Assignment Start & End date (estimated are okay – need the overall range example 7/1-12/30)

2/1/2025- 06/01/2025

Schedule Hours for Clinic /Hospital : 8:00 am – 5 : 00 PM

Schedule Days Clinic /Hospital : Friday, Saturday, Sunday

Number of patients seen per day in clinic: Unknown

Call Night /Weekend : Yes

What are the days for Call : Friday, Saturday, Sunday

What Time does the Call start: 7: 00 am

What Time does Call end : 7: 00 am

Call will be for assigned, unassigned, or both assigned and unassigned patients. Both

Call response time required?( 15 min? 20 min?) 15-20 mins

Call Ratio Call Back % : Unknown

Average Phone consults while on call : Unknown

Average admissions while on call : Unknown

Average patients seen while on call : Up to provider

If there are specific dates you need filled please include them here along with the shift times – for example 6/1-5 8a-5p with night call 5p-8a

Not at this time
Age of patients – 18 years old & up

Inpatient /Outpatient – Both

Type of Charting /EMR – Athena / Cerner

Board Certified or Board Eligible – Both

Is Fellowship required : Yes

How Long Does Credentialing Take – 120-180

Are Temp Privileges Granted – Yes

Travel and Lodging (is there a Corp Rate somewhere?) – Yes

Beds in the Department : 209

Admissions Required – Yes

Average Number of Admissions per shift (when not on call)- Unknown

Is the Hospital Stroke Certified – Yes

Is there Rounding? IF so is it for assigned or unassigned patients – Yes, Both

Is an active state license required in order to be considered? Yes

Will you consider providers with an IMLC? (compact lic) – Yes

The Following Certifications Are Required? ABLS,ACLS,ATLS,BLS,PALS (any others please specify) Yes

What PEDs Level is the facility 3,2,1? – No Level

What Trauma Level 1-5? – No level

Support staff (How many and which) RN? MA? PA/NP? Office Staff? – In office staff

Patient Encounters Per Shift:TBDRequest Type:Locum TenensBeds in Department:TBDPatient Per Shift:TBD
Does your Facility require physicians to be board certified? Yes
Minimum Board Certification Certified
Allow Bids from Providers with IMLC? No
Estimated Credentialing Timeframe (Days) 120-180
Fellowship 2
The Following Certifications Are Required
ABLS No
ACLS No
ATLS No
BLS Yes
PALS No
Other No
What trauma level is this facility? 0
FacilityPEDsLevel? 0
Specialty Skills: Otolaryngology

General Otolaryngology : Preferred
Surgical : Preferred
Non-surgical : Preferred
Endoscopic procedures : Preferred
Septal : Preferred
Sinus : Preferred
Bronchoscopy : Preferred
Flexible : Preferred
Rigid : Preferred
Laryngoscopy : Preferred
Tracheotomy : Preferred
Thyroidectomy : Preferred
Extended parotidectomy : Preferred
Radical neck surgery : Preferred
Facial reconstruction : Preferred
Facial surgery : Preferred
Facial implants : Preferred
Blepharoplasty : Preferred
Rhinoplasty : Preferred
Complex head and neck : Preferred
General head and neck : Preferred