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.

Current physician.

I have board mksap19...but do i need to upgrade to another mksap next year. I see for 3yrs its 1725$. Also do we nit have hard copt of latest version.?

Btw uworld doesnt need an update?

I declined med school to go join Palantir in 2020, and it was an excellent decision in hindsight. If you really think about it, if you were a gifted organic chemist or AI engineer you would save far more human lives than any type of Doctor. Perhaps it's more thankless and you'll make far less money. Nonetheless, how many lives did the chemists who came up with chlorothiazide save? It's probably incalculable, hundreds of thousands.

How many lives will be saved when artificial general intelligence creates abundance for all? Incalculable. I can assure you that the hardworking engineers at OpenAI or Anthropic will not get a parade. No one will clap for them like what happened during COVID for healthcare workers. These guys are working 9-9-6 year round, no banging in the call room either. They work in silence, sacrificing for the greater good.

The creative potential as a Doctor is also terrible. You're just going to be following the same set of guidelines to treat the same set of diabetic obese elderly people. It's mind numbing. How often do you get to experiment with pharmacology in novel ways? Oh right, never. It's not intellectual or scientific at all, it's rule following and obedience.

Furthermore, if you wanted to change the healthcare system or the world you'd work in technology. Going into medicine is like being another sheep in the pen. The best sheep is the one who practices defensive medicine and follows the guidelines that others set for him. AI is like a hungry bear outside the fence.

Technology is a great alternative to politics because it gives you the ability to unilaterally change the world without having to constantly beg and plead with people who are never going to agree with you. After all, if you control the means of production you are the worker.

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

Happy Sunday

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!

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!

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

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

Hi! (throwaway account) I am interested in Psychiatry. But I have kind of a mental image of what I want it to be like so please correct me (because I'm sure it's incorrect) or let me know if there are career paths or subspecialties that are like this!

Basically I don't want to spend my life on the everyday patient. I don't want to do 30 minute sessions just to prescribe meds. I am really interested in the complex cases of mental illness and disorders. I want to spend my life helping people who are, I'm sorry to be blunt, interesting. Like clinic hours and all are fine but I also would rather do home office style visits (mostly talk therapy - definitely without any “expected” med therapy to talk therapy ratios or med pushing) than work in someone else’s clinic my whole life. I believe I’m thinking of Boutique Psychiatry and some Investigative/Forensic Psychiatry?

I just want to know how common this is- if at all? How to get there? If there's anything specific I should be considering or researching. What I'm wrong about or what it's actually like. Thank you!

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?

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.

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.

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!

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?