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Consider the ways hospitalists differ from other physicians-their work schedules, compensation structures, and treatment methods are unlike most other specialties. It shouldn't come as a surprise, therefore, that hospitalists may have unique needs when it comes to successful recruitment and retention initiatives. Although hospitalists tend to be satisfied overall, burnout is a concern for many hospitalist programs, according to Joseph A. Miller, senior vice president for the Society of Hospital Medicine (SHM). Surveys suggest up to 13% of hospitalists are burned out and another 28% are at risk. The primary factors associated with burnout, according to surveys of hospitalists, include perceptions of restricted autonomy, working for an institution (e.g., HMO), and poor occupational solidarity.