Join a cohesive group that prides themselves in teamwork for the common good of taking care of their patients and themselves. This practice centers on the essence of the family medicine experience

• 6 MDs and 5 nurse practitioners
• Full Spectrum FM with OB: C/S available with back-up system
• Call is about once per week.
• Outreach resources
• Locum tenens cover the ER on weekends
• Critical Access hospital, Nursing Home, Dementia Unit, Independent Living Apartments, and Clinic under one roof
• Health profession shortage area
• Large Sign on bonus available

• Currently 6 Physicians and 5 NP’s/PA’s-Plan is to have 7 physicians.
• Average 20 patients/ day in clinic
• 4 days/week is full-time
• New Hospital opened in 2017
• Good Close group of Physicians- get along well together and work will with all staff
• Patient Satisfaction Score is 90.7 overall which is over the 60th percentile nationally
• Good Reputation & quality medical staff
• Service area is around 16,500

Benefits:

• HPSA Loan Repayment available Score of 9- theoretically could get all loan debt paid through this program. State loan repayment
• System Loan Repayment available
• Signing Bonus
• 5 weeks vacation
• CME
• Life Insurance – 2 X annual salary up to a maximum of $280,000
• Health Insurance- provide family coverage with minimal cost to physician
• Disability- short term & long term
• Malpractice Insurance
• 401K
• Relocation

Call

1:6; plan to get to 1:7

Call is about once per week. Our physicians back-up the nurse practitioners during the week- once per week for each NP. This has worked well. We have weekend locum tenens for the ER (Friday eve – Monday morning.) Our weekend on-call physician does rounds, Saturday morning clinic, admissions and assists with major trauma, if necessary.

Procedures:

C-section, tubal ligation, D& C Curettage, OB Ultrasound, LEEP, Colposcopy, Anterior & Posterior Nasal Packing, Vasectomy ( No scalpel types as well as traditional & vas clip), IUD insertions, simple lesion removals, repair laceration, incision and drainage procedure

Births

Average Between 90-100 Births. 2019 for 11 months had 118 births. 30 of those were C-sections.

C-Sections average 26%

Primary (first time C-Sections) 14%

Two Birthing Suites

Rural Health Certification

HPSA designated area so eligible for Federal Loan Repayment Programs

$60,000 for 2 years received by other physician- can reapply every 2 years

State loan programs and Health System loan repayment monies.

Part of the Rural Health Alliance

Payer and Population Mix

Private Insurance 60-65%; Medicare & Medical Assistance 35-40% Self Pay 5%

15 % Hispanic population- interpreter on staff and use interpreters through “The Bridge”- or the phone

Population- 36.3% 1-24 years; 24.6% 25 to 44; 30-60 years; 20.4% 45 to 64; 18.9% 65-over

Clinic Building

Clinic expanded and was remodeled in 2010

Physician has own office and 3 exam rooms, own nurse- same nurse every day.

2 procedure rooms

Average pts/day = 20-25

Hospital

• New Hospital opened in 2017
• There are approximately 270 Employees/140 volunteers of the Hospital and Nursing Home..
• Critical Access Hospital- 25 beds- Average Daily Census is 5 pts
• 1883 ER visits for 2013
• Averages 157/month
• Transfers 149
• Summer months are a little higher
• Ambulance makes 190 runs/year transferring pts out- approximately 7.7%
• 650 admits/year for the hospital including births
• 20,017 Hospital outpatient visits
• 444 total surgeries
• 2 Surgical Suites for inpatient and same-day surgeries
• Imaging provided by RDR 16 slice CT Scanner, ultrasound, dexascan, EKG,
• MRI comes 2x/week; Nuclear Medicine comes 2X/week

• Full-service, 24-hour Acute and Long-term Care
  Speech Therapy
• 24-hour Emergency Care
• Inpatient and same-day surgery- 2 surgical suites
• 24-hour laboratory and X-ray
• Mobile Imaging Services
• In-house Imaging - CT scanning, ultrasound, EKG, dexascan
• Physical and Occupational Therapy
• Cardiac Rehabilitation Program
• Swingbed and Transitional Care admissions
• Hospice Care
• Independent Living Apartments
• Home Health and Homemaker Services
• Diet Instruction by a Registered Dietician
• Epilepsy and Cancer Support Groups
• Prenatal and Sibling Classes
• Newborn Hearing Testing
• 75 Bed Nursing Home with 27 Bed Alzheimer’s unit
• 42 unit senior apartment complex
• Home Care /Hospice since 1990-91

Teaching Opportunities

• Family Medicine Residents can arrange a rotation. Most are from U of M/SCH Program
• There are two third year students and two fourth year students from Kirksville Osteopathic College.
• SIM program- 3 week rotations thru U of M Duluth

Outreach

Some outreach is done in the clinic, some is done in the hospital.

Our visiting physicians include specialists in:

• Allergy
• audiology
• cardiology
• ENT
• Gastroenterology
• General surgery
• Neurology
• OB/GYN
• oncology
• ophthalmology
• orthopedics
• Pain Clinic
• podiatry
• psychiatry- adult and child & adolescent
• psychology
• radiology
• Sleep
• urology

We have expanded the facilities to include a new clinic, new outpatient services area, a pharmacy, dental clinic, eye clinic, expanded parking facilities, a helicopter pad, & other improvements.

The health system includes a 25-bed community hospital with an attached 75-bed skilled nursing home and 42-unit senior apartment building. We offer a full range of health care services and convenient access to a variety of specialists.