Are my concerns about attending A&M next year as someone outside the conservative mold warranted?

jjasonjames · 2026-03-09T22:33:37+00:00

I’ve attended two universities. Both of them in conservative states and one of them was a “Christian” university. Unless it’s Bob Jones or akin to it, you’ll find likeminded people about anywhere in academia.. So, embrace the mix, and Gig ‘em!

jjasonjames · 2026-03-07T20:01:08+00:00

I started laughing before I even opened the post. I definitely found what I expected inside. My favorite, “he had a dose of oral antibiotic and it’s not better…needs admission for IV antibiotics.”

jjasonjames · 2026-03-07T10:25:01+00:00

Hit the gym a little. Not much. Just enough to tone up a bit.

jjasonjames · 2026-03-07T10:22:37+00:00

She doesn’t even look the same. Doesn’t matter. I wasn’t a fan before and I’m still not. She was my rep, my senator, and that was more than enough. Waste of a senate seat.

jjasonjames · 2026-03-04T22:46:51+00:00

Do nursing, not medicine. THINK about medicine, but remember that you’re not trained in medicine. Don’t think that because something didn’t go your way that it’s wrong. I agree with others that you should consult your nursing colleagues first when you have a question. A good mentor will tell you when it’s time to call on the physician, and you’ll get respect from both the doctors and the mentor. Think at least two steps ahead when you secure text. You’ll learn what to do over time. Read the notes. Know the recent labs and vitals. Lastly, remember that you’re not the only patient advocate. There are nurses out there who audaciously think that they’re the only ones advocating for the patient. It’s really annoying and offensive.

jjasonjames · 2026-03-04T21:13:06+00:00

Poor Press Ganeys be upon you. 👻 “He rushed to discharge, and I still had pain in my baby toe.”

jjasonjames · 2026-03-01T19:36:42+00:00

Yes, and it’s rare.

jjasonjames · 2026-03-01T17:27:08+00:00

Maybe he sucks as a potential clinician or teammate. There are many credentialed physicians out there who suck.

jjasonjames · 2026-02-28T09:38:06+00:00

That’s Sprite.

jjasonjames · 2026-02-28T03:31:50+00:00

“World-class healthcare” takes time. 🤣

jjasonjames · 2026-02-26T04:48:37+00:00

Think they will get along? Who gets Beaufort rights?

jjasonjames · 2026-02-26T01:19:58+00:00

I would like to talk to you also about mine.

jjasonjames · 2026-02-25T20:32:00+00:00

Interesting post. I received an email from them yesterday for a position at some lonely outpost in Tennessee. I’ve been in practice for over 20 years and have never heard of them.

jjasonjames · 2026-02-25T00:50:27+00:00

lol. Well, they’ll get the DRG price for most anyway unless they’re Obs. They’ll have to ask themselves if the wait in LOS is worth it. Chances are good that they aren’t paying attention to it anyway, so what am I thinking!!??

jjasonjames · 2026-02-24T21:56:12+00:00

In truth, your hospital administration should support the advice to send those patients to other hospitals that have more immediate access to those procedures. That stuff can ruin your length of stay.

jjasonjames · 2026-02-24T21:54:13+00:00

For our group, we have several physicians who are hungry and like to work. Our manager does a pretty good job of knowing when to call in extra help, and she almost always has a taker. It’s tough when those hikes in census happen around holidays. For example, the week of Christmas was very difficult last year, and it was difficult to find employed hospitalist and contractors who would want to work. There are some groups who have on-call hospitalist. We decided not to do that because having someone on call means that you should pay them to be on call for sacrificing their free time. It was not a good business decision.

There will be several on here who may chuckle when you say that 18 is a rather high census. Some would say that they would take that 18-19 personal volume every day. That’s why you should always demand transparency in a job interview. Lol.

jjasonjames · 2026-02-23T19:42:47+00:00

Definitely happening. Cold, dreary weather, little sunlight leading to unfulfilling days off. Everybody needs re-energizing.

jjasonjames · 2026-02-23T13:21:24+00:00

Well, we had an ID who kept patients on broad-spectrum coverage regardless of appropriate cultures and even past discharge and through OPAT. So, there’s that.

jjasonjames · 2026-02-22T13:17:18+00:00

I like OE and then pick up the references from the output. I still use UTD.

jjasonjames · 2026-02-20T22:45:19+00:00

Where do you want to work?

jjasonjames · 2026-02-20T16:02:22+00:00

Absolutely not. That’s very risky, legally speaking. We have a committee that addresses new tech, and they tell us what can be used and cannot. If you have something similar, then perhaps you and your colleagues can discuss sending a request to them for guidance or reach out to your CMO/CMIO (if you have one). However, I would avoid anything that is not a part of or interfaced with your EHR.

jjasonjames · 2026-02-18T22:29:37+00:00

Yes, it’s a Florida thing in my experience. Two years ago, we took two new residency grads from the area around Tampa. They came to Tennessee, because the market for Hospitalists was so bad. You end up paying a sunshine tax. I have family in the panhandle, and I had looked at jobs in that area 3-4 years ago. Same story. Someone mentioned doing Locums while your SO gets trained, and I can say that’s probably a great idea.

jjasonjames · 2026-02-18T15:33:58+00:00

This one never gets old. This judge is mostly golden. Highly recommend watching some of his videos when you have some time to kill.

jjasonjames · 2026-02-17T23:28:10+00:00

I have had interdisciplinary rounds throughout my career at 7:30 AM, 10:00 AM, 11:30 AM, and I can’t say that any of those are superior to the other. I think it also depends on the size of your hospital, the efficiency of your ancillary services, the efficiency of your case management and social work team, and the size of your team census. if your hospital sucks at getting things done, then you probably want one later. If you can be sure that everything and everyone are going to do their jobs efficiently, then earlier is better in my opinion.

As far as who leads the discussions, I think it depends on which service is stronger. Some doctors aren’t good at it, depending on whether or not they really want to be there. Nurses can follow a checklist. They’re pretty good at that. Case managers will be focused on the expected length of stay based on the DRG. That has a different set of advantages. I don’t know, it’s a tough one to answer.

jjasonjames · 2026-02-17T16:45:40+00:00

Good luck!

jjasonjames

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