Dual Board-Certified
EM / IM
FEMA / USAR
Physician
20+ Years
Experience
Multi-State
Licensed

About
Physician-Led.
Operationally Focused.
Founded by Dr. Alexander Palma, a dual board-certified Emergency Medicine and Internal Medicine physician with over 20 years of national experience — from high-volume emergency departments to rural critical access settings.
The practice is built around seamless integration with nursing and hospital staff, dependable execution, and delivering an excellent patient experience. Hospital leaders are met with a colleague who understands that stable, predictable coverage is itself a clinical outcome.
Leadership
Built Around Reliability.
Most coverage problems are not clinical — they are operational. The work is to reduce friction for hospital leadership, to support nursing and staff without disruption, and to keep the department steady through transitions.
- Seamless integration with existing nursing and staff
- Stability during staffing transitions
- Dependable execution, shift after shift
- Quiet professionalism over performance

