Locum General Surgeon Endoscopy

**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.