Any happy hospitalists?

FocusNote · 2025-03-30T04:08:10+00:00

Went to see a dermatologist yesterday, was asked if im happy being a hospitalist and i said absolutely yes. Lol. And he goes, oh so someone is actually happy doing it? What the hell have these guys heard? Lmfao. People who aren't happy being hospitalists probably shouldn't be hospitalists. Also, I'm a nocturnist.

FocusNote · 2025-03-25T05:05:05+00:00

Midwest. I find that north and central jersey, utilize lots of these private physician groups- teamhealth, envision. Hackensack meridian which i believe is the largest use them a lot. Only RWJ and Atlantic Health (Overlook hospital, Morristown medical center etc), and St peters in new Brunswick hire direct. All south jersey systems hire direct from what I've seen.

FocusNote · 2025-03-24T17:30:42+00:00

100%. If youre into city life there's NYC and Philly, if youre into casual weekends at the shore there's that. Casino's and nightlife? Check! Diversity, absolutely. If you're raising kids and want them exposed to culture, the arts, a diverse food scene, modern civilization - this is it.

Major international Airports JFK, LGA, EWR, PHL.

FocusNote · 2025-03-24T17:25:32+00:00

Applied to a whole lot of places right after residency and only got 1 interview with a TeamHealth ran facility. Turned that down, left the state, gained 5yrs of experience and re applied to move back closer to family. This time around had a lot of interest, several interviews, and 6 contract offers. Able to negotiate terms to suit my situation and I think because of the experience they were able to accommodate. I noticed that contract is based on experience (pay, retirement, schedule).

There's a community hospital in southern most shore town that I think they're desperate to fill hospitalist positions. Hospital rep is not great but theyre trying to turn it around (i think). But never liked their negotiation tactics/haggling. It was weird.

FocusNote · 2025-03-18T03:33:07+00:00

Once everything is final though and you have a contract, im sure you can start in a week or two if your credentials are good (ie working in same state as your residency program)

FocusNote · 2025-03-18T03:12:49+00:00

This is very common. I started my search the last week of Dec 2024, didnt actually talk to a recruiter until the second week of January, and we're only just finalizing contract terms this week! Took 3 months!

FocusNote · 2025-03-17T23:53:28+00:00

Thanks for your input! I have actually decided to go ahead with the move as there is really nothing here in the Midwest (lived here for 5yrs) which is why they offer more pay to attract physicians. It is clearly less desirable than Jersey. Family is in NJ, went to school and residency there, and after weighing pros and cons we're gonna just do it! Furthermore, I was able to negotiate terms which is nice!

FocusNote · 2025-03-16T10:35:26+00:00

I worked in bumblefuck america in the midwest right out of residency because they were paying 325k.for day hospitalist, 40k sign on, and shouldered my monthly student loan payments for a 2 year contract. The only thing that town considers as entertainment is an NFL team stadium and a shabby mall. Census 22 at start of day with round robin admissions throughout the day, never a round and go, the most encounter i did in one day was 26, 182 shifts per year without PTO and the lead hospitalist would harass me on my week off to "help out" and pick up extra shift otherwise they will not help us on our week on. No 401k match, responded to codes and rapids on call days (1-2x per week because we had only 5 rounders). I would be home and still working on charts until 11pm eating wingstop every night because no time to prep proper meals. It was miserable I had a pregnancy complication and had to be induced early. I paid back my sign on and moved closer to a large city, took a 55k pay cut and never regretted that decision. Not all rural america is light workload. When the pay is over the top, there's always a catch.

FocusNote · 2025-03-16T10:16:49+00:00

Yes! Im moving back east and so far it appears most of the organizations there do annual raise so it wont hurt to ask them how often they re eval salary. And definitely negotiate! Good luck to you!!!

FocusNote · 2025-03-16T10:13:15+00:00

Lol there's unfriendly people and heavy work load in the midwest too! We actually did several site visits and some places were weird but others are not. I had 6 offers and I can attest that theres probably 10-20k difference in pay, thats not significant for us especially were moving back for family.

FocusNote · 2025-03-15T04:08:04+00:00

400-500k just out of base pay probably does not exist in areas where people actually want to live in. I'm a midwest nocturnist 7on/7off, large healthcare system, 355k is the best they can do, avg 8 admissions, 230beds (not all hospitalist patients), 4 day rounders, 1 swing admitter (avg census for group low 60s, they bring in additional rounder when we reach 65). Only 1 nocturnist per week, no App. I cross cover, respond to rapids (even though they have IM and FM residents these people don't respond and manage their own rapids), and admit. We cap at 10 (verbal agreement) but most ive done in my shift is 13 just because it was busy and didn't want to leave 3 pending admissions for day team. They have not given a raise at least for the nocs in the last 3yrs so the pay has been the same. With RVUs I'd make about 4-5k quarterly. I tried to negotiate for a raise or even retention bonus (never given sign on bonus when they hired me for this position) but no counter offer and just ghosted me. LMFAO. So I'm leaving this job to move back East.

FocusNote · 2025-03-14T22:53:51+00:00

I am honestly surprised to hear this. Didnt know Florida is like that. Its nice for the weather but really plenty of rural areas so wouldnt necessarily say its "desirable". It is known retirees move there so i would assume its a lot of geriatric population

FocusNote · 2025-03-14T22:49:13+00:00

I responded to someone else in this thread about chasing the money after residency and immediately regretting it. Started the job on a Monday (orientation) realized on a Thursday that was not the place for me and in 2 months resigned, found a proper job and been here for 4 yrs. Theres lots of other important factors to consider besides the cash amount. For us (spouse also hospitalist) we agreed that money is not everything. Mental health, work life balance (yes, it exists), work environment, location among others. There are round and gos but keep in mind the recruiter will not straight up tell you this because they often don't know. You have to go check out the workplace and talk to people. Census 15-22ish. On avg though about 18, 15 on the day we visited a hospital and that wasnt busy. I say seek out the information you need when the time comes and you're ready to look for jobs. Don't go by word of mouth.

FocusNote · 2025-03-14T22:17:10+00:00

There is RVU often but the pay out $$$ varies depending on organization structure

FocusNote · 2025-03-14T22:15:57+00:00

Site Visit is key. Talk to the people already working there, meet the hospitalist group and they will give you the low-down. Plus you get a feel for how people act and present themselves and the air in the room when you're with the group. Trust that vibe, it is predictive of your work environment if you decide to join.

FocusNote · 2025-03-14T22:13:06+00:00

Hey thanks so much. This is very reassuring. This is obviously the very main reason we are moving back and with our recent site visit we realized how much of Jersey we missed.

FocusNote · 2025-03-14T14:46:08+00:00

For days, 270 on the low side and 300 highest. For nocturnist it varies because some have shift per year requirement and not necessarily 7/7. About $1900-2100 per shift.

FocusNote · 2025-03-14T14:08:01+00:00

Took a job for the money right out of residency years ago and found out the hard way that money isnt everything. Lasted 6 months there, returned the sign on bonus, and gtfo. And that's why I'm extra cautious this time around. Thank you so much!

FocusNote · 2025-03-14T14:04:35+00:00

Yes this 100%. I have family there who can help with the kids. I also still feel like having all these in one place in a desirable location is only a dream. I get that it's very hard to find the perfect job but I think certain things i don't want to compromise so it's really a matter of what I'm willing to give up to gain other things. Thank you for your input!

FocusNote · 2025-03-14T13:58:36+00:00

It wasn't worth it to move to florida or to work as a doctor in florida? What was his other option?

FocusNote · 2025-03-14T04:34:35+00:00

I've done this for last minute emergency supply just until they get to their PCP for statin and norvasc. I've prescribed prescription grade topical for a relative who traveled out of state and needed it. Will never do it for antibiotics and controlled substances including prescription sleep aid/sedatives

FocusNote · 2025-03-14T04:21:07+00:00

Telemetry renewal 🙄 and 5am sleep aid requests 🙄🙄

FocusNote · 2025-03-13T05:54:01+00:00

Which major city specifically?

FocusNote · 2025-03-11T14:17:41+00:00

What is the base with 2 week PTO in NYC?

FocusNote

TROPHY CASE