You'll enter a practice at exactly the right moment—when talented clinicians have laid the groundwork and leadership has committed to expansion, but before institutional inertia makes change difficult. The current team of two dedicated OB/GYN physicians has heroically maintained coverage through a combination of extended hours and locums support, demonstrating both their commitment to the community and their recognition that sustainable growth requires additional permanent colleagues. These aren't burned-out physicians looking for someone to dump call on—they're professionals who understand that a fully-staffed department benefits everyone.
Your future colleague serving as Medical Director brings both clinical excellence and administrative insight to the practice, maintaining an 80% clinical load while providing 20% protected time for program development. This balance ensures medical decisions are made by someone who still feels the pulse of daily practice, not a removed administrator making theoretical decisions from a distant office. The other physician, also at 80% clinical effort, has maintained the practice through challenging staffing periods—someone who clearly values stability and continuity over chasing the next opportunity.
The certified nurse midwives here aren't competing for deliveries or defending turf—they're genuine partners in creating a sustainable, patient-centered model of care. With three midwives currently (two active, one starting) and plans to reach five, you'll work alongside professionals who understand their role in making your life manageable while delivering exceptional care. These midwives have explicitly embraced taking first call for all vaginal deliveries, not as a consolation prize but as the cornerstone of a midwifery-driven program where their expertise in normal birth shines.
The medical assistants and nursing staff understand the rhythm of a women's health practice—the urgency of a concerned first-trimester patient, the anxiety of an abnormal mammogram callback, the joy of a long-awaited positive pregnancy test. While the transcript doesn't detail specific numbers, the infrastructure clearly supports efficient practice flow. The presence of dedicated triage nursing, separate vital rooms, and organized clinical spaces speaks to a support structure designed around physician efficiency rather than forcing physicians to adapt to inadequate staffing.
The service line director overseeing women's health brings system-level support to your daily practice. This isn't a disconnected administrator counting RVUs from a spreadsheet—it's someone who understands that supporting physicians in delivering excellent care ultimately drives both satisfaction and success. The five total directors overseeing different clinical service lines means women's health has a dedicated advocate at the leadership table, not a part-time voice competing for attention among multiple departments.
Let's be transparent about the current situation: 15 days per month are covered by locums physicians. This isn't hidden as a footnote but acknowledged as a primary driver for recruitment. The administration understands that locums coverage, while necessary, undermines continuity, increases costs, and prevents the practice from reaching its potential. Your arrival directly reduces this dependency, immediately improving care continuity for patients and predictability for your permanent colleagues.
The planned transition in February 2025 from 24-hour in-house call to a more sustainable model reflects thoughtful planning, not crisis management. The team isn't scrambling to implement changes as physicians resign—they're proactively restructuring before burnout forces their hand. The fact that locums physicians are being credentialed for office coverage shows strategic thinking about maintaining access during the transition.
As the department grows to four physicians and five midwives, you'll help shape the culture that defines the practice for years to come. This isn't about fitting into a rigid hierarchy but about contributing to a collaborative environment where different perspectives strengthen patient care. The current team has maintained stability through challenging times—they're not job-hoppers or malcontents but committed professionals who believe in what they're building.
The absence of APPs for follow-up care is acknowledged, presenting an opportunity rather than a deficit. As the practice stabilizes and grows, you'll have input into whether and how to integrate advanced practice providers in ways that enhance rather than fragment care. This is your chance to help build the ideal practice structure from a relatively clean slate.