Emergency Medicine Job in Coastal South Carolina | $530K+ Earnings | Physician-Led ED

Practice Emergency Medicine in an environment where physicians make the decisions, patient volumes remain manageable, and earning potential reflects your preferred workload. This coastal South Carolina opportunity combines the autonomy of a private physician group with the stability and benefits of hospital employment, offering a refreshing alternative to high-volume, administratively driven emergency departments. Physicians currently earn $530K+, with opportunities to increase income through additional shifts rather than being limited by a fixed schedule. The department maintains a physician-first philosophy, prioritizing safe staffing, efficient clinical operations, and the resources necessary to deliver excellent emergency care. An established team of physicians, APPs, and specialists creates a collaborative environment where clinical judgment guides patient care. With significant expansion planned for 2027, incoming physicians can join an established program while becoming part of its next chapter of growth. 

Position, Compensation & Organization Highlights 

Compensation & Scheduling 

• Physicians currently making $530k+ 
• Current physicians average 160–180 hours monthly 
• Minimum 120 hours per month, with no cap on additional shifts 
• Flexible 10- and 12-hour shifts with no call responsibilities 
• Schedules established 2–3 months in advance

Physician Autonomy & Clinical Environment 

• 100% physician-led workflow, staffing, scheduling, and operations 
• Minimal administrative interference in daily ED decisions 
• Low-volume environment averaging just 1.5–1.7 patients per hour 
• 42-bed Emergency Department with absolutely no hallway beds 
• Five physicians and 2–4+ APPs providing daily coverage 
• Safe nursing ratios of 1:3, with a maximum of 1:4 
• More than 50,000 annual ED visits with a transfer rate of approximately 2% 
• 220-bed nonprofit hospital with Level III Trauma designation 
• Closed ICU with 24/7 intensivist coverage and in-house surgical support

Exceptional Radiology & Diagnostic Support 

• Dedicated onsite radiology coverage 24/7 with no overnight nighthawk service 
• Same dedicated radiology group provides coverage during days and nights 
• Average radiology read time of approximately 7 minutes 
• Average CT interpretation time of just 3.2 minutes 
• 24/7 Interventional Cardiology and STEMI program support

Expansion, Benefits & Additional Opportunities 

• Two fully equipped freestanding Emergency Departments opening in 2027 
• Both facilities will feature comprehensive onsite laboratory and imaging services 
• Freestanding ED volume projected at approximately 1.4 patients per hour 
• Dedicated ACLS and BLS transportation between freestanding EDs and main campus 
• 80% employer-paid health, dental, and vision premiums for physicians 
• Retirement options with employer matching up to 4.5% 
• $3,000 annual CME allowance 
• Malpractice coverage with tail included 
• Complimentary employee gym with unlimited personal training 
• Optional teaching opportunities with medical students, residents, and fellows

Coastal South Carolina Living – Minutes from Myrtle Beach 

Imagine finishing your shift and having the Atlantic coastline, scenic waterways, and some of South Carolina’s most popular destinations just minutes away. Located within the Myrtle Beach metropolitan area, this growing community offers an appealing alternative to crowded coastal cities while maintaining convenient access to beaches, entertainment, and outdoor recreation. The region combines a relaxed coastal atmosphere with a strong sense of community, making it attractive to physicians seeking a long-term home rather than simply a vacation destination. Historic surroundings, local traditions, and a vibrant cultural scene create a welcoming environment that retains its small-town character despite continued population growth. Families can enjoy the area’s educational opportunities and accessible housing market while taking advantage of the recreational amenities that make coastal South Carolina so desirable. Whether your ideal day off involves the water, a round of golf, or exploring a charming downtown, this location offers a lifestyle that makes time away from the hospital just as rewarding as your career.

Community Highlights 

• Approximately 10–15 minutes from Myrtle Beach and the Atlantic coastline 
• Cost of living approximately 9% below the national average 
• More affordable housing than many major coastal markets 
• 218 sunny days annually with mild winters and warm summers 
• More than 90 golf courses throughout the region 
• Waccamaw River and Intracoastal Waterway access for boating, kayaking, and fishing 
• Nearby Myrtle Beach State Park and Huntington Beach State Park 
• Historic downtown Riverwalk with restaurants, shops, and local charm 
• Annual Riverfest and Live Oak Festival 
• Coastal Carolina University with Division I athletics 
• Myrtle Beach International Airport with direct flights nationwide 
• Approximately 2 hours from Charleston and 3 hours from Charlotte 
• Growing community with new residential construction and established neighborhoods