Sound is very unethical. Please review the case in 2013 where that had to settle with medicare for 13 + million dollars. They will push you to bill ACP codes, higher billing, discharge to home instead of SNF to get more money and risk your license. However, if anything happens to the patient, they will not stand by you in court. They lie in the interview process about patient load, it is not where near 16 patients, more like 20-22. Chief has no say when it comes to sound or the hospital, it is purely an ornate position. Hospital staff disrespects all sound physicians and treat us like residents. Lower pay than any other hospitalist in the region. They prey on new grads who has no experience and do not know what to look for in a contract.
In terms of the site itself. Stay away from the biggest Hospital in Cleveland, the not number 1 clinic. They now have plan of care rounds, meaning they mandate you to do bed side rounding with the nurse and a care manager on every patient. That takes about 45 mins to an hour. They now also have a psychologist to evaluate you during rounds. On top of course sound's daily morning huddle that takes 30 mins. Sound billing is archaic and takes additional 30 mins. And every week they have an hourly meeting. All non paid. So about 1.5 - 2.5 hours per day is spent on additional non pain adminstrative work.
This particular hospital is very disrespectful to the Hospitalists. Specialists scold you for consults because they are underpaid employees. And they tell this to nurses who in turn disrespect the Hospitalist
In summary: Low pay, High patient load, no hospital or management respect, high liability, unethical billing practices
