You practice full-scope rural family medicine with an even mix of pediatric, adult, and geriatric patients. Each clinic day starts with hospital rounds and moves into a full outpatient schedule in the Hebron Rural Health Clinic, which is attached to the TCHS hospital.
The clinic sits next to the hospital's trauma bay, so emergency and inpatient care are steps away. Visiting specialty clinics, onsite imaging and lab, and APP coverage for after-hours clinic calls support your outpatient practice.
Patient Mix: Equal mix of pediatrics, adults, and geriatrics
Outpatient Volume: About 15 patients per day
Inpatient Census: 2 to 3 patients per day
Exam Rooms: 2 to 3 per provider
EMR: Cerner
After-Hours Clinic Calls: Covered by APPs
| Time | Activity |
|---|---|
| 7:45 a.m. | Round on inpatient, observation, and swing bed patients |
| 8:30 a.m. to 11:30 a.m. | Morning clinic |
| 12:00 p.m. to 1:30 p.m. | Lunch |
| 1:30 p.m. to 4:30 p.m. | Afternoon clinic |
| Setting | Average Volume |
|---|---|
| Outpatient clinic | About 15 patients per day |
| Inpatient, observation, and swing bed | 2 to 3 patients per day |
| Emergency department, when on call | 4 to 6 patients per day |
| Long-term care rounding | 4 to 8 patients per month |
ER call is shared between physicians and APPs, with an APP serving as the primary provider on weekdays. All call is taken from home.
| Call Type | Frequency | Details |
|---|---|---|
| Weekday ER backup | 1 day per week | Backup supervising physician for the primary APP; in-person response needed about 4 to 5 times per year |
| Weekend ER call | 1 weekend per month | Primary ER coverage |
| Weekend inpatient coverage | Shared | The other physicians cover inpatient and swing bed patients on weekends you are not on call |