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integrative care IM(odels)Ps

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Hello all,

I very much appreciate the (generally) good cheer, insight and banter

that flows from this imp group to my computer every morning!

As a soon to be graduated FM resident/doctor who is also rather

extensively trained in integrative medicine (nutritional,

functional/herbal, homeopathy), I am intending to open an integrative

private practice in southeastern NE/RI next June. My quandry is one

faced by all of us - and answered in various ways - but particularly

by the integrative/CAM doctor: how to support ourselves while seeing

pts for 30/60/90 minutes a visit. Integrative medicine takes a lot of

time. I'm thinking of an access/yrly membership so as to be able to

accept insurance, and this seems to me to be the best compromise btwn

flat-out cash-based practice and all insurance/all the time. I know

that the " access " model seems to be falling by the wayside lately,

which I don't understand.... PLease: insights and thoughts?

By the way, I plan on fully IMPin' it up, so low overhead is very

key. I'm very lucky to have 3 full-blooded IMPers in the ocean state

and so I'm very inspired/well-advised in that regard.

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