Seeking BE/BC EM or FM physicians from a US-accredited residency

Job description

Seeking BE/BC EM or FM physicians from
a US-accredited residency, motivated to care
for an underserved and truly appreciative
patient population on the beautiful Pacific island
of Saipan, Northern Mariana Islands. A true global
health experience while working within America,
earning an American ER salary.
Clinical Duties
Benefits
• 14-bed ER; hospital with 80 inpatient and 4 ICU beds
• Dedicated career ER nursing staff
• Double coverage (APCs or other MDs) most of the day; 6 hrs overnight single coverage
• Inpatient psych ward; rapid admission. Most transfers happen as inpatients; almost no ED boarding
• XR/CT/US 24/7. Consults: Gen Surg, Peds, OB, Anesthesia, RT, Psych, Ortho, Cards, Neurosurg, ENT
• Interesting pathology (ciguatera poisoning, acute rheumatic fever); occasional trauma, almost all blunt
• Lower volumes than typical mainland EDs (~1–1.5 pts/hr)
• Dragon dictation mics; Meditech charting rolling out Feb 2027
• ACLS/PALS required; ATLS preferred (or EM residency training)
• Full time: 3 × 12-hr shifts/wk (compressed week; work-life balance); time off for travel prioritized
• Salary $306,000/yr; significant tax break for bona fide CNMI residents

• International setting; English is the official language; all providers US trained
• Small-island living; very reasonable rentals
• Take-home ~$253K on Saipan vs ~$191K in CA at same salary; CA needs ~$410–426K to match* *Estimate, not tax advice. 2026