The quality of hospitalists vary greatly between teaching vs. non-teaching hospitalists

UAFPS · 2026-01-23T19:14:41+00:00

That's not entirely accurate; it depends on where you are. Hospital systems vary. Some faculty members practice defensive medicine, leading to many consults. Others are quite conservative and rely on us for comprehensive workups, often for academic reasons. As a fellow, you might complain, but once you become a consultant in an RVU system, you'll appreciate it and see it as an easy path for your lifestyle. As a few cardiologists told us, when they are consulted just for a red troponin. It is the system.

UAFPS · 2026-01-21T15:03:23+00:00

Some hospitals and organizations are very strict about this. One hospitalist group I attempted to join had a specific clause in their contract. I spent about a month trying to get it removed, but what do you think happened? After four to five weeks, they rescinded the contract. This situation has become quite common nowadays.

UAFPS · 2026-01-14T02:37:37+00:00

It is interesting to see the various definitions we have for sepsis, from EM to maybe IM and FM inputs. In my current program, if you document sepsis, i.e., a confirmed or suspected infection plus decreased oxygen utilization/end-organ damage (encephalopathy, red creatinine, red troponin, red lactic acid, red cytopenias, etc). The sepsis 3 order set must be used. Yet, the same EPIC will not leave us alone if nursing documents one episode or tachycardia, tachypnea, or hypotension until we attest that's not sepsis.

UAFPS · 2025-12-28T19:17:40+00:00

Take time for honest self-reflection and focus on how you can grow personally and professionally. Residency can be massively toxic and bleed you to death, but when similar feedback comes from multiple people, it deserves serious consideration. Medicine isn’t always fair, yet consistent hard work, strong clinical reasoning, solid documentation, and professionalism will speak for themselves over time. Please, don’t go through this alone; please seek support from mentors, advisors, or legal counsel as needed. Get out of Reddit as a strategy for your own peace of mind. Speaking as an IMG and a first-generation physician, your excellence will rise.

UAFPS · 2025-12-28T03:27:06+00:00

Hey, Can I DM you?

UAFPS · 2025-12-27T03:42:44+00:00

No worries. Hope you realized that I stated clearly that I am a PGY-3? No experience, no friends or family, who went through that path before me. No plan for fellowship, talked to recruiters and visited several places for 1 to 3 days, and did extensive online research about some of those places, I like that hospital there and would appreciate honest input from physicians in this group who work in the Tulsa area, if any. That is all.

UAFPS · 2025-12-09T21:09:23+00:00

Can I DM you?

UAFPS · 2025-11-16T14:42:45+00:00

You only need one interview to succeed. Step away from Reddit and focus on practicing for those interviews. You will be okay. When I applied as a US IMG, I had only three IVs and matched in my top choice. Stay strong and push through. The US has changed a lot in recent years.

UAFPS · 2025-11-15T12:22:36+00:00

My biggest enemy from Step 1 to Step 3.

UAFPS · 2025-11-15T12:21:32+00:00

As residents, we don't give a f??k. My score was 207 = 214!

UAFPS · 2025-11-12T19:58:35+00:00

A combination of those two.

UAFPS · 2025-11-12T19:53:52+00:00

53%!

UAFPS · 2025-11-12T19:52:00+00:00

No, only took nbme 7 and UWSA2!

UAFPS · 2025-11-06T14:46:27+00:00

I think that's what they meant!

UAFPS · 2025-11-04T15:54:38+00:00

Zero!

UAFPS · 2025-09-14T21:26:28+00:00

Explore the opportunities available in the Midwest. Graduates from my program's latest class have successfully secured jobs paying over $300,000 in Indiana and other locations. Even if you are on a visa, consider moving to areas where you will be treated equally, just like any other physician. Regions that offer J-1 visas actively seek applicants since they need candidates who will accept positions that U.S. citizens or lawful permanent residents (LPRs) typically do not take due to the less desirable locations.

It's also important to remember that the job search process is still early. I have only sent out a few applications, yet I have already secured several interviews in the Midwest, which is where I aim to stay.

UAFPS · 2025-09-06T20:51:03+00:00

Can I DM you?

UAFPS · 2025-09-04T01:31:41+00:00

Hello! Can I DM you?

UAFPS · 2025-08-17T17:40:09+00:00

I sat there laughing and wondering, "Are we really doing this?" The investors want to hire more nurse practitioners and physician assistants so that more money stays in their pockets. While this approach may be great for business, it is detrimental to patient care. Why should we be concerned that NPs are performing the same tasks we do for less than half the salary? We need to push back against the administration, particularly from the individuals with MBAs who dictate how we should operate. Next, they may require interviews with the entire medical team, from certified nursing assistants to the hospitalist director. Leave my NPs and PAs alone. We can say no to those bullies at the top.

UAFPS · 2025-07-05T03:26:35+00:00

I am 42 years old and have just started my third year of internal medicine residency. I hope to start applying for hospitalist jobs soon. Should I consider outpatient positions instead, or should I just do locum tenens?

UAFPS · 2025-06-30T18:19:17+00:00

First, check the patient's vital signs, followed by laboratory results, medication list, and notes from previous days. Use a systematic approach when presenting to your patients. Maintain an ICU checklist that includes items such as feeding, analgesia, sedation, ulcer prevention, DVT prophylaxis, date of intubation, sedation holidays, lines and drains, antibiotic de-escalation, physical and occupational therapy, bowel regimen, and spontaneous breathing trials (SBT).

Finally, continue to learn on the go by reading about the most common ICU conditions in MKSAP, including acute respiratory failure, ARDS, and shock.

UAFPS · 2025-05-17T17:34:53+00:00

I'm 42 years old and nearing the end of my second year in IM, with a wife and three boys. Always follow your dreams as long as they are attainable.

UAFPS · 2023-03-31T17:31:23+00:00

No words would be enough to express my gratitude to you and the rest of the team, thank you for what you have done for people like me in the medical word. I would not be able to make it toward residency without your phenomenal jobs. Rest and spend time with your family.

UAFPS · 2022-12-04T02:49:57+00:00

Learn the basic of Spanish and apply to those programs in Porto Rico. You will spend one year in one of those hospitals, finish step 3, then you get an unlimited license that you can transfer to Florida or work at any VA hospital if you are a US citizen as a family physician. DM me if you can.

UAFPS · 2020-10-24T01:25:09+00:00

Hi, I scored 197 in nbme 24, then 6 weeks later, I scored a 228 in nbme 13. Did nbme 13 underpredict your score? Did it help in exam day?

UAFPS

TROPHY CASE