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2

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

From the Exam Room to the Classroom

All students with disabilities in the United States are legally guaranteed individualized special education services, so that they have the opportunity to learn and succeed, yet many schools fail to properly help these struggling children. Dr. Adrienne Classen of North Carolina steps up to fight for these students’ rights.

4

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.

8

The Death of Independent Pediatric Practices is Greatly Exaggerated

The evidence that physicians can be as successful at business as they are at care-giving continues to mount, suggests Pediatric Practice Consultant Chip Hart, who cites independent pediatricians who have capitalized on business acumen and an inner drive to thrive financially.

9

A Balancing Act

Dr. Mary Kiepert is an independent pediatrician in Las Vegas, Nevada, who has successfully negotiated the delicate balance between work and family life.

10

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.