Clinical Component

Navigating the Clinical Component

Delivering Excellence Across Diverse Populations

Your clinical practice will immerse you in the full spectrum of obstetrics and gynecology, serving a uniquely diverse patient population that includes active-duty military families, veterans, rural communities, and underserved civilian populations. With 400–550 patient visits weekly across both locations and 100+ deliveries monthly, you’ll experience the professional satisfaction of high-volume obstetrics while maintaining the continuity of care that builds lasting physician–patient relationships. Unlike metropolitan practices where patients often rotate providers, here you’ll guide your patients through their entire journey—from preconception counseling through delivery and beyond.

The patient demographic presents both rewards and unique clinical considerations. Military families arriving at Fort Cavazos often present in their third trimester with limited prenatal records, challenging you to rapidly establish care plans while building trust. These scenarios—such as assessing a 34-week pregnant patient who just PCS’d from overseas—keep your clinical skills sharp and your days dynamic. The influx of referrals from Fort Cavazos’s medical facilities has expanded your TRICARE population, bringing both young, healthy patients who value preventive care and complex cases requiring your full expertise.

Daily Clinical Flow and Practice Patterns

Your clinical day typically runs 8:00 AM to 5:00 PM with a schedule designed for efficiency and quality. Across your 3.5 clinic days weekly, you’ll see 22–23 patients in 20-minute slots, with extended appointments automatically created for procedures or new OB intakes. Template optimization ensures you have 20–40 minutes of administrative time built into your day—often a 40-minute afternoon “chart review” block that becomes your sanctuary for notes, calls, or a brief pause during a busy schedule.

  • Patient Volume: 22–23 patients per clinic day across all visit types
  • Procedure Mix: 60% obstetrics / 40% gynecology, rebalancing as staffing expands
  • Call Schedule: Transitioning from 1:4 to 1:7 once fully staffed; covers practice patients plus unassigned OB patients at Advent Health
  • Delivery Volume: Currently 100–112 deliveries monthly; with full staffing, individual volumes average 15–20 per month
  • EMR: Integrated system with remote access during call, reducing unnecessary hospital visits
  • Surgical Capabilities: Dedicated weekly OR day with full privileges, including Da Vinci robotic surgery
  • APP Integration: Two PAs and one NP manage their own GYN panels and share OB visits up to 37 weeks
  • Clinical Support: 1:1 medical assistant support plus dedicated chaperones for all intimate exams
  • Specialized Services: Full-scope OB/GYN with subspecialist backup (MFM, GYN Oncology, REI) available 30 minutes away in Temple

Teaching and Academic Integration

Your role as a clinical educator adds rewarding intellectual depth to your practice. Approximately 2–3 times monthly, you’ll serve as attending physician for Baylor College of Medicine residents rotating through the clinic, supervising up to four residents in 4-hour blocks. This teaching responsibility offers significant benefits: you help shape the next generation of OB/GYN physicians while earning full RVU credit for all resident-billed encounters during your supervision. Residents also manage much of the routine documentation, allowing you to focus on medical decision-making and complex clinical presentations.

Quality Initiatives and Practice Innovation

Despite current staffing constraints, the practice maintains strong quality metrics, adhering to March of Dimes guidelines for delivery timing and sustaining lower-than-average cesarean rates through thoughtful VBAC selection and trial-of-labor management. Your voice will be valued in ongoing initiatives to expand access, particularly efforts to reduce the current 18–19 day wait for new patient appointments. Close collaboration with Advent Health ensures seamless integration between clinic and hospital, supported by experienced L&D teams who know your preferences and workflows.

This position offers a rare blend of high-acuity obstetrics, diverse gynecologic surgery, and genuine community impact. You will practice comprehensive women’s health without the subspecialty fragmentation common in academic centers, yet still have immediate access to subspecialist expertise when needed. Your days will be full but meaningful, your call nights busy but manageable, and your patient relationships deep and enduring—a refreshing contrast to the assembly-line medicine that defines many urban practices today.

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