The Problem with the Hospitalist System

From a doctor's perspective, the major problem with the Hospitalist system is a lack of communication between the Hospitalist and the patient's primary-care doctor.   These doctors need to get to know each other and communicate regularly about the patient, especially if there are difficult problems or life-altering decisions to be made such as DNR status.  In 20 years, I have never seen a hospitalist call a primary-care doctor or vice versa.