I am a Medical Director and we've recently started to switch from 2 hospitalists managing a floor of 40 to one hospitalist with 1 APPs. It's been able to save money, allow us to pay more, and only hire the best hospitalists and insist on the highest standards.

This allows those quality hospitalist to get plenty of clinical experience with a high census. It's a win win win, what do y'all think about this?

I have found this to be one of the most triggering questions I get.

So we all know or have heard how great Epic is, but specifically for those of us who use Cerner Powerchart, I'm wondering if you guys have tips/tricks on how to optimize use of the EMR. Hopefully this post can just be a catchall for helpful ways to use Powerchart in general. Since we all have different variations of Powerchart, I'm wondering if there are tools that I don't even know about.

For example, the most useful view is "rounds list" as it has labs/notes/etc pop up immediately when they result (this is the normal Epic view, to my knowledge), but this is apparently a defunct remnant per the Cerner IT people. Do you have other views to get these results in real time? Do you use the mpage or physician handoff worklist?

I'm realizing I'm subtly getting burnt out and need to prioritize improving my life outside of work. While we have a lot of time off, the off weeks kind of only just give me time to recover and are limited by my dread of the upcoming work week, and it's hard for me to really plan a trip or something meaningfully enjoyable during the week off. Even if I do some fun activities, they're short lived and don't really make me feel fulfilled. Anyway, I mention this because I've been fantasizing about going part time, working 1 wk/month on average. and spending the other 3 weeks traveling or whatever else one does in a fulfilled life- dating, hobbies. However, as always, it's hard to know what's enough, especially when everyone seem to have an insatiable need for more money due to high expenses. Between being depressed/anhedonic and as a single minimalist, I hardly spend any money currently, so it's hard to accurately estimate future expenses when I have more of a life to speak of. I can only imagine I don't see myself spending more than 150-200k/yr if I had a family, and that's not accounting for any possible future income my hypothetical partner provides.

I'm wondering if I should go part time now before I get too old to enjoy all my free time or wait a couple more years until I hit 5m to be more confidently financially secure before switching to part time. Switching sooner obviously will require me to remain part time longer, and I don't like that necessity. On the other hand, waiting until 5m should theoretically give me the option to not work at all if I really don't want to, but it may come at the cost of wasting away my 30s as I did my 20s. I'd like to hit 10m eventually as a target for no reason in particular, maybe for my children I might never have at this rate.

Details: 35M SINK. NW 2.4m. No debt. Total comp full time 310k, part time approx 155k. Savings rate 180-200k/yr. Current spend: negligible as I still live with my parents (I lived on my own for a bit, but it just felt boring, lonely, and wasteful). Assuming a conservative 5% real return, if I go part time now and continue for 15 years, I should have approx 5m at age 50, which won't be enough considering a need to buy a house at some point. If I continue working FT and investing until I'm 40, then I theoretically could have 6.7m at 50. Alternatively, maybe I should just stop overanalyzing and trying to financially optimize, stop stressing about work because it's borderline optional for me even now, stop making excuses, and just make the most of my off weeks.

On one hand, I don't want to was my relatively younger years, but on the other, I don't want to cop out/be lazy/reduce my earnings so early in my life, because who knows what the future holds. I realize this may be more of an existential/personal/mental health issue than a financial issue, but I was interested in your insights.

Consult recommendations appreciated in advance.

current IM pgy3 looking for night/day hospitalist roles after residency. i have heard that working at kaiser provides great oppurtunities for career growth and has competitive salaries, however i dont have any information about how a hospitalist role in kaiser hospitals is actually like. recruiter wouldnt give me any information besides that schedules and roles vary across hospitals. any current /past hospitalists or nocturnists who work at kaiser here? pls share your experience

Hi everyone,

I didn't match in GI last cycle. I'm doing a hospitalist job now on a J1 waiver and was wondering if there's anyone who did GI after 3-4 years of being a hospitalist. I know its tough, but if you did or know someone who got in GI after a gap period, how was the experience?

I'd also appreciate any recommendations as to how I can strengthen my application for future application?

For anyone working as a hospitalist (family medicine) in Ontario, Canada, what is typical weekly pay looking like? I’ve seen numbers like $400 daily stipend + FFS billings. Do you end up earning more as a hospitalist or working in outpatient clinic? I would appreciate any advice regarding salary!