When I entered my first primary-care practice in 2002, I had great doubts that the traditional model was sustainable. My field research included stints as a hospitalist, Corp Med doc, private practitioner, and concierge physician. Most of the hospitalists I know are young and have not had a chance to talk to older hospitalists. At that point, the hospital administrator panicked.” There are some reasons why it would seem that being a hospitalist is not sustainable, as you work like a resident with a larger patient panel and not as much support. The Fourth Generation hospitalist program is a sustainable, dedicated program that enjoys full clinical and administrative support, including a practice manager and a case manager. ... “But then they got busy and exhausted and wanted to quit being hospitalists. It is useful to ask the executive sponsor to review progress and outline barriers. Technology has been used to improve the “packaging” of content being taught. Yet, despite the apparent benefits of the hospitalist model, and the urgent need for physician participation in system improvement initiatives, governments (and medical associations) in almost all jurisdictions in Canada have largely ignored hospitalists when it comes to developing sustainable funding mechanisms. Depending on the hospital I’m at that day, I usually have a meeting with case managers in the morning. Let's say 25% more but I also don't mind being a hospitalist and I get some fulfillment out of it. Resources for Hospitalists on COVID-19. Allowing doctors to have weighty input on work load, be it as part of a union or by being part of a well functioning independent hospitalist group, is vital to having good patient care and sustainable job satisfaction. ... Hospitalist Pilot Study. After 20 years of coming out of nowhere to being in the middle of everything in health care, I am confident that hospitalists, with the help of SHM, can continue to forge a path where we can be key difference makers and where we can create a rewarding and sustainable career. The hospitalists professional society, The National Association of Inpatient Physicians (NAIP), has defined hospitalist as a physician whose primary professional focus (clinical, teaching, research, or administration) is general inpatient care. I was the de facto intensivist at my first hospitalist job out of residency and kinda wished I could spend all of my time in the ICU but did not feel adequately trained to do that (hence, I left that job). This study would suggest that fear works. With hospital medicine being such a new specialty and with so many hospitalists in their 30s and 40s, it may be easy to overlook the fact that some physicians in their 50s and 60s are trying to figure out how to age well as a practicing hospitalist. So I spent the next 12 years studying. Teams are frequently assembled during a crisis but need a plan that keeps them connected so that improvements made are sustainable and regularly reviewed. A typical day and week in my practice: My typical day is a 7 a.m. to 7 p.m. shift, where I start my day getting my census list with overnight admission assignments at a hospitalist huddle and then start seeing patients throughout the hospital. The abiding question is whether fear is a sustainable motivator for performance. A hospitalist may be an employee of a hospital or HMO, a contractor, or a private practitioner. It won’t “just happen.” It is not inevitable. Usually have a meeting with case managers in the morning crisis but need a that. 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