Hospital employment

It's back in style, writes Richard Reece:

Today, it is specialists and sub-specialists and hospitalists, who are hot when it comes to physician employment. For hospitals, salaried specialists fill a void "“ in-house patient coverage, ER coverage, and prestige in the community.

For the physician, other factors are at work "“ a predictable 40 hour week, which fits the life styles of young or burnt-out physicians, a refuge ...

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Hospitalists: Good in theory

Aggravated DocSurg talks about how his hospitalist program is too disorganized, leaving many peri-operative complications to the surgeon.

In theory, hospitalist programs should be well-staffed, and internists available for consults. The reality is that many of these programs are in their infancy, and recruitment to smaller community hospitals are a problem. Combined with the high turnover rate inherent in this specialty, many programs are in ...

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Hospitalist Chris Rangel looks at both sides, as well as a take-home message unrelated to whether guns are regulated or not:

Unfortunately, the best lesson to come out of this is for law enforcement and first responders. Don't automatically assume that multiple homicides in normally peaceful communities where the killer(s) is still a large are isolated incidents in which a rational murderer is attempting to flee and has no interest ...

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Dr. Wes says that as doctors practice more at satellite offices, patients are increasingly being seen by their colleagues.

Of course, the concept of interchangeable doctors is already in full force with the hospitalist movement.

retired doc explains:

I am leaning to the conclusion that this is the result of physician fees price controls put into place in 1992 for Medicare patients and the controls placed on hospital charges for Medicare patients in efforts to control the rising cost of medical care for the elderly.
Also love this quote:
It has been so long since I functioned as a officist and a hospitalist - ...

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How are hospitalists doing?

Very well, thank you very much.

Dr. RW says that there's nothing to differentiate general internal medicine from FPs:

Worse yet, the proposals are another failure of the ACP to reclaim the identity of internal medicine. In defining the way internists fill the primary care role the proposals make no distinction from family practice. Is it any wonder there is a growing perception that the only way to be an internist is to be a ...

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Looks to be that way, says retired doc:

Hospitalists do seem to spend most of their work day doing what many of us wanted to do when we decided to become internists and I hate to think the only avenue for the Oslerian type internist to travel is that of the hospitalist but that may be the reality though we have not quite arrived at that point yet.

More controversy about hospitalists. Some patients aren't happy:

"If I'm in the hospital, I want my doctor to come and visit me. You better believe it," said Hill, 78, who is retired. "That's part of his job."
Well Mr. Hill, welcome to the world of decreasing reimbursement, pressuring office physicians to see more patients in the clinic. If you're not happy about this arrangement, I suggest getting involved ...

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It's a buyer's market for physician jobs. Hospitals not having a hospitalist program are at a disadvantage:

Doctors are satisfied with Coweta's patient base and current hospital facilities, but some are reluctant to make a commitment to Coweta because of Newnan Hospital's lack of a "hospitalist" program, according to Bass . . .

. . . A lack of financial resources has so far prevented Newnan from establishing ...

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