Your practice in Big Sky will feel like a unique blend of primary care and urgent care. In winter months, when the community swells to nearly 30,000 residents and visitors, your schedule will naturally shift toward acute visits—from cold and flu to musculoskeletal injuries related to skiing and snowboarding. During the quieter off-season, the focus transitions back to wellness visits, preventive care, and chronic disease management, giving you time to deepen relationships with your core patient panel. This ebb and flow keeps your work dynamic, engaging, and never monotonous—without the relentless pace typical of many urban practices.
You’ll care for an exceptionally diverse patient population—from wealthy second-homeowners and international seasonal workers to lift operators and long-term local families. Many patients split time between Big Sky and other states, so you’ll often coordinate across multiple health systems while setting clear expectations for what can be managed locally. Physicians with sports medicine training or musculoskeletal expertise will find high demand in this ski resort community, though all physicians benefit from the broad scope and variety of cases seen here.
You’ll work with Epic EMR, fully integrated with Bozeman Health’s system, ensuring seamless continuity of care, efficient documentation, and streamlined referrals. A collaborative team structure supports your practice: a PA maintains her own panel of ~800 patients, providing both coverage and collegial input. Rotating specialists—including orthopedics and hematology/oncology—offer on-site consults, reducing the need for long-distance referrals and ensuring comprehensive care within the community.
Your patient volumes will remain manageable, averaging 16–20 per day in peak season and 12–16 during the off-season, with 15–30 minute appointment blocks that allow flexibility for physician input. Call responsibilities are among the most favorable anywhere—~2 weeks per year, phone-only, with most issues resolved via Epic messages the next day. This structure allows you to truly unplug outside of clinic hours and enjoy the lifestyle advantages that make Big Sky so extraordinary.
This is a practice environment shaped by the rhythms of the seasons—a setting where each month brings new challenges and opportunities, all supported by a strong health system that ensures stability, collegiality, and professional satisfaction.