Tue. Apr 30th, 2024

Here is a really great article on Dr. Kyle Rickner from Primary Health Partners about DPC. I think it does a nice job explaining Dr. Rickner’s motivation to do DPC while also explaining some of the forces behind the movement. Here are some highlights:

  • “The free market of medicine had eroded,” he said.
  • “It was just like the light bulb went on,” Dr. Rickner said. In January of 2016 he and Dr. Lockwood founded Primary Health Partners with two other staff members and his own daughter as office help.
  • “In a standard primary care practice, a physician may have 2,000 or even 3,000 patients,” he said. That means most primary care doctors are hustling through 25 or even 30 office appointments per day, giving at most 15 minutes per patient.
  • “In that kind of environment the number of visits is inversely proportional to the quality of care,” he said. “We limit our patient panel to 600 to 800 per physician.” That allows his staff members to spend the necessary time with each patient.
  • “What we do,” Dr. Rickner said, “is bring common sense back to the chaos of medicine.” That, he added, brings “a high degree of personal satisfaction to the physician. I believe more young medical students will see primary care as a viable option under the DPC model.

That’s some of the good news. The resources that the article claims are relevant can be debated. They don’t mention us at DPC News. They don’t mention the DPC Alliance. That’s a shame. I guess you can’t win them all but we hope those reading this in the future will correct this.

60940cookie-checkThe Rapidly Growing DPC Model
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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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