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1

Keeping the Doors Open: 100 Years of Independent Practice

How does a hundred-year-old practice maintain its mission, vision, and quality over time? El Paso Pediatrics offers a look into the structures, values, and patient-centered approaches that allow for continued success. Dr. Joseph Segapeli discusses the joys and challenges of working in this long-standing independent practice.

3

A Child-Centered Defense of Medicaid

Why fight for Medicaid? Pediatrician Christoph Diasio, M.D. makes a compelling case. He offers his perspective on Medicaid’s foundational role in our health care system, and proposes a vision for the future.

9

Pediatric Gardens

Budd Shenkin, a San Francisco Bay Area pediatrician who built his solo practice into what is now the region’s largest primary care independent group, suggests that pediatricians, like gardeners, use the inherent landscape and their creativity to grow their practices in a variety of ways.