Surgery - General Physician

Join a part-time general surgeon, two per diem general surgeons, a team of locum general surgeons (primarily for on-call coverage), and part-time gastroenterology (GI) coverage to help meet clinical demands for services and re-build the general surgery service at our 25-bed Critical Access Hospital.

Most commonly diagnoses encountered in the office setting (in order) are: - Hernias (inguinal and umbilical)

- GERD and related symptoms

- Rectal bleeding

- Gallbladder disease

- Colon polyps or screening for colon cancer

- Hemorrhoids

- Sebaceous cyst

- Dysphagia

Provides operative (open and laparoscopic) and endoscopic procedures, including: - Anal sphincterotomy

- Anoscopy

- Appendectomies (primarily adults; occasionally age 10-18 years old, infrequent and on case-by-case basis for age 5-10 years old)

- Breast procedures, including ultrasound-guided biopsies, I&D of breast abscess, fine needle aspirations of cysts, lumpectomies, mastectomies, and sentinel lymph node biopsies

- Colonoscopies (screening, surveillance, and diagnostic)

- Cholecystectomies

- Colon surgery, including partial colectomies, sigmoid resections, ostomy creation, ostomy take down, and other procedures for colon cancer, diverticular disease, volvulus, or other indications

- Debridement of burn, ulcer, or wound

- EGD s (screening for high risk, surveillance, diagnostic, and therapeutic such as for UGI bleeding or esophageal food bolus)

- Exam under anesthesia

- Foreign body removal

- Hemorrhoid procedures (hemorrhoidectomy, rubber band ligation)

- Hernia repairs, including inguinal, umbilical, ventral, and incisional

- Other intra-abdominal procedures, including laparoscopic exploration, lysis of adhesions, Nissen fundoplication, repair of perforated duodenal ulcer, small bowel resection, etc.

- Placement of PEG and feeding tubes

- Skin and soft tissue procedures, including excision of large lesions, I&D of large abscesses, pilonidal cystectomy, repair of large/complex laceration, split

thickness skin graft, temporal artery biopsy

- Vascular procedures (limited), such as amputation of toe, Mediport placement or removal, and vein stripping (optional)

- Annual volume for operative and endoscopy cases (combined) ranges from 400 to 1,100 cases based on experience of prior surgeons. Achievable volume in first 1-2 years is projected to be 500 to 700.

- Assistant options to a general surgeon: another general surgeon, OB/GYN, urologist, or orthopedic physician assistant.

General surgeon assists on most Cesarean sections (a family medicine physician with obstetrics privileges assists on some) and selectively assists for GYN and urology cases. Conducts other invasive procedures for established patients and upon request by Medical Staff colleagues, particularly in the Emergency Department (ED) and inpatient setting. Such procedures include:

- Bronchoscopy (not required)

- Central lines

- Chest tube placement

- Paracentesis

- Thoracentesis

Prefer candidates have prior experience (at least 2-5 years) in broad spectrum of general surgery and endoscopy.

Selected new graduates from residency or fellowship training may be eligible. Prior experience in a small hospital or CAH desired.

Must be comfortable with rural nature of practice/hospital, limited general surgery colleagues , solo coverage on call, and AVH s complement of specialists (surgical and medical ) and diagnostic testing capacity.

Special clinical interests/expertise to complement those of current part-time general surgeon and expand scope of services to our region are always welcomed. Candidate must be willing to offer the broad scope of practice of a typical rural, community surgeon .

Team oriented, collaborative, and patient focused. High level of customer service ( patient satisfaction) is expected. Excellent, respectful communication with all members of care team.

H1-B and J-1 visa candidates will be considered if excellent communication skills

by Jobble