AP/CP board certified and working as Hospitalist

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[mlw03]

Mon Dieu! No... this is not a good idea. Pathology residency does NOT prepare one to be a hospitalist. Do you want your hospitalist staging a colectomy?! Well, we're equally unqualified to be acting a internal medicine physicians.

I see you're pre-med and I appreciate you're trying to be constructive, but the way to "save" pathology is not to pretend we're other types of physicians. A transfusion medicine fellowship prepares one to run a blood bank or a blood donation center - not to manage a 72 year old man in CHF and ARF.

I could go on for quite a while here, but I'm going to stop. The answer to your question, in my view, is an emphatic no. If you want to be a hospitalist, do an internal medicine residency. Period.

 

[Enkidu]

Is it possible to be AP/CP combined board certified with a CP fellowship like transfusion medicine and work as a hospitalist ?

I would rather wanna work as one rather than doing 3 to 4 fellowships and still not find a decent pathology job.

I though TRANSFORMATION in PATHOLOGY = SEEING PATIENTS.

Can we recommend ACGME to start a 1 year "clinical primary care pathology" fellowship to train us as primary care docs+ pathologist.

Just thinking to ways to save the field.

Doing 4 fellowships without getting a job? Working as a hospitalist after a 1-year fellowship? You are living in fantasy.

 

[pianoguy05]

Concur with the above sentiments; I'd write separately to note that this is 2nd or 3rd time I've seen this idea (or similar) floated around on this forum in the past couple of months, and each time I think the same thing: why did the OP (in each case) even enter this field in the first place? We are not internists; our expertise [generally] exists quite distant from the bedside, and what we do for patients cannot be done by other clinicians, despite some claims to the contrary.

mlw03 stated it quite well: "If you want to be a hospitalist, do an internal medicine residency. Period."

 

[pathstudent]

Is it possible to be AP/CP combined board certified with a CP fellowship like transfusion medicine and work as a hospitalist ?

I would rather wanna work as one rather than doing 3 to 4 fellowships and still not find a decent pathology job.

I though TRANSFORMATION in PATHOLOGY = SEEING PATIENTS.

Can we recommend ACGME to start a 1 year "clinical primary care pathology" fellowship to train us as primary care docs+ pathologist.

Just thinking to ways to save the field.

There is a hospitalist board exam now and I'd doubt you would be eligible to take it. To work in the community it is mandatory that you would be board certified to get credentialed at any hospital.

I have met practicing pathologist who didn't do path residency but did transfusion medic

 

[2121115]

No, not possible as things are now set up. If you are an old timer and you had a clinical internship then I think you can work in ED's, but even then I don't think you can work as a hospitalist. To be a hospitalist you need to be boarded in internal medicine.

It would not be safe. At all. Hospitalist work is not some joke you can pull off with a path-related fellowship. No way.

 

[malchik]

No, not possible as things are now set up. If you are an old timer and you had a clinical internship then I think you can work in ED's, but even then I don't think you can work as a hospitalist. To be a hospitalist you need to be boarded in internal medicine.

It would not be safe. At all. Hospitalist work is not some joke you can pull off with a path-related fellowship. No way.

Our hospital has nurse practitioners or PAs that call themselves hospitalists. A lot of them seem quite uneducated about coagulation and other CP-related issues when they call. Maybe they are reporting to a real MD, not sure, but they do refer to themselves as hospitalists.
And I agree pathologists should stick to pathology. I am always amazed when I hear that there are pathologists who think that rounding on patients sounds like fun.

 

[yaah]

And just who is going to credential you and employ you as a hospitalist?

 

[Substance]

I associate that annoying two-legged horse avatar that Redapple uses with hair-brained ideas, since most of Redapple's ideas are just that.

So, I will refer to these ideas as two-legged horses.

Having a pathologist work as a hospitalist just to have a job will not improve your field. It's a two-legged horse!

The oversupply, the academics controlling your field, the lack of technological advancement, the lack of any technological pursuit, the fact that your field is a commodity, the fact that you still do autopsies, and the fact that you are invisible are what's killing your field.

 

[thebouque]

You guys should stop feeding the troll

 

[Enkidu]

The oversupply, the academics controlling your field, the lack of technological advancement, the lack of any technological pursuit, the fact that your field is a commodity, the fact that you still do autopsies, and the fact that you are invisible are what's killing your field.

This list is kind of ridiculous. Technology is advancing in molecular pathology and autopsies are valuable, even if they are not well compensated. Dunno what you mean by "technological pursuit".

 

[KCShaw]

You could work in any hospital willing to take you, as long as you have a state license. But that probably means finding an understaffed rural hospital, and/or agreeing to be markedly underpaid compared to others doing the same job.

However the concept in relation to strengthening the specialty doesn't make much sense to me. There's a difference between altering or expanding our role, and being a different specialist.