Primary Care Medicine

For many, drug interactions are one of the most frustrating challenges in family medicine, geriatrics, and ambulatory care practice. Even if one is up to speed on what drugs interact with one another, it is often unknown how to manage that specific interaction. Throughout the book, I share some of my management tips and pearls to help you feel more comfortable with managing drug interactions. This book is a perfect piece of education for pharmacists, nurse practitioners, physicians, physician assistants, and nurses who are looking to pick up clinical, real-world practice pearls.

This book is about churn or patient turnover. This is for those DPC doctors, not only those in mature practices, but also for those newbies who are just starting out. Everyone needs to worry about losing patients. It’s not only a blow to your ego when people are going out the door seemingly as fast as they are coming in but also a blow to your bottom line. And it could put you out of business.

Being a family doctor isn’t easy. Why? Because you’re either an employed physician or a doctor trying to survive on your own. Both are making doctors quit their profession every day. You have heard about direct primary care as an option, but you have been bombarded with misleading advertising, confusing recommendations, and bad information from those who fear taking the leap.

Direct Primary Care is an affordable and highly efficient primary care delivery model that promises unrestricted access to your personal doctor with same-day appointments and 24/7 remote access for a flat monthly fee. No deductibles. No copayments. No office visit charges. No insurance required.

Five years ago, my practice partner Dr. Amy Cianciolo and I started down the magical road of direct primary care (DPC), leading away from a frustrating and inadequate healthcare system. This model of care was the closest thing to achieving the healthcare quadruple aim of lowering costs, improving health, and increasing both patient and physician satisfaction.