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Do some IM specialists do both hospital medicine and primary care (ie wards one week then clinic the other week)? Or do you have to pick one or the other?
Do some IM specialists do both hospital medicine and primary care (ie wards one week then clinic the other week)? Or do you have to pick one or the other?
Some people still do it but it's definitely a dying model. And for good reason, it's a terrible model for modern medicine.It’s call traditional practice. You see your own patients in hospital.
Wow, has it changed that much last 10 years? No one rounds on their own patients anymore?
Some people still do it but it's definitely a dying model. And for good reason, it's a terrible model for modern medicine.
I saw this first hand in multiple community hospitals during medical school and residency, and without exception patients covered by the community PCPs got lower quality and more inefficient care. Which makes sense because it's hard to actively manage a hospitalized person throughout the day when you're also working full-time as an outpatient PCP.
Do some IM specialists do both hospital medicine and primary care (ie wards one week then clinic the other week)? Or do you have to pick one or the other?
What about critical care? Or cardiology? Do they do one week on, one week off. I've heard some other specialties are starting to.
What about critical care? Or cardiology? Do they do one week on, one week off. I've heard some other specialties are starting to.
Do you know roughly what is the pay like ?I talked to some residents who got job offers doing 50/50--2 weeks of clinic, one week of hospitalist service, one week off, or some variation on that.
I rotated with an attending who did full blown traditional practice--rounding in the morning, clinic during the day, then returning to the hospital to admit anyone from the ED. The schedule seemed miserable but maybe there are better ways of doing it.
Do you know roughly what is the pay like ?
What’s your take home income, before tax, with that kind of volume?Traditional model may be dying but it is sustainable if you have the right setup. Your consultants in the hospital have to be decent as well. You need to have an office either at or close to the hospital. Driving back and forth can eat up time before and after clinic if you are driving across town to see patients in the hospital. My group has 19 or 20 physicians who still see their patients in the hospital.
Agree with u/EmergDO on starting salary. You will make more than the base easily doing traditional based on the number that you see. I typically see 18 to 19 clinic patients per day 4.5 days/week and 0 to 3 inpatients.