Family Medicine with OB Job | $380K Base | 4-Day Week | Rural Iowa

A rewarding Family Medicine with Obstetrics (FPOB) opportunity is available in a welcoming rural Iowa community, offering a unique blend of full-scope practice and exceptional work-life balance. This hospital-employed role provides the ability to maintain both primary care and obstetrics within a supportive, collaborative environment. Physicians will step into a well-established practice with consistent patient volume, strong provider continuity, and accessible leadership. The position is designed to maximize both professional satisfaction and personal time, featuring a 4-day workweek and generous time off. With a brand-new labor and delivery unit and ongoing facility expansion, this opportunity combines modern resources with the charm of rural medicine. This is an ideal role for physicians seeking autonomy, meaningful patient relationships, and long-term stability. 

Position, Compensation & Organization Highlights 

• Base salary of $380K with RVU productivity upside 
• $100K signing bonus with upfront payout structure 
• $25K annual loan forgiveness or retention bonus option 
• 4-day workweek with nearly 8 weeks total PTO 
• Hospital-employed position with full benefits package 
• Optional split-dollar life insurance compensation model 
• Clinic volume ~20 patients per day in 8-hour schedule 
• 40–50 deliveries per provider annually 
• Balanced scope: ~50% family medicine / 50% obstetrics 
• Flexible rounding with autonomy over daily schedule 
• Brand-new L&D unit with seven LDRP rooms and C-section suite 
• Dedicated OR suite with strong surgical support 
• Critical Access Hospital with $32M recent expansion 
• Modern upgrades including new ER and PET/CT capabilities 
• Collaborative team environment with minimal administrative burden 
• Vaginal deliveries only; C-sections supported by OB/GYN and surgery 

Community Overview 

This rural Iowa community offers a lifestyle centered around connection, safety, and simplicity, making it an ideal place to live and practice medicine. Serving as a regional hub, the area provides essential services and a strong sense of community pride across multiple counties. Residents enjoy a low cost of living, short commutes, and a pace of life that supports both family and personal well-being. The community is known for its excellent schools, strong values, and welcoming atmosphere for physicians and their families. With access to outdoor recreation, local events, and nearby metro areas, there is a balance of quiet living and convenient access to amenities. Physicians here are highly valued and become an integral part of the community fabric. 

Community Highlights 

• Safe, family-friendly community with low crime rates 
• Population of ~10,000 with strong regional draw 
• Excellent public, private, and parochial school options 
• Affordable housing and low cost of living 
• Short commutes with minimal traffic 
• Central Midwest location with access to larger metro areas 
• Easy drive to regional airports, shopping, and entertainment 
• Active community with events, sports, and local festivals 
• Access to parks, trails, and outdoor recreation 
• Strong local economy anchored by healthcare and education 
• Physicians are highly respected community members 
• Ideal setting for long-term practice and family life 

This FPOB opportunity offers a rare combination of strong compensation, modern facilities, flexible scheduling, and a close-knit community—perfect for physicians seeking both professional fulfillment and lifestyle balance.