This position is for a board-certified or board-eligible Emergency Medicine or Family Medicine physician with emergency experience to lead and provide high-quality care in a low-volume critical access hospital emergency department. The role offers flexibility with approximately 10 shifts per month, autonomy in directing ED protocols, and the opportunity to manage a diverse range of cases including emergency, urgent care, and inpatient rounding. Located in North Dakota, the position emphasizes a strong work-life balance with support from experienced healthcare providers and access to outdoor recreational activities.