Your clinical practice will unfold across eight carefully selected assisted living facilities, where you'll develop deep, meaningful relationships with residents who come to know and trust you as their primary physician. Unlike the revolving door of hospital medicine or the time constraints of traditional clinic practice, you'll have the opportunity to truly understand each patient's story, managing complex cases that span everything from Parkinson's disease and stroke recovery to dementia care and pulmonary hypertension. Each day brings variety as you travel between two facilities, seeing 5–10 patients who benefit from your unhurried, comprehensive approach to care – a refreshing contrast to the volume-driven models that lead to physician burnout elsewhere.
The patient population reflects the full spectrum of geriatric complexity, with particular emphasis on those requiring sophisticated medication management and behavioral health integration. Two of your facilities specifically house residents with dual diagnoses of mental health conditions alongside their medical comorbidities, allowing you to utilize the full scope of your geriatric training. Your practice will encompass acute care management for COPD exacerbations, careful titration of Parkinson's medications, post-stroke rehabilitation oversight, heart failure management, fracture care coordination, and addressing the myriad GI issues that affect the elderly. You'll also play a vital role in goals-of-care discussions, helping families navigate difficult decisions with compassion and expertise.
The beauty of this practice model lies in its sustainable pace and meaningful impact – Dr. Kokanovich specifically notes the absence of burnout thanks to varied, intellectually stimulating cases and the ability to form genuine bonds with residents, making this "old school medicine" in the best possible way where relationships and comprehensive care take precedence over productivity metrics.