Perm- General Surgery

Job description

Location: Northern New Hampshire near the border with Maine. This city has a rich history tied to the paper industry, which played a significant role in its development. Today, it’s known for its beautiful natural surroundings, including access to outdoor activities like hiking, skiing, and exploring the White Mountains. The city also has a variety of local events and a strong sense of community. About 100 miles to Manchester, 120 miles to Portland and 130 miles to Boston! Facility: A critical access hospital that provides a range of healthcare services to the local community and surrounding areas. The hospital offers emergency care, outpatient services, and various specialties, with a focus on accessible, quality care for its patients. Opportunity: 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 the 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 EMR: Meditech Expanse Qualify for federal school loan forgiveness program Compensation: To be discussed at interview Health shortage area- qualify for federal school loan forgiveness program