Clinical Component

Navigating the Clinical Component

A Robust Outpatient Cardiology Practice

Your clinical days at Cody Regional Health will center on what drew most cardiologists to the specialty in the first place: meaningful patient relationships, diagnostic problem-solving, and the satisfaction of managing cardiac disease across its full spectrum. With 90-98% of your work occurring in the outpatient setting, you will spend your time in the clinic rather than navigating hospital politics or waiting for inpatient consults to clear. The occasional daytime hospital consultation adds clinical variety without disrupting your schedule or personal life.

Patient Population and Volume

You will care for a patient population that reflects Northwest Wyoming's demographics: active retirees who moved here for the mountain lifestyle, ranchers and agricultural workers with decades of physical labor behind them, and families who have called this region home for generations. Many of your patients will present with the bread-and-butter cardiology cases that benefit most from longitudinal care: hypertension management, heart failure optimization, arrhythmia evaluation, and chest pain workups. The current four-month wait for new patients means your schedule will fill immediately, and the 50,000+ catchment area ensures sustained demand for years to come.

  • Average daily patient volume of 12-18 depending on acuity and case mix
  • Established patient backlog provides immediate practice volume
  • Catchment area of 50,000+ with limited local cardiology competition
  • Patient mix includes retirees, ranchers, and multi-generational local families
  • Strong referral relationships with internal medicine and hospitalist teams

Diagnostic Services and Procedures

Cody Regional Health supports a comprehensive outpatient cardiology diagnostic program. You will perform on-site reads for all standard non-invasive studies, keeping interpretation revenue within your practice and turnaround times short for referring physicians. Monthly volumes demonstrate consistent demand across all modalities.

  • EKG interpretation: approximately 400 studies per month
  • Echocardiography: approximately 60 studies per month
  • Stress testing: 25-30 studies per month
  • All reads performed on-site with dedicated support staff
  • No interventional or invasive procedures required

Practice Scope

This is a general cardiology position focused on non-invasive diagnosis and medical management. The hospital formerly operated a cardiac catheterization lab but has no plans to reopen that program. Patients requiring catheterization, electrophysiology procedures, or cardiac surgery are referred to Billings, Montana, where established relationships with interventional and surgical colleagues ensure smooth transitions of care. This referral model allows you to focus on the outpatient cardiology work that drives quality of life improvements for the majority of cardiac patients.

  • Non-invasive, outpatient-focused general cardiology
  • No cath lab responsibilities or interventional requirements
  • Established referral pathways to Billings for invasive procedures
  • Medical management and diagnostic evaluation as primary focus
  • Collaboration with regional specialists for complex cases

Call Schedule

One of the most distinctive features of this position is the call structure: there is none. No night call. No weekend call. When you leave the clinic at 5:00 PM on Friday, your time is your own until Monday morning. This arrangement reflects both the outpatient nature of the practice and the hospital's commitment to physician well-being. For cardiologists accustomed to grueling call schedules that interrupt family dinners, weekend plans, and sleep, this position offers a fundamentally different lifestyle.

  • No night call
  • No weekend call
  • Clinic hours Monday through Friday, 8:00 AM to 5:00 PM
  • True separation between professional and personal time
  • Predictable schedule supports work-life balance

Outreach Opportunities

Your practice will extend beyond Cody through outreach clinics in surrounding communities. Towns like Powell, Thermopolis, Worland, and Basin lack local cardiology services, and patients in these areas currently travel significant distances for routine cardiac care. Outreach visits, typically one day occurring twice monthly, bring your expertise to patients who might otherwise defer care or drive hours for a single appointment. These clinics also strengthen referral relationships with primary care providers throughout the region.

  • Outreach to surrounding communities including Powell, Thermopolis, Worland, and Basin
  • Typically one day of outreach, twice per month
  • Builds referral network across the region
  • Addresses access gaps in underserved rural communities
  • Low-acuity outreach visits complement Cody-based practice

Technology and Support

Epic EMR, implemented through a partnership with Intermountain Health, provides a modern documentation platform with connectivity to the broader regional healthcare network. The hospital plans to hire an Advanced Practice Provider to support your practice once you are established, adding capacity for patient follow-ups and routine management. Dedicated clinical support staff handle scheduling, prior authorizations, and administrative tasks, allowing you to focus on patient care.

  • Epic EMR with Intermountain Health connectivity
  • APP hire planned upon your arrival
  • Dedicated clinical support staff for administrative functions
  • Modern cardiology suite with diagnostic equipment
  • Efficient workflows designed for outpatient practice

This clinical environment offers general cardiologists the opportunity to practice at the top of their training without the bureaucratic overhead, call burden, or procedural pressure common in larger systems. Your days will be filled with the diagnostic challenges and patient relationships that make cardiology rewarding, with evenings and weekends free to explore everything Northwest Wyoming has to offer.

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