Adventist Health is a nonprofit healthcare system that operates in California, Oregon, Hawaii, and Washington. In Sonora, California, Adventist Health provides comprehensive healthcare services through its acute care hospital and multiple clinics. Adventist Health Sonora is a 72-bed hospital that offers a wide range of medical services, including emergency care, cardiology, oncology, neurology, orthopedics, and rehabilitation. Additionally, Adventist Health operates several clinics that offer primary and specialty care services such as family medicine, pediatrics, obstetrics and gynecology, cardiology, and gastroenterology.
Adventist Health Sonora places a strong emphasis on preventive care, offering a variety of programs and services to help patients maintain good health. The hospital offers community health education programs on topics such as diabetes management, heart health, and nutrition. Adventist Health Sonora is committed to providing high-quality, patient-centered care to the community it serves. With its wide range of medical services, experienced healthcare providers, and focus on preventive care, Adventist Health Sonora is a valuable resource for residents of Sonora and the surrounding areas.
The Invasive Cardiology position involves seeing clinic patients in the morning and urgent outpatient and inpatient procedures in the afternoon, along with consulting as needed. The role also includes taking ER calls and reviewing stress tests, EKGs, and echos in the afternoon. The team approach involves the MA's doing initial histories and medications, vitals, and EKGs, while Dragon dictation is used for both inpatient and outpatient visits. The office provides administrative support, including a secure text app to communicate with staff, excellent administrative support, and a good team environment. You will have a ramp up period to your practice. As you get more comfortable, we will build your practice accordingly. We have a cancellation list, a waiting list and a routine list in scheduling.
If a partner’s patient gets accidentally put on your schedule the MA can get it rescheduled to them. In the past, we had kind of worked liked private cardiologists sharing the building. However that has been evolving, as the more patients that come in, the more we all benefit. We don’t have to fight for wRVU’s. Our goal is to have like-minded physicians.
Dr. Davidson currently sees 20-25 patients in the clinic, but patient care is the priority, and there is flexibility in scheduling. Dr. Davidson typically takes about 15 minutes for a visit. After a patient check in, Dr. Davidson, builds her note in the patient record, so she is prepared for the encounter. Then she just adds the plans and hits “sign” and she is done. If the day is all Dr. Davidson’s follow ups, she can keep up and not have any charting at the end of the day. However, if there are new patients, or an inpatient urgent patient, then she spends 1-2 hours charting at the end of the day.
There is no expectation that you have to see a certain number of patients. Dr. Davidson sees 20-25 because she likes being really busy. If you see 20 patients a day, you should hit your daily production target, or maybe 16 patients a day if they are high acuity (level 5 and 5). We want doctors to see patients and not do stress tests. The hypertension patients should be seen by primary care, a mid-level or a phone consult. Ultimately, we want patient care to come first, since our patients are literally our neighbors. You have flexibility in making your schedule work for you. You will have a 60-120 day ramp up period until you get to a full practice. You will have a MA and nurse navigator to handle, and screen calls for you. Tyler will work closely with you in developing what works best for you. Whatever your passion is in cardiology, Tyler will partner with you to get more of that passion.
We brought on an MA that has ultrasound training to allow Dr. Davidson to work with her interest in veins.
A patients past history is in the computer, but some providers print things out to have it in front of them. If you ordered an Echo, and the patient is coming back, and it has not been done. The patient will get rescheduled at a later date after the Echo has been performed.
The medical office building is adjacent to the hospital, with the stress lab, cath lab, and echo across the hall, and the ER nearby. The team works towards having like-minded physicians and partner with new cardiologists to modify the current program.
The 72-bed hospital has a 6 bed ICU and a 6 bed step down unit, and the inpatient cardiology census is less than 10. The hospital is a consulting service, and there is no expectation to see a certain number of patients.