Locum - General Surgeon - Endoscopy

**Availability:**

- **Dates:** 11/27 at 8:00 AM through 12/4 at 8:00 AM
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*Extended Dates:** 12/25 at 8:00 AM through 1/4/2027 at 8:00 AM
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**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.
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**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.