The hospitalist bubble

Dr. RW: “The bubble will burst the morning CEOs wake up and realize that there is no longer a shortage of hospitalists. Don’t expect that to happen for decade or so according to the panel.”

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  • Anonymous

    I have long beeen a sole dissenting voice in the hospitalist debate; I do not think the model will last. Most hospitalist programs are subsidized under the argument that they save money. However, this has not been proven in a significant way. Eventually, they will have outasted their usefulness and be replaced either by cheaper hospitalist midlevel providers or by the primary care doctors returning to hospital care (not subsidized).

  • The Happy Hospitalist

    Somehow, I just don’t see my usefullness being outlasted. I always laugh at the assertion that internal medicine can be practiced independently by midlevels. That’s like saying a midlevel can do a Whipple independently, or a midlevel can perform a laminectomy independently. That’s simply not the case. Perhaps heart catheterizations. Maybe colonoscopies. Your assertion, surely isn’t limited to hospitalist medicine. I assume you believe the trend toward midlevels will progress in all specialties. If that’s the case, may our health be with us.

  • Mike

    I was a hospitalist for 5 years at a major New York hosp[ital. Their solution for getting themost for their money was by having us do a lot of non-hopsitalist work.. i.e. teach physical diagnosis to med students, farm us out to a nursing home, cover a dedicated service for a certain insurance company. It sucked, which is why I left. They say the average life span of a hospitalist is 5 years. There’s a reason.

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