Join one of the most thoughtfully structured anesthesia practices in California. Our department was purpose-built around a simple idea: great anesthesiologists do their best work when they aren't burned out. That means a case mix free of trauma, transplant, cardiac, thoracic, and spine---and a schedule designed to flex around your life, not the other way around.

CASE MIX --- BROAD, BALANCED & SUSTAINABLE Our case mix reflects a deliberate choice: we want anesthesiologists who love general anesthesia to actually practice general anesthesia. No trauma activations at 2 AM. No marathon cardiac or spine cases.

What we do offer is a high-quality, well-rounded practice that keeps your skills sharp across the full breadth of the specialty. What We Do:

• Orthopedics, general surgery, urology
• Plastics, ENT, breast surgery, robotics
• OB: ~150--180 deliveries/month, TOLACs
• Dedicated L&D ORs (2)
• Pediatrics: healthy ASA I--II, age >1 yr
• (ear tubes, T&As, dental procedures)
• Main OR + ambulatory surgery center
• (no midday site travel required) What We Don't Do:

• No cardiac, thoracic, or neurosurgery

• No spine or trauma
• No transplant
• Limited NORA (expansion planned) OB & CALL --- IN-HOUSE COVERAGE, BUT YOU'RE NEVER ALONE Because we have an active OB service with TOLAC, call is in-house rather than home-call --- a meaningful distinction for safety and team culture. But in-house does not mean isolated:
• One physician anesthesiologist + CRNA team on overnight --- your CRNA actively shares the clinical load: sitting in cases, assisting with C-sections, managing epidural requests, and supporting procedures
• Backup provider is at home; the OR team is on call-in basis --- overnight volume is manageable
• Weekday call runs 3 PM--7 AM only; weekend/holiday call is 24-hour THE SCHEDULE ADVANTAGE: WORKING ~3 OUT OF EVERY 4 WEEKS With 10--12 weeks of paid vacation annually --- available from your very first year --- and a 1:10 call ratio, our physicians effectively work three out of every four weeks while earning a full-time salary. Our scheduling culture makes this real: flexible partners, a dedicated per diem pool for last-minute coverage, and a track record of accommodating shift swaps and personal requests. Work-life balance here is not a recruiting line. It is a structural feature of how we operate. Most days you know exactly what time you leave the OR. No more open ended shift lengths. WHY TPMG The Permanente Medical Group (TPMG) is the largest physician-led medical group in the United States, with nearly 10,000 physicians and 45,000 nurses and staff. Serving Northern California, TPMG offers innovative, personalized, and technologically advanced healthcare, achieving superior clinical outcomes for over 4.6 million patients. Our team excels in disease prevention, early intervention, and specialty care, working collaboratively across 116 specialties and subspecialties. TPMG values diversity and provides culturally sensitive care tailored to the languages and heritages of our member community. As a TPMG physician, you get income security, benefits depth, and institutional support that private and locums work simply cannot replicate.

Location: Northern California Wine Country, ~1 hour north of San Francisco Hospital: Midsize community hospital serving Sonoma County Team: 13 anesthesiologists + ~25 CRNAs in a care team model Work Mix: ~⅓ solo cases, ~⅔ supervision---great experience balance right out of training Compensation & Benefits

• Base salary ~$500,000 (

W2, salaried); additional hours earn supplemental pay or accrued time off

• Frequent annual COLA --- often 3% or higher, with periodic market-rate adjustments

• Senior partner bonus in March after partnership track

• Retirement: Pension + 401(k) + employer contribution --- three independent retirement income streams

• Home loan assistance: Up to $250,000 via 10-year interest-free loan --- a rare and meaningful benefit in a high-cost state

• CME: $5,000/year; licensure, board certification maintenance, and DEA fees fully covered (separate from CME)

• Comprehensive family health, vision, dental, malpractice with tail, LTD, group life, childcare, and legal coverage

• Relocation assistance and moving expenses covered

• PSLF-eligible --- qualifying employer for Public Service Loan Forgiveness LIVING IN SANTA ROSA If you've already decided on California, Sonoma County deserves serious consideration --- not for the clichés, but for the math and the quality of daily life. The Cost-of-Living Reality On a $500,000+ salary, the cost-of-living gap between Sonoma County and the Bay Area is not marginal --- it is life-changing in practical terms:

• Median home prices in Santa Rosa run $200,000--$400,000 below comparable homes in Marin, San Francisco, or the South Bay

• With our $250K interest-free home loan, down payment barriers are substantially reduced --- ownership is achievable, not aspirational

• Lower property taxes, shorter commutes, and no toll bridges translate to real time and money returned to you every day

• You are not choosing between California and affordability --- you are choosing the version of California where your salary goes the furthest A Place That Rewards How You'll Actually Live With 10--12 weeks off per year, where you live matters as much as where you work. Sonoma County is exceptionally well-suited for physicians who intend to use that time:

• Outdoor access is immediate: coastal hiking, cycling, kayaking, and open space are minutes from the hospital, not hours
• Strong public and private school options in Santa Rosa and surrounding communities --- a consistent priority for physicians relocating with families
• A functioning small city with genuine neighborhood character --- restaurants, arts, community --- without the density, congestion, or anonymity of the Bay
• San Francisco is 60 minutes away for when you want it. The rest of the time, you won't need it.