Hospitalist Jobs

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Bendamustine

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Hii

I am a second-year IM resident, looking for hospitalist jobs from July 2023.

Is anyone else like me searching??

If so, what are the factors you guys are considering? Pay, location, open/closed ICU..

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Census caps, required procedures, availability of what specialists, how much nights or swing shifts are required, how easy to transfer patients for higher level of care, how easy is it to maneuver shift switching. What procedures are available by specialists? Who takes the weekends off?

What is the turnover? How long have the people been here? How much is production weighted?
 
Hii

I am a second-year IM resident, looking for hospitalist jobs from July 2023.

Is anyone else like me searching??

If so, what are the factors you guys are considering? Pay, location, open/closed ICU..
It's a bit too early to apply... like you I'm graduating July 2023. I applied for a few Hospitalist jobs and they straight up told me...not hiring/considering graduates of 2023 at this time. Was told to start searching early 2023...
 
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Hello! I like the job search and selection factors being brought up on this tread. Also, spend some time between now and appling figuring out what you want out of your attending level position? How do you numerically value your time versus money versus location versus career ambition etc.

That introspective information can give you some guidance on how to evaluate the outward nuts and bolts such as census, shifts, procedures, total compensation, RVU production etc. Best of luck!

Honestly, Doximity definitely helped with all that. It provides a glimpse of the salary and housing market which eliminated at least 2 factors which was important to me.
 
Honestly, Doximity definitely helped with all that. It provides a glimpse of the salary and housing market which eliminated at least 2 factors which was important to me.
Interesting… I did not know that, I will deff utilize that
 
Hii

I am a second-year IM resident, looking for hospitalist jobs from July 2023.

Is anyone else like me searching??

If so, what are the factors you guys are considering? Pay, location, open/closed ICU..
Probably a bit too early to search but I suppose it can't hurt (especially if you want to get some of the more desirable positions which tend to fill early). But a few important (but not exhaustive list of factors) to consider:

-Census: for a typical 12-hour rounding shift having more than 20 patients is probably busier than most people like. And if it's around 20 patients that's reasonable only if there's good ancillary and subspecialty support at your hospital. And always take the census numbers given by recruiters with a grain of salt since census depends on a variety of factors such as hospital volume and staffing.
-Ancillary and sub-specialty support - is it nearly full support, or is it more of a critical access hospital with minimal services and almost everything falls on the hospitalist? how good is the nursing, Case Management, pharmacy etc...? For example, will someone else help with med recs on on admissions or does the hospitalist have to do it themselves every time? Is there Palliative Care service available to do the lengthy GOC discussions with patients' families, or does this also fall on the hospitalist? Are there services to do simple procedures like lines or paracenteses?
-Pay structure. Is it only base salary or is there also a RVU or quality bonus? I strongly don't recommend taking a position that is only salaried position with no RVU/productivity bonus, unless there's also a hard census cap written into the contract (otherwise you could get stuck doing a lot more work when patient volumes go up and not get compensated any more for it)
-Can you round and leave a bit early and take call from home on your rounding shifts? Having to stay in house for a full12 hrs for every single shift can be unsustainable in the long run.
-How much night, admitting, swing shifts are required? These shifts can be more unpredictable and you have have to usually have to stay inhouse for the whole shift? Are the night shifts paid at a different rate?
-Location: the more desirable the area, generally the less desirable the offers and the less leverage you have to negotiate (if at all)
-Open/Closed ICU - I would only take an open ICU position if you're really comfortable doing critical care work (eg intubating/extubating patients, managing vent settings, placing central lines) with only IM training; otherwise it can be a major liability. The open ICU jobs tend to be either in more remote or smaller hospitals or nocturnist jobs as the hospital doesn't want to hire a full time CC attending, and are only worthwhile if they pay near the rate of CC attending.
-PA/NP supervision - how often and to what extent. You should only do it if you're getting some type of compensation if it's in addition to your regular census (eg RVU bonus for signing their notes).
-Do they offer visa sponsorship? If you don't need it, I would try to avoid any job that offers visa sponsorship since some of these positions can be malignant and take advantage of IMGs (they know that those who need visas have limited job opportunities so have little incentive to offer good working terms/conditions)
 
I am also graduating June 2023 and am currently looking. I have a phone interview with a hospital recruiter later this week. First one so far. I didn't actually apply though. I sent an email asking some questions and they requested my CV and then subsequently scheduled the phone interview.
 
It's a bit too early to apply... like you I'm graduating July 2023. I applied for a few Hospitalist jobs and they straight up told me...not hiring/considering graduates of 2023 at this time. Was told to start searching early 2023...

I have to also say - waiting until early 2023 seems like a bad idea given how long it takes to get your license approved. I applied in February, and it took until late June to get it done. Food for thought.
 
I have to also say - waiting until early 2023 seems like a bad idea given how long it takes to get your license approved. I applied in February, and it took until late June to get it done. Food for thought.
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?
 
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?

I'm not qualified to answer those kind of questions unfortunately. There are plenty of other hospitalists and threads about these kind of questions that would be way more helpful.
Sorry
 
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?

Dude wtf? So bad.

Midwest, pay is low, you have to supervise and open ICU? Is this the first place you’ve talked to? Do you need a visa?
 
Dude wtf? So bad.

Midwest, pay is low, you have to supervise and open ICU? Is this the first place you’ve talked to? Do you need a visa?
Yeahhhh 1st place…do not need visa. It seems like my license will be on the line every single shift for such low pay. I wanted to see what others think
 
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Yeahhhh 1st place…do not need visa. It seems like my license will be on the line every single shift for such low pay. I wanted to see what others think
That might be the worst hospitalist job I’ve ever heard of unless you somehow missed explaining something to us. Do you get 205k PLUS 110/hr?
 
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?
Is this base salary then RVU productivity bonus? If so, what's the RVU goal? May not be so bad if it's a lowish goal and you can crank out encounters for the RVUs.
 
That might be the worst hospitalist job I’ve ever heard of unless you somehow missed explaining something to us. Do you get 205k PLUS 110/hr?
Hourly base rate 110/hr, it’s higher when you do swing shift/night shift or cover at different hospital (if there is a need)
The base salary $205K (~1850 hr for the year)
I think I lost interest after they mentioned the salary to me …
The two are not together …
 
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Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?
No.
Lost me at 205…open icu..
 
Hourly base rate 110/hr, it’s higher when you do swing shift/night shift or cover at different hospital (if there is a need)
The base salary $205K (~1850 hr for the year)
I think I lost interest after they mentioned the salary to me …
The two are not together …
This sounds like a job looking for new grads who a) can’t do math or b) aren’t wise enough to run it by SDN/their mentors
 
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?
That is a sh***tty job.

To give you an idea... my gig:

Location: Small city in the SE (closest major metro is ~2 hrs away)

Salary: 330k/yr with no production bonus. Incentive given when work extra day...1.25x(daily rate). On pace to make ~400k this year working on average 17.5 days per month

Average census: 16-17 + 1 admit; open ICU with no vent management. No procedures. All major sub-specialties available.

Schedule: 7 days on/off (with 2-3 week swing shifts throughout the year. No night shifts)

Do NOT take this job. That is insulting.
 
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That is a sh***tty job.

To give you an idea... my gig:

Location: Small city in the SE (closest major metro is ~2 hrs away)

Salary: 330k/yr with no production bonus. Incentive given when work extra day...1.25x(daily rate). On pace to make ~400k this year working on average 16.5 days per month

Average census: 16-17 + 1 admit; open ICU with no vent management. No procedures. All major sub-specialties available.

Schedule: 7 days on/off (with 2-3 week swing shifts throughout the year. No night shifts)

Do NOT take this job. That is insulting.
I don't think I will take that job...I considered it because its close to my family but the pay is just very low compared to other places! During the IV...they were telling me that the base pay is currently under review but didn't get an answer how long it will take before they make adjustments to it lol.

Do you manage patients in the ICU since it's open? Do you get help from the intensivist? What's your experience with ICU management with only IM training? Lots of jobs offers have open ICU. Your gig sounds sweet!
 
I don't think I will take that job...I considered it because its close to my family but the pay is just very low compared to other places! During the IV...they were telling me that the base pay is currently under review but didn't get an answer how long it will take before they make adjustments to it lol.

Do you manage patients in the ICU since it's open? Do you get help from the intensivist? What's your experience with ICU management with only IM training? Lots of jobs offers have open ICU. Your gig sounds sweet!
Yes, I manage patients in the ICU (non vented). I co-manage them with the intensivists if I feel like it. We can call them at any time and ask them to see these patients and they never give any push bach. Camaraderie b/t hospitalists and intensivists is great.

My IM training at a big academic center was good so I am comfortable taking care of these patients, but I sometimes ask the intensivist to take a look at them since they are better in taking care of these patients than an IM-trained doc.

My gig might not be the best, but it's not bad.
 
I don't think I will take that job...I considered it because its close to my family but the pay is just very low compared to other places! During the IV...they were telling me that the base pay is currently under review but didn't get an answer how long it will take before they make adjustments to it lol.

Do you manage patients in the ICU since it's open? Do you get help from the intensivist? What's your experience with ICU management with only IM training? Lots of jobs offers have open ICU. Your gig sounds sweet!
As others have said the deal sounds awful. Even in a highly desirable location that's easy to recruit, that's still pretty bad. If the job sponsors visas they may be able to get away with hiring IMGs with such an offer (since they know those who are on J1 visas don't have too many options).

Some hospitalist jobs are open ICU because the there is no intensivist on staff at the hospital at night, or none at all even during the day. This occurs either because the hospital is a smaller critical access hospital (often in a more rural area), or because the hospital just doesn't want to pay the premium to hire a fellowship-trained intensivist. If there's no intensivist back-up in an open ICU job make sure you're comfortable doing ICU level care without having done a critical care fellowship: stuff as vent management and pressor management, and procedures such as intubating and extubating patients, bronchs, central lines and a-lines. But if you are comfortable with ICU level care, you should only take the job if you also are getting paid near the intensivist rate per hour as well despite not having a formal critical care fellowship training.
 
That is a sh***tty job.

To give you an idea... my gig:

Location: Small city in the SE (closest major metro is ~2 hrs away)

Salary: 330k/yr with no production bonus. Incentive given when work extra day...1.25x(daily rate). On pace to make ~400k this year working on average 16.5 days per month

Average census: 16-17 + 1 admit; open ICU with no vent management. No procedures. All major sub-specialties available.

Schedule: 7 days on/off (with 2-3 week swing shifts throughout the year. No night shifts)

Do NOT take this job. That is insulting.

How big is your city?
Is your hospital critical access?
I’ve never heard of 1.25x rate for extra shifts…
 
That is a sh***tty job.

To give you an idea... my gig:

Location: Small city in the SE (closest major metro is ~2 hrs away)

Salary: 330k/yr with no production bonus. Incentive given when work extra day...1.25x(daily rate). On pace to make ~400k this year working on average 16.5 days per month

Average census: 16-17 + 1 admit; open ICU with no vent management. No procedures. All major sub-specialties available.

Schedule: 7 days on/off (with 2-3 week swing shifts throughout the year. No night shifts)

Do NOT take this job. That is insulting.

What sources have y'all been using to find jobs?
 
Is this base salary then RVU productivity bonus? If so, what's the RVU goal? May not be so bad if it's a lowish goal and you can crank out encounters for the RVUs.
If the RVU compensation amount is decent the job may not be as bad. Some jobs do have a low base pay but will give more per RVU to compensate. How much do you get per RVU and and what RVU threshold does it start (or do you get it for all your RVUs)? What's the typical census? If you are signing NP/PA notes their patients should count as part of your census (so you have enough time to supervise them), and it's only worthwhile if their patient encounters also count towards your RVUs as well. As mentioned above open ICU isn't easy for someone with no critical care fellowship, but it could lead to good pay if there's a good RVU pay structure (as Critical Care bills much higher than your typical follow-up level 2 or 3 progress notes).
 
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Put your CV on practicematch and practicelink you’ll get calls
That's a decent start, but the most desirable hospitalist jobs will likely be filled internally through connections. Be careful about going through jobs using an external recruiting agency. There's usually a reason they're spending a ton of money to hire external recruiters. Often it's because there's something about the job that's not desirable for most people and it's making the spot hard to fill. For example, remote location, nocturnist only, hospitals with poor subspecialty and ancillary support, or lower pay with high workload jobs. to name a few.
 
How about this offer guys?
A small city in Washington
Base pay-300,000k
7on/7off, around 180shifts per year with the ability to add on additional shifts as required (Honestly I wanna make as much money as possible before I get burnt out lol).
Additional shift pay 1550$/day.
7 am to 7 pm shifts.
Open ICU with 24/7 intensivists coverage, no procedures.
Sign-on bonus-20k, relocation bonus-15k.
 
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?
Bro this is the worst offer I have ever seen, I'm a Visa requiring IMG and I have got better offers than this.
Please don't take it and bring down the value of Hospitalists.
 
How about this offer guys?
A small city in Washington
Base pay-300,000k
7on/7off, around 180shifts per year with the ability to add on additional shifts as required (Honestly I wanna make as much money as possible before I get burnt out lol).
Additional shift pay 1550$/day.
7 am to 7 pm shifts.
Open ICU with 24/7 intensivists coverage, no procedures.
Sign-on bonus-20k, relocation bonus-15k.
Working extra shift is less than your regular shift per day! That does not make sense.

For instance, I got an extra ~25% working extra day.
 
Bro this is the worst offer I have ever seen, I'm a Visa requiring IMG and I have got better offers than this.
Please don't take it and bring down the value of Hospitalists.
I won’t! Most of their Hospitalists that were hired in the past are straight out of residency…they pray on new graduates.
 
How about this offer guys?
A small city in Washington
Base pay-300,000k
7on/7off, around 180shifts per year with the ability to add on additional shifts as required (Honestly I wanna make as much money as possible before I get burnt out lol).
Additional shift pay 1550$/day.
7 am to 7 pm shifts.
Open ICU with 24/7 intensivists coverage, no procedures.
Sign-on bonus-20k, relocation bonus-15k.
Still a bit below national average, especially if it's in a small city in the more remote parts of Washington that's presumably hard to recruit. Though may be reasonable depending on census so try to find out a bit more. Is there an RVU part of the pay? If not they should have a hard patient cap in your contract. Do you typically admit everyday or is there a separate admitting shift?

 
Still a bit below national average, especially if it's in a small city in the more remote parts of Washington that's presumably hard to recruit. Though may be reasonable depending on census so try to find out a bit more. Is there an RVU part of the pay? If not they should have a hard patient cap in your contract. Do you typically admit everyday or is there a separate admitting shift?


Also do you have to be in house all 12 hrs?
 
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?
in full disclosure, I am a pharmacist - but I am friends with our hospitalist- the 7 on 7 off with no PDO would be a deal breaker- our docs still get PDO, but many don't use it - so they get essentially get to sell it back into a 457 account.

Our rph's do 7 on 7 off but still get PDO, I used to do it - it sounds great- but of those 7 off, you lose a day and a half switch back and forth. And that salary seems way to low- our nights pharmacists work 150 x 10 hour shifts a year (7 on 7 off with 8 weeks of PDO for the most senior) and make close to $175k, you deserve a lot more than us.
 
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Still a bit below national average, especially if it's in a small city in the more remote parts of Washington that's presumably hard to recruit. Though may be reasonable depending on census so try to find out a bit more. Is there an RVU part of the pay? If not they should have a hard patient cap in your contract. Do you typically admit everyday or is there a separate admitting shift?


The numbers in the article seem to be reflective of total compensation including extra shifts rather than just baseline contracted salary+RVUs from 7 on / 7 off. Much as I'd like to believe the mean contract out there is for 340k, it's much more like to be <300k with the difference accounted for by PRN shifts.
 
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?

I would rather cut off my manhood than take this job.

At minimum you need 100K on top of that. With Open ICU and procedures, probably even more.
 
Guys just a question, how much difference would it actually make if you work in a state with no state income tax? I did the math and say I got a job in Washington/Wyoming (no state income tax) and another state like Oregon (9% state income tax)..Let's assume the income is 400k, then 9% of 400k is 36,000..Which is not a small amount..
 
Guys just a question, how much difference would it actually make if you work in a state with no state income tax? I did the math and say I got a job in Washington/Wyoming (no state income tax) and another state like Oregon (9% state income tax)..Let's assume the income is 400k, then 9% of 400k is 36,000..Which is not a small amount..
On 400k your actual take home after federal tax is like 290k then 36k on top is more like 12.5% of your take home.

Property tax might make it a wash, might not.

People make a big deal about the SALT cap which in theory might get removed one day if the Dems need it for votes but that doesn’t help as much as people think.
 
Guys just a question, how much difference would it actually make if you work in a state with no state income tax? I did the math and say I got a job in Washington/Wyoming (no state income tax) and another state like Oregon (9% state income tax)..Let's assume the income is 400k, then 9% of 400k is 36,000..Which is not a small amount..

You get to pay the piper somewhere. I live in TX. No state income tax, but high property taxes. The nice thing about property taxes, you have the options to live in a cheaper place and avoid some of the taxes.

As an example, i bought a nice, but not in the most desirable area, house for $380k five years ago. I think it is proabably worth $600kish right now and my taxes have gone up to like $9k/year and will likely bump up as the assessor catches up with values. It is no where near 9%, but I could have easily bough a million dollar house and be pretty close.
 
Guys just a question, how much difference would it actually make if you work in a state with no state income tax? I did the math and say I got a job in Washington/Wyoming (no state income tax) and another state like Oregon (9% state income tax)..Let's assume the income is 400k, then 9% of 400k is 36,000..Which is not a small amount..
like others said, gotta look at the whole package tax wise, if you don't pay high income tax, you might pay high property tax, or sales, or the state makes up for it by having ****ty schools and you have to factor in private school.
 
Honestly, property tax doesn't matter to me for now, since I wouldn't settle down in a J1 Waiver location, in the middle of nowhere. So likely I would rent out an apartment/home for 3 years. Moreover, the location where J1 Waiver jobs are present have good housing options for very little money.
 
On 400k your actual take home after federal tax is like 290k then 36k on top is more like 12.5% of your take home.

Property tax might make it a wash, might not.

People make a big deal about the SALT cap which in theory might get removed one day if the Dems need it for votes but that doesn’t help as much as people think.
Ya, I mean federal tax can't be avoided for sure, so in a state like Wyoming, the takeaway would be 290k. But in a state like Oregon, the take-home would be around 255k.

What exactly is the SALT cap?
 
You get to pay the piper somewhere. I live in TX. No state income tax, but high property taxes. The nice thing about property taxes, you have the options to live in a cheaper place and avoid some of the taxes.

As an example, i bought a nice, but not in the most desirable area, house for $380k five years ago. I think it is proabably worth $600kish right now and my taxes have gone up to like $9k/year and will likely bump up as the assessor catches up with values. It is no where near 9%, but I could have easily bough a million dollar house and be pretty close.
A house that worth 600k in TX and it's not in a desirable neighborhood! What is going on with the housing market?

I know the Dallas metro and the Austin housing market are pricey, but I thought a 600k home in these places would be in a good (not excellent) neighborhood.
 
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I actually ended up interviewing with the hospitalist chief and accepted the verbal job offer.

Northern CA
Hospitalist, 20 shifts per month, each shift only 8 hours, no call
Half the shifts are admitting shifts, average admissions per shift 4-6
The other half are rounding shifts, average rounding census 10 or less
On rounding shifts, it's round and leave. So, you can go home as soon as you're done rounding and tuck your patient's in. Just have to be available for nursing questions etc.
Base 285k, no bonus or incentives
Ample opportunity to also pick up extra shifts
No sign on bonus, relocation 10k
No procedures
 
Hey…what do you think (or anyone else) about this potential Hospitalist opportunity….
Midsize city in the Midwest
Base pay $205K….hourly rate $110/hr for rounding shift with differential if you do swing/night shift
You can request % of shifts you want (rounding/admitting/night) but the final amount of shifts depends on need for filling other shifts
Open ICU/procedures required
7on - 7 off …No PTO since you get 26 weeks off
There is some quality bonus of $30K. There is also RVU
Co-signing D/C summaries for assigned APP (APPs get assigned to each Hospitalist for a week period)
Any thoughts? Should I even consider it?
Run! Run away from it as fast as you can
 
I actually ended up interviewing with the hospitalist chief and accepted the verbal job offer.

Northern CA
Hospitalist, 20 shifts per month, each shift only 8 hours, no call
Half the shifts are admitting shifts, average admissions per shift 4-6
The other half are rounding shifts, average rounding census 10 or less
On rounding shifts, it's round and leave. So, you can go home as soon as you're done rounding and tuck your patient's in. Just have to be available for nursing questions etc.
Base 285k, no bonus or incentives
Ample opportunity to also pick up extra shifts
No sign on bonus, relocation 10k
No procedures

The compensation doesn't seem very good for what is essentially a 1.5 FTE job. The number of hours per shift is far less relevant than the number of shifts per month, especially as many traditional 7/7 jobs can be round and go. Let's face it, the vast majority of the work on inpatient services happens in the first 8 hours. You're basically giving them an additional week of work for free.
 
The compensation doesn't seem very good for what is essentially a 1.5 FTE job. The number of hours per shift is far less relevant than the number of shifts per month, especially as many traditional 7/7 jobs can be round and go. Let's face it, the vast majority of the work on inpatient services happens in the first 8 hours. You're basically giving them an additional week of work for free.
Every 7/7 job I inquired about wasn’t round and go unfortunately. They round robin admissions so you pretty much stay the entire shift until the nocturnist arrives.

From what I was told, on rounding shifts here most attending leave within 3-4 hours, so that sounded great to me. Plus the census is so low.
 
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