The role is adult inpatient medicine in a shift-based model with double physician coverage during the day and 24/7 advanced practice provider support. Acuity is manageable for a community hospital, admissions are steady but not high volume, and a broad in-house specialist group is available for consults. Hospitalists admit and manage their own patients and use subspecialists as cases require.
| Detail | Summary |
|---|---|
| Patient Population | Adult inpatient medicine |
| Average Daily Census | ~18 patients |
| EMR | Epic |
| ICU | Open ICU, hospitalists admit directly |
| Procedures | Occasional; central and arterial lines, thoracentesis |
| APP Support | 24/7 |
| Call | None; shift-based coverage |
Hospitalists manage adult patients across the medical and surgical floors. As a community hospital rather than a tertiary center, admission volume stays moderate and the case mix is typical for the region. Complex cases are stabilized and referred out when needed: complex pediatric patients to Billings, and pediatric cardiac and neurological cases to Denver Children's.
Hospitalists do not take traditional call. Coverage runs on shifts, with two physicians providing double coverage during the day and one physician covering nights. Every physician covers some nights during the month; there is no dedicated nocturnist.
| Shift | Coverage |
|---|---|
| Morning admissions | One physician, 7:00 a.m. to 1:00 p.m. |
| Afternoon admissions | One physician, 1:00 p.m. to 7:00 p.m. |
| Night | One physician, from home within 30 minutes |
| Metric | Value |
|---|---|
| Average daily census | ~18 patients (about 12 plus 4 to 6 admissions) |
| Typical range | 10 to 28 |
| Daytime admissions | 4 to 6 per day |
| Night admissions | 2 to 5 |
Admissions are not capped. Volume stays manageable because the hospital is not a tertiary referral center. Hospitalists admit their own patients and call in surgeons or subspecialists when a case requires it. Hospitalists also help run codes.
Procedures are occasional rather than a daily expectation. Physicians comfortable performing them are welcomed, but they are not required.
The team includes 24/7 advanced practice provider coverage. How APPs are used is set at the discretion of the physicians, which allows each hospitalist to structure support around their own workflow.
A broad specialist group practices on site, which keeps most consults local.
Some services are covered through referral or telemedicine rather than in-house staff:
Teaching is a minimal and optional part of the role. The hospital participates in the WWAMI medical student program, which spreads roughly 300 students across the northwest United States; few rotate through Sheridan. There is no research or clinical trial activity.