HOnestly, I'd be OK with it if I "lost" my acute care general medicine hospital skills. I really don't admit very many people - maybe 3 a month - (I have a pretty young and healthy practice) so those skills are slowly eroding anyway. FP is so all-encompassing, I will never feel like I'm good enough at all of it. I'd rather concentrate on OB, and office practice with the procedures I already do (and maybe add LEEP). All the studies I've read show that hospitalists do a "better" job anyway (they're going to be well versed in the most up-to-date standards of care, etc). I'd love to be able to play the role of a peripherally involved primary doc, make social visits, and help the patient and family understand what's going on in the hospital.
I'm in Arkansas and am working part time, 2 days a week. I've used the hospitalist service at our hospital for the past 1 1/2 years and it is great! I still take call with my call group and do some admissions, so I stay a little in touch that way. I do feel like my contact with the other docs is slowly eroding, but right now with 3 small kids I wouldn't have it any other way.
FPmommyto2: Maybe you could use the hospitalists even if your group doesn't. That's what I do. The rest of my call group sees their own patients. The hospitalists pick up mine the next day. It works out fine.
I'm in Ohio, almost strictly outpatient. I do skin procedures, lots of gynecology, EMB and colpos. We have IM's in our group that do our hospital work, which has been really nice. I however recently read a comment from a doc that in some places if you stop inpatient medicine you could get denied hospital priviledges and be required to do more training. That scared me because I don't want to limit my options for the future. Anyone heard/experienced similar?
melc- I can def hear a hospital asking the question of whether you've done inpt medicine lately, and if you said no they'd raise their eyebrows. ANd they should I suppose bc running a code if you haven;t thought about an ICU in five yrs would be scary...but I agree that I would be tempted to drop OB and critical care stuff, but get worried later if I ever thought of rturning to "doing-it-all"...
LisaFP - unfortunately, the hospital next to my office (where most of the admissions are) does not have a hospitalist system. What's worse is that all active staff are required to take "ER Back-up" call 2 times a month, where we essentially act as hospitalists for no-doc patients.
The 2 larger hospitals in the next town over (where I have "courtesy" priveleges) have hospitalists - which I use without apology.
Don't get me wrong - I love my practice - its just that I love my family and would like to spend more time at home