Clinical Component

Navigating the Clinical Component

This is a fully outpatient endocrinology practice with daytime consultative inpatient coverage. You manage a general adult endocrinology panel with the clinical support and imaging access to run a complete diagnostic and treatment workflow onsite. The role gives you room to focus your practice and grow programs where the community need is strongest.

Patient Population

You see new and return outpatient visits across the range of general endocrinology, starting at 13 to 15 patients per day. Diabetes management is shared with primary care and varies by provider, so endocrinology carries the complex and hard-to-control cases. There is a clear opening to build out program areas as the service line grows.

Procedures and Services

  • DEXA scans
  • Parathyroid ultrasounds and nuclear scans
  • Ultrasound-guided thyroid biopsies

Call and Inpatient Coverage

Call is daytime only, during clinic hours, with no after-hours, night, or weekend responsibility. You take calls from the ER and hospitalists and provide in-person and phone consultations to hospital-based providers.

Component Detail
Call type Daytime consults during work hours only
After-hours call None
Daily call volume 2 to 3 calls per day
Inpatient consults 1 to 2 per week
Admissions None
Consult timing Flexible, built into AM, lunch, or end of day

EMR

The clinic runs on Epic.

Clinical Support

  • Dedicated RN or LPN/MA assigned to you
  • A PA or NP is being recruited to add capacity
  • Certified Diabetes Education team, including licensed dietitians and nutritionists
  • Behavioral health team available for complex patient needs
  • Close collaboration with Radiology, ER, Hospitalists, and Primary Care, with shared decision-making and co-management
  • Support from Sanford Fargo's endocrinology team for advanced or tertiary care coordination
  • Possible future option for virtual health visits and follow-ups

Program Development

Two areas stand out for growth.

Diabetes management. Primary care handles a share of diabetes care that varies by provider, which means endocrinology is the destination for complex cases. There is room to define how the two services divide work and to grow the complex-care side of the practice.

Transgender care. Onsite services are minimal today with limited resources, but there is institutional support to grow a program the community needs. Sanford Fargo has established gender-affirming care services to draw on. This is optional and not a requirement of the role.

© Copyright 2023 Pacific Companies. All Rights Reserved.