Visits are Getting Shorter and Care is Getting Worse

Daniel Paull, MD, an orthopedic surgeon, shares how you can't compress a medical visit down to 7 minutes without losing quality.

Anyone that cares about what they do also cares about the quality of their work.

The electrician making sure their wiring is safe and done right is no different than the surgeon fixing a fracture.

As physicians we can’t do a good job for our patients without autonomy.

While pathologies and treatments may be similar, everyone is different. Some are good at taking directions, some aren’t.


The electrician making sure their wiring is safe and done right is no different than the surgeon fixing a fracture. As physicians we can't do a good job for our patients without autonomy. Click To Tweet


Some may be able to afford the treatment you want to give them, others won’t. Applying a one size fits all solution to every patient will have a much higher rate of failure, than one that takes into account the patient’s emotional, social, and economic situation.

This puts communication as the center piece. Communication allows us to know patient’s emotional, social, and economic situation. Communication needs time, you can’t rush it. Good communication leads to relationships being formed.

Hospital/insurance run care, which is mostly all of it, limits our time spent with our patients. We are forced to try and do our job correctly in 7 minutes of facetime. This creates an avenue for poor communication, likely worsens compliance, and leads overall worse outcomes. But we keep doing it. Why? Because if we don’t we will get pushed out of our practices, or be unable to keep ours afloat in the insurance based model today that equates to ever increasing overhead and diminishing reimbursements. This squeeze forces high volume practices which means little time actually spent with the patient. Patients hate it, doctors hate it too.

The tipping point is near, this current model of practice won’t be sustainable for much longer. It will be your choice whether you want to go down with the ship or get out in a lifeboat and start paddling.


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