Family Medicine / Internal Medicine
Listed compensation
$130-$160/hr
The week · per this posting · Monday – Friday
Weekend work is also flagged as required; confirm which days and how often.
Ask the employer about the work setting and time off.
Job Description
Adelphi is seeking a licensed Family Medicine or Internal Medicine Physician to provide full-time medical services to adult patients at a facility in San Antonio, Texas. The physician will provide direct medical care to adults with intellectual disabilities and co-occurring mental health needs.
Job Quick Facts
- Reference #: BD-673-67
- Profession: Physician
- Specialty: Family Medicine / Internal Medicine
- Location: San Antonio, Texas
- Setting: Residential Care Setting
- Job Type: Full-Time Contract
- Contract Length: Minimum of 2 months, with the option to extend
- Start Date: Immediate, subject to completion of clearance requirements
- Schedule: Monday–Friday, 40 hours per week
- Hours: Eight-hour shifts between 8:00 AM and 5:00 PM; schedule may be customized if necessary
- Patient Panel: Approximately 25 adult long-term care patients across two residential homes
- On-Call: One weeknight per week and one weekend per month
- Compensation: $130-$160
Requirements
- Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.
- Completion of residency training in Family Medicine or Internal Medicine.
- Active Texas medical license in good standing with no sanctions.
- Must maintain an active Drug Enforcement Administration Registration.
- Must be credentialed with hospitals utilized by the assignment site.
- Must hold and maintain current American Heart Association-approved CPR certification
- Must successfully complete the required drug screening.
- Must successfully complete the required fingerprinting process.
- Must complete all required training before beginning the assignment.
- All licenses and certifications must remain current throughout the assignment.
Responsibilities
- Provide full medical care to adult long-term care patients with intellectual disabilities.
- Provide direct patient care, medical assessments, treatment, and face-to-face evaluations.
- Respond to emergency calls and restraint-related incidents.
- Respond to patient status changes and post-ER or hospital needs while on call.
- Provide care to dually diagnosed adult patients with intellectual disabilities & mental health needs.
- Deliver services onsite in a residential setting.
- Conduct patient rounds and participate in the morning report by 9:00 AM.
- Complete all required annual evaluations and quarterly documentation.
- Participate in annual team meetings as required.
- Participate in team meetings, referred to as ISPAs, as needed.
- Provide weekly home-call coverage from 5:00 PM–8:00 AM, averaging 5 calls.
- Provide monthly weekend home-call coverage from Friday 5:00 PM–Monday 8:00 AM, averaging 25 calls.
- Maintain all required training throughout the assignment.
- Comply with all applicable attendance, leave, operational, and clinical policies.
- Perform duties consistent with those assigned to permanent physicians at the assignment site.
- Perform other duties as assigned.
Qualifications
- Education
- Doctoral or professional degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Family Medicine — Physician Career Context
In Texas, the Family Medicine weighted monthly median benchmark on WeekdayDoc is ~$273k (74 salary observations; 384 listings), vs ~$263k nationally (1,908 salary observations; 6,496 listings). Monthly aggregates cover 2025-12-01 through 2026-10-01; these are not the modal's selected comparable-job medians.
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$145k midpoint carries the purchasing power of roughly $149k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Of the 50 active Family Medicine listings this role was benchmarked against, 4% are remote, 50% have no call, 70% require no weekends.
Family Medicine pay on WeekdayDoc is down 3.2% vs. the prior quarter (through Sep 2026).
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Family Medicine / Internal Medicine at Adelphi Staffing a 7.5 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Family Medicine — ranked against 2,560 active Family Medicine listings on WeekdayDoc. Contributing factors include no night shifts.
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$145k midpoint, that is roughly $6k–$10k a year versus a typical 4–7% state rate.
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