Practicing in a Clinic vs. a Hospital

[lovegalore1]

What are the primary differences between practicing in a hospital and a clinic and how come some doctors practice in a clinic but also work at least part-time in a hospital?

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[PTPoeny]

Your question is a little unclear. Are you asking the difference between an outpatient clinic physically located in a hospital versus of in a separate building? Or are you asking the difference between seeing hospitalized patients versus patients in a clinic?

The exact differences and reasons why an individual might work in both settings will also vary by specialty. Are you thinking more about like a family doctor? Or a specialist like a cardiologist? Or like a surgeon?

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[lovegalore1]

Your question is a little unclear. Are you asking the difference between an outpatient clinic physically located in a hospital versus of in a separate building? Or are you asking the difference between seeing hospitalized patients versus patients in a clinic?

The exact differences and reasons why an individual might work in both settings will also vary by specialty. Are you thinking more about like a family doctor? Or a specialist like a cardiologist? Or like a surgeon?

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I'm interested in the difference between seeing hospitalized patients vs. patients in a clinic.
What would be the reasons why a family doctor or a specialist like a cardiologist work in both settings?

 

[gyngyn]

I'm interested in the difference between seeing hospitalized patients vs. patients in a clinic.
What would be the reasons why a family doctor or a specialist like a cardiologist work in both settings?

Every physician I know has hospital privileges, without regard to their specialty.
When our patients need hospitalization, we admit them and care for them (along with consultants, when necessary).

 

[PTPoeny]

Specialists often have to work in both settings as there will only be a few hospitalized patients on a given specialty service at a time. Adult cardiology might be a bad example as tons of adults have heart attacks, but an endocrinologist group might only have a few patients in the hospital so they couldn't financially support a doctor just seeing patients in the hospital. So instead in many places one person from a group practice will have an hour break from seeing patients in clinic and go see all the patients for the group in the hospital for the day. That way everybody else in the group can see patients in clinic all day.

For family practice traditionally doctors saw their own patients in the hospital when they needed to be admitted. Now there are frequently hospitalists (doctors who only see patients admitted to the hospital) who could admit the patients so if a family doctor is both seeing people in the clinic and in the hospital it is most likely because they enjoy doing both.

In clinic doctors see both well and sick patients for complaints (hopefully) relevant to their specialty. Frequently there is a long standing relationship and the doctor sees the patients only occasionally and generally making slow changes in medicines and screening for stuff over,s time.

When seeing patients in the hospital all the patients are sick with a condition relevant to their specialty and doctors see them one to several times a day for a number of days in a row until they are well on their way to getting better.

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