Why do we have hospitalists? Good question, but there’s a lot of good answers too. For one the average MD can’t get away from the office and continue the work flow needed to keep the doors open, and he/she also might have a family to see once in a while too, so being both at the office and hospital can make that almost impossible. 
Hospitals either employ or subsidize the positions, as it does lead to to cost savings and when you stop and think about it, they are at the hospital all the time, unlike an MD who has a practice to run, but the important part of this is the patient hand off and communication and to not bar the physicians from having hospital privileges as their appearance occasionally might be needed for many reasons, one comes to mind and that is just simple communication between the PCP and hospitalist regarding a patient. That doesn’t hurt anyone, much less the patient. In some areas an IPA, independent physician association provide the hospitalist. It is the fastest growing medical position and there just doesn’t seem to be enough to meet the demand.
Insurance may not pay for the PCP to make rounds either at the hospital, so there are many reasons why the field continues to grow. Again, it comes back around to communication being important though, and one more thing, the PCP getting all the information relative to the patient’s condition to the hospitalist and vice versa to make the transitioning effective. BD
I love hospital work," Pearson explains. "But it got to the point where I just didn't have the time. If I got an admission during the day, I couldn't leave my office; if it was at night, I'd be at the hospital for five hours. I was just getting beaten down.
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