Hi medicine Reddit. I have been an academic hospitalist in the northeast for a little over 8 years now. I recently left my clinical job to take a job doing full time clinical review work. I left mostly because of what I considered moral injury and being treated like cog in the machine despite the expectations of being a skilled professional with a moral responsibility to ensure best outcomes for my patients and for society. Sure now working for corporate America I am still a cog but now I’m not expected to put so much of myself into the work. No one dies on me. No one yells at me for the social stuff I cannot control. So to everyone else who does hospital medicine: how you doing? Is there a future for this specialty? Are American hospitals cooked? How is it in Denmark? UK? Canada? A lot my of colleagues seem to be looking for an exit, particularly those that like me are 100% clinical (no compensated med school time, no admin position like medical director of a floor or site director of a hospital site). The ones who seem happy are only doing maybe 1 week of clinical service a month (sometimes less) and/or are so high in admin for the hospital they are never solo - always with APN’s or residents to do the heavy lifting. So if they are the only folks happy and everyone else is scrambling for life boats, is hospital medicine going to be like oil rig work or construction? You do it when you’re young for a few years, make as much bank as you can, then get the hell out? Is that good for medicine and society? So much of IM training is hospital based so if all of your teachers are flaming out newbies, how is education going to be affected? I got out because I had to but I’m curious if this is a hospital medicine problem, a my institution or region problem, an American problem, or is this just how medicine is now in the modern world?   submitted by   /u/BlueWizardoftheWest [link]   [comments]