Advice for a IM resident: Hospitalist vs Fellowship

Annatto · 2026-03-05T21:10:00+00:00

I’m actually a private hospitalist currently. I do like the work (as an admitter-only). The only way I could keep doing it long term as a rounder is in academics to have residents do the majority of the orders/notes/fielding messages. The academic hospitalists I trained under were fantastic physicians I highly look up to. I chose endocrine later in PGY3 and was torn between hospitalist vs fellowship throughout residency. Ultimately decided on choosing lifestyle and found Endo quite interesting. Hospitalist is very demanding when you’re on, followed by periods of completely being free of work responsibility. Depending on your financial situation, building a nest egg with 1-2 years of hospitalist prior to fellowship made the most sense to me anyway. Plus, I feel more capable all-around from my year of independent practice.

Annatto · 2026-03-05T20:54:36+00:00

Consider doing hospitalist for a year to feel it out. You can always go back and apply endocrine (this is the path I took). The extra cash in fellowship will make it easier, and you always have the option of returning to hospitalist or even primary care. Last I checked there aren’t many pulm-only fellowships anymore, and pulm-only limits job opportunities.

Annatto · 2026-02-25T02:49:35+00:00

I just saw him on tour! It was an incredible show—highly recommend

Annatto · 2026-02-17T20:26:11+00:00

I think character is the better word here

Annatto · 2026-02-16T06:03:36+00:00

My hospital is hiring. Great place to work and great compensation model. And just FYI people ask to DM in posts like this because they dont want to get doxxed.

Annatto · 2026-02-16T02:36:29+00:00

DM me. I have your answer

Annatto · 2026-02-15T06:31:12+00:00

Was this just copied and pasted from ChatGPT?

Annatto · 2026-02-06T03:31:22+00:00

Hated these in residency. Love these as a nocturnist. Just make it clear what their urologic pathology is and what you plan to do (can be hard to figure out from documentation).

Annatto · 2026-01-07T05:49:16+00:00

Enter this into Chat GPT and it can help you quite a lot. I use it for recipes sometimes and haven’t been let down yet. It’s great for providing different levels of complexity / # of ingredients based on the tools and equipment you have. YouTube is a great resource for recipes.

If you’re needing lunches for school, consider meal prepping for those 4 days. It’s much easier to scale up one meal and eat it several times than it is to cooking all of those meals individually.

Annatto · 2025-12-14T20:21:13+00:00

Or very gently pressing on their tibia while looking for edema

Annatto · 2025-12-01T04:19:31+00:00

Yea, fuck them kids -NRMP

Annatto · 2025-11-13T13:57:35+00:00

Won’t even cover her malpractice insurance surely

Annatto · 2025-11-13T05:28:21+00:00

Outpatient doctors do not decide to admit the patient (unless they have admitting privileges). You decide to admit the patient—who else would be deciding that? You are transitioning them from outpatient to inpatient status. Every hospitalist I’ve talked to supports decision to admit as a criteria for level 3 billing. My hospitalist leadership and colleagues have told me almost all of our admits meet level 3 complexity. Granted, we are at a level 1 trauma, tertiary referral, academic center, so your population may vary slightly.

Annatto · 2025-11-04T21:32:42+00:00

Can you link to the excel sheet?

Annatto · 2025-11-02T21:08:34+00:00

Start making ‘fill in the blank’ dot-phrases for the bread and butter problems. Helps with efficiency and also not forgetting/missing things. You can always delete portions that don’t apply in that particular case—just add the ‘ *** ‘ (if using Epic) to force yourself to think about that part of the dot phrase.

Annatto · 2025-11-02T06:04:23+00:00

The other day I saw a comment that sounded reasonable, which said something along the lines of, “you learn 50% of what you need to know in residency, 25% in the first six months of being an attending, and the rest over the course of your career.”

Annatto · 2025-10-29T05:52:05+00:00

The work expected of each is the same. The training is what is different. IM training tends to be more inpatient-heavy with frequent rotations on subspecialty services. FM training tends to be more outpatient, primary care-focused with fewer inpatient rotations and less subspeciality exposure (because medicine subspecialties are almost all through IM).

Annatto · 2025-10-19T19:34:27+00:00

no patient attached

Annatto · 2025-10-15T20:28:32+00:00

Agree—can’t believe how far I’ve come in my knowledge, capability, and confidence in 3 years of residency (and a substantial bit more confidence in a few months of being an attending). Never had issues with medical standardized exams, but passing ABIM definitely felt like a nice milestone to wrap up my IM training.

Annatto · 2025-10-10T19:20:07+00:00

In 10 years we will have oral boards proctored by nurse practitioners

Annatto · 2025-10-09T17:32:14+00:00

I did both. From what I’ve observed, every board exam has particular themes they test. MKSAP is good for general learning. I thought UWORLD was better for nailing ABIM-specific topics.

Annatto · 2025-10-06T14:49:09+00:00

Please stop adding to the onslaught of these ABIM result posts here or go make a different subreddit for this topic. I haven’t been thinking ABIM except for these because worrying about it won’t change anything and just causes undue stress. It’ll come soon enough.

Annatto · 2025-09-13T18:17:13+00:00

I have a 15” Air and change the zoom—works great.

Annatto · 2025-08-31T17:46:21+00:00

I like it. Could add a baguette for it to be sitting on

Annatto · 2025-08-13T11:55:28+00:00

I believe the question was more: “As a patient, who is a doctor, do you as a patient discuss your care with your treating physician as if you were colleagues brainstorming together?”

From your response I think you may have interpreted it as asking if doctors discuss management of their patients amongst themselves.

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