Critical Care Physician

Critical Care

• ICU Model: Closed, 12-bed ICU (to include step down); admits by critical care intensivists 7 a.m. - 5 p.m.
  • APP admits overnight 6 p.m. - 6 a.m.
• ICU Staffing Model: 10 hours per day in-house intensivist; 7 days per week
• Mixed Medical-Surgical ICU
• Respond to codes when on-site
• Work collaboratively with the rest of the IAC team (ED, HM)

Hospital

• 124-bed facility
• Named for local businessman Sid Peterson, this private hospital was named one of the "Top 20" Rural Community Hospitals in the nation-the only hospital in Texas on the list
• Serves a primary service area of 45,000+ people
• Hospitalists admit 85% of patients from the Emergency Department
• Stroke patients who receive fibrinolytic or who meet criteria for arterial thrombectomy are transferred to San Antonio after consultation with a Tele-Neurologist
• Specialty backup includes 24/7 cardiology (including cath lab and most cardiologists do PE thrombectomies), general surgery, ortho, and OB/GYN
• Interventional radiology availabe during the week
• Vascular surgery coverage averaging 20-25 days per month
• Urology coverage 50% of the time

Community
Medical professionals in Kerrville enjoy a lifestyle that blends all the best aspects of rural, suburban, and urban life. With excellent housing, real estate costs, and state- and nationally-distinguished schools, Kerrville is the perfect hometown for families. Outdoor recreational activities such as flying, hunting, fishing, hiking, biking, kayaking, triathlons, and photography abound in this beautiful area of the Texas Hill Country. Since both San Antonio and Austin are within a one- to two-hour drive, Kerrville is a perfect choice for physicians who want to practice in a smaller community with metropolitan amenities nearby.
Other USACS services at this location
Emergency Department

• Trauma Designation: Level IV
• ED Beds: 20
• ED Admission Rate: 21%
• ED Transfer Rate: 4%
• Staffing Model:
  • 10-hour shifts
  • 3 Physician shifts per day (total 30 hours)
  • 3 APP shifts per day (total 30 hours)
  • Shifts will flex 1-2 hours up or down based on volumes
• EMR: Meditech
• BC (or BE) in Emergency Medicine (preferred) or BC in FP/IM with a minimum of five years of ED experience
• Stroke certified; however, still transfer patients who require lytics and/or arterial thrombectomy
• Primary Stroke Center certification expected by end of 2025

Hospitalist Service

• A cohesive team of 10 Hospitalist physicians and 4 Hospitalist APPs
• The team is supported by an administrative coordinator
• Integrated Acute Care model where all providers are partners of one team covering Emergency Medicine, Hospital Medicine, and Critical Care Medicine
• Most patients admitted through the ED come under the Hospitalist service
• Hospitalists also provide medical consultation to the inpatient rehab unit staffed by dedicated physiatrists
• Hospitalists hand off patients to the Intensivist when requiring transfer to the ICU
• Multispecialty support
• Procedures not required

Rehabilitation Unit:

• 16-bed unit
• Average Daily Encounters: 14
• Provides medical consultation services in coordination with dedicated physiatrists in the Acute Rehab Unit
• Inpatient rehabilitation unit
• Stroke Specialty program
• Support of on-site hospitalist physicians and APPs
• The team is supported by an Administrative Coordinator
• 7 days on/7 days off schedule
• Pre-operative clinic
• Rehab APP provides clearance for elective orthopedic surgical candidates
• Tuesday - Friday: 4 scheduled patients per day

Details

• W-2 and 1099 employment options available

About USACS
As a Critical Care physician within USACS, you'll be part of a team unique in today's industry. USACS provides physicians with ownership, unparalleled benefits and the opportunity to practice within a evidence-based model emphasizing quality, long-term wealth building and a culture of shared ownership. USACS physicians enjoy the security and resources of a large, national group without sacrificing the advantages typically found in local groups.
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