Position Overview

Understanding the Role

A Practice Where Your Skills Make a Measurable Difference

Step into a general surgery position where you will serve as a cornerstone of healthcare for California's Gold Country communities. Mark Twain Medical Center, an independent critical access hospital in San Andreas, seeks a full-scope general surgeon to join an established, high-volume practice. This is an opportunity to practice the full breadth of your training in a setting where your expertise directly impacts patient outcomes and community health.

As the primary surgical resource for the surrounding foothills region, you will fill a vital healthcare need for residents who would otherwise face lengthy travel to distant medical centers. The hospital draws patients from throughout Calaveras County and neighboring areas, communities that depend on local surgical services for everything from emergency appendectomies to cancer care. Your presence here means families can receive quality surgical treatment close to home, surrounded by their support systems during recovery.

The Daily Practice Experience

Your work life here balances clinical variety with operational efficiency. The practice structure offers flexibility, with most surgeons working two to three clinic days and two to three OR days weekly. The clinic sits just down the walkway from the hospital, eliminating the fragmented commutes that plague surgeons in sprawling metropolitan systems. When surgical needs arise during clinic hours, you simply walk to the OR rather than navigating traffic across town.

  • Full employment model with comprehensive benefits, malpractice coverage, and practice expenses covered by the hospital
  • Flexible scheduling that you coordinate directly with your surgical partner
  • Board certification in general surgery required, with endoscopy capability strongly preferred
  • Immediate integration into an established practice with existing patient volume and referral relationships
  • Collaborative environment where hospital leadership values surgeon input and supports program development

This position represents a replacement hire, meaning the infrastructure, patient relationships, and referral networks already exist. You will step into a functioning practice with immediate case volume rather than building from scratch. The hospital's leadership has expressed flexibility on compensation structure for the right candidate, particularly those earlier in their careers who may prefer higher guaranteed salary with adjusted productivity thresholds.

For surgeons seeking a practice where administrative burden stays low and clinical autonomy remains high, this opportunity offers a compelling alternative to the increasingly corporatized healthcare environments dominating metropolitan markets.

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