EM and IM physicians don’t get a great insight into each other’s careers in medical school or in residency
Do hospitalists like doing consults as opposed to just taking admission requests?
Sean says, yes, because it gives us an opportunity to solve problems together. They want to be consulted as much as possible
Admissions would be greatly decreased if there was more robust outpatient follow up ability but various factors make this difficult
Sometimes a slight delay in coordinating with the hospitalist or social work etc can save an admission and therefore free up ER beds down the line
Not every conversation with the IM physician must be an admission request
When they are consulted, the expectation is that they put in a consultation note and see the patient
Looking at an admission as trying to “sell” something is the wrong way to look at it. If you have a clear story and objective data, you should be able to articulate why they need admission most of the time
What does the day look like for a hospitalist?
Admissions for our team are very easy early in the morning but rapidly ramp up during the afternoon
The admitting physician handles ER admissions, outside transfer direct admissions and ICU transfers to floor beds
Sean goes into some detail about the workflow and what his day looks like
What are the difficult admissions to handle?
We talk about one of the most difficult admissions we commonly see: An elderly patient with weakness, unable to walk but no acute findings
We talk through possible solutions to better care for these difficult cases
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Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
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