Clinical Component

Navigating the Clinical Component

The Women's Center provides full-spectrum obstetric and gynecologic care with a broad surgical component. The incoming physician joins a team of six OB/GYNs, a family physician who handles well-woman exams and same-day add-ons, and a nurse practitioner who carries GYN patients and assists in surgery. The practice sees an even split of obstetrics and gynecology, and leadership is open to physicians who prefer to weight their caseload more toward one side.

Patient Population

The Women's Center serves a growing patient base with rising delivery volume. The team recently began seeing patients above BMI 50 and manages high-risk pregnancies, so comfort with both is valued. The closest Maternal-Fetal Medicine coverage is in the Tri-Cities, to Kadlec Medical Center, about 30 minutes away.

Clinical Snapshot

OB/GYN mix: Even split, flexible toward physician preference

Daily volume: 18 to 25 patients per day

Exam rooms: 2 per provider

EMR: Epic, with integrated scribe

Delivery volume: Approximately 50 deliveries per month and climbing (600+ annually)

C-section rate: 26% last year, 27% year to date

Anesthesia: 24/7 CRNA coverage

Robotics: Da Vinci Xi, availability is never a constraint

Office Procedures

Typical in-office procedures include:

  • Colposcopy
  • Endometrial biopsy
  • IUD and Nexplanon placement and removal
  • Pessary management
  • LEEP procedures

Surgical Procedures

The most common surgical cases include:

  • Hysterectomy
  • Oophorectomy
  • Tubal ligation
  • Hysteroscopy
  • Cystoscopy
  • Prolapse procedures

Surgical volume across the facility has grown quickly, from roughly 330 cases per month in early 2025 to a recent high of 528 in a single month. Two additional ORs are under construction, which will add robotic-capable rooms.

Call

Call is taken from home and is manageable. A nurse triage line screens calls first, and providers may take a call overnight but are not usually required to come in. The OB/GYN on call covers unassigned deliveries.

Call Detail

Call Detail Structure
Location From home
Target rotation 1:6
Triage Nurse triage line screens first
Come-in frequency Rare
Unassigned deliveries Covered by OB/GYN on call

The group targets a 1:6 rotation. Because of the team size, some weeks fall outside a strict rotation and call gets spread out, so a physician may go a weekend without call.

Clinical Support and Team

  • Dedicated Medical Assistant for every provider
  • Onsite RN Supervisor
  • Nurse practitioner who carries GYN patients and assists in surgery
  • Family physician handling well-woman exams and urgent add-ons
  • First assists available in the OR when needed

Labor and Delivery

  • 12 labor and delivery suites
  • Dedicated C-section suite within L&D
  • Physician sleep room on the unit
  • Level II NICU, accepting 32 weeks and above
  • In-clinic ultrasound with dedicated ultrasound techs housed in the Women's Center

Teaching

There is limited opportunity to teach medical students, residents, or fellows. This is available for physicians interested in it but is not a core requirement of the role.

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