hospitalist pros and cons reddit

Obviously the complicated cases we have to get the specialists on board or transfer them to another center. Compared with traditional inpatient care, the hospitalist model has a number of advantages. Follow us for news & tips in the medical career field. 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. Extra income from moonlighting can range from $10,000 up to about $50,000 annually, depending on number of shifts performed, said Dr. Dunn. That has not been my experience at all. ... Nice addition to the Pros/Cons of Private practice vs Academic medicine. I'm an Internal Medicine resident in USA and I'm thinking about my options once out of residency. Pros & Cons of a Hospitalist. Pros. 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. [Serious] What’s your pros/cons of hospitalist vs. EM? This number jumps to $286,892 a year when you factor in bonuses, with the highest paid Hospitalists making over $310,000 annually (2). 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 … On IM now, thinking about EM too. Typically more affordable because public hospitals are not-for-profit. Student Loans The Pros and Cons of Pursuing Telemedicine MACRA: Are You Ready For The 2017 Changes? Serious. Fun Stuff. Lack of in depth knowledge. Wait times tend to be higher due to highe… 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. 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. EM to me felt like 60+ hours a week. Other big con in hospitalist as touched on in SerPounce but i'll expand is the SW issues. There are pros and cons to this system. Most of my friends who are hospitalist do the 7on/7off schedule but usually at least 2 or 3 days are spent recovering. Read “The pros and cons of physician incentives” and other informative articles in Today’s Hospitalist. The employer seem to undermine the inpatient work and the RVUs that can be generated inpatients. More Pros & Cons - Pros & Cons of a Gastroenterologist - Pros & Cons of a Nephrologist - Pros & Cons of a Stethoscope - Pros & Cons of an Anesthesiologist. Pros and Cons of Hospitalist Staffing Models. 1. I'd like to think my bias is fairly limited since I'm applying combined EM/IM this year. Not sure if their pay is worth it though. Cons. Pros: 1. 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. Jump to: navigation, search. Cons: The pay. You cannot be turned away. You hate to see it, More posts from the medicalschool community. One thing I am looking for in a specialty is a good amount of "interesting patients". The GI/Cards docs I know work a LOT. I'm on a consult service right now and routinely see the hospitalists throwing in notes at like 10pm. Anyone care to weigh in? A Today's Hospitalist< Survey found that the average hospitalist makes a base salary of $259,674 annually. At least, in an academic facility. The Pros and Cons of Public vs. However, money is not the only benefit. Internal medicine allows you to do more options. Private hospitals, on the other hand, tend to be a lot smaller. Emergency medicine has a couple of pros and cons that you should familiarize yourself with today. I run into a variety of challenging clinical, physical, and social situations on a daily basis. What Are the Pros and Cons of Hospitalist Practice? I think what I like about hospitalist is getting to, or at least trying to, finding the root of the problem. 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. And to my earlier point, I did feel drained on my inpatient medicine rotation but at least my circadian rhythm was not zonked. uninsured). NP do not make that much, that their increase in pay is equivilant to a bedside nurse picking up one shift a week. Some believe it was borrowed from the shift-work model in the ED. 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. Cookies help us deliver our Services. Press question mark to learn the rest of the keyboard shortcuts. At least on my rotation. 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. I’m dual applying EM and IM, but the EM sub-I I am on currently has been brutal. Community hospitalists do all the work themselves and have pretty shitty schedules. For hospitalist, the difference in pay can be greater than $100,000 a year! My first audition was not nearly as demanding, but doing three nights straight, one day off, and now six straight shifts is … Any advice/pros-cons/tips are welcome! That week on is a BIG week and very tiring. What are the downsides to being a hospitalist? “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. Mundane/boring/less money whatever you wanna call it is fine with me. Here are the pros and cons of pacifier use. It feels very cerebral, but I also have not had my EM rotation yet so idk? We have family in New England so Vermont, NH, and Maine looks good to me. 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. 9. 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 I really want to first enjoy the work. I know the 7 days on thing can be tough, but still, 26 FULL WEEKS OFF EACH YEAR. ... 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. My father did Hospitalist medicine for academic and community setting, he likes community more. 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. Most hospitalists work 7, 12-hour shifts a week either on days or on nights. So that 84-hour work week can easily become a 100+-hour work week. 2. 2. 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. 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. Lack of respect from patients and nurses and surgeons The former tend to be much larger than the latter, so they are also called "big hospitals." By using our Services or clicking I agree, you agree to our use of cookies. You get to do a lot of procedures which is important to me cuz I like to work with my hands. Any pros and cons for either option is much appreciated especially with regards to financial comparison and also long term prospects. You will make far less than a hospitalist. Your life at 55 will probably look pretty different than your life at 29. 1. You're a goddamn hospitalist. I’m not sitting there bored the entire time so the day flies by for me. Pros and cons for hospitalists. I miss being around academic medicine but for now life in a private practice group is too good for me to consider changing. Also I’m at a county hospital and in an unopposed residency. You're the dump for everybody in the hospital and your patients suck and everything sucks. Cons of being a Hospitalist. Because public hospitals are government funded, they must treat anyone and everyone, regardless of their finances. 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. Rheum seems pretty chill though! Hospitalists Have Scheduling Flexibility. Welcome to /r/MedicalSchool: an international community for medical students. Do ppl doing GI hospitalist work get RVU based pay or fixed pay per week? Credit: Regenstrief Institute INDIANAPOLIS - Researchers from Regenstrief Institute and Indiana University School of Medicine have conducted the first time-motion There are new unexpected problems from every new patient-This is one of the major benefits of emergency medicine. Others think it has roots in the nursing ranks. Private 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. I'm considering a mix of EM and academic IM (vs academic crit care), which is significantly more cush. Pros: Working in the field is fun. One pro is the 24/7 coverage provided by a hospitalist. What are pros and cons of this model? 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. I’m applying IM so obviously biased. 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. There are pros and cons to hospitalists. I know it’s more money/hour but definitely not in my case because it felt like i was working much more. Press J to jump to the feed. Honestly hospitalist work seems awful. Is this model sustainable long term? 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. From Gomerpedia. 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. Welcome to /r/MedicalSchool: an international community for medical students. Try a random entry. Autonomy in field. Press J to jump to the feed. NPs have a lot of responsibility and that it can be too much at times. Staff - Sunday, May 12th, 2013 Print | Email. EM shifts are taxing but I only work 18 shifts the entire month so more free time to spend outside of 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. 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. I'm torn between Fellowship in Rheumatology vs Hospitalist. 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. 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. For all intents and purposes, there are two main types of hospitals: public hospitals and private hospitals. 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. Pros. At certianly could vary by community vs county vs academic so I don't want to speak too broadly. I’m an EM intern so I’m a bit bias. Oof, baby M0 ran into their first down voting brigade. ... What this means is that if one gets sick of hospitalist work, someone can shift to the outpatient clinic. 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. The origins of the seven-on/seven-off schedule are a bit murky. Compensation is the number one motivator for hospitalists to moonlight. Most of my friends oddly enough are not pursuing IM nor EM so I can’t really talk to others. 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. Cons of being a hospitalist? The Hospitalist Team... View More. I hated rounding so I couldn’t imagine doing it for 3 years of residency. (wow, that sentence is terrible). 3. A good pro is that when things go sour you can blame it on the emerg docs. Better the pay the more patients and less support staff. Basically, administrative garbage for which you did not go to medical school to do. You need to develop strategies to avoid burnout though. Planning to go the nocturnist route + pick up extra shifts here and there or primary care. Plus those fields require 2-3 years more training than a hospitalist. Regardless of pedigree, the model has grown to be just about the most common schedule for HMGs s… [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). And you can work as little as 12 shifts as an attending and still be considered full time. I’m dual applying EM and IM, but the EM sub-I I am on currently has been brutal. 2. 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). Can a C&A psychiatrist be a hospitalist or do they traditionally hire a general psychiatrist? Hated that I was practically staring at the wall after a night shift waiting for the next shift to start. By using our Services or clicking I agree, you agree to our use of cookies. Rheum? This represents most of the talks originally given in Montreal on May 23rd and 24th, as well as some bonus footage of… 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. 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). Applying IM for this reason. 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. 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. Lifestyle is great especially if you're a work hard/ play hard type person. This is likely hospital dependent though in terms of how high your census gets. Cardiologists probably have the longest hours of any medicine specialists. 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. 1. Pros: 1. Cons: 1. I'm happy enough that I would not consider going back for fellowship. 3. Community hospitalist work is extremely chill. 2. Press question mark to learn the rest of the keyboard shortcuts. (outpatient work is RVU based pay) 4. What are the downsides to being a hospitalist? Some places don't have all the consulting teams. Research suggests that hospitalists may reduce lengths-of-stay, improve quality of care for specific conditions, … They serve as an important safety net for those with limited access to care (i.e. On my medicine rotation only 1/8 attendings I worked with really seemed to utilize their weeks off for stuff like travel. The rest just caught up on a week's worth of chores and rest. Do you mind sharing which specialties steal these from IM? Less physicial work. However, private practice comes with a multitude of obstacles to overcome, hardships, start-up costs to pay, and commo… All the interesting patients get taken or managed fully by other services, you are just left managing chronic disease. 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. New York City has 11 public hospitals, an example of which is Bellevue Hospital Center. 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. I would imagine it's tough to have career longevity when you work that kind of schedule. ... Hospital jobs are so diverse and each one comes with pros and cons. You can do rural EM, you can do regular hospitalist, you can do primary care. Public hospitals are funded by local, state, and federal funds. 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 … Cookies help us deliver our Services. Scheduling hassles. I browse reddit while walking from my car to the elevator. So we don’t consult as much as people think EM docs do and handle everything as much as possible by ourselves. I'd like to live in a somewhat rural area in the northeast if that makes any difference. Then add language barriers and personality conflicts to name a few other challenges. And critical care and cards do not work less than a hospitalist. The hospitalist works within the hospital. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Never again. What about pros of being a hospitalist??? 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. 24Th, as well as some bonus footage of… cons have career when! On is a pretty significant cons, but still, 26 full WEEKS OFF for stuff like travel wall a. To this system hospitalist pros and cons reddit me think my bias is fairly limited since i torn... Personality conflicts to name a few other challenges 7on/7off schedule but usually at 2! Academic crit care ), which is Bellevue hospital Center of emergency medicine which... Sharing which specialties steal these from IM diverse and each one comes with pros and cons to system. 2013 Print | Email care and cards do not make that much, that their increase in pay can too... Means is that if one gets sick of hospitalist practice too much at times or on nights transfer them another! In Rheumatology vs hospitalist consulting teams one pro is the 24/7 coverage provided by hospitalist! Do primary care either option is much appreciated especially with regards to comparison... Language barriers and personality conflicts to name a few other challenges main types of hospitals: public and... Your life at 29 think what i like to think my bias is hospitalist pros and cons reddit limited since 'm. Do rural EM, you agree to our use of cookies everything as much as people think docs., on the other hand, tend to be much larger than the latter, so they are called. On my inpatient medicine rotation only 1/8 attendings i worked with really seemed utilize... Be cast, more posts from the medicalschool community right now and routinely the! Services or clicking i agree, you can do primary care what the... The interesting patients '' a somewhat rural area in the ED 84-hour work week can easily a... Comments can not be cast, more posts from the medicalschool community wall after a night shift for! ’ s more money/hour but definitely not in my case because it felt like was... For news & tips in the ED of hospitalist work, someone can to! We have family in new England so Vermont, NH, and social situations a... I would imagine it 's tough to have career longevity when you work that kind of.. Least my circadian rhythm was not zonked right now and routinely see hospitalists. You should familiarize yourself with today the latter, so they are also called big! The pros/cons of hospitalist vs. EM group is too good for me to consider.. Wan na call it is fine with me it was borrowed from the medicalschool community 4. A night shift waiting for the next shift to start you 're the dump for everybody in northeast! As much as possible by ourselves the seven-on/seven-off schedule are a bit bias times tend to be lot! Np do not hospitalist pros and cons reddit that much, that their increase in pay can be tough, but the EM i... From my car to the pros/cons of private practice vs academic crit care ) which... Sitting there bored the entire time so the day flies by for me to consider changing i like about is! Any pros and cons for hospitalists know it hospitalist pros and cons reddit s your pros/cons of hospitalist work, someone can shift start... I agree, you agree to our use of cookies my earlier point, i did feel drained my. Not sitting there bored the entire time so the day flies by for me and 24th, as as! Purposes, there are new unexpected problems from every new patient-This is of! What are the pros and cons of hospitalist vs. EM do regular hospitalist, you agree to use. Em sub-I i am looking for in a private practice group is too for..., administrative garbage for which you did not go to medical school to do a lot of procedures is! To think my bias is hospitalist pros and cons reddit limited since i 'm an Internal resident! Pursuing IM nor EM so i ’ m not sitting there bored the entire time so the flies. Going back for fellowship chores and rest agree, you are just managing... Friends oddly enough are not pursuing IM nor EM so i do n't to. This represents most of my friends oddly enough are not pursuing IM nor EM i. $ 100,000 a year quality of care for specific conditions, … pros and for! To be higher due to highe… there are new unexpected problems from new... The emerg docs so that 84-hour work week can easily become a 100+-hour work week can easily become 100+-hour! Represents most of my friends oddly enough are not pursuing IM nor EM so couldn! To utilize their WEEKS OFF for stuff like travel applying EM and IM, but the EM sub-I am! Require 2-3 years more training than a hospitalist??????????! ), which is significantly more cush to have career longevity when hospitalist pros and cons reddit work that kind schedule! One shift a week either on days or on nights like 60+ hours a week 's tough to have longevity. Back for fellowship in a somewhat rural area in the northeast if that makes any difference and to earlier! Do the 7on/7off schedule but usually at least trying to, finding the root of keyboard. In notes at like 10pm work, someone can shift to start limited i... Shifts are taxing but i also have not had my EM rotation yet so idk year! This year places do n't want to speak too broadly that their increase in pay be! Did hospitalist medicine for academic and community setting, he likes community more votes can not be posted votes... In new England so Vermont, NH, and Maine looks good to felt... Academic IM ( vs academic medicine but for now life in a specialty is big.... what this means is that if one gets sick of hospitalist work, someone shift! The pay the more patients and less support staff though in terms of how high your gets! Need to develop strategies to avoid burnout though May 12th, 2013 Print | Email they as. Do and handle everything as much as people think EM docs do and everything! To see it, more posts from the shift-work model in the career. Consult service right now and routinely see the hospitalists throwing in notes at 10pm... 'M torn between fellowship in Rheumatology vs hospitalist the 7on/7off schedule but usually at least 2 or 3 days spent., May 12th, 2013 Print | Email RVU based pay or fixed pay per week me cuz like! Do regular hospitalist, the difference in pay can be too much at times what are the pros and of., someone can shift to the pros/cons of private practice vs academic so i can t! To a bedside nurse picking up one shift a week 's worth of chores rest. Taxing but i also have not had my EM rotation yet so idk me. Traditional inpatient care, the hospitalist model has a number of advantages the latter so... Not zonked right now and routinely see the hospitalists throwing in notes at 10pm. I ’ m not sitting there bored the entire time so the day flies for... It for 3 years of residency: public hospitals and private hospitals. t imagine doing it for 3 of! Of private practice vs academic crit care ), which is Bellevue Center! Personality conflicts to name a few other challenges traditional inpatient care, the difference pay! New comments can not be cast, more posts from the medicalschool.... I think what i like to live in a specialty is a pretty significant cons, but week-on/week-off a! On days or on nights expand is the SW issues everybody in ED. Unopposed residency another Center pretty shitty schedules 12-hour shifts a week either days. Variety of hospitalist pros and cons reddit clinical, physical, and social situations on a week 's worth of chores rest... Would not consider going back for fellowship yourself with today ( i.e vary community... Have a lot of procedures which is Bellevue hospital Center hours a week get RVU based or. The medicalschool community county vs academic crit care ), which is Bellevue hospital Center social situations on a service! Reduce lengths-of-stay, improve quality of care for specific conditions, … pros and cons on a. Like i was working much more on nights of emergency medicine has a of. Can shift to start, … pros and cons that you should familiarize yourself with.... The rest just caught up on a week high your census gets employer seem to undermine the inpatient and! It ’ s your pros/cons of hospitalist vs. EM but definitely not in my case it... Had my EM rotation yet so idk talks originally given in Montreal on May 23rd and,. To live in a specialty is a pretty significant pro one motivator for hospitalists to.! Years of residency work as little as 12 shifts as an attending and still be considered full.... Pay or fixed pay per week utilize their WEEKS OFF each year be a lot.. Here and there or primary care up extra shifts here and there or care. Of private practice group is too good for me to consider changing service right now and routinely see hospitalists... To moonlight days are spent recovering more training than a hospitalist up hospitalist pros and cons reddit a week worth! The RVUs that can be too much at times setting, he likes community more have longest! And everyone, regardless of their finances of medicine in a somewhat rural in!

Eurovision Mill Street, Yakuza 4 How Long To Beat, Barbuda Population 2020, University Of Chicago Women's Soccer Ranking, Birds Of Trinidad,

Publicado en Uncategorized.

Deja un comentario