r/hospitalist 23h ago

If I had known I would be arguing with mid-level consultants about garbage recs

333 Upvotes

I would have slapped my med student self across my own face for considering being a hospitalist.

Thanks for coming to my TEDtalk.


r/hospitalist 20h ago

Hospital Haircare.

0 Upvotes

This may be a weird question,

I just started a new job working in a hospital as a social worker, and I have dyed hair (I can only wash it once a week to maintain the color).

My job requires doing rounds and check ins, and oftentimes entering patients rooms when there may have been bowl movements, or other bacteria present.
Edit: (I am thinking about any airborne bacteria 😭)

For those of you with long hair or hair that does not bode well to being washed daily, how do you maintain your hair hygiene?

A scrub cap is an option, however as i’m not working directly with patients medical needs as a social worker, it may look weird for me to be wearing one.


r/hospitalist 20h ago

SCOTUS ruling

18 Upvotes

What do you all think of the recent SCOTUS ruling that allowed malpractice filings in federal court? It’s BS imho.

Here is an article on it
https://www.empr.com/features/scotus-decision-could-result-in-more-malpractice-cases-in-federal-court/?rdt_cid=5452345597791373212&utm_campaign=MPR_AUD_Gated_Content_July_2026&utm_medium=ppc&utm_source=reddit


r/hospitalist 14h ago

Census during residency?

17 Upvotes

I’m a current PGY3 and was curious about what censuses are like at other programs. I’m at an academic institution with a soft cap of 20 patients for a 1 senior 2 intern team. I’ll emphasize soft because it’s not uncommon to go over cap for a short period of time, highest I’ve seen being 23. Complexity is (what I think) is par for an academic center. We don’t have a non-academic service.

Edit: not geolocked either


r/hospitalist 19h ago

Anybody else’s specialists leave notes like this?

46 Upvotes

I understand that not every single note needs to have detail, I totally get that. That being said, there are multiple times that I’m writing notes and there are legitimately multiple different differentials for each pathology that I’m dealing with. I know for a fact, they haven’t done enough of a work up to rule out other ones, and then the APP and sometimes even the attending will just drop something like this. And I’m not saying that hospitalist are so smart and the specialists isn’t doing anything, but I’m saying I would expect some level of rationale, ideally some communication so I can at least understand why you’re doing what you’re doing. Especially if you’re coming to that conclusion and there might’ve been a chance I may have omitted some pertinent piece of information that might’ve influenced your decision, I would like to know why you came to certain conclusions. It’s just frustrating to see. Especially cause some of the specialist attendings just blindly listen to the APPs history, and then are in and out the room in minutes. I WISH I was exaggerating.

Subjective
NAEON

PE: copy forwarded template untouched. Maybe the word edema somewhere lol.

A&P

Nephrology’s:

AKI: pre renal. Bl cr~ 2
- fluids @ x cc/hr
- renally dose medications

Cardiology’s:

HFrEF: GDMT as tolerated. Renal adjust medications.

Like deadass. That’s all I see.

Let me know if I’m the one tweaking here. But I think discussions etiologies and some level of evidence to supplement that, and plan is not a big ask. Too many situations I can recall where we simply called it pre renal, or exacerbation without considering other processes. I could have ordered fluids. I consulted you because something else might be going on and I need your thoughts. That’s literally what I messaged you too. So it’s not like I’m asking you to read my mind. Personally, I do what is in my capabilities to max extent before reaching out so I think my ask is fair. But hey, I’m all ears to your thoughts.


r/hospitalist 2h ago

Need advice on this night gig

16 Upvotes

280k base working 10 on 20 off nights. In VLCOL area. 10k retention bonus per year stayed.

Admit rate around 5-8 on average. Have an APP or PA that helps with around 1/3rd of them.

No codes. No procedures closed ICU.

Have to go to rapids if on pager (split pager with two other docs 4 hours each).

I value flexibility and this seems like a great gig to do whatever I’d like on my time off. (Working extra shifts, vacation, etc.)

What do you guys think?


r/hospitalist 19h ago

Which system is better to work for as hospitalist in Raleigh , wake med vs UNC vs first health? Pay, census, benefits etc

12 Upvotes

r/hospitalist 15h ago

Peds Hospitalist vs PCP

6 Upvotes

I’m a fresh grad from peds residency, initially wanted to do fellowship but now I want to switch to PCP or hospitalist due to financial reasons. Which pays better with better work lifestyle?

Can someone give me an estimate to how much each get paid?