Pella Regional Medical Center is in negotiations with a physician candidate.  If successful, the plan would be for the doctor to start January 1, 2011.  The doctor currently does not live in the state of Iowa.  Amanda Van Wyk has been hired as the Physician Assistant for the Sully and Monroe clinics.  Because she is a new Physician Assistant, she must complete a requirement where she works directly with a physician for 90 days. Current plans are for her to start in Sully in November.