Academic Nocturnist - Dartmouth Hitchcock Medical Center
Listed compensation
$340K+
The week · per this posting · weekdays assumed
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
Job Description
Academic NocturnistDartmouth Hitchcock Medical Center
Dartmouth Hitchcock Medical Center (DHMC) in Lebanon, NH is seeking a full-time, BC/BE Nocturnist to join our academic Hospital Medicine team.
When you join our team of over 80 Hospital Medicine providers you will deliver high-quality, team-based care within a collaborative, tertiary care environment. You can also expect the following at DHMC:
- Complex case mix index within the top 5% nationally
- Closed ICU
- No code pagers (residents run codes)
- Inpatient resident and medical student teaching
- Faculty appointment at The Geisel School of Medicine at Dartmouth
- Opportunities for career growth including research, leadership roles, and a robust mentorship program
What Dartmouth Health Has to Offer You
- Collaborative and inclusive multidisciplinary team
- Shift-based salary of $340,000+
- Nocturnist salary differential
- Moonlighting opportunities
- 403(b) with employer match of up to 6% and 457(b) retirement options
- CME funds and protected time
- Comprehensive Health, Dental, Vision, Malpractice (with tail), Life, and Disability coverage
What New Hampshire Has to Offer You
- Four uniquely beautiful seasons
- Close proximity to mountains, rivers, lakes, and outdoor adventures
- 2 hour or less driving distance to Boston, the seacoast, and the Canadian border
- No sales tax or state income tax
About Dartmouth Health
Dartmouth Health is New Hampshire’s largest, and only academic, health system. We serve patients from across northern New England and provide access to over 1,800 providers.
Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, the Dartmouth Health Children’s hospital, 8 member hospitals, 30+ ambulatory clinic locations across the region, a Visiting Nurse Association, and the Jack Byrne Center for Palliative and Hospice Care.
Lebanon and the neighboring town of Hanover, home to Dartmouth College, are located in the “Upper Valley” which straddles the pristine Connecticut River, a national heritage river, and includes 46 towns in western New Hampshire and eastern Vermont.
This local region boasts excellent local schools, a myriad of cultural opportunities through Dartmouth College, as well as the Lebanon Opera House and Northern Stage in White River Junction, and an abundance of recreational opportunities.
Amenities associated with urban areas in Boston MA, Burlington VT, and Montreal QC are all within a few hours’ drive.
At Dartmouth Health, we care for patients from every community across our region, and we believe the range of backgrounds and experiences our people bring is a strength we support and celebrate.
We are committed to an environment where every person can thrive — our patients, our colleagues, and the communities we serve.
Our belief is simple and actionable: Dartmouth Health is better when we treat one another with respect and open minds, listen carefully to experiences different from our own, and hold ourselves accountable for how every person is treated here.
Qualifications
- Advanced clinical degree (MD or DO)
- Internal Medicine residency completion
- Board Certification or Board Eligibility with the American Board of Internal Medicine (ABIM)
- Must obtain and maintain a medical license in the state of New Hampshire
Key Responsibilities
The Nocturnist will deliver high-quality, team-based care within a tertiary care environment and participate in the teaching of residents and medical students. Responsibilities include managing a complex patient case mix and engaging in research or leadership opportunities.
Qualifications
- Education
- Doctoral or professional degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Hospital Medicine — Physician Career Context
Of the 41 active Physician listings this role was benchmarked against, 88% have no call, 37% require no weekends.
The cost-of-living index for New Hampshire is 104.2 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$340k midpoint carries the purchasing power of roughly $326k in an average-cost state. 60.5% of New Hampshire clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $340k | Physician median $300k (middle half $268k–$369k)429 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$326k in purchasing power | New Hampshire index 104.2 (US = 100)BEA Regional Price Parities (2024) |
| Physician listings in New Hampshire | 167 active | 22,666 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 88% no call · 37% no weekends41 benchmarked listings |
| Sign-on & loan repayment | not stated | New Hampshire Physician listings: 20% state a sign-on bonus · 6% offer loan repayment167 active listings, Nov 2026 |
| Hospital Medicine hiring demand | #18 of 28 specialties | postings stay open a median 49 days · 28% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 402 postings, 440 closed |
| New Hospital Medicine listings | 454 in the last 30 days | 379 the 30 days before (+20%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Physician pay trend | −3.1% vs prior quarter | —through Oct 2026 |
Location & Logistics
New Hampshire has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$340k midpoint, that is roughly $14k–$24k a year versus a typical 4–7% state rate.
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