http://www.kevinmd.com/blog/2008/05/hospitalist-bubble.html medical blog Sun, 22 Nov 2009 07:50:13 -0500 http://wordpress.org/?v=2.8.4 hourly 1 http://www.kevinmd.com/blog/2008/05/hospitalist-bubble.html/comment-page-1#comment-85842 Mike Wed, 28 May 2008 00:55:00 +0000 http://clients.emmense.com/kevinmd/2008/05/the-hospitalist-bubble.html#comment-85842 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. 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.

]]> http://www.kevinmd.com/blog/2008/05/hospitalist-bubble.html/comment-page-1#comment-85826 The Happy Hospitalist Tue, 27 May 2008 20:57:00 +0000 http://clients.emmense.com/kevinmd/2008/05/the-hospitalist-bubble.html#comment-85826 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. 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.

]]> http://www.kevinmd.com/blog/2008/05/hospitalist-bubble.html/comment-page-1#comment-85822 Anonymous Tue, 27 May 2008 19:04:00 +0000 http://clients.emmense.com/kevinmd/2008/05/the-hospitalist-bubble.html#comment-85822 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). 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).

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