Average Hospitalist Salary Per Hour
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How easy is it though to go back to the life as a trainee and do a fellowship? Has anyone actually done it?
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Tons of people have done it.
People have done it but from what I understand, it really hurts your chances in fellowship to have taken time off. I'm not sure how favorable they look on hospitalist positions.
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Hey guys. I'm just an MS-II here. Wondering what u guys think is the future of te hospitalist field. My mentors tell me that it will only get better for the field due to the never ending shortage of primary care medicine. What would be your best advice if u had to do it all over again. My goal would be to start off on hospitalist medicine after residency while slowly work my way into establishing a private clinic Any advice ?
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Well. Being a hospitalist means you don't work in a clinic. Are you saying you'd eventually like to end up in the out-patient setting? We tend to think of "primary care" as a general an out-patient doc, usually an FP, an internist, or a pediatrician, and this is going to be different than a hospitalist who takes care of basic, and usually non-surgical (though may admit for surgical sub-specialists), patients in the hospital. Both probably have a reasonably bright future - though pay's better in the hospital right now, and probably less headache by most folks reckoning for . . . reasons.
I might say, though, don't put the cart before the horse. You'll have to see what you like in third year.
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1. Stop listening to your "mentors" until they pull their heads out of their asses.
2. Figure out the difference between primary care and inpatient hospitalist medicine.
3. Come back and visit once you've decided against ortho, rads, EM and path. We'll still be here.
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I apologize for sounding uneducated about everything outside of biochem and path but I was just seeking advice. I do understand there is a diff between hospital medicine and outpatient clinic. I was just wondering what would be the best financial route to take upon finishing residency.
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do spine surgery…they have the highest average salary...
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Eh. Don't worry about it. You do lack a bit of context that is not your fault. Hospitalist pay is really good right now and I think really good for the work/hours when factored in with years of formal training (3). One hopes that some folks don't try and get greedy and protective by insisting on a fellowship in the future but that's probably coming but also not probably before you are done.
Can you work hospitalist and then move into the out parient setting later? Sure. But all of medicine is very nuanced and it would a new and painful learning curve. Out patient management is just so much more aggrevating too. Though pay for primary care is embarrassingly low for what they do and how important they are but our current compensation paradigm simply doesn't pay thinking and coordination well - you won't starve but you can expect to make ~80-100k less than if you were in the hospital.
So I think you can generally feel good about any of these tracks but you may end up not liking either. Good luck.
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Once again thanks for the replays. I realize I'm a little early and don't know much about the clinical side of medicine just yet but I'm just trying to play out my options and determine whether fellowships are truly worth it since the hospitalist profession seems like a sweet gig with good future potential.
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Anyone know what NYC hospitals pay starting for hospitalists generally? I heard north shore LIJ pays 150k starting? Not sure if that is true
PNW: Community hospitals near major city - 180-220K from 5 hospitals I interviewed at. Academic non-research hospitalist offered 175. Those are bases, plus up to 10-20% productivity bonuses. Understand that this is my first job out of residency. Some places took that against me and offered a lower salary, some places offer same salaries to everyone in their group.
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Sounds about right. $175 - 250K base + productivity for a new attending. Higher in more rural areas, less in Portland and Seattle metro areas.
For my money though, the best hospitalist deal in the NW is a nocturnist position at the Portland VA. ~$180K/y for 7 shifts a month. Kaiser has a similar deal (a couple more shifts and a bit more money) but they get worked at night. (I moonlighted doing that and after my 2nd straight shift of >12 admits a night as one of 2 nocturnists, I bailed.)
Currently looking for hospitalist jobs in portland area. Any words of advice about which hospitals are better.
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Define "better".
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What I've read on this forum and what faculty have told me is that a year or 2 as a hospitalist really isn't too much of a red flag and is common enough that it's pretty neutral for a fellowship application. Can even be a positive if you've spent that time networking as an academic hospitalist and doing research on the side. More than 2 years becomes a problem since fellowships worry if it'll be hard to transfer back to being a trainee again.
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Awfully specific. Might be worth buying the MGMA report. Depending on where you're willing to go, there's a lot of money to be made in the Southeast.
http://www.nejmcareercenter.org/job...Indeed&utm_medium=organic&utm_campaign=Indeed
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Agreed. We hire at around $250k-$265k base salary. RVU bonus add another $25-50k. working 14, 10 hr shifts per month. Hourly is around $150/hr or for locums around $205/hr. usually around 18 patients/day. No ICU unless you want to see ICU patients. This is in a large city. Rural pays more depending on how you negotiate.
Interestingly, I have recently interviewed a Cardiologist, a Pulmonologist, and have a Nephrologist that works as a Hospitalist because it can actually pay more per hour at times.
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But not a Gastroenterologist. We like our gigs.
is 12 admissions hard?
I have been moonlighting doing roundings on saturday and sunday. I see 12 patients and get 50$ a patients. So it comes out to 1200. It is not bad but its a pain to learn the patients for two days.
I have been considering doing one admitting swing shift instead where I can do 12-16 admission and since H and P pay 100$ per admission I can make that in one day and get a sunday off.
In residency I could handle 12 admission without much problem. but real world is so much different. In some ways it is easier cause I dont have to be thorough with my notes, I dont blink twice before calling a consult but in other words it is harder. The resources, EMR, Staff (including me) are all substandard and it is a pain to get everything done. The nurses at some of this community hospitals are not as sharp at picking up things, as they are at academic centers. Which is unfortunate cause when you have a large list of patient and you are all over the hospital you really have to rely on their judgement a lot.
I have been moonlighting doing roundings on saturday and sunday. I see 12 patients and get 50$ a patients. So it comes out to 1200. It is not bad but its a pain to learn the patients for two days.
I have been considering doing one admitting swing shift instead where I can do 12-16 admission and since H and P pay 100$ per admission I can make that in one day and get a sunday off.
In residency I could handle 12 admission without much problem. but real world is so much different. In some ways it is easier cause I dont have to be thorough with my notes, I dont blink twice before calling a consult but in other words it is harder. The resources, EMR, Staff (including me) are all substandard and it is a pain to get everything done. The nurses at some of this community hospitals are not as sharp at picking up things, as they are at academic centers. Which is unfortunate cause when you have a large list of patient and you are all over the hospital you really have to rely on their judgement a lot.
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12-16 admissions is not the same as 12 rounding pts...rounding on 12 pt is cake...
realize that those 12 -16 don't necessarily come one after the other (that at least would make for a busy, but doable day)...the ED can easily call you in the last 2-3 hours of your shift and say "i have 5 admissions for you"...they tend to clump their calls at the end of their shift (which is never the end of your shift).
and i'm not sure why you think you don't need to be "as thorough" with your notes, when you are the one that is medico legally responsible for the pt now as opposed to when you are a resident and your attending can (and will) fill in any gaps (since its their butt on the line not yours)...and never rely on the judgement of the nurse on your pt...if the $h1T hits the fan, they will not be responsible and you can't take the defense that you relied on the nurses judgement.
May I ask what location is this?
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Any idea about average locums hospitalist salary in Louisville or surrounding areas? Thanks
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I can understand that, because you aren't writing the notes for academic purposes they don't have to be as detailed. You only need enough to satisfy that medical legal requirement. As far as relying on the nurses' judgment, I feel like sometimes it is necessary for small things due to the sheer volume of patients. We rely on nurses' judgment all the time, because it's their judgment that prompts them to call you for many issues anyway.
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Outside the city a bit more, e.g. NS/LIJ for an admissions only spot is 190k base, 200k if you're board certified, plus about 20k of bonus, work in 3 or 4 day blocks, 12 hr shifts for 3 day block, 10 hrs for 4 day blocks, average 7 days /2 wks. Montefiore slightly less, and much more incentives based structure (bonus make up about 1/3 of your total salary). A good bit less for jobs in Manhattan. I'm not familiar with the pay in non-academic hospitals so can't comment on them.
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THats ridiculously high. wow!
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Ridiculously high??? You do realize that's way below the national average and probably in bottom 25% for salaries for a hospitalist in the country. Maybe you meant it's higher than you expected for NYC area and that's understandable.
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Oh im an anesthesiology resident and I was thinking about how high that is compared to anesthesiology haha. cause that only add up to 76 hours over TWO weeks for 220k!! I wish these types of jobs existed for anesthesiology
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Does anyone know how common/easy it is for an IM hospitalist to pick up extra shifts on the 7 days off to grab a few extra bucks?
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Dude...you've got 8 years before this is an issue for you. The answers you get today are likely to be irrelevant for this year's PGY2's.
Slow your roll and swing back by once you've finished intern year...in 2023.
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A hospitalist that works on their weeks off is likely to have the same prognosis as their patients.
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I think that really depends on what type job you'll have. Hospitalists at my institution usually get to leave early, so they're not working the full ~80 hours of the on week. Some places you can leave as early as 2 to 3pm like my friend's job in west Texas. If you're doing academics leaving by 3 is commonplace. Picking up extra shifts is really not much of an issue in that case.
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I wouldn't say doing academics and leaving 3 is commonplace throughout the US. It may be the norm for Texas but having worked in academics in a number of big cities on the East Coast, I can say that I know of zero programs where academic hospitalists leave by 3 regularly. I think average time leaving in my experience is between 5pm and 6pm assuming physician comes in around 8am - 8:30am. 9.5 to 10 hr days are minimum expectation. Either way, there's lots of variability depending on your location.
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Maybe not common in academics but I know of at least one hospitalist group in the NE where attendings are 7 on 7 off and take pager call after they are done their rounds which is often around 2-3pm.
There's some good gigs out there.
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Mine works out to 110/hr nocturnist in a rural area but still owned by a major health system. This is probably sub 20th percentile but for my region is good because of our horribly depressed physician salaries by a healthcare oligopoly. The way of the future as health systems merge and stop competing-enjoy it while we can.
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That's is freakin' horrifying..$110/hr? For nights? In a rural area? Dude, why are you enabling them?
It's not the oligopoly that's to blame here, it's you and everyone else who signs up for those slave wages. No offense, but if people didn't agree to work for insulting numbers like this they'd have to raise them.
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They own every job in several hundred miles and don't negotiate. I couldn't leave because of family reasons. What options do I have--not work in protest? Commute 3 hours one way? The pay is ~80/hr for days in the major city, 90 for days in a rural area.
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What? I moonlight doing nights at a suburban hospital 20-40 minutes (depending on traffic) out from the downtown of a major city for $130/hr (only thing covered is malpractice). And that's after the staffing company takes a cut. A 1099 contractor moonlighting directly for the hospital (like one of my cofellows) gets $150/hr (malpractice still included). Even the W2 employees who do nights get paid >$130/hr, and they get benefits on top of that!
If my only other option was $80/hr for days for attending level work, I'd take a locums gig for a week a month in Montana or something. There's jobs that fly you out, put you up in a hotel room, pay you $180+/hr for a week of 12 hour night shifts, and fly you back.
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I take it you dont have a child or spouse--disappearing for a month (hell even a week) is not a viable option for everybody. I am leaving the job soon as my family tie will likely be gone soon but there are some people who are more anchored to this area than I am and I feel bad for them. Nobody without an anchor in this industry stays around here.
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That last bit was at least a little tongue-in-cheek. I feel for you in such an environment.
