Your clinical practice will revolutionize how you conceptualize pain management, stripping away the medication management burden that exhausts so many pain physicians and replacing it with pure procedural excellence. In this model, you'll discover the profound satisfaction of being an interventionalist who actually intervenes – where roughly 70% of your patient encounters result in procedures, not prescription refills. Unlike traditional pain practices where physicians juggle complex medication regimens and spend hours documenting failed conservative treatments, your focus narrows to a laser point: identify the pain generator, deliver targeted intervention, and move to the next patient who needs your expertise.
Your patients arrive already triaged, worked up, and prepared by a sophisticated support team that functions with military precision. When you enter a procedure room, the patient is prepped, the fluoroscopy is positioned, and the injection is drawn – you simply glove up and execute the procedure while connecting with the patient. This isn't assembly-line medicine; it's the elimination of everything that keeps you from doing what you trained for. The practice's same-day treatment model means patients experience immediate relief rather than scheduling procedures weeks away, fundamentally changing their perception of pain management from a long journey to a single transformative visit.
Picture yourself moving seamlessly between procedure rooms, performing 40–50 interventions daily with a rhythm that becomes second nature. You'll master the full spectrum of interventional techniques at volumes that accelerate your learning curve exponentially:
Your practice attracts a unique patient mix that reflects the model's effectiveness: approximately 50% acute pain patients seeking rapid intervention rather than chronic management. These aren't pill-seekers bouncing between practices – they're working adults with herniated discs, retirees with spinal stenosis, and athletes with sports injuries who need targeted treatment to return to life. The practice's reputation for same-day intervention draws patients who have often waited months elsewhere, arriving grateful for immediate attention to their pain.
The demographic skews toward Medicare (60%) and Blue Cross Blue Shield (25%), payers who recognize the value of interventional procedures over long-term medication management. These patients appreciate efficiency – they don't want to spend all day in a waiting room, and your streamlined model respects their time while delivering exceptional care. Only 23% of the practice's patients require chronic opioid management, far below the national average, because effective interventional treatment prevents the descent into chronic medication dependence.
eClinical Works serves as your digital backbone, but you'll rarely interface with it directly. The system has been customized over a decade with procedure-specific templates, automated coding, and point-and-click documentation that your support team manages entirely. Your medical assistants document the encounter in real-time, capturing clinical details while you focus on the procedure. Imagine completing 50 procedures without writing a single note – that's your daily reality. The practice has eliminated Dragon dictation and other cumbersome documentation methods in favor of team-based charting that captures everything needed for billing and medical-legal requirements without physician input.
Your call responsibilities reflect the practice's respect for work-life balance. Weekday call operates through three protective layers: the answering service screens initial calls, mid-level providers handle clinical questions, and you're contacted only for truly complex decisions. Weekend call? Non-existent – the clinical team manages those responsibilities entirely. When you do receive calls, they're typically quick clarifications about post-procedure symptoms or injection timing, not the medication refill requests and drug-seeking behaviors that plague traditional pain practices. Most physicians report going entire call nights without a single contact.
Your surgery center days (1–2 monthly) showcase the pinnacle of procedural efficiency. Working in two state-of-the-art operating rooms with dedicated CRNA support, you'll perform 15–20 spinal cord stimulator implants in a single day. The facility, owned partially by Dr. Wright and Dr. Porter, runs with the same systematic excellence as the clinics. You'll learn advanced techniques that reduce implant time to 20–30 minutes while maintaining a 0.2% infection rate – metrics that visiting physicians initially refuse to believe until they witness it firsthand.
The practice's innovative use of nurse practitioners and physician assistants fundamentally restructures your clinical day. Two mid-level providers manage full patient schedules, handling evaluations, follow-ups, and routine care while you concentrate on procedures and new patient introductions. This isn't delegation of responsibility – it's specialization that allows each team member to operate at their highest capacity. The mid-levels, trained to think like interventional pain physicians, present cases with proposed treatment plans that you verify and execute. They manage medication adjustments, coordinate care, and handle documentation while you maintain the procedural momentum that defines the practice.
Your success won't be measured by patient satisfaction scores or documentation compliance – it's measured by procedures performed, patients treated, and referral patterns. The practice maintains wait times under 30 minutes despite high volumes, achieves same-day treatment for most patients, and generates 700+ monthly referrals purely through execution excellence. You'll participate in creating educational videos demonstrating techniques, contributing to the practice's reputation as a training destination for efficient interventional pain management.
This clinical model strips away everything that makes traditional pain management exhausting – the prior authorizations, the medication management, the documentation burden – leaving pure procedural medicine that reminds you why you chose interventional pain as your specialty.