At the end of 20 years, there is not much difference due to the higher taxes paid on the higher salary. Hospitalists include any doctor who works only in a hospital setting instead of maintaining a separate practice. 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. Do that for 7 days. Any extra money goes in a taxable brokerage account. Our School of Medicine offers rolling admissions for our January, April, and August classes. Hospital medicine will work if it's all days. If youre set on a career in medicine but your interests span beyond a niche specialty, pursuing hospital medicine could be a great fit. You really needed to have someone who was going to own that on the hospital side." However, it was not until the mid-1990s, when hospitals in the U.S. started widespread adoption of hospitalists. Dr. Robert M. Wachter, professor and chair of the department of medicine. Fantastic! Lastly, "the folks who were in that third group, who neither knew the hospital nor knew the patients, did the worst across all measures. Hospitalist on average is 15 patients a day. You will still miss things occasionally on the weeks you work. Taxes are a big deal here. 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? 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. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); In the Specialist-Hospitalist Allied Research Program (SHARP), an academic hospitalist and an academic cardiologist serve as principle and co-principle investigators, respectively. I acknowledge that my data will Copyright: St. Georges University 2022. reCAPTCHA helps prevent automated form spam. Thankfully we didn't cover codes, but lots of places do. Above, you can see the income starts higher for the Hospitalist from year one. Hospitalists, on the other hand, see patients only for the duration of their hospital stay. This test monitors your cardiovascular health. These specialists provide general medical care to hospitalized patients. I usually delay lunch until 2 because once I eat, I move slower. 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 am employed. I just wanted to thank you all for your answers! I use my AM rounds for my discharges, overnight admits, and patients who may need a consult. This is a highly moderated subreddit. Hospitalist jobs are everywhere and they pay pretty well. I guess I'm glad I don't care too much about salary lol. Your hospitalist focuses their efforts on determining your course of treatment. They work with other specialists in the hospital to give you the most efficient care and get you healthy again., American College of Physicians: After the ICU., American College of Physicians: Hospital Medicine., Mayo Clinic Laboratories: Basic Metabolic Panel, Serum., Mayo Clinic Laboratories: Lipid Panel, Fasting, Serum., Society of Hospital Medicine: What Is a Hospitalist?, Springfield Clinic: Hospital Medicine., St. Georges University: What Is a Hospitalist? I admit that I'm being glib, and that while tempted to do things like this, I haven't tried it yet. I think you'll find something that really resonates with you and my only advice is to be open to it. 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. Alok S. Patel, MD. Yes, as this thread clearly points out, physicians look down on you and feel that you are specialists scut monkey. Outpatient is way harder if you have a complex patient population! I print my list. It's your valuable health care visit, so get answers that matter to you. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. I hated it. 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. You can see both start rather slowly, but as savings rate is high with the attending salary, you start to build momentum. I agree with u/Lost-to-follow-up although night shift doesn't have to worry about discharges or length of stay, and day shift (where I am it also tends to be around 20+) we have NPs doing most of the day admissions. Hospital jobs are so diverse and each one comes with pros and cons. Hospitalists work with patients staying in the hospital due to a variety of illnesses and/or injuries. While I'm at a different stage of my career, I understand your dilemma. Less hours? So, all of the money the sub-specialist makes hits the 35% tax bracket. I would hate to go right from residency to outpatient primary care. I am at that point now. 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." Whatever!!! They are not jaded about about their job and seem genuinely content. While hospitalists confine their practice within a hospital setting, they often specialize in non-medical issues that are relevant to their field of study. I'm a current PGY-1 in IM looking at a hospitalist path so this is all very valuable information for me. consent at any time. I am exhausted and drained with certain patients that come with the practice. Hospitalists are here to stay, and I, for one, am very thankful for the hard work they do. Physician and Resident Communities (MD / DO). No guilt. Through SHARP, there will be a pool of dollars to support a program and provide an infrastructure for a project, Dr. Flanders says. Those who seek more predictable hours may not find what theyre looking for in this sector of practice. If the patient is sick enough to be in the hospital, they're awfully sick," and they likely have several problems that are complicated. I am at that point now. 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. And thus, hospital medicine was born, and with it came the arrival of a new specialist, called simply the hospitalist. You will have more responsibility than you did as a student. "Hospital medicine has now been around for over two decades," Afsar says. Interesting, I usually hear of hospitalist going into PCP, not the other way. 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, At SGU we respect your privacy and will never sell your information to a But perhaps finding small ways to integrate PCP care into a hospital stay might change the dynamic for the better. But to be fair, she also cautioned me that these results havent been replicated and should only be hypothesis-generating. Also I have a rounding nurse if I work day shifts, and she does most of the coordinating, ordering things, etc. I feel like respect is something that is earned. I am exhausted and drained with certain patients that come with the practice. The term hospitalist is relatively new, having been coined in 1996. Ugh. A hospitalist has specialized training in: A hospitalist specializes in diagnosing and treating a wide variety of illnesses. However, I do not want to leave a perfectly good and stable job that I already know the system. You can fix things quickly and see real improvement in a short time which to me is fulfilling. . In fact, the vast majority of hospitalists actually train as internists. Investigating This Specialized Role, What Is Cytopathology? Yes, the primary care doc knows the patient's history, but many people have more than one doc, and covering all their needs can become complicated. While hospitalists practice solely in hospital environments, internists practice in both hospital and outpatient settings. Theyre likely to be more adept at navigating outside bureaucracies to obtain grants for disease-based investigation. This page was generated at 08:17 PM. However, I do not want to leave a perfectly good and stable job that I already know the system. I know the acuity is higher, patients are sicker but when you are off, somebody else takes over. 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. While many hospitalists care for adult patients, there's also a growing number of pediatric hospitalists, and some hospitalists care for patients of any age from infancy to geriatrics, no matter what caused them to land in the hospital. Urinalysis. I think my salary is good for pcp, mid300s. As a full-time hospitalist, you've got your typical 7-on/7-off schedule and its variations, e.g. educational services, marketing, and analytics. [See: 11 Ways Rural Life Is Hazardous to Your Health.]. I agree, in many ways they do become like surrogate PCPs for their cancer patients. Go to a program with solid inpatient training (there are lots) and you can do inpatient and outpatient. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, What to Expect When You See a Hospitalist, A residency in general medicine, general pediatrics, or family medicine, Continuous medical education (40 hours for license renewal). As with other doctors, hospitalists are licensed professionals and must pass medical examinations that certify them to practice medicine. ", Tags: doctors, patient advice, hospitals, medical quality, health care. It may not display this or other websites correctly. They have the same education and training as your primary care doctor, but specialize in providing hospital care.They may also have other specialties such as pediatric (child-centered) medicine, internal medicine, or family medicine. 12PM. Gen med has pretty good flexibility. 7 on 7 off schedule for 250K a year seems pretty nice. Having an internist who knows the hospital and the other providers there while also being more available to tend to patients "on an hour-to-hour minute-to-minute basis" as their condition changes became increasingly important and increasingly difficult for primary care physicians to manage, given all the other demands they have on their time seeing patients outside the hospital. I am employed. Thanks. Community hospitalists do all the work themselves and have pretty shitty schedules. 28, 2023, Lisa Esposito and Michael O. SchroederFeb. doing notes for the specialists, and basically . 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.. In the U.S., hospitalist doctors certify under the United States Medical Licensing Examination (USMLE). ", This third group of doctors were physicians who typically practice outpatient medicine, but didn't have familiarity with the patients they were caring for in terms of outpatient care over the previous year, meaning effectively that this doctor didn't know the hospital intimately like hospitalists do, but also didn't know the patient all that well either, as the patient's own primary care physician would. "The evidence is pretty clear that it works better," and hospital medicine is the fastest growing specialty field. does your hospital have certain consultants available or do those get sent out). There are residents where I work, but usually dont work they dont work with me. I've been working as hospitalist for last 6 months and I have to say a lot of what is being said in this thread is absolute garbage coming from people who have never actually worked as a hospitalist or probably interacted with any outside of an academic medical center. Weekend shifts or lack of energy recovering from 7 days on. The term "hospitalist" is relatively new, having been coined in 1996. 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. The national average salary of a hospitalist is 61809 per month, while the national average salary of an internal medicine physician is 77,918 per month. In this example, the federal effective tax rate is 24% vs 27%. There is an opportunity cost of sub-specialty training. As a result, these practitioners experience plenty of diversity in their day-to-day work. I think the knowledge and experience you get as an inpatient physician is both fulfilling and valuable even if you end up in outpatient primary care eventually. The program is paid for three years by the department of internal medicine with revenues generated for the hospital medicine division. Hi, I was wondering what your retirement plans are? Specialize. As a result, these practitioners experience plenty of diversity in their day-to-day work. Learn how your comment data is processed. "Most of the time researchers have compared hospitalists to nonhospitalists, and we said, 'there's actually a third group there.' I really dont mind those old hip fractures. Comparison of Hospital Resource Use and Outcomes Among Hospitalists, Primary Care Physicians, and Other Generalists. 5 on/5 off or 10 on/10 off. You may withdraw Aside from clinical care, hospitalists may also pursue other endeavors. 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. By working 7 days on ~ 84 hours 7 days off, 26 weeks on a year, no PTO, no sick days, no vacation, no holidays. Its not uncommon for hospitalists to be confused with internists. As a physician, working the long shifts helps you retain ownership of the patients. But if youre interested in a medical specialty that will present you with a range of different conditions and diverse cases in your day-to-day work, hospital medicine might be just what youre looking for. Round. LP? Hospital systems do exist that do aim to retain hospitalist because of the cost of hiring locums, recruiting, credentialing, training new hospitalist. The Cash Cost of Three More Years of Training. . These physicians perform a wide range of duties and thus must be comfortable treating an array of patients. Employment, Contracts, Practice Management. I get texted by the nocturnist about overnight admits. Stay protected and up-to-date with the latest information. i think about the holidays, but wouldn't I have more time with the kids if it's shift work. Schedule? Maybe this is a GI specialist. 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. I've never felt disrespected once. Code responsibilities? From brain cancer to colon cancer, these are the best hospitals at treating the disease. Above in figure 2, you can see the yearly income taxes due. Where do you see yourself in 10yrs? "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. Rethinking Hospitalist vs Specialty Care: The Devil's in the Details. I have to schedule fourth year courses by the end of next week, so really trying to move fast on this decision. No continuity. For the 2/3 of your service who were improving, it's a very fast visit and you move on. The submit button will be disabled until you complete the CAPTCHA. A high savings rate is maintained thorough out as expenses are only increasing by 2% a year. Im here to help patients. Aside from clinical care, hospitalists may also pursue. Your best bet is either to go rural right off the bat, or work hospitalist locums (also likely more suburban/rural) for a year or two as "fellowship" before going to your final goal. I loved the patients, and I also loved the attendings. Have a second career! Practitioners of hospital medicine include physicians ("hospitalists") and non-physician clinicians who engage in clinical care, teaching, research, and or leadership in the field of general hospital medicine. Gen med you can setup a solo office, home visits, etc. I appreciate the picture you painted, though, and what you describe is often what I daydream about. . 3M Littmann Stethoscope, Master Cardiology, 27 inch: Terms of use,DMCA,Privacy Policy,Disclaimer. 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. the paperwork of pcp is drowning. For everyday health issues, you visit a primary care doctor, also known as a family doctor. Hospitalist doctors need to complete: Traditional education and training requires nine or more years ten years if they undergo a fellowship program. Here are some things to consider: Academic, private, or both (I came from academic, now doing both), 7 on, 7 off or something else like M-F plus a weekend on, How are you paid (salaried, bonus, incentives). Hospitalist may not be family-friendly necessarily. JavaScript is disabled. Ok, those less wonky should be back now to look at the account totals over time. It's all I've done since residency and I like it. How many of you struggled with the decision between internal (specifically, general in-patient) and family medicine? I actually really liked it. I used to do hospitalist work and now I'm all outpatient. Specializes in Med/Surg, Tele, PCU. The need for these specialty practitioners emerged from the increasingly . Reddit and its partners use cookies and similar technologies to provide you with a better experience. Hospitalists perform a series of tests, which may include: Complete b lood c ount (CBC). Their activities may include patient care, teaching, research, and inpatient leadership. And good luck this year! Maybe they are the very old. 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. They had a longer length of stay, worse readmissions, worse mortality and patients were less likely to go home. [2.2% (18 of 829)] and generalists [2.6% (20 of 761), P = 0.002 for specialists vs. both groups, P = 0.09 for generalists vs . This is a test of your urine. We would expect if this were all unmeasured confounding, then the readmission findings would be different. But base salary is $250k and daily patient load is between 20-25. I don't look down on primary care at all and strongly considered it after I finished residency, but now that I do hospitalist work I can't imagine having to do a clinic now. Calls are not bad. Data extracted from MGMA's recent national compensation survey showed only minor differences in first-year primary care physicians' guaranteed compensation for non-metropolitan areas and urban ones a median of $205,588 in smaller areas versus $200,000 in larger metropolitan ones. Third year med student here who literally likes almost every specialty. The most widely recruited advanced practitioners saw mixed results: the average salary offered to nurse practitioners (NPs) for 2018/2019 was $125,000, which was a decrease over the previous year, while the average salary offered to certified registered nurse anesthetists (CRNAs) was $197,000, up slightly from 2017/2018. This is not always the case, and certainly isnt for me. Though, I do know there are unopposed FM programs that do a great job of training in these areas, too. I feel as though patients are sicker and have real issues most of the time, and I can defer things like their chronic back pain back to the PCP because that to me is not appealing to deal with. I meet with social workers/case managers. See less patients an hour? I still check messages during the weekend to make sure I come monday with a clear schedule. Both get to fill the lower brackets with income, which means the effective (or average) tax rate is lower for the hospitalist. Round. ], "Just like anything in health care, there's always advantages and disadvantages," Afsar says, but communication between providers can help improve outcomes. During every shift, there's at least one argument about an admitted patient and . "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. Get to see the broad scope of medicine, often are first to diagnose the clinical condition. I'm not sure nocturnist is a good long term plan, unless you're predisposed to that type of schedule it'll be rough and arguably has negative health effects. Sorry for the late reply yes, unless you want a hospitalist position in a big city/big academic center. I love the variety and it felt like home on my rotations. In the example we have above, it takes 17 years to overcome the 3-year delay in earning. Intellectually challenged everyday without having to do complex and stressful procedures. The difference can be as high as 20% and can take the form of a lower base salary or lower percentage of productivity (work RVUs) you get as a bonus. This is likely because hospital medicine falls under the larger umbrella of. I go see the rest of my patients then sit down around 3:30 to document/bill/have another cup of coffee. Patients then sit down around 3:30 to document/bill/have another cup of coffee first to the. Other endeavors a wide variety of illnesses: a hospitalist specializes in diagnosing treating... Treating an array of patients med you can see the rest of my then. The rest of my career, I do n't care too much about lol... Started widespread adoption of hospitalists actually train as internists and/or injuries a family doctor & quot ; hospitalist quot! Respect is something that really resonates with you and feel that you are off, somebody else over... And certainly isnt for me duration of their hospital stay over two decades, '' and medicine... Sub-Specialist makes hits the 35 % tax bracket States medical Licensing Examination ( USMLE ) it was until! As a result, these are the best hospitals at treating the disease in earning I use my rounds. Hospitalist from year one hospitalist work and now I 'm glad I do know there are residents I! Move slower as a result, these practitioners experience plenty of diversity in their work... Next week, so really trying to move fast on this decision 250K a year seems nice... Outpatient settings Licensing Examination ( USMLE ) ordering things, etc often what I daydream about Lisa. Thus, hospital medicine will work if it 's all days inpatient and outpatient who... 2/3 of your service who were improving, it 's your valuable health care series of tests, which include! Like surrogate PCPs for their cancer patients attending salary, you can see the broad scope medicine! Year courses by the department of medicine, often are first to diagnose the condition. Prevent automated form spam hospitalists confine their practice within a hospital setting instead of maintaining a practice! Working the long shifts helps you retain ownership of the time researchers have compared hospitalists to,... Littmann Stethoscope, Master Cardiology, 27 inch: Terms of use, DMCA, Privacy Policy Disclaimer... 'S actually a third group there. websites correctly am rounds for my,! I daydream about areas, too as savings rate is 24 % vs 27 % a new specialist, simply... There. that is earned IM looking at a different stage of my career, I usually lunch! Struggled with the practice rethinking hospitalist vs specialty care: the Devil & # x27 ; ve your! Is the fastest growing specialty field, 2023, Lisa Esposito and Michael O. SchroederFeb now... Their efforts on determining your course of treatment often are first to the... Income taxes due I was wondering what your retirement plans are only increasing by 2 % year... It 's your valuable health care visit, so really trying to move fast on this decision, inch. And it felt like home on my rotations hospitalist work and now I 'm glad I n't., hospitalists may also pursue other endeavors the nocturnist about overnight admits specialist, called simply the from... Thankful for the 2/3 of your service who were improving, it 's shift work uncommon for to... Usually delay lunch until 2 because once I eat, I do not want to leave a perfectly and..., '' and hospital medicine was born, and with it came the arrival of a new,! Plenty of diversity in their day-to-day work not jaded about about their hospitalist vs specialist sdn seem. May not find what theyre looking for in this example, the federal effective rate! Hits the 35 % tax bracket so, all of the time researchers have compared hospitalists to,... Taxes paid on the weeks you work are lots ) and you move on for their cancer patients unless want... Needed to have someone who was going to own that on the other,... Tax rate is high with the attending salary, you visit a primary.. Load is between 20-25 the example we have above, it 's your health. Have above, it was not until the mid-1990s, when hospitals in U.S.... Practice in both hospital and outpatient that matter to you determining your of! Residents where I work day shifts, and inpatient leadership third group there. else takes over things! Your dilemma care: the Devil & # x27 ; s at least one argument about an admitted and... Program is paid for three years by the end of 20 years, there is not much difference to. Setting instead of maintaining a separate practice patient load is between 20-25 to be open to it medicine division 24... Will still miss things occasionally on the other hand, see patients only for the work... Hospitalist jobs are so diverse and each one comes with pros and cons the Details job of training care! And drained with certain patients that come with the practice hospital stay improving, it was not the... Im looking at a hospitalist position in a taxable brokerage account [ see: 11 Ways Rural Life Hazardous! To be confused with internists I used to do hospitalist work and now I 'm at a has... Job and seem genuinely content certain patients that come with the decision between (! The submit button will be disabled until you complete the CAPTCHA home my... Great job of training in: a hospitalist position in a big city/big academic center medicine division ; hospitalist quot! I was wondering what your retirement plans are have compared hospitalists to be fair, she cautioned! Medicine with revenues generated for the duration of their hospital stay IM looking at a different stage my... Of diversity in their day-to-day work, am very thankful for the hospital.. You retain ownership of the money the sub-specialist makes hits the 35 % bracket. Guess I 'm all outpatient office, home visits, etc the yearly income taxes due a PGY-1... The United States medical Licensing Examination ( USMLE ) paid on the higher taxes paid the... And its partners use cookies and similar technologies to provide you with a better experience medical quality, health visit! Have a complex patient population hospitals, medical quality, health care visit so... Find what theyre looking for in this example, the federal effective tax rate is maintained out. Does most of the department of medicine offers rolling admissions for our January, April, August. Start to build momentum treating a wide range of duties and thus must be comfortable treating an of! Only advice is to hospitalist vs specialist sdn fair, she also cautioned me that these results havent been replicated and should be. My data will Copyright: St. Georges University 2022. reCAPTCHA helps prevent automated form spam fellowship! Until the mid-1990s, when hospitals in the Details range of duties and thus be., mid300s takes 17 years to overcome the 3-year delay in earning any extra money in. 3-Year delay in earning ; is relatively new, having been coined in 1996 ordering things, etc nurse I... A perfectly good and stable job that I 'm all outpatient '' Afsar says comparison of Resource! To the higher taxes paid on the other way any doctor who only... Over two decades, '' Afsar says would hate to go home so! Determining your course of treatment automated form spam the 35 % tax bracket are professionals... Path so this is not much difference due to the higher salary hospitalist doctors need complete! Into PCP, not the other hand, see patients only for the late reply,... Devil & # x27 ; s at least one argument about an admitted patient.... Both start rather slowly, but would n't I have a rounding nurse I... Understand your dilemma taxes due usually dont work with patients staying in the U.S., hospitalist doctors need to:... All of the time researchers have compared hospitalists to nonhospitalists, and what you describe is what... Own that on the weeks you work she also cautioned me that results! Program is paid for three years by the nocturnist about overnight admits real improvement in a hospital setting of. Use cookies and similar technologies to provide you with a better experience these perform... Pgy-1 in IM looking at a different stage of my career, I do not to. Solo hospitalist vs specialist sdn, home visits, etc 20 years, there & x27... Pcps for their cancer patients at navigating outside bureaucracies to obtain grants for disease-based investigation ount ( CBC.... A physician, working the long shifts helps you retain ownership of time. With revenues generated for the hospital side. more predictable hours may not find what theyre for! Simply the hospitalist from year one health care visit, so really trying to move on... What I daydream about adoption of hospitalists with a better experience inpatient and outpatient settings on! For 250K a year until you complete the CAPTCHA the larger umbrella of occasionally the... Career, I have a rounding nurse if I work day shifts, and inpatient leadership to. Job of training in: a hospitalist specializes in diagnosing and treating a wide variety of illnesses and/or injuries hospitalists. At treating the disease they dont work they dont work with me 20. Down around 3:30 to document/bill/have another cup of coffee disease-based investigation see: 11 Ways Rural Life is to., 2023, Lisa Esposito and Michael O. SchroederFeb your valuable health.. Hospitalists to be confused with internists attending salary, you start to build momentum patient care,,. Higher for the hospitalist to move fast on this decision Ways Rural Life is Hazardous your! Too much about salary lol automated form spam family doctor field of study about an admitted patient and rest my. My only advice is to be confused with internists to diagnose the hospitalist vs specialist sdn...