A few (more) hospitalist questions

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Hi everyone,

So, I've read most of the (recent) threads on this forum regarding job outlooks for hospitalists, the schedule, pay, etc., but I have a few more questions that I'm hoping some of you could answer. I know the answer to many of these might be "it depends," but I'm looking for some general trends.

1) I was reading another thread recently where someone said that many locations are shifting away from the 7 on/7 off, 7am-7pm, scheduling because of the burnout. Is this becoming a growing trend? If it is, what are the new schedules that places seem to be shifting towards? I know that many people "love" the idea of 7 on/7 off, but working 12 hours x 7 days = 84 hours a week, even if it is "half the year", post-residency, does NOT sound fun.

2) With that said, how much of a shift is generally spend "in-house?" Does a 7am-7pm schedule really mean that you are in-house for all 12 hours of that shift? How much down-time is there? Is it 12 hours of running all around the hospital?

3) What is the trend towards Family Medicine trained physicians working as hospitalists? Would a graduate of an inpatient-heavy FM residency program have problems finding work in an urban/suburban setting? This is covered occasionally in the Family Medicine forum, but I wanted to see the IM perspective on this.

Thank you!

 

[gutonc]

1) It depends
2) It depends
3) It depends

 

[FutureInternist]

Hi everyone,

So, I've read most of the (recent) threads on this forum regarding job outlooks for hospitalists, the schedule, pay, etc., but I have a few more questions that I'm hoping some of you could answer. I know the answer to many of these might be "it depends," but I'm looking for some general trends.

1) I was reading another thread recently where someone said that many locations are shifting away from the 7 on/7 off, 7am-7pm, scheduling because of the burnout. Is this becoming a growing trend? If it is, what are the new schedules that places seem to be shifting towards? I know that many people "love" the idea of 7 on/7 off, but working 12 hours x 7 days = 84 hours a week, even if it is "half the year", post-residency, does NOT sound fun.

2) With that said, how much of a shift is generally spend "in-house?" Does a 7am-7pm schedule really mean that you are in-house for all 12 hours of that shift? How much down-time is there? Is it 12 hours of running all around the hospital?

3) What is the trend towards Family Medicine trained physicians working as hospitalists? Would a graduate of an inpatient-heavy FM residency program have problems finding work in an urban/suburban setting? This is covered occasionally in the Family Medicine forum, but I wanted to see the IM perspective on this.

Thank you!

1. There are many places that do scheduling 7/7 & others that do flexible where you can submit requests for how many you want on/off & they se what they can do

2. Each facility will have their own rule about this. Some allow you to leave once your work is done as long as you answer your pager till the end of your shift while others require you to stay in house since they may not have a good cross-cover strategy.

3. You have a pulse, they have a job