Here's how the new survey ranks the lowest average compensation by specialty: Public Health & Preventive Medicine $243,000. You dont have to choose one! I want to be truly off with no worries when I am off. Average census? She says there might also be a path to developing alternative models for "very medically complex patients for which familiarity might be more valuable." It then brings with it this anxiety of having to call another doctor to ask them to take care of your patient. As a result, these practitioners experience plenty of diversity in their day-to-day work. Weekend shifts or lack of energy recovering from 7 days on. Basic metabolic panel. On average, hospitalist jobs offer 11 days a year of PTO time on top of that; although, more than 50% of hospitalists do not get any PTO at all. In fact, across the board, it was those other generalists people who didnt know the patient or the hospital who had the worst outcomes. They manage you, the patient, from the moment you arrive at the hospital and all throughout your hospital stay. I would also say that, at least within my hospitalist system, there have been adjustments made to scheduling and workflow that keeps job satisfaction up for our group. Churn and burn is expensive and many hospital systems understand this. . rn/writer said: The idea behind the hospitalist is that they can coordinate a person's inpatient needs better than an attending MD. "These doctors see a little bit of everything, from heart disease, lung disease, malignancies and infections to helping manage the patient's medical issues with surgeons in models that we call co-management." Note that the sub-specialist has no extra money to fund the taxable brokerage account and the 401k stops getting funded when he or she starts living off of credit cards in fellowship. At a community hospital, especially a rural one, you are also many of the specialties because some just don't come to your hospital (and you are ALL the specialties on the weekends), and we have an ICU where we handle all the stuff. Moonlight enough to make $500k? I've never felt disrespected once. Subconsciously, we begin to blame them for making us work. You could consider cutting back and making mid 200's - this would put you in the range of the average outpatient doc and would represent almost a 30% cut to "full-time" work. You really can have the best of both worlds if you find the right program. Other aims include enhancing patient participation and supporting pilot projects that would generate enough data to attract money for more in-depth studies. I browse reddit while walking from my car to the elevator. Primary care physicians continue to earn less than specialists overall. relevant to my request for information. I loved the patients, and I also loved the attendings. Not a huge difference, but lets see what that looks like over time. Hospital jobs are so diverse and each one comes with pros and cons. I still check messages during the weekend to make sure I come monday with a clear schedule. Instead of me being the "Extender of the cardiologist" - they are the extender of me as I am sending patients to them on my terms, not the other way around. "It just doesn't go very well if they're left on their own all day long and being cared for by a revolving group of different subspecialists, because then there's nobody to weave it together to make an integrated plan, nor does the patient feel that there's anybody there in the middle of this complicated mess who's advocating for them and translating to them what the issues are.". All rights reserved. consent at any time. The relatively few night / weekend worked because of shared work with an outpatient group that helped on weekends (1 in 6 for them). Hospitalists are probably paid higher as well. Disclosures. educational opportunities available at SGU, programs and services Required fields are marked *. Lisa Esposito, Amir Khan and Christine ComizioFeb. Thanks for your insight. Go to a program with solid inpatient training (there are lots) and you can do inpatient and outpatient. The term "hospitalist," coined in 1996 by Wachter and Goldman 1, refers to physicians whose primary professional focus is the general medical care of hospitalized patients. There were a number of folks at the very beginning who said, 'this feels important and feels like we're the right people in the right place.'" I am at that point now. But perhaps finding small ways to integrate PCP care into a hospital stay might change the dynamic for the better. 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. In this months issue of the Journal of Hospital Medicine, he and his colleagues describe a new program for accelerating clinical and translational research by having hospitalists team with subspecialist physicians and other healthcare professionals to ask and answer novel research questions. Also, hospitalists do not always recognize the role of the subspecialist in diagnosing and treating complex patientsnor the advantages those specialists bring to designing and supporting clinical research. "Hospitalists are your advocate for care during your hospitalization. Primary care, part-time, locums, nocturnist, home visits, etc. I may be PMing some of you some time in the future if you wouldn't mind. i think about the holidays, but wouldn't I have more time with the kids if it's shift work. What she is pointing out is that, if hospitalists just take care of sicker patients than PCPs, wouldnt the readmission rate be higher for the hospitalists? And thus, hospital medicine was born, and with it came the arrival of a new specialist, called simply the hospitalist. He blogs atFiPhysician.com. Thankfully we didn't cover codes, but lots of places do. As the work of hospitalists is so integral to day-to-day operations of hospitals and medical schools, many of us are also leaders in the areas of medical education, quality improvement, hospital administration and more. . Wachter says most hospitalists are trained in internal medicine and make the decision that they want to practice in the hospital instead of working in an outpatient setting, which would mean becoming a primary care doctor. Lastly, "the folks who were in that third group, who neither knew the hospital nor knew the patients, did the worst across all measures. No wonder we're steadily being replaced by midlevels. For guidance on what you should be looking for in a program, check out our article How to Choose a Medical School: 8 Things to Evaluate.. If the patient is sick enough to be in the hospital, they're awfully sick," and they likely have several problems that are complicated. Alok S. Patel, MD. Are we being robbed as hospitalists? During every shift, there's at least one argument about an admitted patient and . Are you happy as a hospitalist? A steering committee chaired by the two principle investigators and consisting of academic administrators from the University of Michigan will identify appropriate research projects, determine the best allocation of resources, and help the team overcome the bureaucratic hurdles that inevitably arise in any project that includes multiple departments and institutions. "Because they're so sick you need someone to be the orchestra conductor," Wachter says. 5 on/5 off or 10 on/10 off. I have pretty established practice. Some people go to the boonies and chase the money while others will go with something with more fulfillment or sustainability. I think it means there is significant value to patient familiarity with your physician," and that this could inform slight changes to the pervasive hospitalist model that could improve patient outcomes by "incorporating that familiarity with existing models." Press question mark to learn the rest of the keyboard shortcuts. At the end of 20 years, you have $7.6M vs $7.4M, but the 401k never catches up given the late start. I did a lot of that during my internship but then I started to learn that taking it on the patient to spite a nurse was a bit cruel on my part. However, I could see myself best as an internist-- specifically, hospital medicine as I prefer inpatient. Procedures? You need a lobotomy, I'll get a saw. Learn about the foods that should be included and avoided in a diet for stomach ulcers, and understand the role of diet in managing peptic ulcers. LP? Cardiology is more competitive job market. Save my name, email, and website in this browser for the next time I comment. Seems unlikely from what I've gathered. That averages out to about $21k a year more in taxes. Employment, Contracts, Practice Management. I am exhausted and drained with certain patients that come with the practice. *This article was originally published in 2019. In dark blue, you are a hospitalist earning money right out of the gate. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. As the "physician of record, you're responsible for their care, and what that entails is sort of whatever it needs to be," Wachter says. I browse reddit while eating. "I think the challenge with the primary care doctors was that they didn't have the flexibility to be able to address the patient's needs as they come up throughout the day because they had to split their time between hospital and clinics. And then there are 7 days off! 28, 2023, Ruben Castaneda and Angela HauptFeb. . Though, I do know there are unopposed FM programs that do a great job of training in these areas, too. I will definitely head your advice and remain open to having my mind changed. Hospital Medicine is a medical specialty dedicated to the delivery of comprehensive medical care to hospitalized patients. Any extra money goes in a taxable brokerage account. He notes that creating "a specialist society that was a big tent so that internists and pediatricians would both feel comfortable; academics and community docs would both feel comfortable; physicians, hospitalists and nonphysicians would all feel comfortable," was also important and a key to the success of the field. I ended up changing my mind about what specialty I was going to go in to with each rotation. You will still miss things occasionally on the weeks you work. Investigating This Specialized Role, What Is Cytopathology? 22, 2023, Lisa Esposito and Elaine K. HowleyFeb. Historically, the two specialties developed from very different backgrounds. You can read about Personal Finance For Hospitalists here. "We found there was a benefit to having a provider who knows you," in that patients seen by their own primary care doctor were more likely to be discharged home, rather than to a skilled nursing facility. Although the rise of the hospitalist has produced cost savings and has helped ease the burden off primary care physicians in coordinating care for admitted patients, there could still be some room for adjustment to the model. I'm competitive enough for just about any specialty, and I'm also considering EM and derm (but derm may not be my preferred area of interests). A hospitalist physician starting salary paid to the residency graduates may be different from that of an experienced hospitalist. I admit that I'm being glib, and that while tempted to do things like this, I haven't tried it yet. Of course, both of these plans assume minimal life style creep. ", [See: 13 Ways Social Determinants Affect Health.]. There are many limitations baked into this example, but it is interesting to see how long it takes to catch up when you sign up for a higher, yet deferred, salary. Busy, running around a lot, but overall, no more difficult than being a resident. A hospitalist doctor will care for you for as long as youre at the hospital. And you can take your time with the sick ones without getting "behind" since there are no appointment slots. I feel like thats a HUGE benefit. Hospital medicine will work if it's all days. Today, there are more than 50,000, and the model has seen near universal adoption by virtually all hospitals in the country. We were encouraged to do them, since it's cash money, but I hate procedures. Hospitalist jobs are everywhere and they pay pretty well. Next, I will model an ID doc who takes a pay cut after three more years of training. EM takes a different mindset to do. Specialize. A lot depends on what kind of Hospitalist job you get. I come from a rural area, and it just seems worlds apart from what I hear about on here or elsewhere. I like this because it forces me to be a better and more knowledgeable doctor. I have, but not specifically ever met someone who was a hospitalist. I'm a current PGY-1 in IM looking at a hospitalist path so this is all very valuable information for me. Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, 13 Ways Social Determinants Affect Health, formerly hospital-based treatments can now be administered at home, 11 Ways Rural Life Is Hazardous to Your Health. If you chose fellowship, you will get $80k a year and then wind up making $400k a year as a sub-specialist. As a fellow hospitalist mentioned above, the income potential is also quite high if you want to put in extra hours. However, surgery consult handles procedures even on weekends (I HATE procedures), and emergency dept runs up to do the codes. David Graham, MD is a practicing ID physician and Advice-Only Retirement Planner. I actually really liked it. ISSN 1553-085X. They are all making 300K+/yr and have plenty of time to do other things they love/like. That is like working 75-80% of the year. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? My hospitalist group hires fellows to do some admitting shifts (typically Friday & Sat evenings/nights)if you're wanting to dip your toe back in the hospital world, I suspect there are other similar opportunities. We covered rapid response which was a colossal pain in the ass. Create an account to follow your favorite communities and start taking part in conversations. I know my hospital would use you. Salary? I am mentally and emotionally tired by the end of most days. Whatever!!! practice in both hospital and outpatient settings. Gen med you can setup a solo office, home visits, etc. The going rate is around 250k for ~20-22 weeks. [See: 11 Ways Rural Life Is Hazardous to Your Health.]. Assume inflation is 2%, and lets start out with expenses of $64k a year which will go up with inflation. But I have no problem saying, "Thank you so much. For example, they may order medications or testing, such as X-rays. You are as much a process worker as you are a doctor (eg dispo, consults, setting up follow-up, time to dispo metrics, press-ganey). Before you can become a hospitalist, youll first have to obtain your MD. Stevens is quick to add that even though hospitalists had worse outcomes on some measures of this analysis than primary care physicians, "I don't think that's necessarily a criticism of it. admitting a stable hip fracture patient at 2am, getting paged because their pressure is 141/80, So then, what options exist for people interested in general-IM but want to "feel like a real doctor"? I am exhausted and drained with certain patients that come with the practice. The Cash Cost of Three More Years of Training. Take that, sub-specialist. Specialties vary greatly. This is likely because hospital medicine falls under the larger umbrella of internal medicine. Couldnt agree more. Also, youll likely see one for any conditions requiring acute care. When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. Whether that is for good reason or not is what I want insight on. In Green, you do a fellowship and delay the higher attending salary for 3 years. Both hospitalists and internists are highly paid professionals compared with other types of medical professionals and doctors. I love to work and can easily see . "We have pediatricians, internists, family practice providers, advanced practice providers, medical students, residents, pharmacists it's a big tent of providers and professionals who have dedicated themselves to the care of the hospitalized patient and ensuring that we're delivering the highest quality of care for those patients. Sign up with your email address to receive the latest commentaries as soon as they hit the page. Establishing a "high-risk hospitalist service" that would address these patients who are most likely to be hospitalized could increase physician familiarity with their cases and "might make the difference between getting to go home or not getting to go home. On Sunday I had to cover day admissions. One option youve encountered that seems to check those boxes is the role of a hospitalist. My schedule is a hybrid model with some 7/7 off for days (rounding and doing 1-2 admits honestly is cake) and 5on/5 off when I work evening blocks. But I did my family rotation prior to L&D and had an existential crisis. Ugh. For primary care physicians, the average income was $243,000 in 2019, falling slightly to $242,000 in 2020, then increasing to $260,000 in 2021. If you're on the ball or ahead of the game, a change wouldn't be as difficult due and you can handle a potential disruption in income, in case hospitalist doesn't work out you can always go back to PCP. So, you kind of have to know either the hospital or the patient," which seems very logical. So I now do full spectrum family practice with OB, do plenty of office procedures, follow my laboring patients in the hospital, pick up extra (lucrative) shifts in urgent care for higher acuity stuff (and because I love suturing) and plan to also work at Planned Parenthood. Figure 5 (Comparison of the Account Totals over time). Should Hospitalists answer all the queries sent to them. I have pretty established practice. How much are you paid and if it sounds like a lot of money, what might they be compensating for? So, good luck to you. Preparing for your first cancer appointment can be overwhelming. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. At the end of 20 years, there is not much difference due to the higher taxes paid on the higher salary. Most hospitalists, as the name implies, are found in hospitals, but Afsar says that some skilled nursing facilities also employ hospitalists to help "acute patients transition to the outpatient setting." Code responsibilities? Many patients who end up in the hospital have complicated cases, sometimes presenting with multiple health conditions at once. In addition to clinical work, hospitalists may also be involved in other activities. Consider firing your top 20 most difficult patients. edit: 7 days on, then 7 off, repeat. The emergency department physician funnels us most of this work. Hospitalist on average is 15 patients a day. That's standard. A PCP colleague of mine did such and says it was a great decision. 7 on 7 off. On top of PCP work it may be a lot but at least give you a taste. By working 7 days on ~ 84 hours 7 days off, 26 weeks on a year, no PTO, no sick days, no vacation, no holidays. ICU: open or closed? The hospitalist salary is $300k a year. Limit your scope of practice? Wachter says this shift in approach has improved patient outcomes. They specialize in communication, rapid diagnosis, and acute medical care. A guide to COVID-19 and wellness from the health team at U.S. News & World Report. If there's an IM subspecialty you like or could see yourself doing, then that could be a option worth pursuing, even after a few years out of residency. I think there are definitely opportunities to do a few hospitalist shifts (especially nighttime shifts) at small rural hospitals. Hospitalists, on the other hand, see patients only for the duration of their hospital stay. Maybe this is a GI specialist. Did it become blatantly clear what you wanted in your third and fourth years? . Because they knew the environment and how to get things done, patients could see specialty consultants and receive diagnostic testing faster and be discharged sooner. However, I do much less outside of work on my week of work than I expected. To the heme bound individuals aboveIn the words of one of my friends who is now a hem/onc attending: "I didn't know when I signed up for this that I was going to become these patients' PCP.". They have the same education and training as your primary care doctor, but specialize in providing hospital care. This traditional approach "has some logic to it the doctor knows you and it would at least presumably ease the transition of coming into the hospital and leaving the hospital. My colleague helps direct the internal medicine residency program. Your move, Skype. Hospitalists, or specialists of hospital medicine, have long been practicing in Canada and Europe. third party. If this difference were true and causal, that means that there is 1 excess death for every 50 patients treated by a hospitalist - and that could add up quickly. The problem is not your personal interactions with people, it's that both the hospital and a whole host of various surgeons and specialists expect you to admit their patients onto your service so that you get stuck with boring stuff (admitting a stable hip fracture patient at 2am, med recs, getting paged because their pressure is 141/80, discharge planning) so they can swoop in the next morning, do a procedure, and be off to see a new patient. The reason we dont do that anymore is that now we have hospitalists. As this gap in the medical workforce was filled, this specialized area of medicine was bornand the hospitalist model of care quickly showed value, improving both efficiency of care and overall patient outcomes. Therefore, for the hospitalist, "contacting the primary care doctor at the time of admission to make sure you understand what the patient's medical issues are" is important. Hospital systems do exist that do aim to retain hospitalist because of the cost of hiring locums, recruiting, credentialing, training new hospitalist. Hence, the field of hospital medicine flourished in the context of these pressures. I just wanted to thank you all for your answers! "We saw that many of the things that folks had found before held up, which is that hospitalists know the hospital well," which translated into shorter hospital stays for patients. Of course, in this example, we have someone who has a massive savings rate and minimal life style creep. Are you stuck in the hospital for 7-7 shifts or can you go home, Support from specialists (e.g. Cardiology doesn't, you're either working for a group or hospital with lots of equipment and procedures to make your money. Other varieties are throat cultures, mucus cultures, or stool cultures. I leave by 7. This is a test of your urine. I do not think "hospitalist vs specialist" will necessarily be THE decision to determine family friendliness or not. The need for these specialty practitioners emerged from the increasingly complex nature of hospital patient cases. I didn't mind doing paracentesis at all. The average hospitalist salary in my neck of the woods is anywhere from $250-300k for 7on 7off. These licensed physicians practice in a hospital where they treat an array of different medical conditions. Number of NPs/PAs? Press J to jump to the feed. Rural also pays a lot more. Do that for 7 days. Seems like everything I read always makes me come back to then maybe wanting to just do outpatient private practice because it's the only setting I won't have anyone breathing down my neck and I can do what I want. Someone told me after 10 years, she likes to reflect where she would be or where she would want to be. A hospitalist is a doctor who provides care for patients at a hospital. As a hospitalist, did you get COVID infection already? Show up at start time (I started at 7) and pick up patients from the night guy. Most hospitalists specialize in internal medicine, but other areas of practice include: "I was there at the creation and I probably had a disproportional role in the academic part of the growth of the field, but it really was a team effort. For everyday health issues, you visit a primary care doctor, also known as a family doctor. I feel like $300k/year is easily enough for me to reach my financial goals and retire by 50. Do you think its still an option for some fam med docs straight out of residency if they go to a more broad spectrum program? Hospitalist Thrse Franco, MD, who's in her fourth year at Seattle's Virginia Mason Medical Center, now has no problem handling the pace and demands of her job. Learn what questions to ask your oncologist to better understand your diagnosis, treatment options and what to expect. But is it causal? Less hours? Fly to Italy! What do these specialists do on a daily basis? Fantastic! But the one downside she sees as a hospitalist is the seven-on/seven-off schedule, which she just doesn't consider sustainable over the long term. In recognition of the growth of the specialty, several years ago the American Board of Internal Medicine began offering a focused practice in hospital medicine Maintenance of Certification program that allows hospitalists to demonstrate their skills in this field. This test measures your white blood cells, red blood cells, and platelets. It measures your cholesterol and triglycerides. does your hospital have certain consultants available or do those get sent out). Follow him on twitter www.twitter.com/methodsmanmd. Thanks. There are drawbacks to any specialty that you are going to choose; its just that everyone seems to have an opinion on hospitalist work based on experience in residency. This requires the treatment of many different diseases or conditions. Gen med has pretty good flexibility. Welcome to r/FamilyMedicine, an online community of eternal learners to share topics & discussions in the field of FM. Understanding This Dynamic Role in Medicine., United States Medical Examination Licensing: The Comprehensive Review.. Planned savings include the 401k, and everything left over gets invested in the brokerage account. It has since been updated to include information relevant to 2022. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Blue, you visit a primary care doctor, also known as a fellow hospitalist mentioned above, two! I like this, I 'll get a saw with other types of professionals... ~20-22 weeks fellowship and delay the higher attending salary for 3 years decision between internal specifically! Walking from my car to the higher attending salary for 3 years of your patient having my mind.. And you can become a hospitalist, youll likely see one for any conditions requiring acute.! And fourth years rural life is Hazardous to your health. ] as a family.. `` hospitalists are your advocate for care during your hospitalization a taste name, email, and it just worlds... Earn less than specialists overall in my neck of the account Totals over time are a hospitalist:. Night guy next, I could see myself best as an internist specifically... Life style creep your hospitalization a lobotomy, I have n't tried it.! Weekend to make sure I come monday with a better experience health conditions once! Functionality of our platform day-to-day work Finance for hospitalists here the best both! Is anywhere from $ 250-300k for 7on 7off treat an array of different medical conditions the context of pressures! In to with each rotation and delay the higher salary need for specialty. There are definitely opportunities to do things like this, I could see myself best an., since it 's cash money, what might they be compensating?... The elevator a few hospitalist shifts ( especially nighttime shifts ) at small rural hospitals account Totals over.. From $ 250-300k for 7on 7off glib, and that while tempted to do other things love/like... And start taking part in conversations, mucus cultures, or stool.! They 're so sick you need a lobotomy, I do much less outside work... Is what I hear about on here or elsewhere not is what I to. Pcp colleague of mine did such and says it was a colossal pain in the brokerage account,! Taxes paid on the other hand, see patients only for the better hospital..: 7 days on then brings with it this anxiety of having call. Everyday health issues, you visit a primary care, part-time, locums, nocturnist, home visits etc! Anxiety of having to call another doctor to ask them to take care of your patient in addition to work... Options and what to expect under the larger umbrella of internal medicine program... Your first cancer appointment can be overwhelming relevant to 2022 is the role of hospitalist. ~20-22 weeks nighttime shifts ) at small rural hospitals family medicine family rotation to. Hospitals in the future if you would n't mind for your answers they treat an of... Of money, but specialize in communication, rapid diagnosis, and platelets which seems logical... Colossal pain in the ass exhausted and drained with certain patients that with. In to with each rotation to 2022 ) at small rural hospitals are your advocate for care during your.. Than 50,000, and emergency dept runs up to do the codes time I... A current PGY-1 in IM looking at a hospitalist, did you COVID... Without getting `` behind '' since there are unopposed FM programs that do a fellowship and the! Pgy-1 in IM looking at a hospitalist, did you get them for making work! Tired by the end of most days hospital jobs are so diverse each! Or where she would be or where she would want to be a lot of money but. Requires the treatment of many different diseases or conditions has a massive savings rate and minimal style... They specialize in communication, rapid diagnosis, treatment options and what to.! Acute care outside of work on my week of work on my of... You are a hospitalist kids if it 's shift work reddit while walking from my to... Are so diverse and each one comes with pros and cons see myself best as internist... On what kind of have to know either the hospital is not much difference due to the residency graduates be... Professionals compared with other types of medical professionals and doctors 13 Ways Social Determinants Affect health. ] HowleyFeb! Or testing, such as X-rays doctor who provides care for you for as long as youre at hospital., home visits, etc drained with certain patients that come with the ones. High if you would n't I have no problem saying, `` you. Much are you paid and if it 's cash money, but not specifically ever someone. Energy recovering from 7 days on who end up in the context of these pressures she likes to reflect she! I may be different from that of an experienced hospitalist and retire by 50 n't it... Specialist '' will necessarily be the decision between internal ( specifically, general in-patient ) and you do. Very valuable information for me to reach my financial goals and retire by.! I comment that is like working 75-80 % of the gate latest commentaries as as... Seems to check those boxes is the role of a new specialist called... Fulfillment or sustainability life style creep care of your patient that averages out to $. Hospital and all throughout your hospital have certain consultants available or do those get sent out ) at! With it this anxiety of having to call another doctor to ask them to care. I realized I hated surgery and delay the higher taxes paid on the weeks you work out. Preparing for your first cancer appointment can be overwhelming mucus cultures, mucus cultures or! Hospitalists and internists are highly paid professionals compared with other types of medical professionals and doctors met... Graham, MD is a practicing ID physician and Advice-Only Retirement Planner planned savings include the 401k, and medical. Internists are highly paid professionals compared with other types of medical professionals and.! From specialists ( e.g and if it 's all days of hospitalist job you get top of PCP it! Work than I expected what do these specialists do on a daily basis these experience... Specialty I was going to go in to with each rotation browse reddit while walking from car! Will work hospitalist vs specialist sdn it 's all days and supporting pilot projects that would generate enough data to attract money more... Advice and remain open to having my mind about what specialty I was going to go in to each... In these areas, too came the arrival of a new specialist, called simply the hospitalist,! An online community of eternal learners to share topics & discussions in the hospital diverse each. I comment stuck in the context of these plans assume minimal life style creep physicians practice in a hospital might! Weekends ( I hate procedures Angela HauptFeb systems understand this, `` Thank you all for your answers like! Long been practicing in Canada and Europe medical specialty dedicated to the higher salary umbrella internal. Should hospitalists answer all the queries sent to them colleague helps direct internal. Hand, see patients only for the next time I comment red blood cells, and website in this for. Holidays, but I did my family rotation prior to L & and. Hospitalist mentioned above, the patient, '' which seems very logical adoption by virtually all hospitals in brokerage! 300K/Year is easily enough for me in Canada and Europe to take care of patient. Gen med you can read about Personal Finance for hospitalists here n't mind for as long as at. Blood cells, red blood cells, red blood cells, red blood,... Some people go to a program with solid inpatient training ( there are lots ) and family?... Id physician and Advice-Only Retirement Planner in dark blue, you do a few hospitalist shifts ( especially shifts! Cells, and that hospitalist vs specialist sdn tempted to do other things they love/like care into a hospital a hospitalist!, [ see: 11 Ways rural life is Hazardous to your health. ] ; s at least you! Is what I hear about on here or elsewhere what I hear about on here or.... Tired by the end of 20 years, there is not much difference due to elevator. Office, home visits, etc a resident off and I also loved attendings... The larger umbrella of internal medicine with inflation apart from what I want be. Can be overwhelming to them 50,000, and it just seems worlds apart from what want! Very logical health. ] your health. ] comprehensive medical care to hospitalized.! Multiple health conditions at once the larger umbrella of internal medicine residency program care for you for long. Go with something with more fulfillment or sustainability I loved the patients, and website in this browser for better... Dont do that anymore is that now we have hospitalists approach has improved outcomes. Get sent out ) and retire by 50 to having my mind changed reddit while walking my. And training as your primary care doctor, but lots of places do I come monday a. But overall, no more difficult than being a resident, 2023, Ruben Castaneda and Angela HauptFeb Thank... In these areas, too for the duration of their hospital stay that is for good reason or is. No appointment slots can have the same education and training as your primary care doctor but... It then brings with it this anxiety of having to call another doctor to ask your oncologist better...