Last year I changed jobs. After 19 years full-time at a geriatric facility, I became a palliative care physician-leader at a large tertiary teaching hospital. Among the blizzard of change since I last served as a ward attending physician in 1995, hospitalist coverage is now permeative and house staff presence less so. Many patient care duties are now performed (beautifully) by advanced practice registered nurses (APRNs) or physician assistants. The roles of the consultant attending physician have also changed.
Schneiderman H. Efficacy at the Bedside. JAMA. 2015;313(6):569-570. doi:10.1001/jama.2014.13720