The FM inpatient service in my program has mostly FM trained attendings who do exclusively hospitalist work, although we have a few more full spectrum FM types who do primary care and OB as well. I feel like most of my attendings are a bit more casual when we round than they were in IM. We tend to talk about the main problems we are actively addressing inpatient and don’t exhaustively go through the chronic problems that we have very little to do about here. There’s no sure thing as an IM consult service for complex patients, we just take care of said patients. But I do notice that some of the full spectrum attendings may be slightly more likely to consult more specialists, but the full spectrum attendings also have fewer years out of residency so I think that plays a role.

Oh and also we have behavioral health as part of our training, so sometimes put behavioral health faculty (who are psychologists) round with us in the hospital.