Hospitalists demanding complete workups before admission? 911DOC has some strong words about that:

By insisting on this level of completeness from me the hospitalists, internists, and many surgeons have aced themselves out of caring for the critically ill and are losing their clinical judgement and skills for lack of use. In the meantime my skill and knowledge base is increasing. Hell, internists in my town don’t even manage the sorta-ill or the kinda-ill anymore. Like most things in life, true gut-knowledge comes through repetition. If you haven’t run a code in three years then I understand why you don’t want to run one today. I don’t know why they don’t see this but they don’t. Job security for me? Sure. But I’d rather do Emergency Medicine.

(via GruntDoc)