the ideal medical practice
there are two amazing physicians that i admire :
- Dr. Gordon Moore of the Idealized Medical Practice
- Dr. Jay Parkinson of Hello Health
they are both living the life that i am striving for : medicine, innovation, imagination, success.
im currently waiting for permission from dr. jay parkinson himself to post his photos in a blog entry [ not only is he a physician and businessman, he is also an avid photographer. ] so this blog will discuss dr. gordon moore’s modern practice model.
a “normal” practice is one that involves secretaries, nurses, billers, transcribers, and a number of physicians working together. the average primary care physician usually has a patient population of 3,000 to 5,000 with anywhere from 20 to 40 patient visits a day. that’s anywhere from 3 to 5 patients per hour. that’s 10 to 20 minutes per patient. this is after you’ve spent an hour waiting in the waiting room, 15 to 30 minutes for the nurse to get some information, then another 15-30 minutes waiting for the physician to enter your room only to talk to you for 10-20 minutes before you are ushered out for the next patient to take your spot.
the key issues i see with this model are :
- patient dissatisfaction : i personally want to feel like im getting more than 10-20 minutes for my chunk of change thats going to their wallets.
- physician dissatifaction : im not in a position to personally comment on this yet, but i am already fearful and striving away from this type of “normal” practice model. i enjoy talking to my patients and getting to know them and their environment. it all plays a role in a person’s health. i cant do this in 10 minutes.
- increased overhead : the average overhead for practices are 60% or more! this perpetuates the need to see more and more patients which decreases the amount of time they each get.
dr. gordon moore created The Ideal Medical Practice to break free from the rat race in 2001. it’s a concept that strips away all of the employees that a typical practice will have and focuses on the doctor-patient relationship in its most truest form. the physician becomes the sole scheduler, biller, transcriber, and “see-er” of the patient. you decrease your patient population to 500 or so patients to concentrate on giving them quality care without the price of time. with The Ideal Medical Practice, a physician will allot up to one hour for each patient. that’s amazing. imagine all the issues you could talk about and the amount of preventative medicine you could instill in this patient within an hour.
the key differences to this model are :
- increased time with patients : up to one hour per patient
- decreased overhead : with yourself as the sole employee, your overhead goes down to 20 to 40%
map of all Ideal Medical Practices within the USA.
ive been following dr. moore’s success for two years now. since it’s inception in 2001, he has gained a loyal following of over 100 practices and it grows every day. he has written several articles in the Family Practice Management Journal of the AAFP organization and he has conducted two conferences based on his practice model with the ability to receive 20 credits of CME. for those who don’t know, CME is a requirement for maintaining your license as a physician. you are required to attend/earn a specified amount of CME each year.
one day i would like to attend his conference to see whether it is a fit for me. i like the idea because i’ll be my own boss responsible for my own actions solely with more time for my patients. however, there is also dr. jay parkinson’s Hello Health practice model. it’s an amazing, aesthetically pleasing, user-friendly platform and concept.
but more on that later.
im on call in 3 hours. itd be a good idea to nap while i can.
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