The Life of a Hospitalist - Real Talk About a Hospitalist Career
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- Опубликовано: 16 июн 2024
- A hospitalist career has become very popular within the field of internal medicine. But few medical students know much about the field and therefore aren't even interested in the field when they enter medical school. In this video, I interview a hospitalist attending (who is also my nearest and dearest) to give you the scoop on the pros and cons of this career. Watch to find out more about the hospitalist life!
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I'm Monica, an Internal Medicine attending at University of California, Los Angeles. I'm here to provide high-yield videos for medical students and residents. My favorite topics include how to succeed on clinical rotations, clinical skills, and some good old pathophysiology! I'm also obsessed with my cats and fitness, but I think there are enough cat and fitness videos out there...
As a hospitalist for the past several years I would say my experience changed rapidly from somewhat running the show to essentially being told how every aspect of my work would be done from when I should show up, to having to attend multi disciplinary meetings, before I can even finish rounding on patient, where I would have to explain patients hospitalization, justify plans of care even for patients I may have just assumed care over, to essentially being mandated by the hospital to be the primary attending for essentially every patient in the hospital, whether they were general medicine or completely surgical patients (minus most ob patients and kids). If that wasn’t enough we’d get relentlessly paged by nurses over any number of issues, minor or major, call or speak to multiple family members for several patients (as nurses would direct all towards us), deal with coders who would ask us to reword many of our documents to appease CMS criteria for reimbursement (many times not relevant from the perspective of the patient’s health), talk to insurance to have to appeal certain aspects of patient care (with dreaded wait times), regularly have to admit more patients or see consults on top of all that. As the hospitalist has taken on the role of essentially the primary doc for all patients in the hospital, specialists had appeared to take less ownership of patients and therefore if issues arose, even if they weren’t primarily internal medicine in nature, staff would direct patients and families to speak with us as the specialist may be difficult to reach or not communicate much of a plan. Lastly if that weren’t bad enough I’d still get pages and coding queries even on my off days and had been informed by the job to have to regularly check our inbox even on our off days. The pandemic ultimately hastened the burnout between the increased deterioration of quality nurses (replaced by travel nurses), sicker and increased volume of patients, deterioration of common courteousy by patients or family and fear of getting COVID and giving to family. We very commonly took care of ICU level patients as intensivists could easily refuse consults without consequence. Lastly we were employed by the hospital for my last few years there who demonstrated the typical lack of respect they are known to give to most of their employees, and being a physician was no exception for them…I’d made the switch to outpatient but sadly outpatient IM/pcp life has also proven difficult with high demands, high volume of patients, poor or lack of adequate quality ancillary staffing and lack of work life balance…from a primary care/internal medicine perspective, I’d say we have a problem with healthcare in the US
Thanks for sharing your experience! I agree that more and more demands that are not direct patient care are placed on us, whether it's documentation, meetings, etc. And there's certainly a lot of burnout due to the workload. It sounds like you worked in some tough environments! 😔
I am a resident and that is exactly what I observed in New York hospitals.
Have you heard quite quitting? You are an attending, not a resident anymore. you have demand and you have bargain capacity. I hope you find a better contract because at this point if any shit is happening to you its onto you. Not anti trust match making system anymore.
@@MohammadHossainMD good luck with the malpractice lawsuit that’ll come your way (and this day and age you can get charged criminally as well). Quiet quitting won’t work for doctors.
wtwvrhpnd2. When will doctors and nurses organize a STRONG UNION to take back good medical practice for patients and doctors? Collective action is needed.
Love this! Would love to see more interviews like this 🎉
Appreciate the honesty and all the details!
Thank youuu! 🥰
Great video, love the honesty
Thank you!!
Surprised to see this video didn’t have that much views yet. The quality of the video was amazing and I thoroughly enjoyed hearing both of your inputs. Thank you for making this and helping to influence my career path after medical school!
Thank you for such a nice comment!! So happy you found it helpful. 😁😁😁
thanks for sharing your experience
This was very informative! Thank you!
Of course! So happy you found it helpful. :)
IM resident here, super helpful video for helping me decide on hospitalist or not! :)
Thank you for this!
Of course! Thanks for watching!
I just stumbled upon your video while trying to get more honest feedback about what it's like to be an IM doctor / resident. Really passionate about IM but I always hear such negative things about it i.e. high burn out rates or that IMs spend more time doing paper work than anything else. I just checked out the rest of your channel and lol lemme just say God is good cause your channel is literally heaven sent. Thank you for making this content and keep up the good work, sincerely an IM hopeful. x
Wow thank you so much for the super nice comment!!! 🥺 trying my best! And don’t let talk of burn out and paperwork deter you from IM. Burn out can happen in any medical field, unfortunately, but there are ways to avoid it. And sure we do a lot of computer work, no doubt about that. But we also take care of patients at the bedside and interact with them more than in most other specialties. ☺️ join us! 🤗 and good luck! 🍀
@@MonicaJeong thanks for taking the time to reply. I hear you on it also being the specialty that allows you to spend the most time at the patients beside. It honestly seems like a great field, so I have to trust the good will ultimately outweigh the bad. Thank you for the well wishes, I hope to match this cycle and join the IM gang! 🙂
I'm only in 8th grade but this video really helped me see more what of a Hospitalist is. I want to be this when I grow up I really think this is for me.
That’s great!! Nice to have a general direction, but remember that you have so many years ahead of you to figure it out. Have a goal but keep your mind open! ☺️
Hi Dr. Jeong great content! Hoping to find the right residency program for me in 2023!
Thank you!! Good luck! :) :)
Canadian Internal Medicine PGY 3 here, doing GIM fellowship next year and then planning to work in the community. Surprised at the low census in your guys' centres. Here, community GIM will be MRP for ~20-30 patients on the team. Also, GIMs in Canada also have clinics and outpatient practices. Do you guys have that flexibility as well? Great video!
The census definitely varies a lot from center to center here! At our hospital, it's 20 patients per medical team (10 patients per intern). The number also varies with how sick the patients are at particular hospitals. In the community, physicians are able to carry more patients because they tend to be "less sick," and those at academic centers may need to carry fewer due to complex medical conditions. As for having both clinic and inpatient roles in the same job - that goes mostly for subspecialties (cardiology, rheumatology, pulmonology, etc). But it's pretty rare these days to have a general medicine doctor do both. You might see that more in rural areas, but less so in big cities, where outpatient medicine such as primary care and inpatient medicine such as hospitalist jobs are separate. Hope that's helpful!
@@MonicaJeong thanks for taking the time to reply!
@@boggie114 Hey, just wondering if you mind expanding on why you decided to do a GIM fellowship? My understanding is that most community sites don't require a GIM fellowship (ofc different story for academia) and having just the 4 years of IM is sufficient
@@leohale403 To clarify, I did the 4 year program. The last year of the 4 year program is still called a fellowship though. So 1 year fellowship (4 year program) vs 2 year fellowship (5 year CaRMS matching program).
@@boggie114 Thanks for clarifying!
Great video!! MS-2 here
Thanks for watching!! 😊 good luck with MS2!
Thanks for this helpful video! I’m from Canada and want to come to the US to do my undergrad and med school. What undergrad did you two do?
Thanks for watching! I went to Stanford, and my husband (who's also from Canada!) went to Vancouver Island University. :) Good luck!!
Could you do PM&R? Both inpatient and outpatient, if you know people in both?
That’s a great idea! But I don’t know anyone in PM&R haha. Not a huge field. But I’ll try to find someone! ☺️
No mention of open and closed ICUs. In an open ICU, don’t hospitalists need to manage patients in ICU (vents, central lines, intubations, extubations)
What's the average academic Hospitalist salary in upstate New York?
Is it common working 7 on/7 off?
Yes! At least on average throughout the year it’s 7 on, 7 off. You might have some longer weeks and some shorter weeks.
Can a FM physician be a hospitalist?? Or needs to do a fellowship??
Great question! I believe so, yes. A lot of similar training. You don't need to do a fellowship for hospitalist. :)
Yes you can. I know alot of FM physicain switch decided to switch there practice form out patient to hospitalist.
Are most hospitalist attendings in the US still doing 7 on/7 off, 7am-7pm working patterns? Or is there other working patterns on offer these days? I feel like 7 on/7 off would be good when you're younger, but might become difficult once you get into your 50s/60s.
There are other patterns out there, but the general structure of alternating on and off weeks is still typical for hospitalists. It’s a demanding job that requires as much continuity as possible with patients, so it’s tough to organize it any other way. But I agree, prob does get harder as you get older! So people might cut back to part time or pick up other duties like academic roles that can take the place of some clinical time.
Yes is that 8 hours / 12 hours
As a medical student, I like to be a Hospitalist.
But I want to know approximately how predictable is the office hours for hospitalist in teaching hospital and how they will manage their personal life mam? Because I don’t want to spend 24/7 in the hospital.
Can you clear me on that mam?
You don't spend 24/7 in the hospital. I would say on average day shifts are 10-12 hours per day. You do a stretch of several days, usually about 7, and then you have a stretch of time off. Hope that helps!
@@MonicaJeong Thank you so much mam😊
What is a hospitalist RN ?
Not sure! Do you mean a hospitalist NP? I’ve seen NPs work with hospitalist teams functioning kind of like a resident.
200-300k is not enough these days. It's why med students are running to specialties
I made $390k+ five years in a row by just doing locums. If I do night locums, I can easily do $450k+
How many months of the year did you work?