It's about time, say doctors in vanguard

MELVILLE, N.Y. — In a 150-square-foot tin-ceilinged office in a building that once housed a speakeasy, Dr. Moitri Savard checks her laptop to see whether any patients have scheduled themselves to see her.

Wait, scheduled themselves?

Yes. Savard's patients decide when they want to see her and then let her know by filling in a date and time on a calendar on her website. Patients with no computer access can phone for an appointment.

Savard, 36, a graduate of the Stony Brook University School of Medicine, is in the vanguard of a small number of physicians who are experimenting with a new family-practice business model.

It's called a micropractice.

Savard has no nurse but shares a receptionist with several other solo practitioners and does her own paperwork. Mostly, she runs her office electronically -- lowering her overhead because she has no salaries to pay.

She keeps patient files on her laptop and will soon be billing electronically too. She uses software to process insurance claims. Patients make their own appointments on the website, and she fits her schedule to meet their needs.

One more thing: Savard estimates her income will remain about 10% less than if she were in a group practice with a full staff, which is just fine with her. She makes her own schedule and works four half-days a week.

"I'm not being controlled and being told when I'm on call," Savard said during an interview in her Queens office. "I don't think I could ever go back to group practice."

Savard rents a long, one-room office from a chiropractor. A Japanese-style shoji screen in the office provides privacy for patients in the examination area.

An acupuncturist, a physical therapist and a massage therapist also rent space from the chiropractor, and together they call themselves QueensWest Health & Wellness. Despite sharing a receptionist, they have separate practices.

Savard began establishing her practice last fall and has 200 patients so far. (The average family doctor has 2,500 patients, one expert estimated.) Before her micropractice, she worked as a salaried doctor at a group practice.

Savard said she now had more time to spend with her 3-year-old son, Milan, and her husband, Peter, who also is a physician and a Stony Brook medical school graduate.

Savard started her micropractice after reading an article by Gordon Moore, a doctor in Rochester, N.Y. Moore says micropractices give patients "unfettered access" to doctors at a time when some physicians have overloaded their practices with multiple employees and too many patients.