Searching for a #hospitalist Job? I have made it easy for you. Too many options to choose from.
Top Factors to look for in the job.
#MedTwitter, @BeckersHR @NY_Hospital_Job @TodaysHospital @acphospitalist @ahahospitals
Top Factors to look for in the job.
#MedTwitter, @BeckersHR @NY_Hospital_Job @TodaysHospital @acphospitalist @ahahospitals
Not every hospitalist's job is the same.
#patient Volume:
- in 12-hour shifts, 15-18 encounters are common
- above 18, difficult to provide quality of care and high risk for errors and burnout risk
-it's okay to have a few days with a high census, but not with every day.
#patient Volume:
- in 12-hour shifts, 15-18 encounters are common
- above 18, difficult to provide quality of care and high risk for errors and burnout risk
-it's okay to have a few days with a high census, but not with every day.
Night Shifts - Nocturnist
- Does the program have a dedicated nocturnist team?
- or rotation with all team members
- In 12 hr, shift 10 new admissions are doable
- Cross-Coverage: If a hospital is small (<150 beds), it's manageable, beyond it is difficult.
- Does the program have a dedicated nocturnist team?
- or rotation with all team members
- In 12 hr, shift 10 new admissions are doable
- Cross-Coverage: If a hospital is small (<150 beds), it's manageable, beyond it is difficult.
Night Shifts - Nocturnist
- In bigger hospitals, APP-NP/AP or hospitalist provides cross-coverage
- Virtual Hospitalist programs do exist to provide cross-coverage as well.
- you can find nocturnist positions or programs with no nights as well.
- In bigger hospitals, APP-NP/AP or hospitalist provides cross-coverage
- Virtual Hospitalist programs do exist to provide cross-coverage as well.
- you can find nocturnist positions or programs with no nights as well.
Rapid Response and Code Blue:
- Who runs the RRT team and Code blue team?
- In some hospitals, a Code team exists or ICU runs code.
- In many hospitals, hospitalist runs code blue and RRT.
- Who runs the RRT team and Code blue team?
- In some hospitals, a Code team exists or ICU runs code.
- In many hospitals, hospitalist runs code blue and RRT.
Consultants:
- Are cardiologists, Nephrologists, ID, Neurology, and Pulmonary available? Essential consultants
- Other consultants - Endo, Rheumatology, Pall care, Psychiatry
- Are cardiologists, Nephrologists, ID, Neurology, and Pulmonary available? Essential consultants
- Other consultants - Endo, Rheumatology, Pall care, Psychiatry
Surgery and Other Services:
- General Surgery, Ortho, Vascular Surgery, ENT, and Urology available
- Do hospitalists admit surgical patients as well or surgery team consults hospitalists?
- General Surgery, Ortho, Vascular Surgery, ENT, and Urology available
- Do hospitalists admit surgical patients as well or surgery team consults hospitalists?
ICU: Open vs. Closed
Advantages of open ICU:
- Keep up critical care skills
- maintain continuity of care
- easy to find a job next time with ICU experience
Advantages of closed ICU:
- Manageable patient census
Some hospitals have a hybrid structure.
Advantages of open ICU:
- Keep up critical care skills
- maintain continuity of care
- easy to find a job next time with ICU experience
Advantages of closed ICU:
- Manageable patient census
Some hospitals have a hybrid structure.
ER and Hospitalist Relationship:
- Both depts work very closely
- need good communication
- Are they different groups or the same group or hospital employed?
- During the interview talk to ER physicians/director
- Both depts work very closely
- need good communication
- Are they different groups or the same group or hospital employed?
- During the interview talk to ER physicians/director
Procedures:
- Paracentesis, Thoracentesis, Central Line, LP - support available?
- In the busy workflow of hospitalists, need to have IR/Surgery team to get it done.
- Many places offer hospitalists to perform it, it's not mandatory.
- IR hours: Monday to Friday, 8 to 4 PM
- Paracentesis, Thoracentesis, Central Line, LP - support available?
- In the busy workflow of hospitalists, need to have IR/Surgery team to get it done.
- Many places offer hospitalists to perform it, it's not mandatory.
- IR hours: Monday to Friday, 8 to 4 PM
Compensation :
It varies based on
- patient volume
- location, location, and location
- Direct employment or contracted with a group
- Dedicated nocturnist team available
- Visa requirement
-Structure of the hospital
It varies based on
- patient volume
- location, location, and location
- Direct employment or contracted with a group
- Dedicated nocturnist team available
- Visa requirement
-Structure of the hospital
Big Trends in Hospitalist Job:
- Demand is rising
- Compensation is increasing
- Hospitalist team's role solidifying in the hospital operations in the last 10 years
- Demand is rising
- Compensation is increasing
- Hospitalist team's role solidifying in the hospital operations in the last 10 years
Important factors to look at:
- Salary with productivity bonus
- Sign-on bonus
- Student loan repayment options
- Benefits - retirement, and other standard benefits
- Malpractice insurance and tail coverage
-Non-compete clause
- Termination notice period
- Salary with productivity bonus
- Sign-on bonus
- Student loan repayment options
- Benefits - retirement, and other standard benefits
- Malpractice insurance and tail coverage
-Non-compete clause
- Termination notice period
Types of the hospital:
1. Rural
2. Town/sub-urban hospital
3. City Hospital
Rural Hospital:
- Smaller
- Few consultants available
-Need to transfer patients frequently
-Patient's very appreciative
- Good thing, It boosts your confidence, as you manage most things by yourself.
1. Rural
2. Town/sub-urban hospital
3. City Hospital
Rural Hospital:
- Smaller
- Few consultants available
-Need to transfer patients frequently
-Patient's very appreciative
- Good thing, It boosts your confidence, as you manage most things by yourself.
Town/Sub-urban Hospital:
- Little bigger - 150 to 300 beds
- more consultants available and easy to work with
- Very less transfer need
- Accept patients from other smaller hospitals
- appreciative patients
- easy to set up follow up
- Little bigger - 150 to 300 beds
- more consultants available and easy to work with
- Very less transfer need
- Accept patients from other smaller hospitals
- appreciative patients
- easy to set up follow up
City Hospital and Teaching Hospitals
- Bigger Hospitals
- great consultant support
- accept transfers from other hospitals
- Small issues sometimes take time to fix
- Might work with residents
- Academic Hospitalists job available
- Bigger Hospitals
- great consultant support
- accept transfers from other hospitals
- Small issues sometimes take time to fix
- Might work with residents
- Academic Hospitalists job available
Stability of the team:
- High turnover is very common in hospitalist jobs.
look for signs of stability in the team:
- What's the turnover of the team
- need a large # of hospitalists to be hired
- Sudden resignation of more docs
- New management of the group or hospital
- High turnover is very common in hospitalist jobs.
look for signs of stability in the team:
- What's the turnover of the team
- need a large # of hospitalists to be hired
- Sudden resignation of more docs
- New management of the group or hospital
Culture of the group:
Culture is important, as you will spend 10-12 hours in the hospital, so it's better to have great team members.
- Feel comfortable
-Helpful team?
- Feel supported if you are a recent graduate
- better to have a mix of recent graduates and experienced docs
Culture is important, as you will spend 10-12 hours in the hospital, so it's better to have great team members.
- Feel comfortable
-Helpful team?
- Feel supported if you are a recent graduate
- better to have a mix of recent graduates and experienced docs
Support of the Chief Medical Officer (CMO) and CEO(Chief Executive Office) to the group:
- it's essential for the group
- to get the resources needed
- proper staffing of the team
- it's essential for the group
- to get the resources needed
- proper staffing of the team
Different types of shifts:
- Day rounders
- Swing shifts/Admitting shifts - for afternoon and evening admits
-Nocturnists
-Cross-coverage shifts
-Virtual Hospitalist Shift - not very common yet
-Triage Shift
- Day rounders
- Swing shifts/Admitting shifts - for afternoon and evening admits
-Nocturnists
-Cross-coverage shifts
-Virtual Hospitalist Shift - not very common yet
-Triage Shift
If you have any questions, let me know. Love to help you out. DMs are open.
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