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I agree that the money in heme is really good. 500-700k/yr is nothing to scoff at. My extent of dealing with social "stuff" is to spend 15 minutes of my time daily talking to social workers. I think hospitalists dealing with social issues is overblown.
Even years ago at the county and VA we had social workers on the team. It was great, the students all got their placement rock garden that the residents and attendings could basically wave at from the hallway.
500-700 is low end, more like 800-1.5 as most of us are seeing more patients by choice, at least I see 25-30 a day.
You are killing it. That's great money right there.
It's all about how much meat you move.
lol, start clinic at 830, home by latest 5, Fridays home by 1p, 1:5 call light, 1:5 weekends where I barely need to go in. 6 weeks off, 1 week CME, not too bad.
I’m interested in how you see 30 in that time frame. Are you all malignant Heme or do you have a bunch of IDA / Cirrhosis Cytopenias spattered in there?
Half that many.
That's pretty typical. But you can work more and make more, or work less and make less.
for malignant it will be mostly 99214 / 99215. But it is not sustainable at 30/day for 4x/week.
I'm aware of both of those things. I was setting a floor on the question that was asked about how much money that amount of work would make.
Most people in medicine are not killing themselves because they see a few more (emphasis on "few") patients. Physicians should stop with the exaggeration.
How can people see 30 to 40?!+ patients a day and manage to get through goals of care discussions, scans/treatment change discussions, side effect management, not to mention interruptions for infusion questions and emergencies (especially where there is no NP/PA support)? I am so curious. When I come home after seeing 20 patients in my solid tumor practice, I am so drained
I know a guy who is the principal partner in his practice (started it on his own >30y ago) who sees ~60 a day. He employs 2 NPs who see ~2/3 of his patients (he walks in, gives them a high five and walks out) and sees the rest himself. He collects all the billings, pays his NPs a good salary and still goes home with ~$2M a year.
Agreed, this is not a “one problem and done” specialty. By the time your breast patient is done writing their 5 pages of notes, and you've explained the 10 things your colon patient needs and why they're tired, your time runs out pretty quickly.
You'll get there. It will take time, but you'll get there. For patients I have a good rapport with, even if they have a million issues, I can generally get it all taken care of and the note done in 20 minutes. It took me a decade to get to that point, hopefully you can do it more quickly.
What if they have a NP/PA?
You are being a little bit dramatic.
I interviewed with a group that did similar. I really liked them until I asked what they typical day to day was and it ended with "then I get home around 7 to put the kids in bed."
~35. These people usually make 600k+. The highest amount I know a hospitalist make ~700k, but that individual works like no one. For instance, she would work 60+ days straight.
When do you chart and prepare notes for the next day?
I understand oncology is completely different.
I dont pre chart at all (used to my 1st year out of fellowship) , every night I skim through the following days Oncology consults only, and make up a quick plan in my head or lookup guidelines so I am better prepared next day.
