Clinical Component

Navigating the Clinical Component

With more than 1,200 associates, MedStar St. Mary’s is one of the largest employers in St. Mary’s County. From diagnosis to treatment and recovery, our skilled professionals work together to make the patient experience the best it can be. Not only will we meet the patient’s medical needs, but we will offer them the dignity, comfort, and support they deserve during trying times.
As a not-for-profit hospital, MedStar St. Mary's earnings are reinvested into the community and into improving patient care. Our community outreach program, Health Connections, promotes healthy living through seminars, classes, support groups, health fairs, and demonstrations. Free and low-cost programs are offered on the hospital campus and in the community.
Call is 6 days per month which includes one 3-day weekend. You are compensated additionally for any call shifts over six. The call is shared with Dr. Real who takes seven shifts a month, Dr Wankhade, and Dr. Peghini who takes four blocks. The APP, Heather Tennyson, takes 1st call during the weekdays.

Heather does everything but procedures and does some inpatient about 2.5 weeks out of 4. Heather was born and raised in Leonardtown (was born in the hospital) and brings an enthusiastic, positive attitude that you will find appealing. She told me there is great support for the providers.

Dr. Real described the practice as having Boston Scientific tools and Pentax scopes that are less than 4-years old. There are 6-ORs and a minor room in the hospital, with 5-exam rooms in the clinic. They have no endoscopy suite; scopes are done in the OR (minor room) where the turn-around time is an exceptional 10 minutes. Due to intubation ERCPs take a bit longer.

Dr. Real said he is seeing about 22 patients per day and doing about 15 scopes per day at St. Mary’s. He said he spends about 50% of his time in the clinic. The bulk of his time is outpatient.
Dr. Nath was doing about 12,000 RVUs. The new provider will be able to do ERCP, but no EUS, they can also do IBD and according to Dr. Real, there is a real need for hepatology.

They have a structured Monday-Friday, 8:00-5:00 schedule. There is an option to do some outpatient at Brandywine about 45 minutes north. They have 30-minute initial consultations and 15-minute follow-ups. They have mobile equipment that can be moved into the minor room for endo cases.

This is a key strategic service line with a lot of need and volume. We want a well-trained BE/BC MD who is flexible and can provide high-quality care. This can be 80% at MSMH, 20% elsewhere or 100% at MSMH. There are 65,000 referrals a year coming from MMG Primary Care. 

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