This is a permanent Internal Medicine-Pediatrics physician position near Des Moines, Iowa, offering a 4-day workweek and a patient load of 16-18 per day. Compensation includes a $325K base salary plus RVUs, with total income potential of $350K-$400K+, along with health insurance, retirement benefits, and relocation assistance. The role involves secondary call responsibilities shared among physicians and emphasizes work-life balance and competitive incentives.