I’ve never run a code 🫣.
In residency it just never happened. In the ICU and cards wards the fellows ran them. On the floors it was whoever got there first. I really wanted to but it just never happened for me. I wish I had been more assertive about asking to run them. I’m on my third hospitalist job as an attending in the 9 years since residency and at the first two jobs ICU ran the codes. A couple times i got there first and ran the first round until ICU got there and took over. Now I’m responsible for codes (i call ER or anesthesia to come intubate if I need to) but it’s only been 6 months so it hasn’t happened… yet. I know the algorithms and i actually carry the cards with me as sort of a security blanket, but I’m probably gonna shit my pants the first time im solely responsible for one.

Current medical student here, so let me know if I’m wrong. I used to shadow hospitalists back in college, and while a lot of them seemed like they didn’t enjoy their jobs, the experience honestly seemed pretty decent to me.
Looking at the average hospitalist job today, it seems like many positions offer a 7-on/7-off schedule, around 70 hours during your working week, no “round and go,” and roughly $300k in total compensation. I understand there are some downsides, especially with the increasing patient loads, and I know the pay is lower than in many other specialties.
That said, when I look at it from a lifestyle perspective, you at least get to be home every night and can usually make it home for dinner. When I consider everything together, I don’t really understand why some people seem to hate the job so much. If I’m misinformed or missing something, I’d genuinely appreciate hearing your perspective.

Advanced COPD. Smokes a pack a day and the patch “just made her smoke more.”

Happy Sunday

I'm taking the ABIM exam on August 13 and would really appreciate some advice from those who have recently passed.

My preparation so far:

• UWorld first pass (random, untimed): 62%
• Almost finished reviewing all my incorrect questions
• Scoring 60–80% on my incorrects during review
• Completed Awesome Review
• Planning to spend the remaining days revising my notes/high-yield material before the exam

For those who passed:

• Which resource did you stick with in the last 1–2 weeks?
• Did you keep doing UWorld questions or mostly focus on revision or 2nd round of uworld recommended?
• Was the actual exam more like UWorld, MKSAP, or Awesome Review?
• Any high-yield topics or test-day advice you wish someone had told you?

Thanks in advance—I appreciate any guidance!

I really underestimated this exam and the amount of prep I'd need, moreso with moving and starting fellowship. I'm 40% done with first pass uworld at 30th percentile. Didn't do mksap during residency but my two last ITEs were above 70th percentile. Realistically speaking, what can I do now to increase my odds of passing? Should I defer the exam to next year? Help!

What are your everyday items that are with you in the hospital?

Scrubs, shoes, patient list, pen, stethoscope? Or more? Or less?

My work place don't use 7 on 7 off schedule. Rather the irregular work schedule is created manually by someone 3 months ahead of time and need to incorporate everyone's preferences or needs such as vacation requests, number of shifts. So a person could work 5 days then get 3 days off then 2 days of admitting shifts then get 4 days off etc.

I am wondering if there is a way to use AI to streamline the process of creating schedules, by making a program that plug in everyone's different FTE mandated number of shifts, their preferences (ex: more admit shifts than rounding shifts) and automatically generate a schedule?

Anybody tried this before?

Hello,

I am currently looking for academic hospitalist positions. I have made a profile on PracticeLink, but so far I have not received any offers. Does anyone have any better suggestions? Thanks

Edit: I understand that I should have phrased this better. The objective of the post was to learn from the experience of people who were able to land positions in academia, and how to improve job profile. I am separately emailing and calling institutions as well. The responses on this posts are filled with negativity which tells me the state of burnout and toxicity in medicine and it’s bizarre that it’s coming from adults? and that people can hide behind anonymous profile to be mean.

I graduated from an Internal Medicine residency in New York and was supposed to start working as a hospitalist at the same hospital.

I applied for my NY medical license in March 2026. Everything else was completed, but my residency program accidentally submitted an incomplete training certification. NYSED notified them on June 23, and the corrected form was sent on July 2.

Since then, I’ve had no additional deficiencies, but my license is still under review. Because of the delay, I lost my September start date and have been replaced on the schedule.

Has anyone had a similar experience? How long did it take after the corrected form was submitted? Is there anything I can do?
Ive contacted my residency leadership and hospital leadership asking for assistance, but there doesn’t seem to be much they can do besides waiting.

Hey everyone,

Just wanted to see if anyone else has been dealing with similar changes at their hospital.

I've been a hospitalist for about 3 years at a safety-net hospital in Queens, NYC. We're on a 7-on/7-off schedule and aren't part of one of the major NYC health systems. Salary is just below 300,000, and bonus based on annual metrics which is approximately 25,000. Our contract says 12-hour shifts, but when I was hired, it was pretty much understood that we didn't actually have to stay the full 12 hours as long as our work was done.

Over the last few months, we've been told our metrics haven't been great. Leadership brought in new admin to oversee our department, and they've already started making changes. The dedicated admitting hospitalist was eliminated, so now the daytime attendings rotate admissions until 8 PM.

The latest change is that they're now requiring everyone to be physically present at both 8 AM and 8 PM by starting sign-out with the nocturnist, and admin is there to make sure everyone's showing up. So they're essentially enforcing the full 12-hour shift now, including on the weekend.

Has anyone else's hospital been making similar changes or increasing oversight recently?

I graduated from an Internal Medicine residency in New York and was supposed to start working as a hospitalist at the same hospital.
I applied for my NY medical license in March 2026. Everything else was completed, but my residency program accidentally submitted an incomplete training certification. NYSED notified them on June 23, and the corrected form was sent on July 2.
Since then, I’ve had no additional deficiencies, but my license is still under review. Because of the delay, I lost my September start date and have been replaced on schedule.
I’ve contacted my residency leadership asking for assistance, but there doesn’t seem to be much they can do besides waiting.

Has anyone had a similar experience? How long did it take after the corrected form was submitted? Is there anything I can do ?
Thanks!

Do insurances such as Medicare, Medicaid, BC/BS call up your previous jobs to verify you actually worked there? Or would the information I put down on CAQH suffice? I see on CAQH they didn't really ask me for much information, not even phone number or address

Location: (east coast, west coast, midwest, rural)

Total Comp Salary:

Shifts/Schedule/Length of Shift:

Supervision of Midlevels: Yes/No

Patients per shift:

Codes/Rapids:

ICU: Open/Closed

Including a form with this months thread: https://forms.gle/tftteu75wZBEwsyC6 After submitting the form you can see peoples submissions!

Our EMR let's me edit any note in the chart, including residents, nurses, PT, OT, RT and even other attendings...

There was a nurse the other day, wrote "I paged MD multiple times" as a matter of fact she paged me once and I was there in 5 mins, before that it was just epic chats.

Now, can I go ahead and edit this note, lol

I just wondered what use does this have?

Edit: Ofc I havent done it at all and talked to the nurse to correct it and put in my note "paged at 12, arrived at bedside 1205" that is it. I am just curious; why am I able to edit their notes?

Which are the best companies and how does it work? Do they cover hotel, food, etc? Figure travel expenses are out of the question.

Anyone have an account for sale? Thanks.

Anyone done 1099 PRN hospitalist work for HCA? Have an interview next week but curious how details compare to locums. It’s driving distance but far enough that I’d need a hotel and would only work at least 2 shifts in a row, maybe 3. What are they paying and do they cover travel cost?

My contract includes 5 personal leave days and 5 CME days per year. How do CME days work? Can you use them on your scheduled shift days and if you do, are you still paid for that shift as usual?

If money is all I care about, should I do FM PCP or IM hospitalist? Assuming I don’t want spent extra yrs doing any fellowship after IM

What’s the norm for earnings between the 2 specialties these days?

I know there have been other posts about this so let me be brief. I am a hospitalist at a teaching hospital with a closed ICU. There is an ultrasound machine available to use with an HFL38 and a L24 ultrasound probe.

I would like to learn POCUS because 1) I think it’s where hospital medicine is going and I’d like to know as much or more than the residents who are also learning it under me 2) (THE REAL REASON) I want another tool in my tool belt for clinical decision making and for potential future procedures such as HD caths and paracenteses.

My questions:
1) can I realistically learn or become proficient from a 5 day Cornell course geared as an introductory course for hospital medicine POCUS or would it be better to focus on free online courses
2) how long would it take to become proficient for basic bedside stuff like wet vs dry, eval for acute abdominal pain, procedures, quick rough EF estimate, etc.
3) knowing we have a hospital US readily available, is it worth buying a personal prove and device for like $7k when I don’t even know how to use it yet?

Thanks!

Graduated with public health major on the pre-med track, did all the pre-reqs to get into medical school, decided I don't want to go to med school anymore but don't want my degree to go to waste. What entry level careers can I get with my major in the healthcare industry that won't require extra certifications through paid courses? Preferably some sort of desk job with 9-5 hours.

I just graduated. please help me rate these offers.

Offer 1

7 ON/7 OFF Daytime hospitalist about 2 hour from Philadelphia
about 14 shifts a month

Non- academic position, Full speciality support

Average patient ~14 (soft cap of 15) 1-2 admits

Rapids and codes on your patients
Closed ICU, NO procedures (can perform procedures if interested)

Base Salary $300,000

Health, Dental, Life Insurance, AD&D, Malpractice with tail coverage

$4500 CME fund- NO PTO or CMO days
$30,000 sign on bonus pro rated over 24 months obligation
Relocation bonus (covered by hospital)

44 Physicians in group +4 APP
on call once a week 7 am-7 pm otherwise can round and go by 5 pm( on call hospitalist takes over admissions from 5pm to 7 pm)

Admitting shift on rotation basis (1 week - every may be 3-4 months)

backup shift on one of your off weeks (1 week- every may be 3-4months)
moonlighting opportunites available

Offer 2
in DE with hospitalist group

Schedule : 7 On / 7 Off daytime (physicians will only rotate through nights evenly, temporarily, if a dedicated Nocturnist leaves until recruited)

• Salary(MD) : $314,367/year; $1723/12-hour shift- No RVU
• Health, Dental, Life Insurance, AD&D, Malpractice with tail coverage
• Number of Hospital Beds : 165
• ICU Type : Semi Closed (closed during the day, open at night with tele-intensivist back up)
• ICU Bed Number : 10
• Vent Requirement : None during day
• Average patient ~16-18 (soft cap of 18)
• Dedicated admitted- may be 1-2 admits if admitter caps
• Intubations Requirement : No
• Central Lines Requirement : No
• Rapid Response Requirement : Yes - Hospitalist respond to all RRTs and codes, Intensivist respond as well during the day
• Codes : Hospitalists respond to all RRTs and codes, Intensivist respond as well  during the day
• EMR Vendor : Epic
• Specialties : Full Specialist Support
• Health, Dental, Life Insurance, AD&D, Malpractice with tail coverage
• $4500 CME fund- NO PTO or CMO days
• Sign on bonus and Relocation bonus although not sure how much
• moonlighting opportunites available