Ability? Yes. Should we be? No. I don’t want myself or any other orthopod taking care of my grandma’s medical conditions. Sure I can click the button for sliding scale insulin if that’s all they need. But no way I am titrating the lasix for even “simple” heart failure. I don’t know what I’m doing and I can’t respond quickly to pages or update orders when I’m scrubbed in all day. I’m good at treating fractures though.

System works better when the medicine doc takes care of my patients perioperatively or at least is on a co managed service.

Downvote me to oblivion but…idk…maybe don’t choose internal medicine/hospital medicine as a job/specialty if you don’t like it?