Your clinical practice at Cape Fear Valley will be refreshingly yours to design. In an era where many dermatologists feel constrained by corporate protocols or productivity quotas, you'll find an environment where the administration's philosophy is simple: tell us what you need to succeed, and we'll make it happen. Whether you envision days filled with complex Mohs procedures, a blend of medical and cosmetic dermatology, or a general practice addressing the full spectrum of skin conditions, you'll have the autonomy to create your ideal practice mix.
The patient demand is already established and waiting. Market data reveals significant outmigration for dermatological services, with patients currently enduring three-month wait times or 90-minute drives to find care. Your appointment schedule will fill naturally from pent-up local demand, established referral relationships within Cape Fear Valley's primary care network, and the immediate visibility that comes from being the most accessible dermatologist in the region. You'll determine your own pace – whether that's a comfortable 20-25 patients daily or a high-volume practice seeing 40-50 patients with multiple medical assistants supporting your efficiency.
The integrated practice model offers unique advantages for clinical excellence. Your plastic surgery colleague is currently overwhelmed with both cosmetic and dermatological cases, creating immediate opportunities for collaboration. This might mean taking on cosmetic procedures to free up the plastic surgeon's schedule, or developing a referral relationship for complex Mohs reconstructions. The choice is yours, and the collaborative environment means you'll never feel isolated in your practice.
For those interested in Mohs surgery, the opportunity is particularly compelling. With no dedicated Mohs surgeon currently in the market and the nearest competitor 90 minutes away in Raleigh, you would instantly become the regional expert. The plastic surgeon's expertise in complex closures provides excellent backup for challenging cases, while the volume of skin cancers in this sun-exposed region ensures a steady surgical schedule. Even if you prefer starting with general dermatology and gradually building your Mohs practice, the market demand will support your growth trajectory.
Your clinical autonomy extends to practice development as well. Want to develop a specialty niche in pediatric dermatology, complex medical dermatology, or aesthetic procedures? The administration's stance is consistent: if you can demonstrate the business case, they'll invest in the equipment and support you need. This entrepreneurial approach within an employed model gives you the best of both worlds – the freedom to innovate without the financial risk.
The clinical environment emphasizes quality over quantity, though the market demand means quantity will naturally follow. Your success metrics during the two-year guarantee period focus on building a sustainable practice rather than hitting immediate productivity targets. This patient-first approach aligns with Cape Fear Valley's broader mission while giving you the time to establish your reputation and referral base properly.