EM working as Hospitalist

[Airborne Flt Doc]

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I would like to hear how those with Obs Units or Transitional Care units managed by the ED Group like the work. I would like to hear about your experiences, job satisfaction & pay for a 20-30 bed unit.

 

[Groove]

That sounds absolutely miserable. I'd rather be sentenced to Rura Penthe.

 

[deleted109597]

I only know of a couple places where they do it, and both were directed by EM/IM guys. The rest of the faculty (both were academic shops) hated it.

 

[alphaholic06]

Absolute Hell

 

[Restart13]

I would like to hear how those with Obs Units or Transitional Care units managed by the ED Group like the work. I would like to hear about your experiences, job satisfaction & pay for a 20-30 bed unit.

Our residency program has about a 30 bed unit staffed by one doc 7a-7p with one APP,+/- a PGY3 resident at times. Some docs really like it because it offers a slower less chaotic pace of work...regular hours, take a lunch, and often higher RVU (so I've heard). Dispos are often consultant dependent...the way it works at our hospital is that unless they are there to just be reevaluated for the classic persistent n/v, usually a cardiologist will round, or a stress test result pending, etc. I'm partially biased and involved in Obs medicine, but I think EM should take more ownership of the practice. It is similar medicine to EM, just taken a half step further.

 

[deuist]

Our residency program has about a 30 bed unit staffed by one doc 7a-7p with one APP,+/- a PGY3 resident at times. Some docs really like it because it offers a slower less chaotic pace of work

Seeing 30 patients is considered slow?

 

[Mr. Vandemar]

Seeing 30 patients is considered slow?

Seems more like sitting on 30 patients, like a typical call shift on off service rotations. Waving at the patient from the doorway, sure, but how much are you actually doing? No doubt things can hit the fan but in all likelihood won't. That being sad, there's not a ****ing chance I'd work in one. My med school had one and it seemed like torture.

 

[Restart13]

I guess it depends on what you’re familiar with. Some of the protocols are very straight forward...chest pain pending cardiologist eval and stress test result, PO challenge from persistent n/v, or copd exacerbation reeval. It shouldn’t be complicated or it would have been outright admitted. 30 patients over a whole day with an APP +/- a resident is not that bad, especially when consultants/PCPs are often rounding to help with dispos.
That being said, if you only like working in the ED then yes you won’t like it. But for the select few that enjoy it, it offers a niche within EM, regular slower paced hours and good pay.