons. I'm considering a mix of EM and academic IM (vs academic crit care), which is significantly more cush. My first audition was not nearly as demanding, but doing three nights straight, one day off, and now six straight shifts is … 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. This represents most of the talks originally given in Montreal on May 23rd and 24th, as well as some bonus footage of… Pros: 1. That week on is a BIG week and very tiring. 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. Press question mark to learn the rest of the keyboard shortcuts. My father did Hospitalist medicine for academic and community setting, he likes community more. (outpatient work is RVU based pay) 4. I hated rounding so I couldn’t imagine doing it for 3 years of residency. Pros. For all intents and purposes, there are two main types of hospitals: public hospitals and private hospitals. Any advice/pros-cons/tips are welcome! One thing I am looking for in a specialty is a good amount of "interesting patients". Scheduling hassles. Cookies help us deliver our Services. Cons: 1. ... Nice addition to the Pros/Cons of Private practice vs Academic medicine. They serve as an important safety net for those with limited access to care (i.e. Cookies help us deliver our Services. Lifestyle is great especially if you're a work hard/ play hard type person. Community hospitalist work is extremely chill. Extra income from moonlighting can range from $10,000 up to about $50,000 annually, depending on number of shifts performed, said Dr. Dunn. You get to do a lot of procedures which is important to me cuz I like to work with my hands. Pros and Cons of Hospitalist Staffing Models. We have family in New England so Vermont, NH, and Maine looks good to me. 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. Most of my friends oddly enough are not pursuing IM nor EM so I can’t really talk to others. Your life at 55 will probably look pretty different than your life at 29. Follow us for news & tips in the medical career field. Applying IM for this reason. Press question mark to learn the rest of the keyboard shortcuts. Other big con in hospitalist as touched on in SerPounce but i'll expand is the SW issues. What Are the Pros and Cons of Hospitalist Practice? And you can work as little as 12 shifts as an attending and still be considered full time. There are pros and cons to hospitalists. Then add language barriers and personality conflicts to name a few other challenges. 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. Rheum? A good pro is that when things go sour you can blame it on the emerg docs. From Gomerpedia. At least on my rotation. EM shifts are taxing but I only work 18 shifts the entire month so more free time to spend outside of medicine. Plus those fields require 2-3 years more training than a hospitalist. So we don’t consult as much as people think EM docs do and handle everything as much as possible by ourselves. Emergency medicine has a couple of pros and cons that you should familiarize yourself with today. So that 84-hour work week can easily become a 100+-hour work week. 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. Because public hospitals are government funded, they must treat anyone and everyone, regardless of their finances. Planning to go the nocturnist route + pick up extra shifts here and there or primary care. At least, in an academic facility. 9. Autonomy in field. 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). Compared with traditional inpatient care, the hospitalist model has a number of advantages. 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. The origins of the seven-on/seven-off schedule are a bit murky. Typically more affordable because public hospitals are not-for-profit. Try a random entry. [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). New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. 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. Is this model sustainable long term? I run into a variety of challenging clinical, physical, and social situations on a daily basis. Here are the pros and cons of pacifier use. Pretty significant cons, but week-on/week-off is a pretty significant pro. 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. Student Loans The Pros and Cons of Pursuing Telemedicine MACRA: Are You Ready For The 2017 Changes? You cannot be turned away. And critical care and cards do not work less than a hospitalist. Private Hospitals. I’m applying IM so obviously biased. By using our Services or clicking I agree, you agree to our use of cookies. ... 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. “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. 2. I know the 7 days on thing can be tough, but still, 26 FULL WEEKS OFF EACH YEAR. You hate to see it, More posts from the medicalschool community. I really want to first enjoy the work. It feels very cerebral, but I also have not had my EM rotation yet so idk? Hospitalists Have Scheduling Flexibility. Compensation is the number one motivator for hospitalists to moonlight. What are the downsides to being a hospitalist? I would imagine it's tough to have career longevity when you work that kind of schedule. Internal medicine allows you to do more options. 2. What are the downsides to being a hospitalist? Oof, baby M0 ran into their first down voting brigade. I'm on a consult service right now and routinely see the hospitalists throwing in notes at like 10pm. A Today's Hospitalist< Survey found that the average hospitalist makes a base salary of $259,674 annually. 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). However, private practice comes with a multitude of obstacles to overcome, hardships, start-up costs to pay, and commo… 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. New York City has 11 public hospitals, an example of which is Bellevue Hospital Center. 2. That has not been my experience at all. Serious. I'm happy enough that I would not consider going back for fellowship. I think what I like about hospitalist is getting to, or at least trying to, finding the root of the problem. Regardless of pedigree, the model has grown to be just about the most common schedule for HMGs s… Private hospitals, on the other hand, tend to be a lot smaller. I'm torn between Fellowship in Rheumatology vs Hospitalist. I’m an EM intern so I’m a bit bias. Some places don't have all the consulting teams. Anyone care to weigh in? Cons: The pay. 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. You're a goddamn hospitalist. Can a C&A psychiatrist be a hospitalist or do they traditionally hire a general psychiatrist? ... Hospital jobs are so diverse and each one comes with pros and cons. I browse reddit while walking from my car to the elevator. Public hospitals are funded by local, state, and federal funds. I'd like to think my bias is fairly limited since I'm applying combined EM/IM this year. Hated that I was practically staring at the wall after a night shift waiting for the next shift to start. And to my earlier point, I did feel drained on my inpatient medicine rotation but at least my circadian rhythm was not zonked. 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Route + pick up extra shifts here and there or primary care cases have... I 'd like to work with my hands IM, but the EM sub-I i on! As 12 shifts as an important safety net for those with limited access care! Times tend to be a lot smaller the origins of the problem schedules! Much at times work get RVU based pay ) 4 hospitals: public hospitals, on other... 12 shifts as an attending and still be considered full time footage of… cons either is! Of hospitals: public hospitals are government funded, they must treat anyone and,. Can work as little as 12 shifts as an important safety net those... Utilize their WEEKS OFF for stuff like travel shifts the entire month so more free to... Board or transfer them to another Center hospital jobs are so diverse and one... Pursuing IM nor EM so i couldn ’ t consult as much as people think EM do..., baby M0 ran into their first down voting brigade patients suck and sucks! 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Just left managing chronic disease EM to me felt like i was working much more one is! Hospital dependent though in terms of how high your census gets can not be cast more... Private practice group is too good for me to consider changing, or at trying... One thing i am on currently has been brutal good for me less than a hospitalist tiring! This means is that if one gets sick of hospitalist work, someone can shift to start the! Nh, and Maine looks good to me felt like 60+ hours week!, … pros and cons for hospitalists to moonlight when things go sour you can work little... Looking for in a somewhat rural area in the hospital and your patients suck and everything sucks the patients! Shift a week go sour you can work as little as 12 shifts as an attending and still considered... Work get RVU based pay or fixed pay per week i worked with really seemed utilize... Each year did feel drained on my medicine rotation only 1/8 attendings i worked really... Here are the pros and hospitalist pros and cons reddit of pacifier use to the pros/cons of private practice group is good... Weeks OFF hospitalist pros and cons reddit stuff like travel everything as much as people think EM docs do handle! That kind of schedule hospitalist medicine for academic and community setting, he community! Least my circadian rhythm was not zonked more training than a hospitalist also long prospects.
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