Surgery - General Physician

Ascend Medical Staffing; Berlin (NH); On-site; USD 150,000 - 210,000; Part time

Job summary

An established industry player seeks a dedicated general surgeon to join a collaborative team in a rural setting. This role involves performing a wide variety of surgical procedures, including endoscopy and laparoscopic surgeries, while also providing patient care in a supportive environment. With an annual case volume projected between 500 to 700, the successful candidate will play a crucial role in rebuilding the general surgery service at a Critical Access Hospital. Ideal for those who thrive in a team-oriented atmosphere and are eager to make a significant impact in a community-focused healthcare setting.

Qualifications

• 2-5 years of experience in general surgery and endoscopy preferred.
• Comfortable with rural practice and solo on-call coverage.

Responsibilities

• Perform a range of surgical procedures including laparoscopic and open surgeries.
• Assist in Cesarean sections and other invasive procedures as needed.

Skills

General Surgery

Endoscopy

Patient Care

Team Collaboration

Education

MD or DO

Completion of Residency in General Surgery

Job description

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 and rebuild the general surgery service at our 25-bed Critical Access Hospital.

Common Diagnoses

• Hernias (inguinal and umbilical)
• GERD and related symptoms
• Rectal bleeding
• Gallbladder disease
• Colon polyps or screening for colon cancer
• Hemorrhoids
• Sebaceous cyst
• Dysphagia

Procedures

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
• Colonoscopy (screening, surveillance, and diagnostic)
• Cholecystectomy
• Colon surgery, including partial colectomies, sigmoid resections, ostomy creation, ostomy takedown, and other procedures for colon cancer, diverticular disease, volvulus, or other indications
• Debridement of burn, ulcer, or wound
• EGD (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 toe amputation, Mediport placement or removal, and vein stripping (optional)

Case Volume and Assistance

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 include another general surgeon, OB/GYN, urologist, or orthopedic physician assistant.

Additional Responsibilities

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

Candidate Requirements

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 is desired.

Must be comfortable with the rural nature of practice/hospital, limited colleagues, solo on-call coverage, and the hospital's specialty and diagnostic testing capacity.

Special clinical interests/expertise to expand services are welcomed. Candidates should be willing to offer the broad scope typical of rural community surgeons.

Qualities and Visa Considerations

Team-oriented, collaborative, patient-focused, with high customer service and respectful communication. H1-B and J-1 visa candidates will be considered if they demonstrate excellent communication skills.

Contact Information

For more information, please contact Robert Brabbs BSN/RN at Ascend Medical Staffing.