Constantly overworked in terms of hours/patient load/number of night shifts, Hospitalist directors not truly concerned with hospitalist morale or well being (only look to replace old physicians when workload is unbearable for many months), High turnover of hospitalists (multiple MDs who have left during first 3 months of job & many other MDs have left during last couple years), stagnant salary (does not increase any with experience, no cost of living increase), poor schedule compared to other hospitalist programs (lots of night shifts, very little notice on getting next month's schedule - usually less than a week ), poor leadership - lots of failed promises by medical directors, not good job if you want to have family or life outside of work, not a position that anyone can be at for more than a couple years.