Trinity Health serves Muskegon and downtown Grand Rapids with a shared annual census near 150,000-providing urban, community, and rural patient exposure. Both have Trauma 2 designations with no surgical/ortho residents to dilute procedures/management. They also rotate through a tertiary care hospital for peds, PICU, and tox. We are on the shore of Lake Michigan, 3 hours from Detroit and Chicago with ample opportunities for outdoor activities. We value 1:1 staffing with attending physicians.