I am a board certified family physician in solo practice.
I started this practice because I wanted to spend more time with my patients than group practice would allow. Due to lower reimbursements from insurance companies and increasing overhead costs, many doctors have become employees of hospitals or groups run by non-physicians. They are forced to see patients at a pace that I feel is unacceptable. I didn't want to practice this "door handle" style of medicine where the doctor can't sit and talk with the patient.
They didn't even have a name for my style of practice when I opened this office in 1988. Now, it would best be described as a "micropractice." Micropractice is a small typically solo doctor office with low overhead which allows the physician to spend more time with patients. Some of these offices operate on a cash only basis to cut down on overhead or charge a "concierge fee" for the extra care. We have never done that. I am giving the extra time to my patients because I strongly believe that is how to provide the best care. I will participate with insurance companies when possible. However, please understand that some insurances just pay too low and create too many hassles for us to participate.
I have always emphasized and been interested in preventive medicine. My practice style is traditional medicine but I can give my opinion whether or not particular alternative therapies are well validated. I have always said good medicine is like good cooking, it takes time.