“Well, the one thing was the change in family medicine, and we started seeing family physicians being pushed out of the hospital systems in place of hospitalists. And you had the decision to make whether you wanted to stay inpatient or you wanted to stay outpatient, and I chose to do outpatient, and that was fine, that was good, I thought I could make my biggest impact that way. But where we really started seeing the changes was- it was taking more and more effort just to keep your head above water financially. You had to see more people, you had more paperwork to do associated with that, more coding, more procedure coding, more regulations, more control of the insurance industry that was requiring you to do more and more to do the same job. And so, I started seeing there’s going to be a critical mass here, there’s going to be a point where I cannot physically see as many people as I need to see and keep my head above water, as it would be. And then there started to be a breakdown care, where I was not able to spend the time I wanted. I was habitually running an hour to an hour and a half late because I was trying to give that care and the system was not allowing me to do that.” – Dr. Ken Rictor
Dr. Ken Rictor is the founder, owner and sole physician at Scotland Family Medicine, a Pennsylvania-based family medicine practice using the Direct Primary Care (DPC) model. Dr. Rictor graduated with honors from the University of Maryland Medical School in 1985 and completed his residency at the Washington Hospital in Washington, PA in 1988.
Upon the completion of his residency, Dr. Rictor immediately opened his own private practice and enjoyed helping a broad scope of patients as a family physician. Over time, he witnessed the healthcare system making dramatic changes and the role family doctors becoming more limited, with many private practices being bought out by larger hospitals. As insurance contributed to increasing costs, Dr. Rictor fought to keep up with increasing paperwork and overhead, and decreasing time with patients.
After 25 years of practice, he made the choice to convert to a Direct Primary Care model in an effort to enhance his patients’ experience and reduce overall cost. Since making the switch, he’s noticed an improved relationship with his patients, and his patients have benefited from high-quality, affordable care.
I sat down with Dr. Rictor after attending the Hint Summit in San Francisco to learn how he made the choice to switch to Direct Primary Care, the benefits he and his patients enjoy from this model of practice, and some of the commonalities he sees between CrossFit and DPC.
In this episode we discuss:
- What led Dr. Rictor to pursue a career in medicine
- His early experience with family medicine and the changes he’s seen in primary care and healthcare over his career
- How he saw other family practitioners changing their practice and shifting towards salaried positions at hospital-owned practices
- How Dr. Rictor got into Direct Primary Care (DPC)
- What is Direct Primary Care
- How DPC works alongside insurance
- The advantages of DPC for patients and physicians
- The patient experience and costs of using a DPC model versus an insurance-based model
- What making the transition to DPC was like for his practice and his patients
- How Dr. Rictor heard about CrossFit and came to join an affiliate, and the changes he’s experienced since joining
- His athletic background
- The commonalities between Direct Primary Care and CrossFit
- Where Dr. Rictor hopes to see primary care in the next 5-10 years
- How people can find DPC practitioners
- Three things Dr. Rictor does on a regular basis that have the biggest positive impact on his health
- One thing he struggles to implement that could have a big impact on his health
- What a healthy life looks like to Dr. Rictor
- Healthcare Without the Red Tape on the Huckabee Show
- Atlas MD
- Scotland Family Medicine video on How Direct Primary Care works
- Restaurant Insurance (Curbside Consult Video)
- One Word to Describe Direct Primary Care
- DPC Mapper
- My Utmost for His Highest Devotional by Oswald Chambers
- Ep 07 – Dr. Mark Hyman on Functional Medicine, the future, and community
- Ep 35 – Coach Greg Glassman on CrossFit, Chronic Disease, and the “5 Buckets of Death”
- Ep 80 – Greg Glassman on Networking CrossFit Physicians and Fighting Chronic Disease
- Ep 86 – James Maskell on Fighting Chronic Disease with Community-Based Healthcare
Ep 96 – A Hospital Affiliate: Kirby Medical Center and CrossFit KMC
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Disclaimer: This podcast is meant to share the experiences of various individuals. It does not provide medical advice, and it is not a substitute for advice from your physician or health care professional.