PA as a hospitalist........Anyone??.....Anyone??

[Marsdgrove33133]

😀 I was having a conversation with a couple of 3rd year med-students on being a Hospitalist. It seems like a growing field. My question is can a PA work as hospitalist? Can he be part of a group and work as a hospitalist?

Thanks for the info guys 👍
Mars

---

Members don't see this ad.

 

[zenman]

There was one over on allnurses posting the other day.

 

[f_w]

We have one medicine team staffed by hospitalist PAs instead of residents.

They do the work the residents usually do on the inpatients, admission physicals plenty of documentation, rounding discharge scut etc. The overall care of these patients is directed by the attending physicians admitting under this service.

 

[Monika]

Yes..

I completed a Hospitalist rotation during my PA training..and I have no shame in admitting that it was my toughest rotation! The two PAs that were my preceptors knew their stuff and I learned more than I could have possibly imagined.

2000 article: The Hospitalist PA: An emerging opportunity

There is a Hospitalist forum at The PA Forum dedicated to PAs with an interest in this area. The moderator of the hospitalist forum is very knowledgeable about this topic because he is working in that area.

Best wishes.

 

[lizzied2003]

We have a program where the hospitalist service is staffed by a mixture of doctors (new,seasoned,subspecialists career changers) and also a few NP's. As well, the group also has a group of midlevels who work as house officers. It is really a pretty good system. As we are not a hospital staffed with residents the house officer program really benefits the private attending as it is 24 hour coverage.
The PA's fill in occasionally for the hospitalists but in our state for reimbursemnt the visit sometimes requires a followup signature or note by doctor so it's not as time efficient.
The PA's and NP's are competent in intubation,central line, chest tubes, running codes...you get the idea.
This blend of different levels and different expertises is also quite peaceful with literally no back biting or pulling rank. It's definitely not how you read about on SDN.

 

[deleted6669]

With the new resident cap on hours set at 80/week a growing # of facilities are using pa's as medical and surgical house officers. some facilities( norwalk hospital in ct for example) have gone to 100% pa housestaff with physicians available by phone for backup as needed.
pa's run icu's, ccu's, and surgical step down units. if you are interested in hospital medicine this is a great opportunity for pa's. there is also an optional residency for pa's in hospital medicine now. for details see www.appap.org

 

[CTS-PA]

"My question is can a PA work as hospitalist?"
Yes, Absolutely. There are more and more opportunities to do this with the residency restriction and such.

"Can he be part of a group and work as a hospitalist?"
Yes, either in a Group of PAs or with Docs. We have a two General Internal Medicine Services at North Shore. One is Resident Run and the other is a PA run service. Both Services are independant of each other and the care is primarily overseen by the attendings.

 

[hospPA]

I work at an academic center on a PA_MD hospitalist service. We do it all on our teams. We are more efficient, have lower length of stays, and lower bounce back rates than the resident teams. The residents like us around because we do work that they would have to absorb if we weren't there.

Pat

 

[Chronic Student]

I did a neurosurgery rotation at Hermann Hospital in Houston and they have a hospitalist PA that works in the NeuroTrauma ICU.

-Mike

 

[guetzow]

Most on Pay Schedules lorded over by HR weenies who don't know the first thing about madicine, and Admin Pukes using the revenue you generate to buy their boats. There is much more bargaining power/potential compen$ation working for private practice.

 

[hospitalistpac]

My hospitalist service is a private practice and I am well compensated.

Stop commenting on something you don't even know about.

I am really sick of your comments. The OP was asking for info from hospitalists. What are you anyway? Lemme guess surgery?

 

[guetzow]

And one with a grumpy attitude at that. See folks, this is what happens when you become a hospitalist. Private practice subspecialty folks that do procedure$ do better with compensation HANDS DOWN. Our grumpy friend here knows that. That's why "I think about going to med school"- Hospitalistpac.

 

[hospitalistpac]

And one with a grumpy attitude at that. See folks, this is what happens when you become a hospitalist. Private practice subspecialty folks that do procedure$ do better with compensation HANDS DOWN. Our grumpy friend here knows that. That's why "I think about going to med school"- Hospitalistpac.

Again, I'm in private practice and I do procedures. You are making blanket statements about a medical specialty and I am just pointing out that you are generalizing.

Most hospitalist groups are NOT owned or controlled by the hospital administration. The individuals are credentialed as medical staff, but the hospital does not cut the check.

Again, are you surgery?

 

[guetzow]

"MOST" FP/IM/Hospitalist PAs do counseling and med adjustments (Very fewwwwwww procedure$). That is noooooooo secret (Well, perhaps for the original poster😉. You're thinking of med school cause they're runnin' ya raggid for Les$$$$$.......

 

[hospitalistpac]

Who is talking about FP PAs?

Hospitalist is an IM specialty and one cannot compare the FP PAs daily activities to the hospitalist. I know this because I am a hospitalist PA. Again, that is what the OP was looking for, answers from those who know about the job.

 

[guetzow]

Ouuuuuuuch!!! That's gotta sting!!!

 

[deleted6669]

guetz- cut the guy some slack. I'm sure he gets plenty of procedures on the hospitalist service. I work an inpt service a few times/month and there are always procedures to be done.
treadmill at my facility= 600 bucks
i+d of an abscess that was blown off in the er is worth something
skin biopsies, paracentesis, etc

 

[guetzow]

I'm such a baaaaaaad boy 🙁

 

[hospitalistpac]

guetz- cut the guy some slack. I'm sure he gets plenty of procedures on the hospitalist service. I work an inpt service a few times/month and there are always procedures to be done.
treadmill at my facility= 600 bucks
i+d of an abscess that was blown off in the er is worth something
skin biopsies, paracentesis, etc

Thank you,
and lets not forget about LPs, Cental lines, dob-hoff tubes
these patients are admitted and sick, why would we just d*ck around with their meds?

 

[hospitalistpac]

BTW, I'm not the exception, here is a job add


March 13, 2005 -- Nurse Practitioner Hospitalist or Physician Assistant Hospitalist: ATOPJOB.COM A very busy interventional Cardio practice, 2 docs in Arizona. need a Nurse Practitioner Hospitalist or Physician Assistant Hospitalist.

The NP Hospitalist or PA Hospitalist practice is confined to one hospital. Work days, M-F Call 2d/week and QO weekend Call is for practice only Duties include: oversight of nuclear tests, rounds, consults, admits, discharges, and general troubleshooting of in-patient problems. Physicians are available by phone.

Looking for well grounded, experienced Nurse Practitioner Hospitalist or Physician Assistant Hospitalist who enjoys an autonomous position Available immediately Bi-lingual Spanish is a BIG plus-the Nurse Practitioner Hospitalist and Physician Assistant Hospitalist are fully considered a professional in this practice.

Benefits include: Generous vacation, health, life, paid- malpractice, paid CME, paid relocation, paid licensure, pager &cell phone provided, profit sharing, and compensation over 100K. Work load is heavier in the winter months during the snowbird season and significantly lighter in the summer months.

 

[guetzow]

You're misleading folks by blurring the line between generalist and CV PA. I've also seen (RECENTLY) IM hospitalist jobs (IN NIIIIICE Areas) in the 50s.

 

[emtji]

BTW, I'm not the exception, here is a job add


The NP Hospitalist or PA Hospitalist practice is confined to one hospital. Work days, M-F Call 2d/week and QO weekend Call is for practice only Duties

compensation over 100K. Work load is heavier in the winter months during the snowbird season and significantly lighter in the summer months.

M-F, call 2d/week and qo weekend call...and only 100K? i think id die if i took call twice a week and two weekends a month for the rest of my life

 

[guetzow]

Yikes!!!

 

[Narnian]

The hospitalist NP at my hospital was trained by our intensivist in ICU to put in pigtails, central lines, IABP's, swan lines, etc... she rarely does them, but is trained and knows how.

 

[deleted6669]

I know many em/hospitalist/critical care pa's who do their own central lines, lp's, thoracentesis, paracentesis, intubations, a-lines, etc

 

[Narnian]

Thats what I am hoping to do when I get done with school. Critical Care or Emergency medicine. I HOPE that I get to do a lot of procedures... In the army I was aloud to do cut down's, chest tubes, IO's, cricothyroidotomy's etc. So I know I have the "huevos" for being in a procedure heavy specialty... I just hope I get the right job for it 😀

 

[icthus13]

I know many em/hospitalist/critical care pa's who do their own central lines, lp's, thoracentesis, paracentesis, intubations, a-lines, etc

I did thora's and para's on my PA school hospitalist rotation. It was precepted by a PA, too, so the jobs definitely exist.