Roanoke, VA
Number of Positions Offered: 1
Michael S. Nussbaum, MD, FACS
msnussbaum@carilionclinic.org
Charles J. Paget III, MD, FACS
cjpaget@carilionclinic.org
Department of Surgery
1906 Belleview Ave 1 West
Roanoke, VA 24014
(540) 853-0413
Administrative Contact: Tina Toms, tdtoms@carilionclinic.org
The experience will focus on the following areas: 1) Acting as faculty for the Emergency General Surgery Service; 2) Staffing an outlying critical access hospital; 3) Clinic time with opportunity for scheduling of elective cases and follow up of their operative cases; and 4) Scheduled endoscopy time parallel with a skilled surgical endoscopist.
The Junior Associate will function as a junior faculty with senior back-up, taking call, staffing cases, and working at a smaller satellite critical access hospital. The associate will have immediate access to senior surgical mentors which will allow them to grow and practice general surgery at a high level. They will participate directly in the supervision of residents on the Emergency General Surgery Service. They will take independent call with numerous back-up avenues available depending upon the nature of the case. They will take a reasonable number of independent call nights and would have the same access to decision-making and cases.
The associate will function as an independent practitioner with the benefit of back up, mentoring and assistance as needed. The experience will be tailored to the areas of interest of the individual. The Junior Associate will be expected to manage and appropriately bill for their services with assistance from the senior faculty mentors. They will also serve on the patient safety committee to learn quality and continuous process improvement. Medical liability would be addressed in focused sessions aligned with present resident education modules.
Depending upon the experience of the associate, the curriculum will emphasize different features depending upon the needs and goals of the associate. Rotations of interest may include acute care surgery, colorectal surgery, minimally invasive surgery (including robotics), surgical oncology, and flexible endoscopy. An incoming associate with more experience in tertiary care would have clinic time with more bread and butter type cases emphasized in terms of office evaluation, work up, operative procedure, and subsequent follow up. The intake interview would assess what skills are already well developed and which need more emphasis in terms of bridging the residency experience to independent practice. Monthly meetings with relevant faculty would consist of focused feedback as well as allowing the associate to evaluate their own practice and for them to seek an unbiased opinion regarding their decisions. The associate would be asked to keep a log of cases both operative and consultative, recording those that they wish to evaluate retrospectively. The semi-annual review will include multiple areas of performance to be reviewed in a summative format formulated by Drs. Nussbaum and Paget.
Farrell C. Adkins, MD, FACS
Cutis E. Bower, MD, FACS
Katie Love Bower, MD, FACS
Bryan R. Collier, DO, FACS
Emily Faulks, MD
Daniel Lollar, MD
Tananchai A. Lucktong, MD, FACS
David T. Luyimbazi, MD, FACS
John S. Rudderow, DO
Sharon L. Williams, MD, FACS
Keith R. Stephenson, MD, FACS