Top 10 Signs Concierge Medicine Is Right for You - Doctor Edition
ABOUT DR. TOMMY
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Top 10 Signs Concierge Medicine Is Right For You - Doctor Edition
Tommy McElroy, MD
10. You are tired of working in the insurance world.
You may be the hardest working doctor in show business, but if spinning your wheels with ICD-10 codes, meaningful use, and PQRS has you looking for the EXIT....never fear, before you cash it in entirely, switch to Direct Care. You may rediscover what made you pursue medicine in the first place--the doctor-patient relationship.
9. You can wear many hats.
While not mandatory, it certainly is helpful to be able to do a little bit of everything. Office manager, HR, doctor, and even nurse. I've done it all in my time as a concierge medicine doctor. I don't do it all any more, but it still helps to know a little about everything.
8. Social media doesn't bother you.
Since most concierge medicine practices are 'mom and pop' operations, they don't have huge advertising budgets or large corporate sponsors to get the word out. Social media is the new alternative advertising that is the relatively inexpensive (and largely free!) option for a growing business.
7. You are a generalist.
In general, pardon the pun, concierge medicine works best with generalists: family medicine, internal medicine, med-peds, etc.  However, there are specialists who practice direct care quite successfully too, so it isn't exclusive to 'primary care.' 
6. You don't mind moonlighting.
A great many concierge medicine doctors moonlight while building their practice. So unless you are fortunate enough to have large cash reserves, or other sources of income, plan on supplementing your income from other sources like urgent care, ER, hospitalist gigs.
5. Your family is on board with a change.
See above. Working two (or three jobs) can be quite stressful for the doctor, and the family. Make sure you have explored what changes are in store for your family before making the plunge.
4. You like being your own boss.
Many (most?) concierge medicine docs are their own boss. This means no one tells you what you have to do. It also means the buck stops with you. There are benefits and drawbacks to being self-employed, so make sure you have explored both the possible good AND bad aspects of your proposed move.
3. You know some good people.
Perhaps the most valuable assets to a new concierge medicine doctor are advisors and assistants. Standing on the shoulders of giants, new concierge medicine docs look to those who have come before them for expert guidance. When staffing a new office it is ultra important to employ trustworthy, talented individuals. They don't grow on trees.
2. You don't mind being in the minority.
Personally, I actually seek out the contrarian position, if only to test the conventional wisdom. That being said, being a concierge medicine doctor will put you in the crosshairs. There are cries of unfairness, greed, and elitism. You can't have thin skin or worry a lot about what other's may say. I have not run into a lot of this, but I know it is around.
1. You want to be a doctor for your patients, and that's it!
If you can do it--work long hours, scrimp and save, explain your objectives clearly, sell yourself, overcome adversity--you can practice medicine as pure as the wind-driven snow, and that is a reward you can't put a price on.
P.S. You want to be a navigator in the harsh waters of big box medicine for your patients (h/t: Bill Cossart).

Dr. Tommy McElroy is a concierge medicine physician in Wesley Chapel, Florida. Follow him on AskDrTommy.com and on Twitter @tampadirectcare