Embarking upon a new path in your career is daunting. But you're not happy and you likely haven't been happy with your career's trajectory for some time. That's usually a big part of why you're exploring a change. Or maybe you're leaving residency soon and realizing the Fee For Service (FFS) world isn't all it's cut out to be.
This doesn't mean you have to reinvent who you. This means it's time to BE the doctor you've always been. Most of us choose medicine to help others and many of us have a passion for the intellectual pursuits that are inherent in good patient care. Starting a Direct Care practice does not mean you have to be anyone other than that Doctor who chose that path to begin with.
I hear from prospective and existing patients all the time about how they are disappointed when they join a practice to see a new physician and end up having all of their followups with midlevel providers. They call the office to ask their doctor a medical question, and they hear back from a medical assistant. There is an extremely high level of value inherent in YOUR degree and training. Patients see that; corporations see that; and you NEED to see that.
Many physicians leaning toward a career change into Direct Care worry they need to reinvent themselves, stretch their comfort zones, and add new services or specialties in order to be seen as offering value. Ultimately, most patients (the "best" ones for direct care) just want more access to you. In any practice, most patients love their doctor - but, what they don't love is how hard it can be to reach you and to feel heard. Allow the ACESS to YOU to be your differentiator - it's free!
If you're new to the concept, this post will review what it means to be a Direct Care practice. Most accept that the Direct Care model of medical care delivery began with Garrison Bliss MD at Qliance in Washington State while others believe pioneers like Brian Forrest MD of Access Healthcare Direct receive a lot of credit too. Regardless of the exact details of its roots, the concept has remained simple and grown exponentially.
Direct Primary Care (DPC) is the most common Direct Care practice. Rather than billing insurance like the Fee For Service model (FFS), DPC doctors bill patients directly as a monthly membership fee. This allows a predictable stream of income for the practice and gives doctors the opportunity to reduce the number of patients per physician, leading to much higher access for patients to their doctor. Most practices offer cell and email access directly to the physician. Many also offer discounts on labs, medications, and assistance in accessing more affordable imaging and specialty care.
The major goals of DPC are affordable, transparent cost for direct access and care through a physician who is not over-burdened by patient volume and insurance-dictated administrative responsibilities. Removing the burdens related to insurance billing (staff & related benefits, billers, data-miners, etc.) reduces the overhead costs required to run a practice. This is what allows doctors to have fewer patients on their panels (i.e. 300-600 rather than 1000s) and therefore spend more time per patient (including in-person, remote care, researching difficult medical concerns, etc.).
In reducing the administrative burdens faced by physicians in the FFS world, Direct Care doctors regain the control of direct care of patients, their own scheduling needs, and remove the sense that their rushing through their days checking boxes and referring patients out. If you're intrigued by the possibility of reigniting your flame for practicing medicine and patient care, I urge you to keep exploring how I've established and run my DPC in the simplest of ways.
Keep reigniting your flame for medicine:
- Be the Doctor You've Always Wanted To Be...
I am a Family Physician, wife to a doc, and mother of three with a mission to convince you as a doctor that you are worth more than the system is giving you and that you are already well-equipped to make a big change without adding more burdens! My passion is helping existing or start up Direct Care practices learn to troubleshoot, streamline, and simplify.