Your clinical practice will offer the ideal blend of bread-and-butter ENT procedures alongside opportunities for more complex cases, allowing you to maintain diverse skills while building expertise in areas that interest you most. With approximately 30% pediatric patients ranging from infants to adolescents, 10–20% geriatric cases, and the remainder adult patients, you'll experience the full spectrum of otolaryngology in a setting that prioritizes both quality care and physician satisfaction.
The numbers tell a compelling story of practice opportunity. Dr. Capero performed 645 surgeries in 2024 while seeing 2,055 patients, demonstrating the excellent surgical-to-clinic ratio that makes ENT practice both professionally satisfying and financially rewarding. Your surgical time will be split approximately 90% at the state-of-the-art Ambulatory Surgery Center and 10% at the main hospital, with the hospital cases typically reserved for more complex procedures like thyroid cancer cases, parotidectomies, and patients requiring overnight observation.
The ASC operates six fully-equipped operating rooms with plans for expansion to eight or nine rooms, ensuring you'll never lack surgical access as your practice grows. You'll have access to cutting-edge technology including Stryker navigation systems for complex sinus cases, Coblation devices, and comprehensive endoscopic equipment. The facility performs approximately 50% pediatric cases (primarily tubes and tonsils) with remarkably efficient turnover times – ear tube cases often have just 5-minute turnover between patients, while more complex procedures average 8–10 minutes.
Your call responsibility reflects a manageable 1:4 rotation, averaging just 7 days monthly with remarkably light call volume. Dr. Capero had only one emergency department visit in all of 2024, and most call nights involve little to no patient contact. When you do receive calls, the robust hospitalist program handles the majority of medical management, allowing you to provide ENT-specific guidance by phone or see patients during regular hours when possible.
The system has evolved to maximize efficiency – interventional radiology and emergency physicians often manage acute issues like severe nosebleeds before ENT is even contacted, typically requiring only next-day follow-up. The rare urgent cases that do require immediate attention (airway issues, foreign bodies, or significant bleeding) have clear protocols and excellent anesthesia support.
Unlike many practices where physicians struggle with administrative burden, this system provides exceptional support. Two experienced nurse practitioners – one seeing up to 30 patients daily – handle routine follow-ups and feed complex cases to physicians for surgery. Each physician is paired with a dedicated medical assistant who learns your preferences and workflow, creating seamless daily operations. A shared Clinical Surgical Technologist assists with complex cases, and a dedicated RN provides full-time triage support.
The practice maintains sophisticated red-flag protocols ensuring urgent cases receive immediate attention. When a concerning case appears in central scheduling (masses, tumors, or suspicious lesions), it's immediately triaged to physician review for expedited scheduling, preventing dangerous delays while maintaining efficient workflow.
The practice is transitioning from Cerner to Epic, a change that will align you with the system most training programs use and provide seamless integration across the IU Health network. Current physicians report high satisfaction with both systems, noting that Epic's familiarity among recent graduates often influences recruitment decisions. The EMR integration extends throughout the hospital system, eliminating the communication gaps that plagued previous mixed-system environments.
While the current practice focuses on general ENT, leadership actively encourages subspecialty development based on physician interests. The Inspire implant program demonstrates this philosophy – when Dr. Vick expressed interest and brought training from his previous position, the practice immediately supported program development. Similarly, opportunities exist for expansion into head and neck oncology, given the system's significant investment in cancer care programs.
For cases requiring subspecialty expertise beyond the current scope, seamless referral relationships exist with IU Health's downtown Indianapolis specialists. Complex pediatric cases can be referred to Riley Children's Hospital (often with same-day transfers for urgent cases), while adult head and neck, facial plastics, and complex oncology cases have established pathways to Methodist Hospital and University Hospital.
This clinical environment offers the perfect balance – busy enough to build a thriving practice quickly, yet supportive enough to maintain work-life balance while delivering excellent patient care.