When I entered the field of medicine, patients were seen in the office almost exclusively by their treating surgeon. With the recent changes in the delivery of medicine, more patients are being seen by physician extenders. I do feel there is a role for these providers in delivering Orthopedic care. However, in order for me provide the highest level of care, I need to see and examine my patients on every visit, making the most efficient use of my time and more importantly the patient's time. I believe this is especially important in Orthopedic Surgery as a hands on physical exam and face-to-face discussion is crucial in the accurate diagnosis and treatment of Orthopedic conditions.I realize that this is not perhaps the most efficient or cost-effective way to deliver care, but it is how I choose to deliver care. Spending more time with individual patients allows me to better understand their symptoms and specific goals in seeking treatment. I enjoy interacting with patients, getting to know them and not just their injury. Over the last 25 years the changing reality of medicine has made spending time with each patient increasingly more difficult.From talking with my patients, most would prefer to see and interact with their doctor on every visit. Meeting in a relaxed environment, not feeling rushed, able to ask questions.With the creation of this practice, I can maintain quality care and continue to practice medicine the best way I know how.
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