In 1997 when I began practice, I envisioned that I could provide the same level of time and attention to patients as I did during my training, spending hours with each case. Unfortunately, the constraints of a real-world practice allotted me only fifteen minutes per patient. I quickly realized that I was unable to connect with my patients and solve their problems. To overcome this, by 2001, I became one of the first doctors in the city to embrace the Concierge Medicine model.

At their core, all Concierge practices are the same. They are designed to give the doctor more time with fewer patients. My practice, for instance, is capped at three hundred patients, and I typically see less than four patients per day. This extra time leads to several advantages. See below.