a progressive practice

Answers to Frequently Asked Questions

What is Medicine@Downtown about?

The core philosophy of my practice is to provide accessible, comprehensive and personalized primary care services of the highest quality to all of my patients in a timely and efficient manner. I want to do this in a way that makes sense from the patient perspective, not just the perspective of the health care industry.

What type of practice is Medicine@Downtown?

The business model of my practice is based on the concept of the Ideal Micropractice. But since I charge an annual practice fee, I prefer to call it a Value Added Primary Care clinic. I keep my practice small so that I don’t have to cram people into the office to be seen each day. The typical appointment time for established patients is 30 minutes. My receptionist, since 2014, is my dog, a Portuguese water dog named Se (pronounced Zay).

Located between the Raynolds Addition and Barelas neighborhoods of downtown Albuquerque, my practice is a solo practice that opened in 2006. I am a family physician with over 20 years of experience. I have no employees. Therefore, patients call or email me directly to communicate. In the context of my practice, I really try to embrace a holistic view of health, illness, and ways of healing.

Is this a concierge practice?

My answer to that would be no. I provide common sense and evidence-based primary care in the same way that I have been doing for over 20 years. I don’t charge enough money to be considered concierge. And I don’t want to be seen as someone who offers up a range of services that seem exclusive. If you are looking for a practice where you can order up what you want, you should find another practice.

What is the “practice fee?”

A practice fee is an annual fee charged to patients who wish to join the practice. Its purpose is to cover physician's expenses not covered by insurance. For more detailed information, visit the practice fee page.

So what is different about your practice?

For starters, it is a unique setting for a clinic, not just the neighborhood, but also the building. I intentionally wanted to make a space the felt different from the typical drab medical office. I am very interested in art and creativity. I wanted a space to show art and to foster a sense of creativity and purpose as we go about our daily lives. It may not be scientifically proven, but I believe this to be an important part of the healing process.

Also, I limit the number of patients in my practice to about half of the number you find in an average primary care practice. I feel that I can take good care of each and every one of them even on the busiest days. The practice fee is critical to the business model. And this business model has changed very little since the practice started in 2006. So I feel that it works well. It also allows me to innovate. I am less beholden to the bureaucratic constraints of corporate medicine. So I am freer to innovate how I can deliver care. I feel that this allows common sense and best practices to drive what works best for patients.

How will this practice help me achieve my desired health outcomes?

I believe that the best doctor-patient outcomes are derived from a combination of good science, good information, and a good relationship with a health care practitioner. My practice is designed to facilitate all of these elements. It is my goal to assist you in achieving your desired health outcomes by creating a practice environment that allows the best services that a primary care practice can offer. No doctor can guarantee a health outcome, but I do feel that it is more than just chance. And by creating this type of practice, I feel that the odds are improved for reaching realistic and achievable health outcomes.

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