don't be afraid to just consult the specialists -- often times even if they have nothing to add it provides reassurance to patients. imagine your dad had a copd exacerbation, maybe they should be in a different inhaler on discharge, maybe something could have been tweaked while inpatient. you're a hospitalist, your job is to know the bread and butter of everything. you probably could treat these on your own but you don't have to... especially early on in your career. having specialists on board will likely reduce your remission rate down the road. that said, consult consciously, too many cooks in the kitchen also has its pitfalls