I work in a specialty practice, and we are trying to be more holistic. One of the MDs and I are currently training in functional medicine, which looks at the root cause of conditions and incorporates a holistic approach. Right now we're doing this while still seeing patients every 15 min, but that will have to change if we truly want to embrace the functional model.
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I work in a specialty practice, and we are trying to be more holistic. One of the MDs and I are currently training in functional medicine, which looks at the root cause of conditions and incorporates a holistic approach. Right now we're doing this while still seeing patients every 15 min, but that will have to change if we truly want to embrace the functional model.
Curious to know your thoughts on this. Recently I've been reading about Britt Hermes, former naturopath turned critic of CAM. This also led me into learning more about functional medicine and integrative medicine. Sounds interesting (though not really sold on it yet). Would love to hear your thoughts as an NP training in it. Seems as if the naturopaths, functional medicine, and integrative medicine practitioners all seem to emphasize finding the "root cause" of illness, but don't conventional providers do so as well (the alternative providers seem to think that conventional providers only treat "symptoms", not the actual cause, and I think this is a caricature).
And yeah, it does seem like the alternative providers have very long appointments, I wonder if that's actually sustainable financially.
Curiously, all of this reading has led me to become very interested in going down the primary care/specialty practice NP route, when up to this point I've been thinking I'll be inpatient (as a CNS or perhaps ACNP) forever, haha.
Thanks for sharing any insight.
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Rnis, BSN, DNP, APRN, NP
341 Posts
I think the Drs I work are pretty holistic. We are able to choose our 'time' structure for patients. most of the PA/NPs choose a longer time structure with their patients. (20/40 as opposed to 15/30 structure) interestingly enough...many of our female physicians also choose the longer appointment structure. by choosing that longer structure you have to spend more time in clinic....but I think in the end you are able to get most of your charting done during actual visit times...and it's a lot less stressful to not be rushing patient to patient. I think the extra time allows people the freedom to spend the extra time getting to know their patients. Not being stressed is priceless. Love my co-workers. I have had the opportunity to observe most of our MD's , NPs and PAs in my practice. Each has there own individual style but I think they are all trying to look at the patient holistically.