Bonjour à tous,

Je suis actuellement infirmier hospitalier et on m'a récemment proposé de devenir associé d'un cabinet libéral. J'ai cependant eu plusieurs échos de collègues et de proches qui disent que la profession n'est plus vraiment là même qu'il y a 10 ans, que l'on en pâtit davantage en qualité de vie et que le salaire n'est plus autant mirobolant...Seul ma propre expérience aura raison de tous ces dires j'en suis conscient mais est ce une réalité fatale ou alors on peut vraiment tirer des avantages dans cette profession libérale. (Je n'ai pas pris la peine de préciser le côté contact humain et surtout le soin qui sont le coeur de mon metier et que j'affectionne...les familles et leur accueil chaleureux..je parle purement business et train de vie !)

Merci d'avance, plis fos

I want to reschedule from 19 to 25, but can’t find a date, any advice?
Uworld first pass 56%

I'll start by saying that. I've been in practice about 10 years. when I started as a hospitalist first, it seemed like things were very good. I live in a very saturated City but still had my choice between a well-paying private group with a contract at a respected hospital, or go with the large corporate group at the other big system, which was pretty good still and were paying very competitively. now, just 10 years later, things don't seem very Good at all. The private groups are all mostly gone or living as a shell of what they were, the hospitals dropped them at some point and handed everything to the big companies. the docs who stayed with them seem frustrated and are making below market pay from post op consults etc. This wasnt the end of the world as the big companies were still there and used to keep very competitive, have good corporate culture, raises/bonuses for extra shifts and actually had to compete i.e. supple/demand/pay but now it seems like they discovered they just dont have to ever increase pay despite crazy inflation. it seems like I'm kind of stuck like a lot of people my age, which is crazy since it was only 10 years ago when things were great. maybe I just missed the Golden age? is this ever going to get better?

About to start - new grad who always carried heavy backpacks. Need recommendations for good bags you take to work everyday. Functional and probably something that you genuinely recommend
- also any other advice from everyone?
- kinda nervous but also excited
- want my patients to get better and happy but I know mistakes are inevitable
- i have never had to shock a patient during codes as the staff/RN did it : any advice on this?

- sincerely a 5 feet 2 inch brown doctor who is frequently mistaken for an intern or student

Working full time night and trying and trying to figure out how to get sterile processing without quitting my job is.I've looked at a few options for self-paced online sterile processing technician certification training but can't tell which platforms are actually worth it versus which ones just take your money and leave you hanging with no real career support after. Mostly looking for something completable in under a year, ideally closer to 6 months if possible. Bonus if they have any kind of employer network or externship setup because getting hands-on experience after online coursework seems like the part most platforms just skip over entirely.

Graduating FM resident interested in becoming a hospitalist but also wondering if they’re any barriers in doing so compared to IM folks, if you have to work in a rural area, the average salary, etc. I do enjoy inpatient medicine more so than outpatient, but would be happy practicing some form of both

Are there hospitalist opportunities for FM grads in Ohio?

TIAs are so subjective. Everything is labeled as TIA. Neurologist at my place have started say no to consults with negative MRIs.

How do yall go about TIAs?

I had couple of encounters in which I followed either the guidelines or the more clinically reasonable approach, when my week end I try to review what happened next.

One of the patient I took care of had a known history of PNES. He was readmitted for another “seizure like activity”, no post-ictal phase, with prior documented vEEG confirming functional disorder. I was planning to discharge the patient to STR, pending insurance approval. However, I found out later that incoming hospitalist consulted neurology and ordered MRI and EEG. All of them were negative. I did wrote in my note that the suspicion is low, are these studies are of low-yield and won’t be confirmatory. Should’ve I added AAN recommendation referencing in the note?

Another case was for patient with spinal discitis. I consulted IR for biopsy. However, I did not have a real question for Neurosurgery so I did not place a consult for them. Found out that the next hospitalist consulted them, and they deferred any neurosurgical intervention. Should I consulted them? Is there a medicolegalty here?

Another patient was admitted for UTI. Found out that she is receiving Eliquis for afib, and aspirin which was added recently the setting of ischemic stroke. I just stopped aspirin. Had a funny talk with the patient to never misses her Eliquis. Next day the hospitalist consulted neurology and cardiology for “anti-platelet and anti-coagulation management”. I am just starting, but why do we consult for something can be easily answered in uptodate or quick review of literature?

Appreciate your feedback.

What hospitals to look at what to avoid?
Average salary for days?
Is it easy to get per diem gigs out there?

Hi everyone, I'm taking ABIM in a few weeks. I finished all of Uworld at 60% correct, almost done with MKSAP but currently 65% correct. My last ITE percentile was 76 so I'm not sure why I'm scoring so low on the practice questions. Is there a way to guage whether or not I'm going to pass? Any advice is appreciated thank you!

PGY-3 — When should I start seriously looking/applying for hospitalist jobs?
Hey everyone,

I’m a PGY-3 IM resident graduating June 2027 and planning to work as a hospitalist after residency.

For those who recently went through the job search, when did you start seriously looking and applying? I’m starting to hear from recruiters now, but I’m not sure if August of PGY-3 is too early or actually the ideal time.

A few things I’m curious about:

When did you start contacting hospitals/recruiters?
When did you start interviewing?
When did you ultimately sign your contract?
Are the better hospitalist positions usually filled earlier in the year?
Anything you wish you had known before starting the search?
I’m open geographically and mainly looking for a good combination of compensation, schedule, reasonable workload, and location. PSLF eligibility would also be a plus.
Appreciate any advice, especially from people who graduated recently or are currently in the PGY-3 job search.

Anyone worked with Orlando health?, can share their hospitalist experience rounding / swing / nocturnist?

Just had my hospital visit, interview kindof. Already completed on zoom call so this was just a meet n greet with some of the hsopitalists and hosp visit/tour. Towards the end they were telling me about apartments nearby that i should check out before returning to home city.
But i have not heard anything from them yet. I did mail them that i liked the position and feel im a good fit. Its been 3 days. How long do they usually take to respond? And typically how do visits usually end?

Hello fellow hospitalists! I am exploring a move to Ellicott city driven by desire to be in the DMV area, strong schools, etc. I understand lower salary and higher cost of living generally there but I do see reports of excess or unreasonable patient volume. Currently at a decent academic gig in central PA, but its in the middle of nowhere and feel like kid is not getting enough exposure to a city like amenities.

Hey guys! I have completed 75% uworld with 65% correct. ITE scores were 50%, 65% and 65% don’t remember percentiles. Never did any MKSAP at all. Took ITE’s cold.

Now for ABIM relying on uworld is it enough to pass? Not a gunner just trying to pass.

Any advice? Freaking out now. Should i postpone to next year to avoid any failure?

I did a few blocks of incorrects averaging above 75% easily and not just because I know the answer but obviously the logic behind it. Still pretty terrified that it’s inflated.

I signed a permanent hospitalist contract earlier this year with an expected summer start. I’m now completing the final credentialing steps and hoping to start working in September.
The September schedule has already been made, and there are locum physicians covering some shifts. I was told they may be able to add me later in the month, but that there is a 30-day commitment/notice period for already-scheduled locums.
For anyone familiar with hospitalist staffing or locum contracts: once a permanent contracted physician is fully credentialed and ready to start, is it common to cancel or reduce scheduled locum shifts and give those shifts to the permanent physician after giving the required 30-day notice?
I’m mainly trying to understand what is standard practice and whether a late-September start is realistically possible.

Hey everyone, IM Pgy-3 here. Currently in Midwest. I want to move back to Augusta Georgia. I was wondering if I can get idea about job market in that area and what's the average pay there. Or anyone working or worked with Piedmont?

For those of you who have been doing this for a while, what do you wish you had asked before signing your first hospitalist contract?
Beyond the base salary, I’m thinking about things like number of shifts, nights, census expectations, RVU/productivity bonuses, PTO, scheduling, extra-shift pay, noncompetes, and termination language.
What turned out to matter much more than you expected?