We have gone to a hospitalist model in my department @ my hospital. On the whole I have found it an improvement esp in two areas.
1)Intake knows exactly how many pts each MD can take on any given night so there is no guessing and fewer angry MDs in the middle of the night or in the morning.
2) Frankly, they seem to be more professional and nicer to those of us who are not MDs since we are more directly employees of one boss. While management is still differential to them (they do not want to drive them away) there are a few more levers to deal with bad behavior on the part of the MD.
There are probably downsides but from where I sit I do not experience them.









