Gastroenterology.
Northgate represents gastroenterologists across general GI, IBD, hepatology, advanced endoscopy (ERCP / EUS), motility, and pancreaticobiliary.
Your career in gastroenterology.
Gastroenterology has been reshaped by ASC economics and capital. A senior advanced endoscopist deciding between an academic affiliation and a high-volume ASC is in a different conversation than a hepatologist evaluating a transplant center role. A junior partner inside a PE-backed group asking about the second-bite earnout is in a different conversation than an independent partner deciding whether to sell. We treat the sub-discipline and the ASC posture as the unit of the conversation.
The work within gastroenterology.
We are deliberate about the sub-discipline and the ASC posture behind it. The market for an advanced endoscopist with ERCP and EUS volume is not the market for a transplant hepatologist coming off a UNOS-accredited fellowship. The sub-disciplines below guide our approach to gastroenterology representation.
- General Gastroenterology
- Outpatient consultative practice, endoscopy and colonoscopy volume, and increasingly ASC equity. The anchor of most senior GI practices.
- Inflammatory Bowel Disease
- Crohn’s and ulcerative colitis programs. Almost exclusively academic and IDN; protected non-clinical time and clinical trial volume tend to define fit.
- Hepatology & Transplant
- Transplant hepatology is one of the smallest senior physician pools in medicine. UNOS-accredited center experience and HCC tumor board involvement decide most conversations.
- Advanced Endoscopy
- ERCP, EUS, FNA, ESD, and complex therapeutic endoscopy. A small senior pool; case mix and procedural volume are the negotiated terms.
- Motility & Functional GI
- Manometry, anorectal physiology, and complex functional disease. A niche sub-discipline; academic affiliation is the norm.
- Pancreaticobiliary
- Often overlapping with advanced endoscopy. Pancreatic disease programs, biliary intervention, and tumor board leadership.
The gastroenterologist we represent.
We are most useful to gastroenterologists who are seven to twenty years into practice, board-certified, fellowship-trained in their primary sub-discipline, and at a real inflection point. A partnership track that has reached its decision point. A new ASC opening with available equity. A transplant program ramping up. An academic appointment opening at a UNOS-accredited center. A second-bite earnout that is materializing or evaporating.
The conversation tends to work less well for trainees, for early-career physicians still building procedural volume, and for engagements where the platform will not discuss ASC equity, productivity model, or the partnership-track calendar up front.
- Tenure
- Seven to twenty years post-fellowship, with at least three years at the current practice. Earlier-career GIs better served by their fellowship network.
- Procedural volume
- Annual endoscopy, colonoscopy, ERCP, and EUS volumes that match the sub-discipline. The numbers are the conversation.
- ASC ownership posture
- Whether you currently own equity in a center. Whether the next move requires you to leave equity. This is often the largest economic variable in the move.
- Practice-model preference
- Independent partnership, PE-backed platform, academic appointment, or IDN-employed. The four shape the offer architecture more than the sub-discipline does.
- Reason for the conversation
- A specific reason this season, not general curiosity. The reason itself usually shapes the right next role.
The rooms we work in.
The settings we consider for gastroenterology career opportunities.
- Academic Medical Centers
- Integrated Delivery Networks
- Independent GI Groups
- PE-Backed GI Platforms
- UNOS Transplant Centers
- ASCs & Endoscopy Centers
- Multi-specialty Groups
- Faculty Practice Plans
