Comments on: The life of an academic hospitalist http://www.medrants.com/archives/2382 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: don fleming http://www.medrants.com/archives/2382/comment-page-1#comment-502886 don fleming Fri, 07 Sep 2007 13:46:29 +0000 http://medrants.com/archives/2005/05/26/the-life-of-an-academic-hospitalist/#comment-502886 Does anyone know if it's a violation of Stark rules for a Hospitalist to have a private practice while at the same time being a hospitalist for a non profit community hospital? Does anyone know if it’s a violation of Stark rules for a Hospitalist to have a private practice while at the same time being a hospitalist for a non profit community hospital?

]]> By: D http://www.medrants.com/archives/2382/comment-page-1#comment-127091 D Mon, 27 Mar 2006 22:19:54 +0000 http://medrants.com/archives/2005/05/26/the-life-of-an-academic-hospitalist/#comment-127091 No one pays for teaching, because it doesn't make hospitals money. Productivity is the key now. Many academic hospitalists who once had their bonuses based on teaching performance (student and resident evaluations) now find them based on how well they bill. The mega trend for the future though, is individual physician performance. Once medical records are fully computerized, the data provided will allow very in depth evaluation of each doctor's skill. For example, a physician may have his salary reduced if, over a year, patients who should have been on ACE inhibitors were not discharged on one. No one pays for teaching, because it doesn’t make hospitals money. Productivity is the key now. Many academic hospitalists who once had their bonuses based on teaching performance (student and resident evaluations) now find them based on how well they bill.

The mega trend for the future though, is individual physician performance. Once medical records are fully computerized, the data provided will allow very in depth evaluation of each doctor’s skill.

For example, a physician may have his salary reduced if, over a year, patients who should have been on ACE inhibitors were not discharged on one.

]]> By: curious george http://www.medrants.com/archives/2382/comment-page-1#comment-22330 curious george Sat, 04 Jun 2005 14:00:32 +0000 http://medrants.com/archives/2005/05/26/the-life-of-an-academic-hospitalist/#comment-22330 Given the current pressures of academic budgets, do you forsee academic hospitalist being allowed to maintain this type of work schedule or will they be forced to be more clinically productive in the future? Given the current pressures of academic budgets, do you forsee academic hospitalist being allowed to maintain this type of work schedule or will they be forced to be more clinically productive in the future?

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