Internal Medicine and Family Medicine Hospitalist Trends

The growth of hospitalist medicine has profoundly impacted the specialty of Internal Medicine, and the specialty of Family Medicine (though to a lesser extent). As of 2013, over 30% of all IM physicians, and over 7% of all FM physicians, were practicing as Hospitalists. 1


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The Demand for Hospitalists

Hospitalist Medicine is the fastest growing medical specialty, and we do not envision a reversal of this trend in the foreseeable future.

The following forces are driving the demand for hospitalist medicine, in our estimation:

  • Primary Care physicians increasingly prefer “outpatient only” practice
  • Specialists dependence on hospitalists for...
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Hospitalist Programs: Productivity and the Law of Diminishing Returns

With the cost of Hospitalist programs rising, medical centers and hospitalist companies understandably emphasize the need for improvements in hospitalist productivity. While solid productivity is a desired outcome, the “law of diminishing returns” will eventually manifest itself. At a certain point (which varies among individual...

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Hospital Financial Support of Hospitalist Programs

Unlike other hospital clinical services, hospitalist services rarely grow into a self-sustaining state. Patient collections on average cover less than 60% of total hospitalist program expenses (which are primarily variable expenses). Thus, as a hospitalist program grows, so do the aggregate financial needs. The chart...

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