Posted by: AtlasMD

July 6, 2015

Medscape: Why Internists Are Number One in Physician Burnout

Atlas-Image

It’s a simple truth: nobody wants to feel burned out. Nobody wants to lose their passion, feel like a failure at their career of choice, or feel like nothing more than a cog in the wheel. But that’s exactly what 50% of physicians in internal medicine are experiencing, according to a new study published by Medscape. Many of you reading this know the feeling first hand, which is what lead to you to Direct Care to begin with. But fifty percent? That burnout rate is higher than the rate of other U.S. workers… So what’s the deal? Why internists?

Among the 26 specialties surveyed by Medscape, “internal medicine faces the highest combination of prevalence and intensity of burnout,” Dr Hood pointed out. He speculated that this may be an unfortunate by­product of “a high idealism among internists, who not only chose what they wanted to do in their professional lives but accepted doing this work knowing that they were accepting a lower relative evaluation of their services, economically and noneconomically.

“Idealism,” Dr Hood noted, “can predispose for disappointment, particularly when the locus of control is outside that of the physician.” 

Time is also to blame for such a high burnout rate. This is ironic, because in DPC, time is the very thing that breathes life back into medicine. But the traditional healthcare environment fosters a “hot but slow burn. The endless flow of forms grinds physicians down.” Plus, as the task of certificate maintenance is adjusted for a higher level of difficulty, it only “adds fuel to the fire.”

When you look at it that way, it kind of makes sense. You put up with the “stress, depersonalization and emotional exhaustion” for years and years – by the time you call it quits you can’t cut into your retirement cake fast enough, right? Wrong. Internists don’t have to wait until retirement to hit the brick wall of burnout. It’s happening to docs 35 years of age and younger. That astronomical fact is mind blowing because by the time you graduate from med school and complete your residency, that’s barely enough time to get your feet wet in the real world before you’re ready to throw in the towel! What makes sense now is that aspiring internists are thinking twice before jumping in at all.

The Real Burnout Villain

It’s true, internists have a lot working against them right off the bat. One internists lays it all on the line:

“What’s going wrong? Really? How about what’s not going wrong? Insurance companies playing doctor; federal and state lawmakers who openly junketeer on insurance and pharma dollars, then pass legislation that blatantly benefits those industries; federal agencies and private certification bodies that actively engage in racketeering practices targeting physicians; and a general public that thinks Dr Oz is the bee’s knees.” 

That sounds like enough to send someone running in the other direction. And if it weren’t for their innate, undeniable, inherent desire to help others, many probably would. Even that sentiment is being shoved under the rug, as more and more healthcare professionals observe that patient care doesn’t really matter anymore.

Let The Light Shine!

It’s time for a little optimism here. Burnout is depressing, something we’ve all admitted we want to avoid, right? Well thank the stethoscope gods there’s a way. In fact, one of the internists Medscape interviewed put it quite succinctly.

“The most effective way to combat job burnout is to quit doing what you’re doing and do something else, whether that means early retirement or changing careers.” 

Now, we happen to think your talents should not go unused, which is why it’s a good idea for you and your career to spend a little time in counseling together before you part ways. That passion is still there. You still want to help people. You still care about others. Getting back to the solution to burnout… Direct Care is waiting with open arms. This business model wants you to succeed. It urges you to spend more time with your patients. It implores you to run an in-house pharmacy and handle your own billing. It desires your happiness and the happiness of your patients. It welcomes your intense attention to personalized care. It rewards you for doing what you always wanted to do in the first place.

We hate to admit it – burnout is real. But it doesn’t have to be the end. In fact, it’s really just the beginning…

Celebrating Freedom!

BlogArticleImages_4thOfJuly

This year, Direct Primary Care Practices have put down roots in more towns across the U.S. than ever before, and if that’s not a massive reason to celebrate freedom, then we don’t know what is. But let’s take a minute to examine those freedoms a little bit closer.

DPC does more than give patients an alternative to traditional healthcare. It obliterates endless minutes spent in waiting rooms, hidden costs and anxiety-inducing response times. It provides a platform where patients truly feel like the priority they are instead of just one of thousands of folders in a filing cabinet. With the freedom to use means of communication like text, email, and Twitter DM, all roads lead to a better patient/doctor relationship. That being said, the patient isn’t the only one who benefits from DPC freedoms.

Providers in the DPC realm are happier than those within the walls of traditional healthcare. They have control over their schedule, never have to rush patients out the door, and have literally been given the gift of time. It’s no wonder they’re falling in love with medicine again!

The freedoms of Direct Care result in a better healthcare experience for those on the giving end… and on the receiving end. This weekend, celebrate being free to choose DPC.

Posted by: AtlasMD

February 13, 2015

Business Insider: Why Your Doctor is Always Late.

Twenty minutes goes fast. Really fast.

So fast, in fact, that in the blink of a eye 20 minutes will vanish in the course of an already busy day. It takes a lot to stay on schedule in 20 minute increments, and only a little to throw a string of 20 minute time slots completely off course. (Pee fast!)

Welcome to the life of a physician who begins her day knowing there’s a very high probability her timeliness will derail halfway through the morning.

In a recent article published on Business Insider, “Dr. Tardy” outlines part of her day, giving examples of the types of patients she sees and the time it takes to care for them well. Through the interruptions, mishaps, and even some unexpected generous gaps to make up for lost time, she demonstrates that real patient care can’t be scheduled in 20 minute slots.

Dr. Tardy explains that she tries her hardest to “do the right thing for her patients, tries to take the time to listen without making them feel rushed.” And maybe that’s true. But what if she didn’t have to try so hard? Think how different her day would be if she knew she had 45 minutes (at least!) with each patient. If, when she needed to call a patient to explain the urgency behind an impending trip to the ER, that call wasn’t interfering with her next patient.

Hmmm… Dr. Tardy needs to be introduced to Direct Primary Care, where patient care is put above all else. The thing is, traditional medical practices say that, too – that patients come first. At the end of the day, actions speak louder than words, which is why the DPC business model is built around patient care rather than patients being squeezed into an impossibly tight schedule in a feeble attempt to keep their doors open.

In a world where a patient being 15 minutes late doesn’t derail the day, Dr. Tardy could change her name to Dr. Timely.

Read the full article over here on Business Insider. >

An Open Invitation to Be Brilliant.

Atlas-Blog37

To all the docs in a traditional practice who feel trapped. To all the physicians who wrap up each day feeling exhausted, buried behind mountains of paperwork. To all those former med students who thought there would be more patient in patient care.

It’s your turn. 

Your turn to be who you always wanted to be. Provide the kind of patient care you always imagined. Run the practice you always dreamed of. Your turn to be brilliant.

Direct Care is waiting for you, and making the transition isn’t all that difficult. Truth be told, neither is starting your own practice. There are lots of people who want direct care. And lots of people who support it, too.

So before you succumb to the desire to sell tupperware, there are a few things you should know. The way it’s been doesn’t have to be the way it is. Patients want personalized medicine as much as you want to provide it. And finally, change is not only possible, but happening around the country this very minute.

Yahoo! Finance: Concierge Model is Good Medicine for Subspecialists and Their Patients

The Direct Care business model is for more than family practice. According to Yahoo! Finance, it’s perfect for subspecialists, too, including cardiology, endocrinology, pulmonology, pediatrics and OB GYN practices.

Leading cardiologist John R. Levinson, MD, PhD, founder of the country’s first concierge subspecialty practice, AllCare Medical, LLC, in Boston, says: “Those specialties where patients have a longitudinal relationship with their doctor to work on chronic problems are an ideal fit for the concierge model.  If you’re the kind of cardiologist who helps patients work on chronic valve disease, coronary disease, or other areas of preventive cardiology, a concierge practice vastly improves your ability to provide the very best care for each and every patient.”

But it’s more than just a good business plan. It’s a good choice for a better quality of life from a provider’s point of view. Michael Friedlander, Principal at national healthcare consulting firm Specialdocs, even went so far as to say that physicians who have adopted the model have “taken their professional lives back.” Dr. Levinson knows firsthand just how good life can be inside the proverbial walls of Direct Care.

“It’s staggering what a change it has made,” asserts Dr. Levinson. “I’m unbelievably happy doing what I’m doing.”

Read the full article over here on Yahoo! Finance. >

A Rose By Any Other Name…

Call it what you want: concierge medicine, fixed-fee agreements, retainer medicine, membership medicine, or cash-only practice. Direct Care is reducing costs, making more sense for families than ever before – and Michigan is taking steps to keep this business model around.

According to the Michigan Capital Confidential, “Medical retainer agreements between physicians and patients will not be considered “insurance” in Michigan under a recently passed bill signed into law on Jan. 15 by Gov. Rick Snyder. The idea is to ensure that this innovative way for families to obtain routine medical services at lower costs will not be stifled by the extensive state regulatory structure currently imposed on conventional health insurance policies that cover expensive non-routine care.”

The idea that Direct Care results in higher quality medical care is becoming more widely accepted. It works for patients, who enjoy perks like shorter wait times, longer appointments, and actual one-on-one attention as well as physicians. Jack McHugh, legislative analyst with the Mackinac Center for Public Policy agrees everyone wins with this business plan. “What’s not to like about a very inexpensive relationship that covers all your family’s routine health care needs with no burdensome insurance paperwork, copays and bureaucracy? This can be liberating for doctors too, who are freed up to focus purely on patients’ needs rather than insurance company and bureaucrats’ needs.”

Read the full article for more information on Senate Bill 1033, now Public Act 552 of 2014, as well as the guidelines for being considered a “medical retainer agreement.” >

Posted by: AtlasMD

January 21, 2015

Skate Where the Puck’s Going, Not Where it’s Been.

If you know anything at all about hockey, you know that in order to survive in the game, you must think proactively. It’s the same with most sports, actually. To receive the pass, you go where the object you’re receiving is going – not where it’s already been.

It’s the most basic of principles, and it applies to medicine, too. The ACA is around to stay for a while – that’s just the way of it. So to prevent a giant ball from being dropped, Direct Care is taking it upon itself to show patients where the industry should go in order to catch the pass that is healthcare.

It’s this kind of proactive thinking that is leading docs around the country to open up Direct Care practices. These docs are standing in the end zone, frantically waving their arms calling for the pass; they’re wide open! Their rally cry? Patients really can save money while getting the kind of care they forgot even existed. Third party payments become a thing of the past, and people are reminded of how simple the whole thing can be.

Wayne Gretzky is a hockey hall-of-famer; one can only assume that’s partially because of his ability to apply the principle he so eloquently expressed. Skate where the puck is going, not where it’s been.

Posted by: AtlasMD

January 19, 2015

Say No to Cookbook Medicine and Third Party Payments.

A recent Wall Street Journal article by Dr. Gerald Gianoli sheds light on many of the reasons why Direct Care is the logical choice for docs who want to get more out of medicine.

“In 2005, well before ObamaCare, my practice in Louisiana transitioned to one such alternative: Third-party-free. Rather than deal with the hassle of private insurers or government health-insurance providers like Medicare, physicians in our practice work for patients—and no one else. When patients have a problem, they come in for treatment, pay with cash, and are out the door hassle-free. No copays. No insurers. No government.

“These alternative practice models also come with enormous cost-savings potential for physicians and patients. When insurance billing isn’t involved, physicians can save an average of 40% in overhead administrative expenses, according to reporting in this newspaper, and these savings are passed down to patients in lower fees…”

Read the whole article on the Wall Street Journal here. Then when you have time, check out this video of him speaking on the issue.

Keep spreading the word about DPC!

Posted by: AtlasMD

December 22, 2014

Go Ahead, Say It Out Loud. “I Am Direct Care!”

#IAMDIRECTCARE1Whether you want direct care, or embody it, there’s a place on the web for you.

You probably remember the launch of IWantDirectCare.com, which was the beginning of a movement to put patients who wanted Direct Care in touch with docs who provided it. This site’s doing a lot of great things, including proving the demand for better quality healthcare around the country. It’s even grown to include insurance agents in its networking nature.

Now it’s time for the movement’s progression to make its debut on the web, which is why we’re so excited for the launch of IAmDirectCare.com. With this largely socially-centered platform, supporters can show their support from a more individualized perspective.

IAmDirectCare.com captures the stories people share on social media about their wonderful experiences with Direct Care. It also shows supporters of the Direct Care movement and explains the DPC concept in simple, easy-to-grasp terms. Read more

Posted by: AtlasMD

December 19, 2014

If Not Your Doc, Who CAN You Trust?

We hate to hear stories like the one Dr. Frances told recently over at Kevin.md. The picture he paints about his friend who has been the unfortunate victim of not only cancer, but “community” treatment mishaps leaves only one word in our minds.

Chaos.

And that is not the ideal word you want to use to describe healthcare. According to Dr. Frances, several of those mishaps could have easily been prevented if someone were just paying attention to the patient instead of his results. Among these mistakes? The patient was prescribed meds that clashed and is no longer able to participate in lung cancer studies because alternative treatments (also prescribed by his docs) compromised his kidneys.

Dr. Frances has had it up to here. Read more