Can a doctor practice medicine without being affiliated with any hospital?

Thanks for replying.
How does it work if a patience of his needs hospitalization?

Yes, they can. There are physicians who choose to do this, especially those who have relocated fairly recently, and want to adjust to an area more gradually before making a commitment that could be more personally demanding. Some work at an Urgent Care Center, for example, but if a patient needs to be referred for inpatient hospital care, then an arrangement has already been made in order to provide for hospital care. The physician without privileges usually has arranged with another physician who does have hospital admission privileges to care for anyone who must be an inpatient.
There is a fair level of commitment that a physician must make in most places, in exchange for hospital admission privileges. There are meetings which are time consuming in which individual hospital procedures are covered. There are also departmental meetings (Orthopedics, Cardiology etc. etc. depending upon specialty) Some hospitals require specialists to do some amount of continuing education classes for other staff. Physicians in many places must also agree to be on call for the ER for example. If you are a plastic surgeon for example, you not only take care of patients who make appointments atyour office, but also agree to come in and consult on the cases for which you are called on certain on call days, evenings and weekends. This also does boost income, and provides better specialty coverage for the hospital.
There are also times when a physician who formerly had hospital privileges no longer does. This could be a simple as he did not want to continue with all the requirements in order to have privileges there, or he is recovering from a serious illness, or be as serious as an alcohol, drug or other issue. Most states allow you to see which physicians have been disciplined by their state’s Board of Medicine for a serious issue. Best wishes.



  • Yes, but there are advantages of being affiliated with a hospital. For instance, if a patient needs hospitalization, it is best of they can send them to a hospital that he/she can also practice in, even if the doctor normally practices in a clinic or completely independently.References : Almost 70 years of life.

  • Yes, but what if the patient needs hospitalization? Unless the doctor has privileges at the hospital, he won’t be able to treat his patients there. He COULD turn them over to a colleague, and I’ve seen that happen with doctors who, for some reason, lost their privileges. But it gets kind of clumsy, and limits his practice.
    .References :

  • Yes, they can. There are physicians who choose to do this, especially those who have relocated fairly recently, and want to adjust to an area more gradually before making a commitment that could be more personally demanding. Some work at an Urgent Care Center, for example, but if a patient needs to be referred for inpatient hospital care, then an arrangement has already been made in order to provide for hospital care. The physician without privileges usually has arranged with another physician who does have hospital admission privileges to care for anyone who must be an inpatient.
    There is a fair level of commitment that a physician must make in most places, in exchange for hospital admission privileges. There are meetings which are time consuming in which individual hospital procedures are covered. There are also departmental meetings (Orthopedics, Cardiology etc. etc. depending upon specialty) Some hospitals require specialists to do some amount of continuing education classes for other staff. Physicians in many places must also agree to be on call for the ER for example. If you are a plastic surgeon for example, you not only take care of patients who make appointments atyour office, but also agree to come in and consult on the cases for which you are called on certain on call days, evenings and weekends. This also does boost income, and provides better specialty coverage for the hospital.
    There are also times when a physician who formerly had hospital privileges no longer does. This could be a simple as he did not want to continue with all the requirements in order to have privileges there, or he is recovering from a serious illness, or be as serious as an alcohol, drug or other issue. Most states allow you to see which physicians have been disciplined by their state’s Board of Medicine for a serious issue. Best wishes.References : prof. of medicine

  • In the British system, GP’s stay in their surgeries, and specialists take the referrals for all hospitalizations. In recent years, hospitalists have become popular in the US, allowing family physicians, primary care internists, and pediatricians to stay in their offices, in a way very similar to the British system. It’s becoming more and more popular.References :


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