r/hospitalist

I’m considering a nocturnist position but I am nervous about switching my schedule

160/hr, hybrid ICU with tele intensivist available

No procedures, codes, or rapids

Avg shift admission count is 6-8 and there is a APP from 7-10pm

It is a flexible schedule with 10 nights per month requirement

SoCal location

The biggest benefit is that this is the closest hospital to me (10 min commute) and I just moved in this house, we’ve done renovations and are not planning on moving for at least a couple yrs.

I’ve enjoyed nights as a resident. I am a night owl and I don’t think a schedule a 7 on 14 off would be too bad but my non healthcare family is concerned about my health if I start working nights. My current job environment was pretty toxin and looking back, I signed a pretty shitty contract so I’m trying not to make the same mistake.

Thoughts on the offer? I think the compensation rate is low but seems like the trade off is worth it. is anyone really happy with their nocturnist gig, or would everyone work days if the pay was the same?

Been finding myself on Reddit a lot as a nocturnist. Would love to make it more educational. Has anyone created a community that focuses on posts for medical education and keeping up with the latest guidelines and research for IM?

Does anyone has inside scoop on what it’s like working for one of the MAPMG sites (east coast kiser) is it very different from the California ones?

I’m still adjusting to the role and while every floor has its own culture and processes, I’m curious if there’s anything generally I can do to work well and help the hospitalists I work with. Thank you!

Recently, I was taking to a mental health center/clinic in Ohio

I was there for maybe 16 hours forsuicide thoughts apparently I was on a pink slip and I wanted to keep me for three days and transfer me to a different facility.

I told her I didn’t want to that. I was feeling better and wanted to go home so I don’t miss work. She said she would see what she could do and when she came back, she said that she would let me be an outpatient, but I need to go get with one of the programs that they mentioned and that they were going to refer me to them and she said if I don’t do anything, they will eventually know and then they have to come back and get me and I could end up staying longer.

Is this true? It’s honestly not helping my anxiety at all the outpatient showed I was scheduled for today at 9 AM a day after I was released which I wouldn’t be able to go because I’m at work. I’m supposed to call them today though to see if they have my information or that I was referred with them but still .

I also called back to the mental health clinic I was at I must’ve been talking to someone else in a different facility but she said that that’s not a thing I’m not saying that I’m not gonna get help but I don’t want them rushing through my door if I don’t go as soon as they wanted me to. I don’t really get how that works or how they could do a court order if I was discharged and even on my paperwork, it shows the places I was referred to, but it doesn’t say anything like what she said. I didn’t hurt anyone or anything while I was there. I would think they would force me to go if they wouldn’t discharge me, but I don’t know and I’m not really finding anything on the Internet for stuff like that.

I had an appointment last week for adhd and provider mentioned “once you’re diagnosed it stays with you for life”. I’m not exactly sure what that meant but was troubled a little by it. I’ve been able to manage most of my life. Would an official diagnosis add any hurdles to my career?

Hi everyone,

I’m currently working on a systematic review and meta-analysis (SRMA) and I’m at the stage of conducting a comprehensive database search.

Unfortunately, I don’t have access to Scopus and Embase, so I’m looking for someone who can help run the search strategy on these databases.

I will provide:

•	The research question

•	Keywords and search strategy (can refine together if needed)

•	Clear inclusion/exclusion criteria

In return, I’m offering co-authorship for meaningful contribution, following standard academic guidelines.

If you’re experienced with database searching and interested in collaborating, please comment or DM me.

Thanks in advance!

Hi everyone,

I’m a PGY-1 Internal Medicine resident on a J1 visa (via ECFMG), planning to apply for cardiology fellowship 2027 cycle.

I understand that cardiology is quite competitive, especially for J1 applicants, so I’m trying to plan ahead and avoid getting stuck without options.

I had a few questions and would really appreciate insights from people who’ve gone through this:

1. If I apply for cardiology in PGY-3 and don’t match in December, is it still realistic to secure a J1 waiver job (Conrad 30 or others) in time to start right after residency?

2. I’ve heard some people sign waiver jobs as early as the beginning of PGY-3 (or even earlier) just to be safe. Is this something you would recommend?

3. How competitive are J1 waiver hospitalist positions currently? Are there enough positions if someone is flexible with location?

4. For those who didn’t match into fellowship initially:

   - Did you go straight into a waiver job?

   - Or did you take a research/chief year and reapply?

5. Is it realistically possible to reapply to cardiology during a waiver job, or is that very uncommon?

My goal is to pursue cardiology if possible, but I also want to have a solid backup plan to stay in the U.S. and not risk visa issues.

Would really appreciate any advice, timelines, or personal experiences.

Thank you!