Clinical Component

Navigating the Clinical Component

As a Hospitalist APP at Memorial Health System, you practice a broad spectrum of inpatient Internal Medicine with a balanced workload that emphasizes quality patient care. You manage medically complex patients collaboratively with Hospitalist physicians while working at the top of your license, with the time to practice meaningful, relationship-based inpatient medicine.

Clinical Volume Snapshot

Metric Detail
Average Hospitalist Census 13 to 18 patients
Daily Admissions 2 to 3 per physician
Annual ER Visits 80,000
Average Length of Stay Around 4 days
Case Mix Index 1.4

Scope of Practice

Your responsibilities include:

  • Daily inpatient rounding
  • Hospital admissions
  • Cross-coverage
  • Observation patients
  • Discharge planning and coordination
  • Care transitions
  • Collaborative medical decision making
  • Participation in multidisciplinary rounds

Procedures are not required for this role, though procedural skills are welcomed. You carry no rapid response or code blue responsibilities, and ICU coverage is not required. Providers interested in higher-acuity medicine can take on ICU exposure if they choose.

A Typical Day

Time Activity
7:00 AM Sign-out
7:30 AM Multidisciplinary rounds
8:00 to 11:30 AM Patient rounds
Noon Admissions
Afternoon Follow-up patients, discharges, cross coverage
Evening Handoff

Critical Care Environment

Memorial Health's Open ICU model gives you the opportunity to care for higher-acuity patients while maintaining immediate access to experienced intensivists and specialty consultants.

  • Two Intensive Care Units totaling 26 beds
  • Open ICU model
  • Intensivist support available for consultation
  • Exposure to complex medical and critical care patients

You work alongside colleagues with backgrounds in Critical Care Medicine, Pulmonary Medicine, and Internal Medicine, allowing you to continue developing critical care skills within a supportive team structure.

Schedule

  • Full time is a 40-hour weekly schedule
  • 7 on / 7 off rotation
  • Day and night shifts available based on your preference
  • Leadership remains flexible in developing schedules that support both operational needs and work-life balance

Technology

The hospital currently operates on Paragon/Allscripts and is transitioning to Meditech.

Collaborative Support

This multidisciplinary approach improves communication, streamlines patient transitions, and lets you focus on direct patient care rather than administrative barriers. Throughout each shift you are supported by:

  • Hospitalist physicians
  • Intensivists
  • Consulting specialists
  • Experienced Registered Nurses
  • Respiratory Therapists
  • Case Managers
  • Care Coordinators
  • Ancillary clinical staff

The experienced ICU nursing staff and long-tenured allied health professionals create a stable, efficient clinical environment.

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