Location: Coastal Delaware — the Delaware Beaches (Lewes / Sussex County), 83 miles from Philadelphia
Employment Type: Full-Time, Emergency Medicine (BC/BE)
Compensation: Top Compensation Package in the Mid-Atlantic / Full Details Shared in a Confidential Call
Practice Model: Independent, physician-owned, democratic / 18 months to equal partnership with full voting rights
Join one of the last true independent, democratic EM groups on the East Coast. This non-CMG, physician-owned group has held the same hospital contract since 1998 and practices across two sites today — the hospital ED (Level III Trauma Center, one mile from the beach) and a freestanding ED in Millville — with a brand-new freestanding ED is under construction in Delaware's fastest-growing zip code, targeted to open in 2027. Combined annual volume exceeds 65,000 visits.
Why This Emergency Medicine Physician Job Stands Out
Partners never leave this group — we typically hire just one physician a year, and this expansion is the rare exception. The partnership track is 18 months, among the shortest in independent emergency medicine, and it ends in equal ownership with a full vote. When you make partner, your productivity compensation roughly doubles per RVU and the least productive owner out-earns the highest-producing non-partner.
If you want ownership, a sane clinical pace, and a beach town to come home to, this practice is built for you.
* Physicians rotate across all sites with even RVU distribution — no cherry-picking of busier locations
* Dedicated nocturnists take their shifts first; remaining nights, weekends, and holidays are shared equally
* Shift length: 10 hours at the hospital, 12 hours at the freestanding EDs; ~14 shifts/month
* Patient volume: ~1.5 patients per hour on average
* Co-staffed with an experienced, long-tenured PA team
* Structured onboarding: Residents receive 6-9 months of double coverage before independent freestanding-ED shifts
* EHR: Epic across every site, with Dragon dictation and AI clinical tools in daily use
Emergency Medicine Physician Salary & Benefits
Compensation follows a transparent, physician-aligned formula: a guaranteed hourly base with night and holiday differentials and built-in longevity raises, a quarterly productivity bonus, and full partnership economics at 18 months — the point where your dollars-per-RVU roughly doubles. Sign-on and relocation assistance are provided. The benefits package includes fully funded medical coverage and HSA contributions, an annual profit-sharing plan contribution, and a self-funded 401(k), and Delaware adds its own advantages: no sales tax and some of the lowest property taxes in the region. The full numbers — current hourly rates, typical annual earnings, and what partners actually take home — are shared in a confidential call, and they hold up against anything in the region. Request the call and we'll walk you through the math.
Practice Locations: Lewes, Millville & Millsboro, Delaware
The hospital emergency department — a designated Level III Trauma Center and Joint Commission-accredited Advanced Primary Stroke Center — has 37 beds and sees roughly 50,000 annual visits. Daily staffing runs five 10-hour physician shifts alongside three 12-hour PA shifts.
Our FSED is a 23-bed freestanding ED opened in 2020, seeing about 15,000 annual visits in a lower-acuity, high-efficiency environment with 12-hour physician shifts, roughly 30-35 minutes southwest of the main campus.
Our New Campus Freestanding ED (opening 2027) is under construction in the fastest-growing zip code in Delaware: 16 emergency exam rooms plus two dedicated pediatric rooms staffed by Nemours Children's Health specialists, advanced imaging (CT, MRI, ultrasound), on-site lab and pharmacy, and a helipad.
Trained in Philadelphia, Baltimore, or Washington DC? Come Back to the Coast.
Most of the physicians in this group trained in the Mid-Atlantic — Philadelphia medical schools and residencies especially — and chose the Delaware coast on purpose. If you trained at a program in Philadelphia, Baltimore, Washington, or New York, this is where you keep your people close and trade the city commute for a beach town. The beach becomes home.
Why Live and Work at the Delaware Beaches?
In Lewes, the beach is the backdrop, not the vacation. Live in a premier coastal destination renowned as "The First Town in the First State", offering pristine beaches, rich maritime history, and vibrant local dining. This charming seaside community seamlessly blends relaxed bayfront recreation with historic architecture, boutique shopping, and natural adventures. The main ED sits about a mile from Lewes Beach on the calm Delaware Bay, and Cape Henlopen State Park — six miles of guarded Atlantic beach, a fishing pier, and roughly 15 miles of connected bike trails — is minutes away. Rehoboth's boardwalk is 20 minutes down the coast, and the Cape May-Lewes Ferry puts Victorian Cape May 85 minutes across the bay. Physicians and their families here live year-round where most of the Mid-Atlantic spends one week each summer.
How to Apply
Apply now with your CV, or request a confidential call — 30 minutes is enough to walk through the compensation math, the partnership track, and whether the coast is calling.
Contact: Christina Plain - Phone: 469-432-3033 | Email: christina@emrecruits.com
Frequently Asked Questions
How much does this emergency medicine job in Delaware pay? Top of market for the region: a guaranteed hourly base plus a quarterly productivity bonus, plus a comprehensive benefits package. Full details are shared in a confidential call; request one and we'll walk you through the real math, including what changes at partnership.
Is this a CMG or hospital-employed position? Neither. This is an independent, physician-owned, democratic emergency medicine group that has held the same hospital contract since 1998.
How long is the partnership track? 18 months to equal partnership with full voting rights — among the shortest defined tracks in independent emergency medicine. The buy-in is reduced and spread across the track, and productivity compensation roughly doubles per RVU at partnership.
What is the schedule? About 14 shifts per month — 10-hour shifts at the hospital and 12-hour shifts at the freestanding EDs. Dedicated nocturnists take their shifts first; remaining nights, weekends, and holidays are shared equally.
When does the new emergency department open? The New Campus freestanding ED has been under construction and is targeted to open in 2027.
Are graduating residents eligible? Yes — 2027 emergency medicine residency graduates are encouraged to apply. New resident physicians receive 6-9 months of structured, double-coverage onboarding before independent freestanding-ED shifts.
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