Need Overview

• Reason for need: Shortage of 15 full-time physicians across the Corpus Christi Medical Center system
• Start date: ASAP
• Duration: 1 year

Scheduling Details

• Shifts: 6:00 AM – 6:00 PM and 6:00 PM – 6:00 AM
• Coverage: On-site, includes weekends and nights
• Single physician coverage per shift at each site
• No specific dates required
• No call involved

Advanced Practice Providers (APPs)

• APPs not currently needed

Orientation and Onboarding

• Two-hour onboarding covering Meditech and local quality measures
• One shadow shift at each main site
• One shadow shift at any Free-Standing Emergency Department (FSED); all FSEDs operate similarly

Candidate Requirements

• Board Certification: ABEM required for Doctors Regional
• Experience: Minimum of 2 years Emergency Department experience or Family Medicine with Emergency Medicine fellowship (for FSEDs)

Credentialing

• Emergency privileges: Yes
• Case logs: Required

Hospital/Unit Details

• Beds: 18 beds at Doctors Regional
• Daily admissions:
  • FSEDs: 10% admission rate
  • Doctors Regional: 20% admission rate
• Consults: Yes, multiple per day
• Patient population:
  • Rockport: Elderly, seasonal (Winter Texans)
  • Northwest: Elderly, nursing home, rural population
  • Portland: Younger, mixed demographics
• Trauma designation:
  • Northwest and Doctors Regional: Level IV trauma centers
  • Portland FSED and Rockport FSED: Not trauma centers
• Acuity: High; physicians must be skilled in:
  • Central line placement
  • Intubation
  • Dislocation reduction
  • Trauma management
  • STEMI and stroke care
  • OB deliveries
• Follow-up: Generally not required; feedback provided as needed

Emergency Medicine – Specifics

• Shift times: 6:00 AM – 6:00 PM and 6:00 PM – 6:00 AM
• Call: Not required
• Required procedures:
  • Intubations
  • Central line placement
  • Ultrasound use
  • OB delivery
  • Dislocation reduction
  • Chest tube placement
  • Trauma management
  • Laceration repair

Support Staff

• Doctors Regional: 24-hour APP coverage
• Northwest: 12-hour APP coverage
• Portland: 11-hour APP coverage
• Rockport: 9-hour APP coverage

Patient Volume

• Doctors Regional: ~80 patients/day
• Most common cases: Full spectrum of emergency medicine presentations
• Annual ER admissions:
  • FSEDs: 10%
  • Doctors Regional: 20%
• Robotics: Not used
• Callbacks: Not applicable (no call coverage required)
• Staffing per shift: One Emergency Medicine physician at each site (except Bay Area)