**Availability:**
- **Dates:** 11/27 at 8:00 AM through 12/4 at 8:00 AM
- *
*Extended Dates:** 12/25 at 8:00 AM through 1/4/2027 at 8:00 AM
-
**Requirement:** One locum physician needed to cover both periods.
**Minimum Qualifications:**
- A minimum of 100 colonoscopies performed in the last 12 months, including at least 20 polypectomies.
- At least 25 esophagogastroduodenoscopies (EGDs) performed in the last 12 months.
-
**Clinical Responsibilities:**
The role demands expertise in endoscopic procedures, requiring the candidate to currently perform a high volume of scopes.
The position offers a comprehensive scope of practice typical of rural community surgeons, encompassing:
- **Office-Based General Surgery Services:**
- Initial consultations for prevalent general surgery concerns.
- Execution of minor procedures.
- Patient and family education and counseling.
- Ordering diagnostic tests and facilitating referrals to relevant specialties.
- Coordination with primary care providers (PCPs).
**Common Diagnoses Encountered:**
- Inguinal and umbilical hernias
- Gastroesophageal reflux disease (GERD) and associated symptoms
- Rectal bleeding
- Cholecystitis
- Colon polyps and screening for colorectal cancer
- Hemorrhoids
- Sebaceous cysts
- Dysphagia
- Breast pathology
- Diverticulitis
- Skin lesions, including malignancies
**Procedural Competencies Required:**
- **Operative and Endoscopic Procedures:**
- Anal sphincterotomy
- Anoscopy
- Appendectomies (primarily in adults, with rare cases in ages 10-18, and selective for ages 5-10)
- Breast procedures, including ultrasound-guided biopsies, I&D of breast abscesses, fine needle aspirations, lumpectomies, mastectomies, and sentinel lymph node biopsies
- Colonoscopies (screening, surveillance, and diagnostic)
- Cholecystectomies
- Colon surgeries encompassing partial colectomies, sigmoid resections, ostomy creation/takedown, and interventions for indications like colon cancer and diverticular disease
- Debridement of burns, ulcers, or wounds
- EGDs (risk screening, surveillance, diagnostics, and therapeutic for UGI bleeding or esophageal food bolus)
- Exam under anesthesia
- Removal of foreign bodies
- Hemorrhoid management (hemorrhoidectomy and rubber band ligation)
- Hernia repairs (inguinal, umbilical, ventral, and incisional)
- Intra-abdominal procedures including laparoscopic exploration, lysis of adhesions, Nissen fundoplication, repair of perforated duodenal ulcers, and small bowel resections
- Placement of PEG (Percutaneous Endoscopic Gastrostomy) and feeding tubes
- Skin and soft tissue interventions, such as excision of large lesions, I&D of significant abscesses, pilonidal cystectomies, complex laceration repairs, split-thickness skin grafts, and temporal artery biopsies
- Limited vascular procedures, including toe amputations, Mediport placements/removals, and optional vein stripping.
This position offers a dynamic clinical environment with diverse surgical and endoscopic procedures, seeking a proficient practitioner ready to meet the needs of a varied patient demographic.