I am a newer patient of Dr. Boland, Dr. Lambert's partner. Everything in this talk is true! Dr. Boland spent a lot of one-on-one time with me on my first visit and treated me like I actually mattered. Imagine that, a doctor that truly cares. I hope these two doctors and their staff know how much they've improved the lives of their patients. BTW, the staff at Dr. Boland and Dr. Lambert's office are all very kind, attentive and engaging. I feel lucky to have discovered these wonderful professionals!
I am a patient of this office. I see Dr Boland. Dr Boland is amazing! The entire office and how they work is awesome! I could not recommend this type of service enough. 95% of my interactions have been has been online through a secure texting program. I lack words on how amazing this type of service is!
Thank you, Dr Lamberts. My daughter is a primary care doctor and has a Concierge practice that takes insurance. I really like your model and appreciate your presentation and shared experience
Just want to say I appreciate you actually responding to your listeners' comments, Doctor. That speaks very highly of you and of your concern for people.
I really enjoyed listening to Dr. Rob Lamberts talk. He brings up some great points on burn out rates of physicians. He touches on a few key factors that are leading to doctors leaving practice. One of those factors being the increase in ‘busy work’ a physician needs to do. He specifically talks about the ‘busy work’ being the rules and guidelines that are put in place by the healthcare systems. In healthcare physicians take an oath to uphold certain ethical principles. One of these being autonomy. Autonomy is the idea that a person has the capacity to act intentionally, with understanding, and without controlling influences that would mitigate a free and voluntary act. Physicians are trained to respect patients’ autonomy and not to infringe on that in anyway. With that said one would imagine that the healthcare system itself would also oblige by the same principles, but this is obviously not the case. I believe a large factor that is contributing to physician burnout is the loss of autonomy given to the physicians. Physicians are no longer able to practice medicine without major oversite from the healthcare system. They are being forced to do ‘busy work’ as Dr. Rob Lamberts describes it. This puts unnecessary burdens on physicians which untimely leads to negative patient outcomes. He then talks about the key to improving doctors’ experiences by changing how doctors are paid. This idea certainly being true, I think it can be much simpler. The same results of improving doctors’ experiences can be achieved by focusing more on the doctor/patient relationship. If doctors are allowed to take the time to build relationships and get to know their patients there certainly would be less burn out rates. Not only that but trust between the patient and physician could be built. Patients and physicians would be able to work together. Patients would know that their physician truly cares for them and has his/her best interest in mind.
My children and myself were patient's of Dr. Rob's in his original practice, where I always felt that Dr. Rob was an excellent doctor, however I did not like the "office experience ". Too rushed, too impersonal, overall too much red tape so to speak. My children are now grown, however my daughter, my husband and myself returned to Dr. Rob's new practice a few years back and I can honestly say it's been a beautiful and amazing experience. My daughter was very ill for a very long time before she died last year and the last 2 years of her life Dr. Rob and his nurses treated her with the upmost respect and care. Whenever we had a crisis after office hours it was Dr. Rob who answered his own after hours number and it was his voice on the other end of the phone line that brought me answers and comfort when I thought for certain no help could be had for my daughter. As a caretaker and mom of a terminally ill grown child there is nothing better than to hear to voice of the doctor you know and trust on the other end of a phone line when in the middle of a medical crisis. This method of practicing medicine was exactly what my daughter needed at the end of her very short life. It was also what I needed to insure my daughter who could no longer speak for herself got exactly the care she needed to feel safe and trusting. Dr. Rob has been nothing short of a miracle for my family, he's even been able to earn my husband's trust and respect and this is a man who has always hated doctors. My family and I will continue to see Dr. Rob for as long as he practices medicine. He is an amazing doctor, and even better he is an amazing and compassionate human being who truely cares about his patients. Thank you Dr. Rob!
You grew up in Rochester NY. I live there. I am a Billing Manager at a PCP for the last year. I've been in Medical Billing for the last 20 years and this job really opened my eyes to the control and inflated costs of insurance. Hoping to learn all I can for an emerging healthcare system in Rochester! :)
For years, I have had the thought that this could work. Thank you for changing to direct patient care, succeeding and sharing your experiences and advocating for this. I wish you continued and great success!! I also hope that you continue to speak out and advocate for direct patient care! I hope to find a doctor near where I live.
Before I left my practice, I was reviewing labs and completing medical record every single day until 3:00 AM. With two small children, life was crazy. I’m happier now as a hospitalist but looking forward to the DPC model.
How do I get my work to learn about this? i think their costs for providing Medical Insurance would decrease massively with this, catastrophic insurance or hospitalization insurance.
Medical care in the US needs a MAJOR overhaul. More focus on treating the diseases and not just the symptoms and seeing nutrition as preventative care. Unfortunately, it's big business now and nothing will change. Information is now at your fingertips. Do your own research and stay well.
This is great but what about hospital costs? How do people without insurance afford hospital care? This is something I would do for primary care doctor because I am young and healthy but I don’t know how this helps me financially if God forbid I get seriously injured and need to get surgery or if I got cancer etc
This doesn't address all issues. It's not a replacement for insurance, and won't cover hospital costs. That's a real issue and needs to be addressed for all Americans. But this DOES make it less likely people will get sick enough to need to hospital. People who are taking care of problems early and taking care of themselves are less likely to be hospitalized. My goal wasn't to fix the whole system, just my part of it.
Michelle Stoecklin With auto insurance, the driver pays for maintenance, and the insurance is for a major event. Health insurance should be the same, in my view.
For what I pay to have my family covered now I can pick up a DPC plan, a separate cancer, heart, icu, and accident plan and still have $200-$500 a month left over. That is just out of my pocket. You add in the amounts my employer and my wife’s employer pay for health insurance and the savings is more in the $700-$1000 range. That has the major events covered and the routine care covered at hundreds less a month.
Joe has insurance. This doesn't replace insurance, but it allows for better care and less need for reliance on tests or over-prescription of medications. This is not a replacement for the insurance; it is a way to do primary care in a patient-focused way.
I respect this doc, and have great regard for him and his initiative. But I m afraid, insurance companies can stand up a patient and make him file a false case of abuse by a doctor (malpractice insurance) . It really risky for a doc to stand against a giant medical insurance industrial complex, they have purchased judges, legislators etc.
Soooo..... mental health: what about reconditioning in order for freedom from the so-called “snake oil salesmen” that told us that a pill could help us feel better.
Spending 30 minutes with people rather than 5 makes it much more likely I can talk them out of "magic pills" and other bad care. When I don't take shortcuts, my patients are less likely to do so (in my experience). I use less medications in this type of practice. It's not a solution to all problems, but it is an improvement. I want to bring mental health care into the practice eventually, but more in a preventive way.
What about poor people who cannot afford the monthly fee? This sounds great for the middle class and up. Sounds great, but it leaves out the working class, working poor and poor. We still need Medicare For All.
I have a poorer overall population than I did in my previous practice. I do give discounts for people who are in bad financial straits. If they have medical problems, though, it's often much more affordable to see me, pay my fees, but then have access to the huge discounts on medications and labs. Medicare for all solves the craziness with specialists, but I don't think primary care should be included. Someone needs to be the patient's advocate, and doctors will always be beholden to whoever writes the checks. Primary care holds the keys to cost control, but only does so if properly motivated. Clearly being owned by hospitals, insurance companies, OR government programs gives little motivation to make cheaper and better care for people.
I am not putting this up as THE solution. If people have no money, that is a societal problem, not one I can do anything about (although we do offer free care to people at times...or very reduced in cost). This approach improves primary care, but does not solve the problem of the high cost of specialty care and the over-ordering of tests. The enemy of better is best. Just because something doesn't solve the problem doesn't mean that improving things is not a good thing. "You could do more" is not the point of this talk. I am doing SOMETHING, which is more than most. A lot of people doing their part to fix a problem will lead to the solution.
Rita Butler People in lie income areas tend to have bad diets, which they have control over and is not cost prohibitive. Many farmers markets now accept EBT and eating in season, local food is affordable.
So RIta ... you can afford your cable TV, iphone and cell service but you can't afford $50 a month for health care access ..... your clueless and just the exact people the insurance industry has brainwashed
I am a newer patient of Dr. Boland, Dr. Lambert's partner. Everything in this talk is true! Dr. Boland spent a lot of one-on-one time with me on my first visit and treated me like I actually mattered. Imagine that, a doctor that truly cares. I hope these two doctors and their staff know how much they've improved the lives of their patients. BTW, the staff at Dr. Boland and Dr. Lambert's office are all very kind, attentive and engaging. I feel lucky to have discovered these wonderful professionals!
I am a patient of this office. I see Dr Boland. Dr Boland is amazing! The entire office and how they work is awesome! I could not recommend this type of service enough. 95% of my interactions have been has been online through a secure texting program. I lack words on how amazing this type of service is!
Thank you for doing you! I've loved being your patient for the last 5 years!
Thank you, Dr Lamberts. My daughter is a primary care doctor and has a Concierge practice that takes insurance. I really like your model and appreciate your presentation and shared experience
Just want to say I appreciate you actually responding to your listeners' comments, Doctor. That speaks very highly of you and of your concern for people.
I really enjoyed listening to Dr. Rob Lamberts talk. He brings up some great points on burn out rates of physicians. He touches on a few key factors that are leading to doctors leaving practice. One of those factors being the increase in ‘busy work’ a physician needs to do. He specifically talks about the ‘busy work’ being the rules and guidelines that are put in place by the healthcare systems. In healthcare physicians take an oath to uphold certain ethical principles. One of these being autonomy. Autonomy is the idea that a person has the capacity to act intentionally, with understanding, and without controlling influences that would mitigate a free and voluntary act. Physicians are trained to respect patients’ autonomy and not to infringe on that in anyway. With that said one would imagine that the healthcare system itself would also oblige by the same principles, but this is obviously not the case. I believe a large factor that is contributing to physician burnout is the loss of autonomy given to the physicians. Physicians are no longer able to practice medicine without major oversite from the healthcare system. They are being forced to do ‘busy work’ as Dr. Rob Lamberts describes it. This puts unnecessary burdens on physicians which untimely leads to negative patient outcomes. He then talks about the key to improving doctors’ experiences by changing how doctors are paid. This idea certainly being true, I think it can be much simpler. The same results of improving doctors’ experiences can be achieved by focusing more on the doctor/patient relationship. If doctors are allowed to take the time to build relationships and get to know their patients there certainly would be less burn out rates. Not only that but trust between the patient and physician could be built. Patients and physicians would be able to work together. Patients would know that their physician truly cares for them and has his/her best interest in mind.
My children and myself were patient's of Dr. Rob's in his original practice, where I always felt that Dr. Rob was an excellent doctor, however I did not like the "office experience ". Too rushed, too impersonal, overall too much red tape so to speak. My children are now grown, however my daughter, my husband and myself returned to Dr. Rob's new practice a few years back and I can honestly say it's been a beautiful and amazing experience. My daughter was very ill for a very long time before she died last year and the last 2 years of her life Dr. Rob and his nurses treated her with the upmost respect and care. Whenever we had a crisis after office hours it was Dr. Rob who answered his own after hours number and it was his voice on the other end of the phone line that brought me answers and comfort when I thought for certain no help could be had for my daughter. As a caretaker and mom of a terminally ill grown child there is nothing better than to hear to voice of the doctor you know and trust on the other end of a phone line when in the middle of a medical crisis. This method of practicing medicine was exactly what my daughter needed at the end of her very short life. It was also what I needed to insure my daughter who could no longer speak for herself got exactly the care she needed to feel safe and trusting.
Dr. Rob has been nothing short of a miracle for my family, he's even been able to earn my husband's trust and respect and this is a man who has always hated doctors.
My family and I will continue to see Dr. Rob for as long as he practices medicine. He is an amazing doctor, and even better he is an amazing and compassionate human being who truely cares about his patients. Thank you Dr. Rob!
WOW! I am a DNP student in Utah, and am truly amazed at the innovation and quality improvement this care model provides. Very inspiring!
You grew up in Rochester NY. I live there. I am a Billing Manager at a PCP for the last year. I've been in Medical Billing for the last 20 years and this job really opened my eyes to the control and inflated costs of insurance. Hoping to learn all I can for an emerging healthcare system in Rochester! :)
For years, I have had the thought that this could work. Thank you for changing to direct patient care, succeeding and sharing your experiences and advocating for this. I wish you continued and great success!! I also hope that you continue to speak out and advocate for direct patient care! I hope to find a doctor near where I live.
I meant direct primary care
Z
yeah, the system separates doctors from patients until eventually doctors forced to leave. This explains why good doctor is hard to find.
Thank you for sharing your story!!
Before I left my practice, I was reviewing labs and completing medical record every single day until 3:00 AM. With two small children, life was crazy. I’m happier now as a hospitalist but looking forward to the DPC model.
brilliant !!! Dr. Lamberts !!!
How do I get my work to learn about this? i think their costs for providing Medical Insurance would decrease massively with this, catastrophic insurance or hospitalization insurance.
Medical care in the US needs a MAJOR overhaul. More focus on treating the diseases and not just the symptoms and seeing nutrition as preventative care. Unfortunately, it's big business now and nothing will change. Information is now at your fingertips. Do your own research and stay well.
Enlightening!
This is great but what about hospital costs? How do people without insurance afford hospital care? This is something I would do for primary care doctor because I am young and healthy but I don’t know how this helps me financially if God forbid I get seriously injured and need to get surgery or if I got cancer etc
This doesn't address all issues. It's not a replacement for insurance, and won't cover hospital costs. That's a real issue and needs to be addressed for all Americans. But this DOES make it less likely people will get sick enough to need to hospital. People who are taking care of problems early and taking care of themselves are less likely to be hospitalized. My goal wasn't to fix the whole system, just my part of it.
Michelle Stoecklin With auto insurance, the driver pays for maintenance, and the insurance is for a major event. Health insurance should be the same, in my view.
For what I pay to have my family covered now I can pick up a DPC plan, a separate cancer, heart, icu, and accident plan and still have $200-$500 a month left over. That is just out of my pocket. You add in the amounts my employer and my wife’s employer pay for health insurance and the savings is more in the $700-$1000 range. That has the major events covered and the routine care covered at hundreds less a month.
In China (I may have the country wrong), you pay for the doctor monthly as Dr. Lamberts model does. But you stop paying if you get sick.
He is basically cutting out the insurance companies profit.
Yeah!
Beautiful, get insurance out of primary care, they have no business there.
Good news.. Now we have Ai to reduce Physician burnout
Great America should do this !!!
Let’s make it great 👍 again !!!
I really like this !!!
Let’s really do this !!!
The 15 patiënts who get this treatment do really get the attention a diffycult case needs !!!
I fully agree and indeed it will work !!!
How did Joe pay for the specialist visit and for the cancer treatment? Did he have ‘emergency insurance?’ Or anything?
Joe has insurance. This doesn't replace insurance, but it allows for better care and less need for reliance on tests or over-prescription of medications. This is not a replacement for the insurance; it is a way to do primary care in a patient-focused way.
I respect this doc, and have great regard for him and his initiative. But I m afraid, insurance companies can stand up a patient and make him file a false case of abuse by a doctor (malpractice insurance) . It really risky for a doc to stand against a giant medical insurance industrial complex, they have purchased judges, legislators etc.
Soooo..... mental health: what about reconditioning in order for freedom from the so-called “snake oil salesmen” that told us that a pill could help us feel better.
Spending 30 minutes with people rather than 5 makes it much more likely I can talk them out of "magic pills" and other bad care. When I don't take shortcuts, my patients are less likely to do so (in my experience). I use less medications in this type of practice. It's not a solution to all problems, but it is an improvement. I want to bring mental health care into the practice eventually, but more in a preventive way.
What about poor people who cannot afford the monthly fee? This sounds great for the middle class and up. Sounds great, but it leaves out the working class, working poor and poor. We still need Medicare For All.
I have a poorer overall population than I did in my previous practice. I do give discounts for people who are in bad financial straits. If they have medical problems, though, it's often much more affordable to see me, pay my fees, but then have access to the huge discounts on medications and labs. Medicare for all solves the craziness with specialists, but I don't think primary care should be included. Someone needs to be the patient's advocate, and doctors will always be beholden to whoever writes the checks. Primary care holds the keys to cost control, but only does so if properly motivated. Clearly being owned by hospitals, insurance companies, OR government programs gives little motivation to make cheaper and better care for people.
I am not putting this up as THE solution. If people have no money, that is a societal problem, not one I can do anything about (although we do offer free care to people at times...or very reduced in cost). This approach improves primary care, but does not solve the problem of the high cost of specialty care and the over-ordering of tests. The enemy of better is best. Just because something doesn't solve the problem doesn't mean that improving things is not a good thing. "You could do more" is not the point of this talk. I am doing SOMETHING, which is more than most. A lot of people doing their part to fix a problem will lead to the solution.
Rita Butler People in lie income areas tend to have bad diets, which they have control over and is not cost prohibitive. Many farmers markets now accept EBT and eating in season, local food is affordable.
Patsy Stone Medicaid is for the poorest.
So RIta ... you can afford your cable TV, iphone and cell service but you can't afford $50 a month for health care access ..... your clueless and just the exact people the insurance industry has brainwashed
It’s called capitalism
@@automaticninjaassaultcat3703 Thanks for this explanation. Very interesting.