The practice is built around general adult urology with a heavy stone and benign disease component, supported by a strong office procedure mix and consistent operative volume. Physicians carry full clinic panels alongside dedicated OR time, and surgical access is not a limiting factor at this hospital.
An incoming physician has room to shape the balance between clinic and operative work. Both current models are active within the group, and OR time including robotic block is available without waiting.
Patient Population: Adult general urology, male and female
Primary Focus: Stone disease, benign urology, general operative cases
Clinic Volume: 30 to 50 patients per day depending on practice model
Surgical Volume: 5 to 12 cases per week per physician
Robotic Platform: da Vinci Xi
EMR: Epic with AI scribe and dictation
Payor Mix: Primarily private insurance and Medicare
The practice serves adult patients across Southwest Louisiana with referrals arriving primarily from within the health system. Volume skews toward general urology, with stone disease representing a significant share of both clinic and operative work.
Core clinical areas include:
Areas of identified community need where an incoming physician could expand services:
Prostate and kidney stone cases represent the highest-volume surgical work in the practice, performed both robotically and through traditional approaches.
These cases leave the market today. A physician trained in these procedures has the opportunity to keep that volume local and add service capability the region does not currently have.
| Metric | Detail |
|---|---|
| Operating Rooms | 16 |
| OR Hours | 7:00 AM to 5:00 PM |
| OR Time Assignment | Block time |
| Block Review | Reviewed daily |
| Unused Block Release | Released as soon as the OR is notified |
| Case Scheduling | Scheduled through Epic |
| Average OR Procedures Daily | 30 across all services |
| Surgical First Assist | Available |
Robotic surgery is performed on the da Vinci Xi platform. Robotic experience is preferred, and OR availability including robot time is sufficient for the current group with capacity for an additional surgeon.
| Practice Model | Clinic Days | OR Days | Clinic Patients Per Day | Cases Per Week |
|---|---|---|---|---|
| Surgical-weighted | 3 | 2 | 40 to 50 | 10 to 12 |
| Clinic-weighted | 4 | 1 | 30 to 40 | 5 |
Nurse Practitioner support is integrated into the practice and is a significant driver of physician efficiency. The advanced urology practice works with three Nurse Practitioners and has capacity to support an additional APP.
APPs in the practice:
APP support is available to an incoming physician who wants it. Physicians who prefer to practice with RN and LPN support instead are also accommodated within the group.
Call is manageable and taken from home. A nurse triage line screens all calls before they reach the physician on service.
| Call Element | Detail |
|---|---|
| Frequency | 1:3 once the position is filled |
| Location | Home call |
| Triage | Nurse triage line screens calls first |
| Average Volume | Approximately 5 calls per night on call |
| Hospitals Covered | 1 |
| ER Call | 7 days per physician annually per contract |
| Weekend ER Coverage | Locums support in place |
| APP Participation | APPs participate in the call schedule |
The hospitalist service admits inpatients and consults Urology by phone, which limits the volume of unnecessary in-person call responses.
Onsite imaging and laboratory services are available at the clinic locations, and Epic runs across the health system with AI-assisted scribe and dictation reducing documentation burden.
Working relationships across the medical staff are strong. Urology reports positive collaboration with Radiology, Emergency Medicine, Anesthesia, the hospitalist service, and Primary Care.
Medical students rotate through the practice and shadow physicians periodically. The time commitment is minimal and does not interfere with clinical productivity. Physicians who want more teaching involvement have room to build it.
The health system is in the early stages of developing clinical trial activity, giving an incoming physician the opportunity to help shape research participation in Urology as that program grows.