- Joined
- Feb 4, 2014
- Messages
- 436
- Reaction score
- 290
What is the average census u'all are seeing as attendings in clinical practice. As a fellow working with an attending and 3 residents we had a census of 15-22. Some of these were rocks though or patients awaiting transfer to medicine (our university program had a huge problem with hospitalists not accepting ICU pts for days on days and we ended up we discharging a lot of pts ourselves to home/NH). I felt that our fellowship was rather inefficient , slow to extubate and things just didn't move fast. Care was rather crappy. Fellows focused a lot on procedures rather than day to day management.
Now as an attending in a university owned community hospital our average census is 10 with 3-7 new admits in the day as well as moveouts. We move fast and have very low length of vent/ICU stays compared with fellowship. But since all 10 pts are critically ill with fast moving / multiple issues I feel I am running all the time as there are no rocks to chill with. And since specialists usually don't work as fast as we do we rely less on them for pt management unless we need a procedure.
But when I look at other places they feel we don't work that hard. Hospitalists average census is 12-15 with 2/3 admits and their acquity is less than ours.
Now as an attending in a university owned community hospital our average census is 10 with 3-7 new admits in the day as well as moveouts. We move fast and have very low length of vent/ICU stays compared with fellowship. But since all 10 pts are critically ill with fast moving / multiple issues I feel I am running all the time as there are no rocks to chill with. And since specialists usually don't work as fast as we do we rely less on them for pt management unless we need a procedure.
But when I look at other places they feel we don't work that hard. Hospitalists average census is 12-15 with 2/3 admits and their acquity is less than ours.