The Golden Moment


The Patient-Centered Primary Care Collaborative met this fall and a lot of the big wigs in medicine tried to find some answers on how to fix this mess THEY got us into.   My favorite was from Marie Brown, M.D., senior physician adviser for the AMA’s professional satisfaction and practice sustainability group.  Anyone know or care what that group does?  Thought so. Well, Dr. Brown has this novel thought that doctors need to spend “more quality time with the patient and delegating more to the medical team will allow physicians to return to the “golden moment”.

Here are some interesting points about that.  She is now associating the term quality with time by using the phrases “quality time” and “golden moment”. Hmmm, could it be that I was right that in order to fix this crap we need to allow doctors to have time with patients?

There is more from Dr. Brown:

She described physicians entering the exam room, making direct eye contact, shaking the patient’s hand and saying they care. They ask about the patient’s health and listen, neither interrupting nor looking at a computer screen.

“We have to change what we do,” Brown said. “We want that. The patients want that. But with the computer, the regulations and all the interpretations required by institutions, we’ve added another 200 clicks on the computer.”

Hmmm, so what she is saying is that we need to see less patients, spend more time with them and get bureaucracy out of healthcare?  All we need to do is rewind the clock.  Or support Direct Primary Care.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “The Golden Moment

  1. RSW
    November 16, 2016 at 8:35 am

    That was an especially inane and pointless article, even by AAFP standards.

    My favorite bit was the reference to Ann Hwang, M.D. “director of the Center for Consumer Engagement in Health Innovation for the Community Catalyst health care advocacy organization.”

    • Perry
      November 16, 2016 at 8:57 am

      “director of the Center for Consumer Engagement in Health Innovation for the Community Catalyst health care advocacy organization.”

      I want that job, bet it pays well and you don’t really have to do anything.

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