Home 2024 Compensation & Career Survey Rounders and admitters in hospital medicine: Who’s using them?

Rounders and admitters in hospital medicine: Who’s using them?

While about half of hospitalist groups use rounders and admitters, here's a look at the differences

HOW POPULAR ARE rounders and admitters in hospital medicine?

According to results from our most recent survey, just under half (49.4%) of hospitalists who treat adults reported using rounders and admitters. Only 4% of our respondents said they had used rounders and admitters in the past but then stopped, and just under 1% said their group was planning to use them.

The percentages were higher for pediatric hospitalists, with 76.2% of those hospitalists reporting they use rounders and admitters. Nineteen percent of pediatric hospitalists said they don’t use this strategy, while 4.8% said they don’t currently but their group is planning to in the future.

Use of rounders/admitters by employer type

The biggest differences among hospitalists who are—and aren’t—using rounders and admitters could be seen across different types of hospitalist employers.

Two types of groups broke the 50% barrier: universities and medical schools (used by 61.5% of hospitalists in those settings use rounders and admitters) and hospitals/hospital corporations (55.2%).

Rounders and admitters were least likely to be found in national hospitalist management companies, with only 26.7% of these hospitalists using them.

Who is using rounders/admitters by employer type?

University/medical school: 61.5%

  Hospital/hosp. corporation: 55.2%

  Multispecialty/primary care: 40.0%

  Local hospitalist group: 39.1%

  Nat. hosp. mgmt. company: 26.7%

Differences in rounders/admitters by region

In most parts of the country, around 50% of hospitalists use rounders and admitters. One exception is the Southwest, where only 32.3% of hospitalists said they work in a group that is doing so.

Who is using rounders/admitters by geography?

Northeast: 56.1%

  South: 53.0%

  Pacific: 50.0%

  Midwest: 44.7%

  Southwest: 32.3%

Use of rounders/admitters by group and hospital size

Our data did show a trend in the relationship between hospital bed count and the likelihood that hospitalist groups use rounders and admitters.

Who is using rounders/admitters by hospital size?

<100 beds: 13.9%

  100-249 beds: 41.3%

  250-500 beds: 61.4%

  >500 beds: 66.0%

Our data also showed a trend between the head count within hospitalist groups and the use of rounders and admitters.

Hospitalist group size and use of rounders/admitters

  1-9 hospitalists: 18.5%

  10-20 hospitalists: 38.6%

  21-30 hospitalists: 71.4%

  31-50 hospitalists: 70.7%

  >50 hospitalists: 77.1%

Gender and rounders/admitters

Finally, our data showed that female hospitalists seem to be more likely to work in groups where rounders and admitters are used.

Hospitalist gender and use of rounders/admitters

  Female: 58.0% use rounders/admitters

  Male: 46.2% use rounders/admitters


VIEW DATA ON HOSPITALIST PAY from both the 2024 and the 2023 Today’s Hospitalist Compensation & Career Surveys. Our annual surveys examine how hospitalist compensation is affected by factors such as the type of patients hospitalists treat, the number of shifts they work, the number of patients they see per shift and more.

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