And good luck this year! "The evidence is pretty clear that it works better," and hospital medicine is the fastest growing specialty field. hospitalist = highly paid intern and treated/respected as such. Couldnt agree more. . If any other specific questions, feel free to ask me. Some places do 7 to 7 but we did "Once you're done, you go home" but when you've got a census of 23, you're not leaving early anyway. Schedule? 7 on 7 off schedule for 250K a year seems pretty nice. I usually delay lunch until 2 because once I eat, I move slower. "I think making sure that the issues are addressed in a coordinated way with the primary care doctor at time of admission and time of discharge are part of the core work that the hospitalists do.". 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. Procedures? Having someone on site who can help navigate the patient through the gauntlet of working with multiple specialists and to oversee the care has become a more important aspect of caring for hospitalized patients. I want to be truly off with no worries when I am off. Stay protected and up-to-date with the latest information. 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. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This site uses Akismet to reduce spam. "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. I do zero locums. Figure 3 (Cash flows for the Sub-Specialist). Next, I will model an ID doc who takes a pay cut after three more years of training. Whether that is for good reason or not is what I want insight on. Hospital constantly on my ass about length of stay even though I beat DRG numbers. 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. educational opportunities available at SGU, programs and services I use my AM rounds for my discharges, overnight admits, and patients who may need a consult. The fact that the hospitalist model has been so widely adopted is a point of pride for Wachter, who credits others with helping launch the field. These practitioners have since become a pivotal element of the direct patient care team in hospital environments. The ob-gyn hospitalist concept emerged from the hospitalist movement of the 1990s. So like half the times Im working a regularly team, but it is days only, round and go. You can see both start rather slowly, but as savings rate is high with the attending salary, you start to build momentum. Our School of Medicine offers rolling admissions for our January, April, and August classes. 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I still check messages during the weekend to make sure I come monday with a clear schedule. ], "Just like anything in health care, there's always advantages and disadvantages," Afsar says, but communication between providers can help improve outcomes. I have 3 young kids. 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? It's likely not a long term solution but gen med offers other opportunities too. Hospital medicine will work if it's all days. 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. Please communicate with them and leverage their knowledge and expertise to make sure that you're getting the best care possible. Code responsibilities? Also, no student debt or mortgage is taken into account. 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." It will fall to the job. Outpatient is way harder if you have a complex patient population! My colleague helps direct the internal medicine residency program. I have pretty established practice. Any extra money goes in a taxable brokerage account. There are fundamental differences in the focus, training, and patient care activities of the two specialties of internal medicine and family medicine. . My question-- I hear there is a lot of burnout- that "hospitalists don't stay hospitalists for long." It has since been updated to include information relevant to 2022. This was manageable, up until sometime in the 1990s, when many primary care physicians found they just didn't have the bandwidth to appropriately oversee care for their admitted patients. And in fact, after a full 20 years, the sub-specialist only has $240k more than the hospitalist. As I mentioned in a later comment, while tempting, I don't actually try to torture my patients with 3 am enemas because a nurse called me at 3 am about constipation. I try to catch up with all the messages, prepare the charts a week in advance. For example, a hospitalist may order respiratory therapy for a patient with pneumonia. Hospital medicine used to be thought of as solely a temporary job as bridge to fellowship and way to earn extra money. Hospitalist jobs are everywhere and they pay pretty well. I spoke with Dr. Jennifer Stevens, the studys lead author to get to the bottom of it. "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. Thankfully we didn't cover codes, but lots of places do. I didn't mind doing paracentesis at all. When I eventually rotated through ob/gyn it felt off and I realized I hated surgery. 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. Hospitalist work in general is often collaborative and team-based, Dr. Flanders notes. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? Not a huge difference, but lets see what that looks like over time. It is not until you are 47, however, 17 years after you finish med school, that the deferred higher salary takes over. Copyright: St. Georges University 2022. reCAPTCHA helps prevent automated form spam. If medicine is a means to an end, then hustling as a hospitalist and saving hard may not be a bad way to go either. Thanks. Didn't the entire week off make the shitty week-on worth it? I go see the rest of my patients then sit down around 3:30 to document/bill/have another cup of coffee. Most hospitalists specialize in internal medicine, but other areas of practice include: If you go the hospitalist route you can save up some money, do some research as you work (if you're at an academic center) and then go into fellowship. This requires the treatment of many different diseases or conditions. We would expect if this were all unmeasured confounding, then the readmission findings would be different. Otherwise, each new project would require a new team to find funding [and] perform data analysis., SHARP is, in part, an acknowledgment of the increasingly complex nature of clinical research, Dr. Flanders says. This is likely because hospital medicine falls under the larger umbrella of internal medicine. The going rate is around 250k for ~20-22 weeks. ISSN 1553-085X. After accounting for severity of illness, hospital factors, patient comorbidities and diagnosis-related group, some really interesting results emerged. Internal Medicine and IM Subspecialties Need advice for hospitalist vs specialization med9999 Jan 12, 2020 This forum made possible through the generous support of SDN members, donors, and sponsors. 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. I spent 2 years as a hospitalist. You can see in figure 1, we have the net worth over time from both plans. Hospital-based general internists manage and oversee care for hospitalized patients. This test checks your metabolism, monitors kidney status, and measures electrolytes and blood sugar (glucose) levels. Before you can become a hospitalist, youll first have to obtain your MD. Hospitalist on average is 15 patients a day. Are you happy as a hospitalist? If you chose fellowship, you will get $80k a year and then wind up making $400k a year as a sub-specialist. are you going to have to manage vents in the ICU? Gen med has pretty good flexibility. Its not uncommon for these physicians to refer patients to more specific specialists when needed, but their diagnostic abilities can set the tone for a hospital patients care. Round. These tests determine what bacteria exist within your body. The observational study analyzed Medicare claims for more than 560,000 hospital admissions to ascertain which hospitalized patients had the best outcomes. "For an elderly population, that makes a huge difference, and there was actually a survival benefit at 30 days. Comparison of Hospital Resource Use and Outcomes Among Hospitalists, Primary Care Physicians, and Other Generalists. 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 patient outcomes that could guide discussions of the future development of the field. Sometimes, this subconscious blame filters into our tone when we are talking with them. I acknowledge that my data will I have, but not specifically ever met someone who was a hospitalist. "The bulk of American hospitalists are internal medicine doctors who simply choose to take that job at the end of their training," he says. But to be fair, she also cautioned me that these results havent been replicated and should only be hypothesis-generating. "Hospitalists are your advocate for care during your hospitalization. The submit button will be disabled until you complete the CAPTCHA. I'll put in an enema right away!". PGY-2 (almost 3 now) at a rural full spectrum family medicine residency checking in. The one I liked best did four weeks of m through f plus one night a week and one weekend then 7 days off. I am mentally and emotionally tired by the end of most days. Dr. Robert M. Wachter, professor and chair of the department of medicine. Though, I do know there are unopposed FM programs that do a great job of training in these areas, too. Up-to-the-minute medical news, analyzed rigorously, synthesized succinctly. According to conventional wisdom, hospitalists working for local hospitalist groups tend to be more entrepreneurial and to earn more; hospital-employed physicians earn less, in part because they trade security and higher benefits for lower salaries; and those working for national hospitalist management companies earn somewhere in between because 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. edit: 7 days on, then 7 off, repeat. Alok S. Patel, MD. ", [See: How Social Workers Help Your Health. Community hospitalists do all the work themselves and have pretty shitty schedules. . Some people go to the boonies and chase the money while others will go with something with more fulfillment or sustainability. Let me know if you have any specific questions or help with anything. You need to be careful with what kind of hospitalist position you chose since they can be very different experiences from place to place. Wachter says this shift in approach has improved patient outcomes. That's the question that this article, appearing in JAMA Internal Medicine attempts to answer. How long have you been doing so? Learn what questions to ask your oncologist to better understand your diagnosis, treatment options and what to expect. Whats' your finances look like? That third category were basically non-hospitalists who also didn't have a prior relationship with the patient - potentially cross-covering outpatient docs. Who Is On The Medical Team. Taxes are a big deal here. July 20, 2018. I know my hospital would use you. Yet, clinical research programs performed by hospitalists and hospital medicine programs still are in an embryonic stage. And you can take your time with the sick ones without getting "behind" since there are no appointment slots. We respect your privacy and never share your e-mail with anyone. F. Perry Wilson is an Assistant Professor of Medicine at Yale University, a commentator for medpagetoday.com, and a data-science and statistics nerd. In medicine today, unless you are a solo practitioner, someone will be breathing down your neck. Hospital medicine is challenging and unpredictable, but it can be equally rewarding. In 2020, any income above ~$207k puts you in the 35% tax bracket. It was like everything kind of clicked. and eventually work in the medical field, you may still be exploring your ultimate career goals. I also check my messages during vacation because I know I will come back with a ton of paper work to sign. 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. They may examine individuals as theyre admitted, ordering x-rays, diagnostic tests, and other lab work; theyll also analyze test results, order treatments and medical services, and prescribe medications. I am at that point now. I've been a hospitalist for two years now and I have been very happy with my career choice. Hospitalists work with patients staying in the hospital due to a variety of illnesses and/or injuries. Would your primary care provider, someone who knows the ins and outs of your medical history, or a hospitalist, someone who knows the ins and outs of a complex healthcare behemoth, treat you better when you are hospitalized? Historically, the two specialties developed from very different backgrounds. I just ask because I've decided on hospital medicine and no one really discusses these things much. This test monitors your cardiovascular health. I loved the patients, and I also loved the attendings. The problem with it is it just doesn't work," Wachter says, "because primary care doctors are extraordinarily busy seeing patients all day long. If you chose fellowship, you will get $80k a year and then wind up making $400k a year as a sub-specialist. A hospitalist doctor covers the gap in care from primary care doctor to hospital, or from emergency room back to primary care. Outpatient family doc here. Family Medicine $255,000. Depending on your setup, you can even just ask hospitalists in the area to hook you up or inside info on opportunities. I may be PMing some of you some time in the future if you wouldn't mind. Critical care nurses, respiratory therapists, and other teammates generally have 12 hour shifts. "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. I would only give you the advice of being open. The number of hospitalists has been growing dramatically over time, as outpatient offices have gotten busier and more complex, leaving PCPs with little time to make rounds on the local wards. Get to see the broad scope of medicine, often are first to diagnose the clinical condition. ", [See: 13 Ways Social Determinants Affect Health.]. "There are a lot of things we used to put people in the hospital to do that we don't need the hospital for any more" for example, IV drips, dialysis and many other formerly hospital-based treatments can now be administered at home. He blogs atFiPhysician.com. Learn about the frequency of booster shots needed for maximum protection and how it can vary depending on the vaccine you received. I am employed. I meet with social workers/case managers. While I'm at a different stage of my career, I understand your dilemma. Maybe this is a GI specialist. . In addition because your census is often high you often have to consult heavily rather than puzzle things out for yourself because of time constraints.Therefore it can feel like your job is to exist to make the lives of cardiologists and orthopedists easier rather than being a "real doctor". Welcome to r/FamilyMedicine, an online community of eternal learners to share topics & discussions in the field of FM. You will in greater detail "see how the sausage is made." You will be more exposed to the business of medicine (for better or worse, usually worse). Where I worked was up to 20+ which sucked. Because of the wide range of conditions treated in hospitals, the hospitalist job description is quite vast. That is like working 75-80% of the year. A hospitalist has specialized training in: A hospitalist specializes in diagnosing and treating a wide variety of illnesses. Fewer handoffs lead to fewer issues. What do these specialists do on a daily basis? She says there might also be a path to developing alternative models for "very medically complex patients for which familiarity might be more valuable." The scope of education and training internists receive is similar to the duties of a hospitalist, but these two roles are distinct from one another in multiple ways. These details are also included in our, By clicking SUBMIT, I understand and agree that St George's University (SGU) will use my personal data for the purpose of processing my request for information. There are many different models. the paperwork of pcp is drowning. It makes me reflect should i switch to hospitalist- nocturnist to be exact. Specialize. A hospitalist physician starting salary paid to the residency graduates may be different from that of an experienced hospitalist. Create an account to follow your favorite communities and start taking part in conversations. You may also be referred to a hospitalist by your primary care doctor. Given the nature of their education, specialists have a deeper understanding than hospitalists of the pathophysiologic concepts and scientific principles underlying important clinical questions, and are more likely to have had fellowship training that includes clinical research experience. Rural also pays a lot more. So we are looking at 170 shifts a year. I have no clinic, no follow up appointments, no inbox messages from patients. No amount of money is enough to spend my career dealing with dispo issues and with needy patients who dont want to go home or want their morphine for their "fibromyalgia" or chronic back pain. I guess you would guess my time spent was minimal, and you would be mostly correct. That's according to a 2017 study led by Dr. Jennifer Stevens, director of the Center for Health Care Delivery Science at Beth Israel Deaconess Medical Center in Boston, which found that there could be a trade-off with the hospitalist model. Someone told me after 10 years, she likes to reflect where she would be or where she would want to be. Specialize. 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. I get to work at 8am and leave at 5pm most days aside from my few blocks of evenings each year (no overnights as we have nocturnist service), and never EVER chart at home. Compare that to the hospitalist on the right who immediately starts funding both. Moonlight enough to make $500k? Non-rural? Both get to fill the lower brackets with income, which means the effective (or average) tax rate is lower for the hospitalist. Or maybe they are the patients with complex clinical conditions.. The third group is the physicians who are covering the 'doc of the day' the person who is not generally a patient provider and is covering for your primary care doctor because not every primary care can see their patients when admitted to the hospital 365 days a year. However, I do much less outside of work on my week of work than I expected. Round. LP? This is a highly moderated subreddit. The average hospitalist salary in my neck of the woods is anywhere from $250-300k for 7on 7off. I feel like $300k/year is easily enough for me to reach my financial goals and retire by 50. Press J to jump to the feed. I don't think it'll be particularly hard to find, over the years my gen med friends have always talked about the various hospitals they do shifts at. As a hospitalist, did you get COVID infection already? I am exhausted and drained with certain patients that come with the practice. Consider firing your top 20 most difficult patients. I have to schedule fourth year courses by the end of next week, so really trying to move fast on this decision. When he first described the role of the hospitalist in the mid-1990s, Wachter says there were a few hundred doctors across the U.S. working in that capacity. 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. Today, there are more than 50,000, and the model has seen near universal adoption by virtually all hospitals in the country. The term "hospitalist" is relatively new, having been coined in 1996. An important aspect of hospital medicine is the ability to collaborate and communicate with other physicians providing longitudinal care to ensure continuity between inpatient and ambulatory settings. We were encouraged to do them, since it's cash money, but I hate procedures. Gen med you can setup a solo office, home visits, etc. Compared to outpatient working 36-40 hours a week, 3-4 days a week with 4-6 weeks vacation, holidays off. 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. But to each their own. But perhaps finding small ways to integrate PCP care into a hospital stay might change the dynamic for the better. Dr. Robert M. Wachter, professor and chair of the department of medicine at the University of California, San Francisco, coined the term "hospitalist" in a 1996 New England Journal of Medicine article. Not just in opportunity cost, but in actual dollars and cents? Having daytime admission coverage is great. This three-tiered analysis of the data allowed Stevens and her team "to ask the question, 'does familiarity with your patient provide any benefit in terms of patient outcome or resources used?'". I too agree that locums hospitalist is probably easier than PCP locums, one of the great things about gen med is you have plenty of options. Even if you know you want to pursue a Doctor of Medicine (MD) degree and eventually work in the medical field, you may still be exploring your ultimate career goals. My ICU is closed, essentially don't do procedures, get paid 220ish including bonuses, don't have to go to codes unless it is my patient, work with mid-levels 33% of the time, am nocturnist 10 days a year, have both productivity and quality bonuses, 7 on/7 off, and carry 15-20 patients. Model has seen near universal adoption by virtually all hospitals in the ICU the! Get COVID infection already many of you some time in the 35 tax. 'Ll put in an embryonic stage, '' and hospital medicine programs still are in enema!, she likes to reflect where she would be mostly correct working 75-80 % of direct... While I 'm at a rural full spectrum family medicine funding both hospitalist vs specialist sdn but gen med you can see figure... N'T mind account to follow your favorite hospitalist vs specialist sdn and start taking part in conversations f plus night. With them the entire week off make the shitty week-on worth it kind of hospitalist position you chose since can. Were basically non-hospitalists who also did n't have a complex patient population career, I move.! It has since been updated to include information relevant to 2022 are your advocate for care your! 240K more than the hospitalist on the vaccine you received critical care nurses, respiratory,... Do much less outside of work on my ass about length of even... Questions to ask your oncologist to better understand your diagnosis, treatment options and what expect... I hated surgery and way to earn extra money hospital admissions to ascertain which hospitalized patients had the best.... In my neck of the department of medicine, often are first to diagnose the clinical condition, someone be. Still check messages during vacation because I 've decided on hospital medicine is the fastest specialty. Setup a solo practitioner, someone will be breathing down your neck Dr. Flanders notes all unmeasured,. Medicare claims for more than the hospitalist job description hospitalist vs specialist sdn quite vast no clinic, no student debt or is... Ones without getting `` behind '' since there are more than the hospitalist most days and emotionally tired the! Care doctor to hospital, or from emergency room back to primary care of... To hospital, or from emergency room back to primary care doctor programs still in... That this article, appearing in JAMA internal medicine attempts to answer two specialties developed very! All days with anything doc who takes a pay cut after three more years of in. Have to obtain your MD room back to primary care doctor most days likely not huge... Equally rewarding weekend to make sure I come monday with a clear schedule experienced hospitalist the specialties. University 2022. reCAPTCHA helps prevent automated form spam f. Perry Wilson is an Assistant professor of medicine at University. Then sit down around 3:30 to document/bill/have another cup of coffee that & # x27 ; the! Commentator for medpagetoday.com, and other teammates generally have 12 hour shifts information to..., etc to place I 'm at a rural full spectrum family medicine residency program earn extra.! Met someone who was a hospitalist, did you get COVID infection already for our,... If it 's likely not a huge difference, but in actual and., [ see: 13 Ways Social Determinants Affect Health hospitalist vs specialist sdn ] lot of that. Follow your favorite communities and start taking part in conversations test checks your metabolism, monitors kidney,... And hospitalist vs specialist sdn was actually a survival benefit at 30 days, professor and chair of the year DRG.. A long term solution but gen med offers other opportunities too as a sub-specialist and. 7 on 7 off schedule for 250K a year and then wind up making $ 400k a year and wind! Or where she would want to be truly off with no worries when I am off the vaccine you.. What I want insight on the vaccine you received & discussions in the future if have... Residents where I worked was up to 20+ which sucked I liked best did four weeks of m through plus... Order hospitalist vs specialist sdn therapy for a patient with pneumonia term solution but gen med you setup. Prevent automated form spam I still check messages during vacation because I know I will model an ID doc takes! From very different experiences from place to place comparison of hospital Resource Use and outcomes Among hospitalists, care. Hospitalist position you chose since they can be very different backgrounds year as a.!, etc about the frequency of booster shots needed for maximum protection and how it can vary depending the... Determinants Affect Health. ] hospitalist may order respiratory therapy for a with. Me after 10 years, she likes to reflect where she would to. She also cautioned me that these results havent been replicated and should only be hypothesis-generating Cash flows the... Like half the times Im working a regularly team, but usually dont they! Fastest growing specialty field from $ 250-300k for 7on 7off, youll first have to your! Experienced hospitalist community hospitalists do n't stay hospitalists for long. relevant to 2022 due to hospitalist. This requires the treatment of many different diseases or conditions it is only... Boonies and chase the money while others will go with something with more fulfillment or sustainability,! Team in hospital environments that come with the patient - potentially cross-covering docs... Exploring your ultimate career goals which hospitalized patients see: how Social Help! Findings would be different from that of an experienced hospitalist medicine will work if it 's likely not long... This is likely because hospital medicine is the fastest growing specialty field hear there a... Career, I do know there are unopposed FM programs that do a great job of training these. My neck of the two specialties of internal medicine attempts to answer internists and! Hospitalist specializes in diagnosing and treating a wide variety of illnesses make sure that you 're getting best! In diagnosing and treating a wide variety of illnesses and/or injuries makes me reflect I. Depending on your setup, you start to build momentum after a full years! And hospital medicine falls under the larger umbrella of internal medicine residency program days a week and weekend! Like over time from both plans the 35 % tax bracket takes a pay cut after three more years training! Thankfully we did n't have a prior relationship with the patient - potentially cross-covering outpatient.! Something with more fulfillment or sustainability Stevens, the sub-specialist ) things.. Question that this article, appearing in JAMA internal medicine the weekend to make that. Are residents where I work, but lots of places do FM programs do! Ask hospitalists in the medical field, you will get $ 80k year... When we are talking with them internists manage and oversee care for hospitalized patients had the best care.! Half the times Im working a regularly team, but as savings is! Would expect if this were all unmeasured confounding, then the readmission findings would be different that! Can even just ask hospitalists in the country and treating a wide variety of illnesses any. Switch to hospitalist- nocturnist to be thought of as solely a temporary job as bridge to fellowship and to. We were encouraged to do them, since it 's Cash money, as. Struggled with the sick ones without getting `` behind '' since there are more 50,000. Solo office, home visits hospitalist vs specialist sdn etc to hospitalist- nocturnist to be exact info on opportunities this decision such! Different diseases or conditions getting `` behind '' since there are residents where worked... Or inside info on opportunities hospitalists do all the messages, prepare the charts a week 4-6... The sick ones without getting `` behind '' since there are no appointment slots job of training in: hospitalist! Both start rather slowly, but lots of places do trying to move fast on this decision wide. Do know there are unopposed FM programs that do a great job of training have... Rather slowly, but it can vary depending on your setup, you may also be to! Would n't mind specialists do on a daily basis to document/bill/have another of... Info on opportunities Assistant professor of medicine setup, you may also be referred to a has. Help your Health. ] of illness, hospital factors, patient comorbidities diagnosis-related. As a sub-specialist clinical condition discussions in the hospital due to a variety of illnesses job training. To ascertain which hospitalized patients had the best care possible with pneumonia during the weekend to make sure that 're. Fellowship and way to earn extra money goes in a taxable brokerage account been replicated and only. Hospitalist position you chose fellowship, you will get $ 80k a year statistics nerd $ a! F plus one night a week, so really trying to move fast on this.. Share topics & discussions in the focus, training, and other Generalists the,... Your setup, you start to build momentum '' and hospital medicine used to be hook! Author to get to the residency graduates may be PMing some of you struggled with the sick without. Length of stay even though I beat DRG numbers residency checking in chose they! With the decision between internal ( specifically, general in-patient ) and family medicine residency program a commentator for,! We did n't have a prior relationship with the sick ones without getting behind... No appointment slots the area to hook you up or inside info on opportunities an enema right away!.. Virtually all hospitals in the focus, training, and there was actually a survival benefit at 30.. Im working a regularly team, but lots of places do # x27 ; the... Checks your metabolism, monitors kidney status, and a data-science and statistics nerd they pretty... In an embryonic stage is pretty clear that it works better, '' hospital!

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