Hospitalist field

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hs2013

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What is the future like in the hospitalist field(internal medicine)? It's intriguing due to the fact that you can work nights and still have a ton of weeks off and make bank.

For example, my mom is a hospitalist and if he she worked full time as a night hospitalist, she could make 250k+, which would be 1 week on, 1 week off.

However what she does is works 1 week then 3 weeks off and makes around 175k.

This field intrigues me in that regard but will it still be there in the future?
 
According to recent projections, the job market is expected to grow considerably, and way faster than other specialties.
What is the future like in the hospitalist field(internal medicine)? It's intriguing due to the fact that you can work nights and still have a ton of weeks off and make bank.

For example, my mom is a hospitalist and if he she worked full time as a night hospitalist, she could make 250k+, which would be 1 week on, 1 week off.

However what she does is works 1 week then 3 weeks off and makes around 175k.

This field intrigues me in that regard but will it still be there in the future?
 
What is the future like in the hospitalist field(internal medicine)? It's intriguing due to the fact that you can work nights and still have a ton of weeks off and make bank.

For example, my mom is a hospitalist and if he she worked full time as a night hospitalist, she could make 250k+, which would be 1 week on, 1 week off.

However what she does is works 1 week then 3 weeks off and makes around 175k.

This field intrigues me in that regard but will it still be there in the future?

there is definitely demand for hospitalists but there is also a high burnout in the field. i work 17 days per month and thats essentially all day shifts and will probably make close to 250K.
 
You don't think your time off does much to keep you sane/motivated? Can you expand?
 
I'm intrigued by this notion of 'making bank.' Even $250K AFTER federal/state taxes does not qualify as making bank in my book, and I presume this number is PRE tax -- so really post-tax you're really looking more at $150K. With the remaining money going towards paying off loans, mortgage, car, saving for retirement, college education for kids, and (god forbid!) a vacation or two a year visiting family/friends, this is not exactly my idea of 'rolling in dough.'

Can we move away from this notion that $250K is a lot of money. Just because Obama defined it as such does not actually make it so. Hospitalists work a ton of hours, and they put in a lot of sacrifices. It annoys me that the compensation for this is not higher -- personally I think IM hospitalists should make $400-500K.

-end rant-
 
I'm intrigued by this notion of 'making bank.' Even $250K AFTER federal/state taxes does not qualify as making bank in my book, and I presume this number is PRE tax -- so really post-tax you're really looking more at $150K. With the remaining money going towards paying off loans, mortgage, car, saving for retirement, college education for kids, and (god forbid!) a vacation or two a year visiting family/friends, this is not exactly my idea of 'rolling in dough.'

Can we move away from this notion that $250K is a lot of money. Just because Obama defined it as such does not actually make it so. Hospitalists work a ton of hours, and they put in a lot of sacrifices. It annoys me that the compensation for this is not higher -- personally I think IM hospitalists should make $400-500K.

-end rant-

pft average income is 10x less than that
you obviously don't care about people
i feel bad for your future patients
 
I'm intrigued by this notion of 'making bank.' Even $250K AFTER federal/state taxes does not qualify as making bank in my book, and I presume this number is PRE tax -- so really post-tax you're really looking more at $150K. With the remaining money going towards paying off loans, mortgage, car, saving for retirement, college education for kids, and (god forbid!) a vacation or two a year visiting family/friends, this is not exactly my idea of 'rolling in dough.'

Can we move away from this notion that $250K is a lot of money. Just because Obama defined it as such does not actually make it so. Hospitalists work a ton of hours, and they put in a lot of sacrifices. It annoys me that the compensation for this is not higher -- personally I think IM hospitalists should make $400-500K.

-end rant-

Well a lot of it has to do with your situation. My parents are paying for my education, I do not want kids, i don't need to pay for a big home. That 150k after taxes in my situation would be great money. Around 12,000/month in which I could literally have a mortgage of around 1-1.5 for a medium sized home, less than 500/mo on cars and when you factor in other bills and such, I could literally invest 6k/month, and save around 2k/month in a saving, and be set for retiring early, having money for vacation and self... plus the fact that I still want to get married, and my wife would work.... I would be set financially w/o kids and still be able to spend a bit on myself and take vacations etc...
 
What is the future like in the hospitalist field(internal medicine)? It's intriguing due to the fact that you can work nights and still have a ton of weeks off and make bank.

For example, my mom is a hospitalist and if he she worked full time as a night hospitalist, she could make 250k+, which would be 1 week on, 1 week off.

However what she does is works 1 week then 3 weeks off and makes around 175k.

This field intrigues me in that regard but will it still be there in the future?

1 week on 3 weeks off is pretty much all I'd be able to handle on medicine.
 
The way my group works is we get 4-5 day stretches off during the month which barely is enough time off for me to decompress from the preceding work period. and even then I dread having to go back to work. my wife does 1 week on/1 week off with similar compensation and same story, for that one week you're working it sucks and then you have a decent vacation. i agree yes, i wouldn't mind making a little bit more for the work i do but also what line of work for you're only working half a month and make more than most people.
 
I'm intrigued by this notion of 'making bank.' Even $250K AFTER federal/state taxes does not qualify as making bank in my book, and I presume this number is PRE tax -- so really post-tax you're really looking more at $150K. With the remaining money going towards paying off loans, mortgage, car, saving for retirement, college education for kids, and (god forbid!) a vacation or two a year visiting family/friends, this is not exactly my idea of 'rolling in dough.'

Can we move away from this notion that $250K is a lot of money. Just because Obama defined it as such does not actually make it so. Hospitalists work a ton of hours, and they put in a lot of sacrifices. It annoys me that the compensation for this is not higher -- personally I think IM hospitalists should make $400-500K.

-end rant-

1 week on 1 week off , 250k is bank, time is money, and free time is even more precious.
 
Can we move away from this notion that $250K is a lot of money. Just because Obama defined it as such does not actually make it so. Hospitalists work a ton of hours, and they put in a lot of sacrifices. It annoys me that the compensation for this is not higher -- personally I think IM hospitalists should make $400-500K.

-end rant-

I agree with you.

Every year I anonymously spend thousands of dollars on charity, church offerings, meals/clothes for the needy, and the occasional birthday party for a kid of my church whose single mother can't afford. I agree with you. $250k is never enough. In fact, my salary isn't enough. I wish I could give more but since I pay taxes, I cannot.

I wish more young men thought like you, so we could all teach single parents, industry workers, undocumented individuals, and those who don't have the luxury of an education how earning $125k/year with 1-2w of vacations is the hardest sacrifice of this century.
 
I interviewed at a local urban hospital, they wanted 7 days on, 7 days off, 12 hr shifts. About 230,000 to start.

Seems like a good deal until you realize that you are still working 84 hours every two weeks... But if you value that free week, it's a pretty good deal, and especially if you wanted to pick up per diems elsewhere...
 
Has anyone ever heard of someone working like 300 12 hour shifts in a year? Just basically around the clock and only going home to your rented apartment across the street from the hospital to crash until the next shift... The "one year on, one year off" schedule....
 
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Has anyone ever heard of someone working like 300 12 hour shifts in a year? Just basically around the clock and only going home to your rented apartment across the street from the hospital to crash until the next shift... The "one year on, one year off" schedule....

Sounds safe for patients. 👍
 
Has anyone ever heard of someone working like 300 12 hour shifts in a year? Just basically around the clock and only going home to your rented apartment across the street from the hospital to crash until the next shift... The "one year on, one year off" schedule....

Yeah, it's called surgery. ZING!
 
I'm intrigued by this notion of 'making bank.' Even $250K AFTER federal/state taxes does not qualify as making bank in my book, and I presume this number is PRE tax -- so really post-tax you're really looking more at $150K. With the remaining money going towards paying off loans, mortgage, car, saving for retirement, college education for kids, and (god forbid!) a vacation or two a year visiting family/friends, this is not exactly my idea of 'rolling in dough.'

Can we move away from this notion that $250K is a lot of money. Just because Obama defined it as such does not actually make it so. Hospitalists work a ton of hours, and they put in a lot of sacrifices. It annoys me that the compensation for this is not higher -- personally I think IM hospitalists should make $400-500K.

-end rant-

You're bordering on delusional. Compare that 250k to the average income. On top of the only working half the month thing, it's ridiculous to whine about how little it is.

The crass "Obama said it is" remark says a lot about your worldview.
 
I interviewed at a local urban hospital, they wanted 7 days on, 7 days off, 12 hr shifts. About 230,000 to start.

Pretty darn good. Imagine getting a gig like that directly out of residency
 
Pretty darn good. Imagine getting a gig like that directly out of residency

It boggles my mind that people everywhere are always talking about how great of a lifestyle being a hospitalist is because of 7 days off.

First, even if this were true. working 12 hours a day 7 days a week does not for a normal life make. Take a few minutes and think about this. You're setting yourself up for a very unhealthy and depressing life. 12 hours in a row (7AM-7PM) where you are 'on' the whole time is pretty rough by itself. You're not really going to be able to do much else besides eat and go to bed when you get home at what, probably 9 after you're done wrapping things up? Now imagine doing that 7 days in a row. Ok, so you made it through day 7 and you've got a week off. Well I'd bet anything you still have more work to do, notes to get caught up on, etc. Give yourself a day or two to clear that out, then you're down to 5. Not really enough tohave any meaningful vacation, so you probably just sleep and throw yourself out of the work routine you spent most of last week getting adjusted to. Then you become seriously depressed the day or two before you start again and the nightmare repeats itself. It sounds like a recipie for unhappiness, weight gain, failed relationships, and burnout.

A 7-on-7-off 12 hour shift schedule is an absolute nightmare if you take a second and think about it. But unfortunately all the med students who want to do this hear is blah blah blah 7 DAYS OFF IN A ROW blah blah blah $250,000 blah blah blah NO CALL blah blah blah, and somehow think they are getting a super high paying job with 6 months of vacation a year. Ok, well they've never worked before and are naïve. Granted I have never worked as a hospitalist, but people I have talked to that have say that it is largely paperwork and social work.
 
Seems like a good deal until you realize that you are still working 84 hours every two weeks... But if you value that free week, it's a pretty good deal, and especially if you wanted to pick up per diems elsewhere...

Yeah, I avoided that job - they wouldn't modify their schedule for me (nor would I expect them to).

As a resident I worked many 12hr days in a row, and I really disliked it. I start losing interest, becoming more agitated as the days drag on..

Now I have worked a 6 12hr shifts as an attending, and while the money "eases the pain", it still sucks. Then on the day off, I didn't want to anything but sit around as I had been moving around pretty much constantly the days before.
 
It boggles my mind that people everywhere are always talking about how great of a lifestyle being a hospitalist is because of 7 days off.

First, even if this were true. working 12 hours a day 7 days a week does not for a normal life make. Take a few minutes and think about this. You're setting yourself up for a very unhealthy and depressing life. 12 hours in a row (7AM-7PM) where you are 'on' the whole time is pretty rough by itself. You're not really going to be able to do much else besides eat and go to bed when you get home at what, probably 9 after you're done wrapping things up? Now imagine doing that 7 days in a row. Ok, so you made it through day 7 and you've got a week off. Well I'd bet anything you still have more work to do, notes to get caught up on, etc. Give yourself a day or two to clear that out, then you're down to 5. Not really enough tohave any meaningful vacation, so you probably just sleep and throw yourself out of the work routine you spent most of last week getting adjusted to. Then you become seriously depressed the day or two before you start again and the nightmare repeats itself. It sounds like a recipie for unhappiness, weight gain, failed relationships, and burnout.

A 7-on-7-off 12 hour shift schedule is an absolute nightmare if you take a second and think about it. But unfortunately all the med students who want to do this hear is blah blah blah 7 DAYS OFF IN A ROW blah blah blah $250,000 blah blah blah NO CALL blah blah blah, and somehow think they are getting a super high paying job with 6 months of vacation a year. Ok, well they've never worked before and are naïve. Granted I have never worked as a hospitalist, but people I have talked to that have say that it is largely paperwork and social work.

Dunno. Sounds a lot like the week before and after a block test. Without the 250k.
 
I'm intrigued by this notion of 'making bank.' Even $250K AFTER federal/state taxes does not qualify as making bank in my book, and I presume this number is PRE tax -- so really post-tax you're really looking more at $150K. With the remaining money going towards paying off loans, mortgage, car, saving for retirement, college education for kids, and (god forbid!) a vacation or two a year visiting family/friends, this is not exactly my idea of 'rolling in dough.'

Can we move away from this notion that $250K is a lot of money. Just because Obama defined it as such does not actually make it so. Hospitalists work a ton of hours, and they put in a lot of sacrifices. It annoys me that the compensation for this is not higher -- personally I think IM hospitalists should make $400-500K.

-end rant-

Agree
 
400-500k is a pipe dream; would certainly propel IM into a more competitive speciality
 
there are many people who have days like that 7 to 19 and have no week off.
If you can manage 7 to 19 and week on and week off. It is still a awesome schedule, better than 9 to 5 every week.
 
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