Clinical Component

Navigating the Clinical Component

A Surgical Environment Built Around Outpatient Procedures and Endoscopy

This is an outpatient general surgery practice with no trauma burden and no emergency call. Emergency cases do not come to the hospital because it is a critical access facility. You focus on scheduled general surgery and high demand endoscopy. You set your volume targets. The hospital supports whatever surgical pace you choose.

Case Mix and Volume

Bread and butter general surgery forms the backbone of the practice. Common referrals include gallbladder disease, hernias, appendicitis, bowel obstruction evaluations, and colon issues. The internal medicine group generates 12 to 14 surgical referrals per week. Endoscopy volume will ramp up immediately due to the six month wait for scopes in Macon.

Operating Room Status

The OR is currently closed but ready for reopening once sterile processing upgrades finish. There are two rooms. One is fully equipped as an OR. The second can be converted based on your case load. The hospital will purchase additional equipment based on need. You have full access to block time.

There is no robotics. CRNAs provide anesthesia during daytime hours. There is no night or weekend anesthesia coverage.

Clinic Workflow

Your clinic operates from the medical office building next to the hospital. You will have five to six exam rooms, a private office, and a procedure room. Clinic and OR scheduling stay flexible. You choose how many clinic days and OR days you want.

Future Growth and Strategy

Leadership is designing a replacement facility around the OR. You will help shape the layout, equipment choices, and long term surgical planning. This gives you influence over the future of surgery at Monroe County Hospital.

  • Outpatient general surgery with endoscopy
  • No emergency surgery and no call
  • Surgeon chooses weekly schedule and block time
  • Two OR rooms with upgrade plans underway
  • High endoscopy demand due to lack of GI
  • CRNA model with no nights or weekends
  • Clinic and OR schedule built around surgeon preference

Your clinical role focuses on consistent surgical workflow, strong endoscopy demand, and the opportunity to build a modern outpatient surgical program from the ground up.

© Copyright 2023 Pacific Companies. All Rights Reserved.