Marshall Koll & Associates, a healthcare recruitment firm, conducted a search for East Texas Medical Center (ETMC) to find a new Director of Surgical Services. The market for surgical leadership is very competitive as hospitals fight over qualified candidates. Troy Thibodeaux of ETMC commented that Marshall Koll specializes in middle management healthcare searches and has the expertise to attract director-level talent. Neill Marshall interviewed stakeholders at ETMC to understand their needs and quickly identified strong matches. The candidates were presented in a timely manner. ETMC was very satisfied with their new Director, who has succeeded in improving the department, and they would use Marshall Koll again due to the professional service.