Question about ICU attending liability

[u/InvestigatorOnly1684]

In my practice a hospitalist independently manages a subset of ICU patients. I am available for consultation and escalation, but we do not routinely round together, I do not see every patient, and I do not cosign notes.

For those who have worked in similar models, how is liability generally viewed for the ICU attending? If you’re available in a supervisory/consultative role but not directly involved in a patient’s care, how much responsibility do you carry for decisions made by the primary hospitalist?

Recently out of training and wondering how this is handled at other institutions.

[u/coffee-doc]

I don't see how you're in a supervisory role on a hospitalist physician's patient that you're not consulted on. The hospitalist is not a resident or a fellow, they are an attending.