发信人: M1998 (MMM), 信区: MedicalCareer
标 题: Re: 说一点听来的hospitalist小道消息
发信站: BBS 未名空间站 (Thu Aug 28 23:58:24 2008)
Several comments here,
1ST, I think there is a BIG misunderstanding for the subspecialties, with
the good life style
If you practice in a community with a group or by yourself, only very few
subspecialty will not really get calls during the night, e.g., endo, rheuma,
of course, path. /rehab.
Cardio, pulm/critical care will get lots of phone calls during the night,
and sometimes have to get up and drive to hosp., or even between hospitals.
If you are on call for several hospitals.
GI also get lots of calls, and occasional have to do the urgent EGD during
ID/Onco will get some calls, but normally no need to come to hosp., just
make verbal suggestion on the phone and see the pt next day.
Neuro will also get some calls, although much less than cardio/Pulm, but
occasional have to come to hosp. during the mid of night, for TPA Tx for CVA
(the protocol will depend on the hospital).
2nd, As a practicing hospitalist, I could tell you I am very happy with my
schedule, working only 22 wk/year, while I could not tell you how much I
make, but since it was very boring to have so much time off, most of us are
working as moonlighter as well, and get extra income, but still enjoy enough
time with family.
3nd, I am not make advice anyone for the career pathway, since every
specialty has its character, there is no perfect job. Everyone also needs to
know what she/he wants. For myself, I would not take the Cardio/GI
fellowship now even I have chance, since I do not want to take all those
stress from the work; I have to leave some room for my three kids.
4th, If you want to be a hospitalist, IM program is better than FP, as most
hospitalist program prefer IM resident.
I think very soon, hospitalist will become an IM subspecialty as well, since
there is ABIM hospitalist certification already.
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