After 24 years of practice in Family Medicine, I find myself feeling frustrated with the possibility of not being able to continue as a private practitioner for much longer. I left a faculty position 20 years ago, and an employed position 10 years ago, and I know that even with the challenges of practice ownership, I can provide the most personal, quality and accountable care in private practice. As valuable as my practice is to Vermonters, one thing is certain, I need options. I need an organization that will actively work to support my practice as it changes and to help shape those changes...not from an institutional perspective...but from my and my patients' view. Being part of an organized effort, designed and directed by physicians, will at least offer us a rare opportunity not only of survival, but of prosperity and satisfaction in practice.
Paul Reiss, M.D., Family MedicineBurlington, Vermont