Jeannine Rodems, MD, FAAFP,  has been practicing family medicine for over 22 years. She is a graduate of UC Santa Cruz (go Slugs!), and completed medical school at the UCLA School of Medicine with her residency through the UCLA Family Medicine Residency program.  She has been an active member of the local physician community in Santa Cruz County for several years. She is the immediate past president of the CruzMed Foundation and the Santa Cruz County Medical Society. Dr Rodems has been very active with the California Academy of Family Physicians, having been a previous member of their board of directors. She worked as the prior chair of Family Medicine at Dominican Hospital and has been in a variety of practice modalities until starting Santa Cruz Direct Primary Care. She is married, has one daughter, and enjoys theater, gardening, and walking her dog, Shadow.

Philosophy of care: I believe that our job as family physicians is to work as an advocate for our patients, listen to their concerns and issues, and help to guide them through the sometimes scary environment of medicine today. I believe in using evidence-based care, but tailoring that care to the specific needs of each individual patient, considering the context of their family, living environment, and their community. Family Medicine physicians need to return to focusing on the patient, their family and the social determinants of health for their patients — be the center or medical home for their patient's care. This is only accomplished through developing good relationships that patients can rely on, and necessitates providing appropriate time and empathic dialog to develop that relationship.

Adam Yarme, MD, has been practicing family medicine for over 15 years and caring for patients in the Santa Cruz area for the past 11 years.  He is a graduate of Case-Western Reserve University School of Medicine in Cleveland, Ohio, and the MAHEC Family Medicine Residency in Asheville, North Carolina.  He remains an active member of American Academy of Family Physicians.  He lives in Santa Cruz with his wife and two children, and can be found playing music at farmers markets, and walking with the family and their labradoodle in nature.  

 An Open Letter to My Patients:

This is the letter I wish you had received, one that offers a heartfelt thank you, an explanation for my move, and an invitation from me. 

I am so grateful for having been part of your lives during the past 11 years.   As many of you know, I take my work personally -  I care about my patients.  I believe that from this position, and with a better understanding of you, I have been able to provide you with better care.  I am thankful for your trust.  I value the unique opportunities for connection and healing that being a family doctor offers:  visiting your home to hold your newborn, easing your toddler’s fear in the office, taking extra time during crisis, demystifying a new diagnosis, advocating for you, being that familiar face during a hospital scare, consoling you in grief, and the innumerable meaningful connections that come from everyday interactions with patients.  Thank you. 

Providing this quality of care is not sustainable for me within today's health care system.  I believe that the “business of medicine" has intruded upon the patient-doctor relationship in such a way, and to such a degree, that patient-centered primary care has been replaced with payment-centered care.  This contributes to the familiar woes of both patients and doctors: long waits, short visits, indirect communication, repeated distractions and frustrations that can negatively affect care.  Until recently, I thought burnout or conformity were my only choices. 

I have found a third choice.  I am inspired by a new model of primary care, and emerging social movement in medicine called Direct Primary Care that returns value to the patient-doctor relationship by pushing out third-party intrusions, and that replaces the complex, costly billing system with a simple, direct low monthly fee.  This frees me to focus on what matters most to you:  time with your doctor, access to your doctor, and the quality of personalized care you have come to expect from me.   I will join Dr. Jeannine Rodems this March to bring to Santa Cruz its first Direct Primary Care practice – Santa Cruz Direct Primary Care.   

Warmest regards,

Adam Yarme