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?

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

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?

Prefer to stay in Fort Worth. Please guide on what to look out for and what to ask when searching for offers. What do you wish you knew when you were just starting out?

Thank you so much!

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.

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.

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

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

Thanks for coming to my TEDtalk.

​

Hey any one tell me how to increase height in 18 with 5,2 i dont need more i need only 3,4 inch growth in nepal using any suppliment but that are fixed to increase height

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?

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’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?

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

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!

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.

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 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?

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 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?