Day In The Life As An Internal Medicine Hospitalist (My First Week) 

Hey, friends! Hope you enjoyed today's video about "Day in The Life as An Internal Medicine Hospitalist". Take advantage of all my favorite med school tips and tricks in this free guide here! (themdjourney.com/med-school-success-handbook/) Good luck on your journey! 💪

I was a hospitalist PA for several years. I worked with a supervising physician. It was a good job; very challenging yet, rewarding.🙂👋🏽👨🏽‍⚕️

Yes! Please make a video about how to be efficient in each role (rounding vs admitting)

Thank u alot i am incredibly greatfull you can not imagine how much your tips and insights go thanks for your time 👍👍👍

ER PA here- very sorry for all of our consults. it seems like people are more sick than ever lately. we're boarding about 15-30 on a normal day. we know it's a lot of work for you, & we appreciate our medicine team!!!

Congratulations, this is an awesome achievement. Very inspirational

This is really helpful video, Thank you. I am PGY 3; Job hunt has been overwhelming. Can you please make a video on tips that would help with a job hunt for a hospitalist and what things to look for?

As a newer ED doc this is super interesting to watch

Congratulations Dr. Trivedi

Great breakdown and insight into the hospitalist job, Dr. Trivedi! Do you have any insights or opinions on "cardiology hospitalists"? I've heard that term mentioned a few times before.

I'm a new hospitalist after residency as well like you. I would say you are very efficient in terms of seeing 17 pts in an hour!! There are so many questions from pts as well as distractions/constant texts while seeing them, it almost takes 2-3 hours to round on 15 pts.

Thank you so much for the video! I can't wait to become an IM attending! (no more patient presentations to attendings is mind boggling!) I understand the reasons why you decided not to pursue fellowship from the comments, but does the fact that you didn't immediately apply become detrimental to your future applications to fellowship? (like how residency programs will question gap years) Thanks!

thank you for such an in depth video! Hospitalist seems like such a great lifestyle. Do you feel like its a long term career? and do you ever have to work any nights?

can you make a video on how to write notes as a hospitalist?

Interesting video! I work a non traditional hospitalist schedule. More shifts than 7 on-off but my shifts are typically shorter. We do night shifts, but I take call from home. Some days I work from 9:30 to 1:30 or 2PM depending on patient load and complexity. We're on call every 3rd day. Downside is more shifts and we have to work occasional nights. We also don't get dumped on by other services as much as it sounds you do at our hospitals. ie most non IM docs do their own discharges and don't consult us for bullshit reasons.

What are the criteria (or checklist to make my cv strong) for entering this program?

Thanks for the video! Current MS3 interested in IM here. Just curious if you've run across other hospitalist schedules besides the 7 on 7 off schedule? Like rotating weekends, etc?

Thanks for the insight! I am Canadian looking into applying to medical school (as a software engineering/business double major). I have the grades I need to have a solid chance, but I just want to make sure this is what I want before I even take a lot of time to write the MCAT. My internship right now is a lot of desk and I hate it. I helped with biomedical research in college and I loved the science, loving talking to people, and problem solving. While I feel like I want to be an MD and a doctor, I have always also wanted to pursue tech med and have my own start up. I would be great to do have an MD and work on a start up that helps people. Doctors in my family have told me doctors do not have enough time for doing two things at once, what do you think?

What happens if your patient codes on a day you leave a bit early? Do you have a colleague that stays until 7pm that stands in for you?

Twelve admissions in one shift? And I think I saw Powerchart. Same system here. It's rough! So tedious but there are far worse EMRs out there.

Thank you for this video. It was very informative to me in writing up a Clinician interview project for my Bioinformatics program. I'm also an amateur YT streamer and have one piece of advice. For video productions which appear on YT or other video providers, please don't mount the camera on your monitor, it causes the monitor's display to be reflected in your eyeglasses.

You've always been the head honcho to me. The final boss. Woohooo

I am at the opposite end of my career. Turned 70 and retired as a Board Certified hospitalist/nocturnist. I had a PhD and 10 years of research and teaching before doing a PhD to MD program at the University of Miami. After residency I was 43 when I started work as a doctor in 1993. In response to the question by "TheMDJourney". Was it worth doing the MD degree? If you are really keen to do research, the MD doesn't work out too well. First if you spend 8 years in med school and residency you are likely to have big student loans to pay back. Then you are really forced to practice medicine, in my case 5 years, to pay back loans, and that was with my wife working much of that time. That leaves a big hole in your time as a researcher. Generally the pay is significantly lower for research work, compared with medical practice. In my case I never went back to research, although I would have liked to. University positions are usually not great because of the "Triple threat". First look after patients, then teaching, and if you have time slot in some research and spend any spare time publishing and applying for grants. For a lot of people that doesn't really work unless you can get enough grant money to make a deal with the university to do medical and teaching part time. It is a struggle. As a hospitalist the options may be a little better as most programs use the 7on/7off block model described in this video. Theoretically you could do research or start a business during your week off (after a day or two of rest), if you are willing to sacrifice your private life and the business allows you to work that way.. I liked working as a hospitalist/nocturnist but most programs work on 7/7 12 hour shifts. The difference is that 12 hours is always 12 hours or more. You have to be in the hospital all 12 hours. This meant in my case that the hourly pay was significantly less than what the day doctors were earning. My hospital gave a substantial salary increase for doctors with 4 years experience, but refused to apply it to nocturnists who they thought were overpaid. The hourly rate was very good but still less than the day doctors. Salary surveys that I have seen still do not report pay rates for Nocturnists. Once you and your family get established in schools and you buy a house it is not easy to transfer to another city if you don't like the deal your employer is offering and with all the mergers our whole region was taken over by a single monopoly. So choose carefully. What I liked about it was the responsibility and excitement of being in charge of everything with no specialist help unless you called them in to do a procedure and that included looking after about 30 ICU patients (we had 50 ICU beds), looking after problems in 100 medical patients, taking transfers from 21 surrounding rural hospitals, and supervising 2 nurse practitioners admitting patients in the ER and seeing all their patients. When it was really crazy I would stay after my 12 hour shift to dictate notes. I loved the EPIC computer system and its voice recognition. I also spent my first 5 years in the old traditional internist model looking after both inpatients and out patients. It was great for continuity of care but terrible working hours. The next 11 years I was in outpatient-only solo private practice and loved the independence. Four doctors shared call and we cross covered each other for phone calls every 4th night. That is when I switched to working as a hospitalist, quickly becoming a nocturnist, in 2009 to 2020.

did they give you a starting bonus? Usually how much is that? What other kinds of bonuses per year exist and how much are they? I love your videos, I love your channel and your video editing 👍👍

Hi, I wanted to know whether someone with one hand ( the other hand is amputated transhumeral due to an accident recently ) study medicine in the USA and practice medicine in the USA? The person is already studying in pre-medical 2nd year.

Do u do procedures (lines,intubation,vents) or have to run codes?

According to my sources and information a Hospitalist typically earn between 170K to 180K in the east coast. In California where cost of living is much higher as compared to east coast a hospitalist earn between 200K to 300K.

Hope you have been doing well. How has it been working with PAs and NPs if you work with them? I was a cross coverage night PA for 2 years ( with 80-120 census per night as a new a new grad when i started Dec. 2019….. right into a pandemic…..most traumatic experience ive ever had…was given a phone and a pager and they said let us know if you have questions…..after about 3 weeks of orientation…..) and im now about to start day time rounding position after trying emergency medicine for a little over a year. Also, is it the norm for hospitalists to manage ICU level patients? Thanks!

Hey nice video. Can you please tell me what's the average Salary of IM/FM academic hospitalist who just started after completing his/her residency? Thanks in advance😊

Cool, Does hospitalist spend more or less time than primary care with paper work? How many hours? Do you frequently deal with critical cases and death? Thanks!

you get to wear scrubs as an attending? if so thats awesome!

I have a gap year between my high school and med school...and i got only 70 percentage in my high school.......do this both cause any issues while doing usmle...plz reply me

Great Video! I had a really quick question to ask on if I should drop this gen chem 2 course. I forgot almost everything from gen chem 1 and honestly don't remember a thing at all since its been awhile. currently, I'm taking gen chem 2 and everything has been difficult especially doing every assignment, lab reports, and just problems in general. I worry that, on exams and quizzes. I won't do so great. What would you advise specifically on what should I do?

after completing residency do we have to see both op and ward cases in int med?

I feel like everyone's salary has increased over the years except for hospitalists. Family doctors makes close to hospitalists now. Hell, travel nursing can make as much as a hospitalist now.

Can those weeks off as a hospitalist be used to work as an outpatient physician at the same / different institution?

HI Doc, I am bit confused that as medicine Practitioners has to work a week and then a week on vacation so can anyone willing to work 6 months regular and take 6 months vacation, is it possible ?

I’m contemplating applying for IM or FM what should I go for

I was once admitted for very specialized testing related to an acute problem on a weekend at a 1000 bed medical center. They used a hospitalist system. I found the quality of admission H&P, admitting orders, actual IM care (I needed very little) to be deficient and that's generous. And, yes, I am an expert. My personal internist and my cardiologist both warned me that I'd be disappointed and they were right.

do you feel u learn enough in residency to become a hospitalist straight out?

Is it possible to do an MD after getting a bachelors degree in Respiratory therapy?

Have you finished your 14 year’s?

Do Hospitalists do any bedside procedures

In an hour you've seen and rounded on ~15-17 patients on your list? so that's 3-4 minutes of time with each patient face to face

I genuinely thought you said your name was love shack....had to re run it...haha

Do you want to do a fellowship in the future?

To be more accurate, hospitalists in bigger cities almost always make lesser than hospitalists in bigger cities. Big cities like NYC there are some hospitalists making 140-150K. Solid video though , good overview.

Is this 220 - 300k u r talking about gross or net pay?

May I ask why you didn’t pursue a fellowship right after residency pls?

salary wise is not good to give a range. should tell us which area you're working at and how much you're getting paid. anyone can look online for a range of salary. for example, I'm in Boston, getting paid $270K would be more helpful than to say range 250-300k for IM, that's doesn't help much.

Camp Sweeney med staffer??? 👀👀👀

Pulm/ccm team here … hospitalists are basically unfortunately the place where all consultants put their patients to avoid ( discharging notes and orders … ) … I wish icu is closed !! Too many chefs burn the dish … sometimes hospitalists try to manage things with no communication with critical care doctor .. this is the worst that can happen to any patient .. overall my friends who became hospitalists are not happy .. and yes that week off ? Just wait for the group to ask you to work on these days or overwhelming you in your work week so you barely can be able to do anything in your week off besides relaxing

I normally don't post on these kinds of things but I didn't want any trainee to get the impression the math here was acceptable. @13:38, 60 min / 16 patients = 3.75 min per patient. As a hospitalist, that is an unacceptable amount of time with your patients. It doesn't matter if you "follow up with one or two later in the day", no patient deserves that degree of inattention

Hospitals ha don't like them think they are a joke

This is disgusting. Primary doctors and specialists don’t see their patients. You rush to evaluate a complex medical situation that requires the most experienced person. You have the pleasure of going to New York and Hawaii for a week after being on duty for 7 days in a row. This is not sustainable for a career. This is profits over people.

Hi Lakshya, you’ve been a source of motivation for me lately🤍 PS: if I have a green card do I have to give IELTS for USMLE or Matching process ?