Clinical Component

Navigating the Clinical Component

The OB/GYN practice at Central Peninsula is a combined obstetric and gynecologic practice serving adult women across the central Kenai Peninsula. The incoming physician will manage both clinic-based GYN care and active obstetric patients, including deliveries and C-sections. The hospital delivers approximately 30 births per month across all providers, giving the employed OB/GYN a manageable but consistent obstetric workload. The practice sits within a community with a notably older demographic, which creates a heavier-than-average GYN caseload compared to most similar-sized practices.

Practice Snapshot

Obstetric Care

The hospital maintains a dedicated Family Birth Center with a C-section suite separate from the main ORs, meaning obstetric emergencies do not impact the surgical block schedule. The hospital delivers up to 35 to 36 weeks gestational age, with cases below that threshold transferred to Providence in Anchorage. There are approximately nine providers in the community who attend deliveries, including five family practice physicians, one certified nurse midwife, and three OB/GYNs. The employed physician is expected to manage her own patient panel's deliveries. Monthly delivery volume for the employed OB/GYN is approximately seven to eight per month based on current staffing.

The hospital's call bylaws cap participation at 10 days per month per physician. With the current mix of three OB/GYN providers, the incoming physician should expect a 1-in-3 call rotation, including both weekday and weekend coverage.

Call Structure

Gynecologic Surgery

The practice performs GYN surgery at the hospital's main OR facility, with four ORs and a procedure room available. The da Vinci SI robotic system is on-site, with an XI upgrade in progress. The current employed physician does not use the robot, but one community OB/GYN does. Candidates who are robot-trained will have access to the system. Physicians who prefer open or laparoscopic approaches are equally well-positioned here.

Common GYN surgical procedures in the community include:

• Hysterectomy (open, laparoscopic, and robotic)
• Prolapse repair
• Management of lichen sclerosus and related vulvar conditions
• Contraceptive procedures
• Endoscopic and in-office GYN procedures

The practice sees a notably high volume of prolapse and age-related GYN conditions given the older retirement-age population on the peninsula. The departing physician has noted this as a unique aspect of practice here.

Visiting and Collaborative Providers

The practice benefits from two visiting physicians who supplement the employed physician's scope:

• Dr. Michael Carly (name to be verified) - GYN surgeon visiting from Texas, currently attending four days per quarter. He performs a heavy procedure day focused on surgical GYN cases. His schedule may expand with an additional day in the future.
• Dr. Greg Lindsay - Maternal fetal medicine specialist, husband of the departing employed OB/GYN. He visits a few days per month to provide MFM consultations and high-risk obstetric ultrasound. This arrangement is expected to continue.

The clinic has a new ultrasound machine on-site capable of 3D imaging. Ultrasounds can be completed within the clinic setting, reducing the need for outside referrals for routine obstetric imaging.

In-Office Procedures and Technology

• In-office ultrasound including 3D capability
• FAA physicals (currently performed by the departing physician; optional for incoming physician)
• Contraceptive procedures and counseling
• In-office GYN procedures per the hospital website (full list available at cpgh.org)
• Scribe services not currently used by employed OB/GYN staff; Dr. Carly uses his own scribe during visits
• Dragon medical dictation available; DAX AI documentation implemented

Imaging and Diagnostic Support