You enter a county that has no general surgeon and a hospital that has been without surgery for years. Every surgical and endoscopic case leaves Monroe County today. The need for a full-service general surgeon is immediate. You control the ramp up. You set the pace of case growth. You determine how aggressively you build the practice.
Bread and butter general surgery and endoscopy form the core of the role. The internal medicine group refers a steady flow of patients with gallbladder disease, hernias, appendicitis, bowel obstruction concerns, and colon pathology. Endoscopy demand is high. There is no GI in the county and the nearest GI group books scopes six months out. This gives you a clear path to immediate volume.
The OR is currently closed but ready for reopening once sterile processing upgrades are completed. The hospital has two rooms. One is fully equipped for operative anesthesia. The second can be converted into a full OR. You have access to new Fuji 190 scopes and upgraded sterilization equipment. You determine how much block time you want. You determine your weekly schedule. There is no robotics.
This is an outpatient surgical practice. Emergency cases are not brought to this hospital. There is no trauma work, no overnight expectations, and no required call structure. CRNA coverage is available as needed during daytime hours without nights or weekends.
You work out of an existing medical office building with 5 to 6 exam rooms, a private office, and a procedure room. You have full control over your practice structure, clinic template, and case mix. As the program grows, staff will be added to support increasing volume.
Leadership is designing replacement hospital plans around surgical growth. They want surgeon input regarding OR layout, equipment, and long term service planning. You become central to rebuilding surgical care for the county and shaping a sustainable program.
You reestablish surgical care for Monroe County and shape a modern outpatient surgery program that fits the needs of a fast-growing region.