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In the United States and Canada, an attending physician (also known as a staff physician or supervising physician) is a physician (usually an M.D., or D.O. or D.P.M. in the United States) who has completed residency and practices medicine in a clinic or hospital, in the specialty learned during residency. [1]
The vast majority of physicians who refer to themselves as hospitalists focus their practice upon hospitalized patients. Hospitalists are not necessarily required to have separate board certification in hospital medicine. The term hospitalist was first coined by Robert Wachter and Lee Goldman in a 1996 New England Journal of Medicine article. [2]
According to ABHM Chair, Dr. Thomas G. Pelz, a hospital based physician at Boscobel (Wisconsin) Area Health Care, "The American Board of Physician Specialties recognizes the vital role that hospitalists play in the delivery of health care in the United States and Canada. Hospital medicine is one of the fastest growing and most dynamic medical ...
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Before RVUs were used, Medicare paid for physician services using "usual, customary and reasonable" rate-setting which led to payment variability. [2] The Omnibus Budget Reconciliation Act of 1989 enacted a Medicare fee schedule, and as of 2010 about 7,000 distinct physician services were listed. [ 2 ]
Salary [ edit ] According to a 2011 survey, the average salary for a nocturnist was 2.5% lower than other hospitalists, and the survey results report nocturnists were 27% less productive than other day-time physician roles as measured by work relative value units.
A pay scale (also known as a salary structure) is a system that determines how much an employee is to be paid as a wage or salary, based on one or more factors such as the employee's level, rank or status within the employer's organization, the length of time that the employee has been employed, and the difficulty of the specific work performed.
That model is rapidly being replaced by hospitalist medicine a term first used by Robert Wachter in an article written for The New England Journal of Medicine in 1996. [ 4 ] The concept of hospitalist medicine provides around-the-clock inpatient care from physicians whose sole practice is the hospital itself.