It is still very much like it was before. You could do a direct admit from the office as you had just seen the patient and could vouch for the likelihood they wouldn't crash.
I recall as a resident when an attending called with an admission, you could either moan and complain or act like he/she just made your day. Figured may as well do the latter, you were getting the admit anyway.
Our hospitalists generally do the latter, but the other day one told me to try give small amounts of Pedialyte and maybe the baby wouldn't throw up. Duh! I never thought of that.
