Clinical Component

Navigating the Clinical Component

Full-Spectrum Medicine Without Corporate Constraints

Picture yourself practicing medicine with the breadth and autonomy that drew you to family medicine in the first place. Here, you won't be relegated to quick refills while specialists handle everything interesting – instead, you'll manage complex diabetes, perform joint injections, conduct minor procedures, and truly own your patients' care from prevention through chronic disease management. Your typical day flows at a sustainable pace of 15–20 patients, with 40-minute new visits and 20-minute follow-ups that actually allow time for meaningful conversation and thorough care.

The patient population reflects the hardworking agricultural heritage of Eastern Oregon – farmers, ranchers, and their families who value straightforward communication and deeply appreciate accessible healthcare. While the practice spans all ages, it leans slightly toward internal medicine complexity, with a substantial geriatric population managing multiple chronic conditions. You'll draw on every aspect of your training, from pediatric wellness visits to complex polypharmacy management, with the clinical freedom to practice at the top of your license rather than constantly referring out.

  • Patient Volume: 15–20 patients daily (vs. 30+ at corporate practices), with flexibility based on complexity
  • Visit Structure: 40-minute new patient appointments, 20-minute follow-ups, with built-in documentation time
  • EMR System: Cerner (July 2024) with optional Augmedix virtual scribe support – focus on patients while your scribe handles documentation
  • Procedure Opportunities: Joint injections, skin biopsies, suturing, toenail procedures, IUD insertions, Nexplanon placement
  • Support Services: Direct access to OHSU consultation line, strong regional specialist relationships in Hermiston
  • Inpatient Involvement: Optional rounding on your own admitted patients (2–3 day stays), with ED physicians covering when unavailable
  • Home Visits & Facility Care: Opportunities for home visits and assisted living rounds at Willow Creek Terrace – practice old-school community medicine
  • Call Schedule: Zero mandatory call – evenings/weekends are yours, with optional ED shifts for extra income
  • Teaching Responsibilities: None required – focus entirely on patient care

The practice philosophy embraces comprehensive care over frequent referrals. When you need input, responsive consultants at Good Shepherd in Hermiston (47 miles away) and 24/7 OHSU consultation ensure support. Life Flight provides immediate transfers for critical patients, while you retain the autonomy to manage everything within your scope – from insulin regimen adjustments to acute infection treatment – without bureaucratic barriers.

This is medicine as it should be: thorough, thoughtful, and relationship-based, where you have time to truly know your patients and the freedom to provide the care they need without interference.

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