Tuesday, April 29, 2008
Life of a hospitalist: "A highly paid intern"
Hospitalist medicine is similar to what internal medicine residents do in the hospital. That's part of the appeal for newly graduated doctors who want to continue to do what they're familiar with.After a few years of doing this, you start to realize that there's more to medicine than scutwork.
Posted by Kevin |
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Comments:
There is a lot of doing scut work for the specialists. What happens when there's no longer a shortage of hospitalists and the hospitals are adding NPs and PAs to their hospitalist services? Then the pay goes back down to primary care levels or worse.
# posted by 
: 3:43 PM
: 3:43 PM
Imagine for a moment a PA or NP running the show in a hospitalized patient. If you believe they could manage multiple chronic complicated interacting conditions with out MD supervision, then I have a package fairy princess' I would like to sell you. The model of extenders managing patients would equate to extenders providing cardiac or pulmonary or any specialist care unsupervised. The vast majority of any practice in any specialty consists of a hand full of disorders. It's putting them all together that takes talent at an MD level.
I have said previously, If I ever got admitted to a hospital where my attending was an extender, I would check myself out AMA. There is an appropriate role for extender. Being the head of the ship is not one of them.
As for doing scut work, I can't ever remember doing scut work for a specialist. That's just a strange comment.
I have said previously, If I ever got admitted to a hospital where my attending was an extender, I would check myself out AMA. There is an appropriate role for extender. Being the head of the ship is not one of them.
As for doing scut work, I can't ever remember doing scut work for a specialist. That's just a strange comment.
Agreed HH my last hospitalist gig we let the sole NP go. Frankly it was only a matter of time before she got us all in court. Too many 24-48 hour bounces on patients that should have never have been d/c'd (and visa versa, too many stable people hanging out that should go home). I have no problem with NP's doing primary care/urgent care with an MD around, but this idea the NP's can safely manage critically ill patient's independently or work without any MD/DO input is assinine.
# posted by : 6:23 PM
: 6:23 PM
Yeah, but once they run off all the docs with the guts to point that out, then they can get away with faking it.
# posted by : 10:05 PM
: 10:05 PM
Blow the scut work comment. It is critical work being done where the rubber his the road as far as quality of care is concerned.
Well done "scut work" is the difference between good outcomes and unnecessary suffering--not medical brilliance.
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Well done "scut work" is the difference between good outcomes and unnecessary suffering--not medical brilliance.
# posted by : 10:08 PM
: 10:08 PM
