Clinical Component

Navigating the Clinical Component

The clinical focus at the Southwest Campus is inpatient, procedural gastroenterology. The caseload is consistent and predictable, centered on bread-and-butter inpatient GI with access to strong in-house support across hospital medicine, surgery, and critical care. There are no outpatient responsibilities and no clinic requirements.

Patient Population and Volume

The daily census and procedure volume reflect a busy but manageable inpatient GI practice.

Metric Volume
Daily census (estimated) 16 to 17 patients
New consults per day 6 to 12
Follow-ups per day 8 to 12
Procedures per day 7 to 8
Inpatient procedures per month ~100
ICU cases per month ~15

Referrals come from a mix of emergency department admissions and internal consults across hospital medicine, surgery, and the ICU. The internal referral network within INTEGRIS is strong, providing a reliable and consistent volume.

Procedures

The procedure mix is focused on standard inpatient GI work. The endoscopy suite includes one dedicated room and a travel cart used for ER and ICU procedures.

Routine inpatient procedures include:

  • Upper endoscopy (EGD)
  • Colonoscopy
  • Inpatient scoping
  • Mobile ICU scoping
  • Food bolus management
  • GI bleed evaluation and treatment

ERCP and EUS are optional. Physicians who hold these skills are welcome to maintain and use them. Neither is required for the position.

Anesthesia and Procedure Support

Anesthesia coverage is available 24/7. Block scheduling is structured and predictable, with dedicated coverage for endoscopy as well as select bronchoscopies, bone marrow biopsies, and MRI coverage on Thursday mornings from 10:00 AM to 12:00 PM.

Call Expectations

During the on-week, the physician covers overnight availability by phone. The overnight burden is light in practice.

  • Most overnight contacts are nurse calls and consult discussions
  • Physical returns to the hospital are rare
  • 13 documented in-person call-ins were recorded in the prior full year, averaging approximately once per month
  • Most common reasons for return are food bolus removal and acute GI bleed

This is not a high-callback model. The physician is home each evening during the on-week with infrequent interruptions requiring a return to the hospital.

Clinical Support

  • Closed ICUs with in-house intensivists available around the clock
  • Hospitalists manage general medical admissions, reducing GI-specific non-procedural workload
  • General surgery, colorectal surgery, neurosurgery, and orthopedics available in-house
  • Strong anesthesia partnership with structured block time

APP Support

There is no APP currently assigned to the Southwest Campus GI service. The physician will function as the sole GI provider during the on-week. APP support is under consideration as the program matures, with a potential timeline of 12 to 24 months.

EMR System

Open item: The EMR system used at INTEGRIS Health Southwest Campus was not confirmed in the source materials. Please verify before candidate delivery.

Teaching and Research

No teaching or research responsibilities were identified for this position. Please confirm with the client if either applies.

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