Physician / Family Practice with OB / Iowa / Permanent / Family Medicine with OB Job $380K Base 4-Day Week Rural Iowa Job

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 option4-day workweek with nearly 8 weeks total PTOHospital-employed position with full benefits package Optional split-dollar life insurance compensation model Clinic volume 20 patients per day in 8-hour schedule40-50 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