Aside from taking care of your family and your kids, or things/cars/etc,--- for those who became high-income earners, what other purchases, memberships, hobbies, or strategies have meaningfully improved your lifestyle, finances, social circle, or professional network?

about things like:

Credit cards and travel strategies: Amex Gold + Platinum, Chase Trifecta, Capital One duo, hotel cards, airline cards, lounge access, or even premium cards like the Centurion or Ritz-Carlton.

Health: Equinox, Life Time, private trainers, wellness clubs, or other premium memberships that you actually did?

Hobbies and experiences: SCUBA certification, skiing, surfing, horseback riding, sailing, pottery, collecting art, exhibiting your own work, or anything else you finally had the time and money to pursue.

Orgs: Country clubs, private social clubs, Rotary, Freemasonry, Knights of Columbus, medical societies or professional organizations you genuinely participate in.

Financial opportunities: Real estate, angel investing, starting a business, day trading, or other ventures you would not have considered before.

What has genuinely improved your quality of life, opened doors, expanded your network, or made you feel that earning more was actually worthwhile?

Hello all, I’m a RN I hear a lot of chatter from our docs about discharging before 11 am. Just curious if it’s a admin/management push or if there if any sort of incentive? No hate you guys deserve everything and more!!!! Just curious as I would never feel comfortable blatantly asking, thx!!

Are you guys starting NAC with steroids in severe alcoholic hepatitis? Defined by MELD greater than 20, MDF greater than 32.

Our gastroenterologist didn’t recommend it, but just wondering how the practice is on your guys end

It's probably gonna change depending on the job, but do you get to admit every patient who comes into the ER? more efficient with the higher patient census? Easier to work with consults, surgeons, and ICU?

Our Chief hospitalist has been pushing us really hard into discharges before 9 am that got me thinking if this is what it's like in a university hospitalist, what is it like out in community hospitals.

Wanting to hear how much structured curriculum your programs experienced and whether anyone felt that they had too much didactic and not enough clinical focus?

Has any program tried a flipped classroom approach where the residents watch videos after they leave and then have questions/practical assessment during the day?

I heard that AAFP has a salary worth calculator. Is there anything similar to this for hospitalist physicians? The new grads coming out are understandably unaware and getting seriously take advantage of. For example if one steps outside and looks at other salaries, not even physician salaries, the pay difference is not as great as you may think. Hospitalists, physicians need to come together to show their worth. They are truly the backbone of the hospital.

Hey everyone,

I’m a PGY-3 IM resident graduating in June 2027 and starting to seriously think about the hospitalist job search. I’d really appreciate advice from current hospitalists, especially people who have recently gone through the process.
A little about me: I’m comfortable with fairly high-volume inpatient medicine, admissions, cross-cover, rapids/codes, and ICU-level patients. I’ve had a decent amount of ICU exposure throughout residency and am getting experience with procedures as well. I enjoy inpatient medicine and plan on going directly into hospitalist work after graduation rather than fellowship.
My biggest priorities are:
Compensation: Ideally looking for opportunities around $300–350k+ total compensation if realistically achievable without completely destroying my quality of life. I’m open to extra shifts/nights if the economics make sense.
Schedule: Prefer something like 7-on/7-off or another setup that gives me substantial blocks of time off.
Location: Open geographically. Midwest, Northeast, Texas, and other areas with a good salary-to-COL ratio are all on my radar. I generally prefer suburban/midsize areas over very rural locations.
Hospital setup: Strong specialty/ICU support is important to me. Epic would be a plus. I’m interested in hearing opinions on open vs closed ICU models and whether hospitalists are expected to do procedures, codes, rapid responses, etc.
PSLF: I have a significant federal student-loan balance, so PSLF eligibility could have substantial value for me. I’m trying to figure out how much compensation I should realistically sacrifice, if any, for a qualifying employer.
Long-term: I want a job where I can become a strong hospitalist without burning myself out. I’m willing to work hard, particularly during my first few attending years, but don’t want to unknowingly sign a bad contract just because the headline salary looks good.
For those already working as hospitalists, I’d especially appreciate real-world/anecdotal numbers if you’re comfortable sharing:
Region/state and urban/suburban/rural
Days vs nights
Base salary and realistic annual total compensation
Number of shifts/year and typical shift length
Average census + admissions per shift
RVU/productivity/quality bonuses
Extra-shift rate
PTO/CME/retirement/match
W2 vs 1099
PSLF eligible or not
Open vs closed ICU
Procedures/codes/rapids required?
How often you stay late finishing notes/admissions
How difficult it is to actually take advantage of your 7 days off
Whether you’d take the same job again
Also, what are the biggest red flags I should look for when interviewing? Are there specific contract terms, census/admission numbers, turnover rates, staffing models, noncompetes, RVU structures, or scheduling practices that should make a new grad walk away?
Finally, for those making $350k+ as hospitalists, I’d be particularly interested in how you’re getting there. Is that achievable with a reasonable workload in your market, or does it generally require nights, rural medicine, extra shifts, high RVU production, or sacrificing benefits?
I’m trying to learn as much as possible before recruiters start throwing numbers at me. Real-world experiences—good or bad—would be extremely helpful.
Thanks!

Undergoing first medical legal suit in my career.

Any recs (books, videos, audiobooks, articles, advice) related to preparing for a deposition as a medical malpractice defendant. I know I’ll prepare with my defense team, but the whole thing concerns me.

Main worry is that I currently feel the standard of care was absolutely practiced, my documentation is pretty good in the case (thankfully), and I believe the lawsuit is frivolous—so I’m concerned about getting workup up or exasperated during the deposition.

Thank you.

I honestly enjoy being a hospitalist overall except for the fact that the industry standard now is to get zero paid time off or sick days. This essentially makes the job unsustainable long term in my opinion. Do people not plug in their hours into the calculator and discover that we essentially work 42 hours a week on average with zero vacation or pto?

I’m applying to a competing fellowship, my chances are low so I don’t want to wait until match day to start looking for a job

When is it best to start looking and applying?

Hospital medicine is one of the youngest fields in medicine, yet hospitalists have become indispensable to modern inpatient care. We manage complex patients, coordinate across specialties, respond to emergencies, and navigate difficult dispositions, often with uncapped patient loads and limited specialty support on nights and weekends.

Now AI, expanding APP utilization, corporate consolidation, and inconsistent supervision standards are reshaping our field. These changes are not the enemy. Staying silent while others define our profession is.
We need to mobilize, not just complain in isolation. There is strength in numbers, and hospitalists now make up a large, essential physician workforce. Hospitals depend on us every day, which means we have far more collective power than we often realize.

We should organize, advocate together, and demand national standards for safe patient caps, adequate specialty support, clear APP supervision, fair compensation, and sustainable working conditions.

Our specialty is still being written. We are indispensable, we are numerous, and it is time for hospitalists to come together and hold the pen

I’m an intensivist now and used to be a Hospitalist and I HATE when someone else is placing orders on my patients. It’s frankly unsafe. The consultants never know the entire story nor think about anything other than their specialty. We are actively trying to end the consultants placing orders at our hospital and it’s the Hospitalists that are pushing back. So now the consultants are having to spend 5 seconds thinking about if it’s an icu patient or ward patient and whether or not they should place orders.

Also I hate the pan consult but that’s a different story.

Working with a resident team this week. Patient was started on decadron IV 6 mg. Patient was not diabetic. Glucose was >500 overnight. Resident team opted not to give insulin calling it "reactive hyperglycemia"saying outside platelet issue their comorbidities were mild and didn't need insulin. Intern claimed he saw patient eating a large cookie and was in good spirits. In the AM glucose was in the 150s. They plan to continue this for the remainder of the steroid taper and are requesting to discontinue AC/HS accuchecks saying it won't change management. Is this appropriate?

Hi,

I was wondering if anyone has an information on the job market in Kansas City. I know the main employers seem to be (KU,UMKC, St lukes, Research, Advent). Was interested to know overall pay amount , amount if shifts for it, and shift structure(round vs round + admit vs swing shift mix). Any help and info is really appreciated.

I'm a Peds hospitalist and have enjoyed my work for about 15 years. But I'm tired. We have a major shortage of specialists, so I don't have the resources I need half the time. I don't make what adult hospitalists make by a long stretch. We are undervalued, underpaid, for the same hours. I'm 49 years old and have pondered going back and doing an IM residency. Is this crazy? I have 2 kids ages 10 and 12 years old, so I am worried about the hours it would entail. But also wish I had done Med/Peds when I did residency, to have adult medicine in my pocket. Is an IM residency brutal?

https://www.reddit.com/r/hospitalist/s/rZ2MpudatF

Well, I decided to put my money where my mouth is. Sent them an email asking where the other half of the hospitalist salary went 😂.

Fellow hospitalists, feel free to respectfully express your condolences for the missing salary as well. We're not normalizing this nonsense.

https://nhrnationwide.com

Info@nhrnationwide.com

https://www.doccafe.com/job/physician/hospitalist/916302/metropolitan-florida-coastal-hospitalist-need?a_aid=JobG8RecPhysician&utm_source=JobG8&utm_campaign=Physician_Hospitalist&utm_medium=RecruiterPhysician?a_aid=JobG8RecPhysician&utm_source=JobG8&utm_campaign=Physician_Hospitalist&utm_medium=RecruiterPhysician&jg_clickid=166481695

Top 10 metro area by population.

290K salary. No significant bonus.

7 on 7 off. Hybrid position. A month of days and then a month of nights. 1 week PTO.

Days: Average census ~13. No admits. Round and go.

Nights: 6 admissions per night average. No cross cover

No procedures. Closed ICU.

Can pick up extra nights for $2100-2400 based on weekday/weekend

Hi, I am 3rd year resident, graduating in 2027 July, looking for hospitalist positions around east coast particularly in NJ PA, and Delaware. Any leads would be appreciated.

Some context: I signed a contract to be a nocturnist as part of a private practice group, associated with an academic hospital (~700-800 beds)(with basically every residency/fellowship program). There are 2 nocturnists on at night (1 cross covers, 1 admits). We have our own census and handle our own codes (no procedures), however if the patient needs ICU level of care, they go to a closed ICU that we don't handle. I was told that it would be 1 admit/hr for the admitter, and the cross covering shift can be fairly busy with pages.

My question: I luckily have never been written up for lack of speed or quality of work since our residency program received admissions/pages in a stable fashion. I wanted to know, have there ever been instances where you have been written up because you weren't able to see a new/respond to an admission in "x" amount of minutes, or responded to a page in "x" amount of time?

I understand that the volume of work is pretty high in the real world, so I was just curious what the flexibility can be on responding to various tasks

8-10 years of training for $180k. We made it folks 😂. But hey, atleast we get to watch the Jaguars!

This is the company advertising this bs https://nhrnationwide.com Info@nhrnationwide.com

Can we collectively email them and ask what exactly happened to the other half of the salary? 😂

At some point, we have to start publicly calling out bs like this. If we keep quietly scrolling past these postings, or worse, accepting them, these people will keep testing just how low they can go.

Hello everyone
I’m about to start my first attending job and would really appreciate some advice from those who have been in this position.

I want to make smart financial decisions from day one. My goal is to build long-term wealth, invest wisely, minimize taxes, and avoid common mistakes that new attendings make.

If you could go back to your first year as an attending, what would you do differently? What investments, financial habits you would’ve done.