ROAMD Podcast

Proteomics is a rapidly evolving and emerging vertical in the diagnostics domain. To help our audience get smarter on proteomics, we invited Dr. Roy Smythe, CEO of SomaLogic to share his expertise. 
Dr. Smythe shares with us that, where genomics focuses on the rather static genetic make up of a patient, proteomics dials in on the proteins arising from the genetic profile. These proteins are more widely variable, can change significantly over a patient's lifetime, and can be predictive of risk in a variety of diseases. 
Enjoy this episode where Dr. Smythe shares more of his real-world experience with proteomics and details a patient case where proteomics defied the highly educated medical eye to uncover a ticking time bomb of cardiovascular risk. 

In this can't miss episode, Dr. Susan Wilder, Founder and CEO of LifeScape in Scottsdale, Arizona, shares her very personal stories of surgical preparedness gone awry. Despite her extensive medical training, Susan uncovered a difficult truth in the least desirable way regarding her own lack of surgical preparedness as a patient. She shares even more stories about family members encountering issues that could have been prevented with more attention in the pre-operative stage. Empowered with the knowledge, and firsthand patient experience, Dr. Wilder created a complete online program, called Optimize Surgery, and a companion book, Secrets to Surgery Success: Take Charge and Heal Faster, that empower physicians and patients alike to get ahead in improving surgical outcomes.

In this episode, we dive into the inner workings of a membership-based medicine clinic from inside the nation's 6th largest health system, Trinity Health. My exceptional guest is Dr. Bill Baer with Mercy Health Concierge Medicine in Grand Rapids, Michigan. Bill starts by sharing details of his journey into concierge medicine after starting off as a pharmacist. You might be surprised to hear who the biggest influencers were in driving him away from traditional fee-for-service care models. How dramatic are the differences in Dr. Baer's practice compared to an independent model? Should we expect more and more membership-based medicine models to pop-up across the Trinity Health network? What are Dr. Baer's perspectives on the future of membership-based medicine? Join this episode to hear those answers and much more.

You are familiar with the concept of food deserts and probably even education deserts. But what about diagnostic deserts? Join this episode with my lively guest Dr. Barry Rotman, physician and founder at Barry Rotman MD in Walnut Creek, California as we unpack the concept of diagnostic deserts. Barry's journey into membership medicine began with political science before medicine and eventually an homage to his father's rigorous dental practice pulled him out of group practice and into membership-based medicine. Ultimately, time spent delivering medical acupuncture through his group practice highlighted the significant patient-time required to uncover what was truly ailing them. From insomnia to adverse drug events, Dr. Rotman shares his decades of experience solving diagnostic desert cases and how membership-based medicine practices are uniquely positioned to solve these problems. You're going to thoroughly enjoy this episode!

If you have ever wanted insights on how a membership-based medicine practice runs inside an academic medical center, this is the episode for you. Dr. John Paat with Duke Private Diagnostic Clinic in Durham, North Carolina shares his experiences from one of the world's most renown academic medical facilities. Growing up watching his father care for patients as a PCP was very instructive and influential in bringing John into concierge medicine. Now as a concierge physician at Duke, do patients of his concierge clinic receive preferred treatment and access to care? Does his practice have a leg up on independents because of the academic affiliation? Are his opportunities to teach students and residents highly compensated time? Listen to this insightful episode for those answers and much more. 

This is an episode of the ROAMD podcast that is simply not to be missed! Dr. Ari Levy with Shift in Chicago shares his fascinating story of how he was inspired as an adolescent to create a dynamic where, as a primary caregiver "if you're good, you're listening." Ari has since gone on to create a membership-based medicine practice that is individual centric, quality focused, and institution agnostic. 
At Shift, the patient's first visit is ~6-8 hours to ensure they're getting to know every patient as an individual and uncovering barriers that may prevent the highest quality outcomes from the start. The multidisciplinary team at Shift includes physicians, nurses, physical therapists, dietitians, tissue pliability experts, and more.  In this episode, you will also hear details on the physical space created at Shift to intentionally garner a sense of community with a focus on building "wellth."  
Be sure to catch the advice Dr. Levy received from one of his patients and he now lives by that starts with, "Life is chaos, so the most important thing is..."

It is all too easy to undervalue yourself as a physician. In this essential episode, Dr. Jordan Lipton, physician and partner at Signature Healthcare in Charlotte, North Carolina gives very seasoned and measured insight into the pricing dilemmas faced by all membership-based medicine physicians. Knowing when and how much to raise your prices is just as important as knowing how to communicate the prices and any changes. Dr. Lipton goes into great detail around how they've navigated these uncomfortable waters that far too many membership-based medicine physicians steer past.

Dr. Matt Priddy with Priority Physicians in Indianapolis is my delightfully entertaining guest on this episode. Dr. Priddy leans on his ~20 years of experience as a membership-medicine physician to illuminate the top 4 misconceptions of becoming a DPC/concierge doctor. Is this model of care just for those physicians who want more tee times, a cherry picked patient panel, and to run a practice that only succeeds on the strengths of a lone wolf? Listen in as Matt graciously shares his wisdom on those very points and much more. (Note: You have to bring your own M&M's and Scotch to this episode.)

Hold on tight for this episode with my highly acclaimed guest Dr. Jordan Shlain with Private Medical. Dr. Shlain tells his exquisite journey that ventures from medicine to art from Swahili to a language of culture from HMO medallions to membership medicine and much, much more. After a grueling experience that left him completely disenfranchised with traditional models of primary care, Dr. Shlain sat down for a cup of tea. Listen closely as he shares the chance encounter that set him on the path forever changing his medical career for the better.

Growing up in a medical family, Dr. Vivek Sinha, Founder and Medical Director of Belleview Medical Partners in Alexandria, Virginia, brings an insider's perspective to running a membership-based medicine practice. What goes in to setting a price and package system for your practice? What experts do you consult as you're getting started? How important is the family dynamic in forming and running a successful company? Dr. Sinha opines on these essential topics and more in this paramount episode of the ROAMD podcast.