HMG physicians typically work in rotating shifts that can include days, nights, and weekends, managing the care of hospitalized patients from admission through discharge. During a typical shift, you’ll conduct patient rounds, coordinate with specialists and nurses, respond to consult requests, and handle acute medical issues as they arise. Most HMG teams operate in a collaborative environment, with structured hand-offs and close communication among colleagues to ensure continuity of care. Flexibility and efficiency are important, as patient volume and needs can fluctuate throughout the shift.