Four Patients a Day. 24s in Eastern Iowa, $4,620 a Shift, Sleep Room.

Updated 10/22/26
Dyersville, Iowa, United States
Physician
Emergency Medicine
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Job at a glance

Degree Required MD/DO
Position Type Locums/Travel
Work Environment Hospital
Visa Sponsorship No

Job description

Job description

A critical access hospital near Dubuque in eastern Iowa needs ongoing emergency medicine coverage. Three 24-hour shifts a month on average, 7a to 7a, with occasional 12-hour shifts.

The volume here is genuinely low. An average of four ED patients a day and about four inpatients across observation, acute and swing bed. Three ED treatment rooms, 20 inpatient beds. Call is in-house with a provider sleep room, which is the reason a 24 works at this site and would not elsewhere.

You carry inpatient responsibilities alongside the ED. Four advanced practice providers are on staff and you are not expected to supervise them. Two RNs cover all services with one CNA. Imaging, lab, pharmacy and rehabilitation services are on site, plus ambulatory surgery and infusion.

$192.50 an hour, which is $4,620 for a 24-hour shift. Lodging, rental car and mileage are reimbursed.

The hospital serves seventeen rural communities in a town of about 4,300, best known as the home of the Field of Dreams site and the Basilica of St. Francis Xavier.

Job Responsibilities

Provide 24-hour emergency department coverage at a critical access hospital, with in-house call and a provider sleep room. Manage an average of four ED patients per day. Carry inpatient responsibilities for roughly four patients across observation, acute and swing bed status. Document in TogetherCare, the facility’s Epic build.

Qualifications

Board certified in Emergency Medicine, or board certified in Family Medicine or Internal Medicine with recent emergency medicine experience. Active Iowa license required. Clean malpractice and background history. An NPDB self-query pulled within 30 days is required at presentation. Candidates must be able to drive in.

Working Hours

Average of three 24-hour shifts per month, 7a to 7a, with occasional 12-hour shifts. Ongoing coverage. Weekend coverage as needed.

Skills

Emergency medicine, critical access and rural practice, inpatient medicine, observation and swing bed management, trauma stabilization, Epic.
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Job Description

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