Your week centers on the endoscopy suite. The practice is structured to keep you on procedures and new consults while APPs, dedicated schedulers, and an embedded pharmacist absorb routine follow-up and administrative work. Ambient AI documentation removes most of the charting burden.
| Setting | Days per Week | Typical Volume |
|---|---|---|
| Endoscopy Suite | 3.5 to 4 days | 8 to 11 procedures per half-day block |
| Outpatient Clinic | 1 to 2 half-days | 12 visits per half-day |
Clinic visits run 30 minutes for new patients and 15 minutes for established. Endoscopy blocks use 30-minute procedure slots. Case volumes are flexible and adjusted during a tailored ramp-up period based on your comfort level.
Core cases you will perform:
General GI procedures are expected of every provider, with ERCP and EMR available based on your training. EUS is not performed at this facility. Complex organ transplant candidates, EUS, and EBUS cases are transitioned to regional tertiary partners such as Henry Ford or the University of Michigan.
| Feature | Detail |
|---|---|
| Procedure Rooms | 7 private rooms |
| Concurrent Capacity | 5 to 6 endoscopy rooms at the main hospital, 1 to 2 at the ASC |
| Recovery | 25 private admission and recovery rooms |
| Scope Platform | Olympus Evis Exera III HD (190 Series) |
| Imaging Technology | Dual Focus and Narrow Band Imaging (NBI) |
| Turnaround Time | Approximately 6 minutes between procedures |
| Onsite Capability | Full endoscopy and diagnostic suite on campus |
| Anesthesia Model | CRNA-only coverage in the endoscopy area |
| MD anesthesiologist oversight | for the fluoroscopy room and ERCPs, supervising up to 4 CRNAs across that space and the ORs |
| Period | Total GI Cases | ERCP Cases |
|---|---|---|
| Most recent year | 14,200+ | 240 |
| Prior year | 11,625 | 260 |
| Current year (budgeted) | 14,600 |
Infusions and biologics are supported onsite. An embedded clinical pharmacist handles prior authorizations, dosage adjustments, and patient education.
Surgical services, including endoscopy, run on a stable staff of 38 FTEs with no agency nurses, techs, or aides for more than 10 years. Open positions are rare and typically fill within days from a deep internal applicant pool, so you work with an experienced, consistent team.
The group works closely across inpatient, surgical, and emergency teams. Relationships with general and colorectal surgery, radiology, emergency medicine, hospitalists, and critical care are integrated across all hospital departments. As a hospital-employed role, you have direct access to executive leadership and active participation in operational and governance committees.