Shared Medical Appointments (SMAs)

When it comes to healthcare, one of the most common complaints is feeling as though you see the doctor for only a small amount of time when you go in for an appointment. Not only that, but when diagnosed with a health condition, we often know few others with the same conditions, leaving us feeling isolated.

This is something that Shared Medical Appointments (SMAs) help to address, giving you more time with your doctor, building communities focused on improving health conditions, and assisting you to manage your health better outside of the office.

What are Shared Medical Appointments?

SMAs offer a way to bring a group of individuals with similar chronic medical conditions together for their appointments, allowing the entire group to meet with the doctor at the same time.

The biggest benefit of SMAs is that they allow you more time with the doctor. A traditional appointment is 15-30 minutes long, whereas an SMA lasts around 90 minutes.

SMAs go beyond monitoring your health and skimming the surface of what you can do to manage your condition. Since SMAs are longer appointments, your doctor is able to pack it full of information while also reviewing your health, answering any questions you (and the other patients) may have.

Additionally, during your SMA you may find answers to questions that you had never thought to ask, further expanding your knowledge.

Being surrounded by 10-15 other patients with similar conditions also helps with building community and establishes a supportive environment for others going through the similar challenges. With an SMA, you truly realize that you are not the only one dealing with this condition.


Who May Benefit from SMAs?

If you have a chronic medical condition for that SMA is available.

Patients who benefit from SMAs often enjoy being able to relate to others going through similar situations. During their appointment they often find that they can share ideas, motivate each other, and learn from the other patients.

It has been proven time and again that patients who are better educated about their condition can manage it better, leading to better outcomes and a better quality of life. This is especially true for chronic diseases, which can easily overwhelm someone. By managing your condition, you maintain your control over it. SMAs provide you with the tools you need to accomplish this and increase confidence in your ability to manage your condition.

What Types of SMAs Are Offered at Metropolitan Endocrinology?

We have included when the SMA takes place and a description of what the appointment focuses on.

  • Schedule: The second Friday of the month at 9 am.

    Type 1 diabetes is a chronic condition where the pancreas makes little or no insulin. While it is most common in children and adolescents, which is why it is also known as juvenile diabetes, it can also develop in adults.

    With no cure for type 1 diabetes, its management with insulin is all the more important to reduce the risk of complications. Diet and lifestyle factors, in addition, can help those with type 1 diabetes better manage their blood sugar levels.

    SMAs provide an environment where those with type 1 diabetes can meet others with the same disease who use similar tools and techniques to manage their health. Patients can receive guidance from their peers and their doctor on managing their blood sugar levels and ensuring that complications do not occur.

    Self-management is critical for those with diabetes, and SMAs provide the information needed to do this successfully.

  • Schedule: The first Friday of the month at 9 am and the last Wednesday of the month at 5 pm.

    Type 2 diabetes is a chronic condition resulting from an impairment in how the body regulates blood sugar as fuel. It typically results from too much sugar in the bloodstream. Proper management is essential to prevent disorders of the nervous, circulatory, and immune systems.

    While children and adults can have type 2 diabetes, it is typically more common in adults.

    These SMAs focus on the factors that you can control to manage your type 2 diabetes, such as eating well, exercising, and losing weight, along with choices or medicines. Your doctor can provide guidance on lifestyle changes to make, and you can learn from the other patients at the appointment about what has worked for them.

    Insulin may also be needed to manage blood sugar levels in those with type 2 diabetes, and your dosage and its effectiveness can be evaluated at the SMA to determine if your plan still properly manages your blood sugar levels.

  • Schedule: The third Friday of the month at 9 am.

    This SMA focuses on building a community with others who are suffering from obesity.

    BMI > 30 mg/kg2 is a significant risk factor for other conditions, which makes controlling and managing weight more important for promoting long-term health. In particular, unhealthy weight at this BMI is associated with over a dozen cancers (e.g., ovarian, pancreatic, breast, multiple myeloma), high blood pressure, type 2 diabetes, coronary heart disease, and osteoarthritis.

    Despite how important addressing obesity is for your health, there is often a stigma surrounding obesity that can make it challenging to seek help.

    Our weight management SMA seeks to provide a community of other individuals looking to manage their weight, creating a helpful environment where there is no judgment, and everyone is working with you to take charge.

    Every body is different, which means that it has different needs and one approach will not work for everyone. With the weight management SMA, you can explore different weight management methods to find one that works for you by learning from other’s experiences and letting others learn from yours.

  • Schedule: The fourth Friday of the month at 9 am.

    Osteoporosis is a disease weakening the bones, making those affected more susceptible to fractures. In many cases, the disease progresses undetected, and those affected do not experience any symptoms or pain until a bone fractures.

    Because of its silent progression, it is important to do what you can to prevent this disease. Women, in particular, are more likely to develop osteoporosis, although these SMAs are open to both men and women.

    Two crucial factors that can affect the progression of osteoporosis, which you can control, include your diet and lifestyle. During your SMAs, you will discuss techniques to manage these elements and preserve your bone health.

    Your doctor will also use this appointment time to discuss if your bone density has reached a level that requires treatment, and the different medication-based treatment options. You can discuss with your doctor the potential side effects of the medications and which one would be best for you. Your doctor will also continually reevaluate your bone density levels to ensure the medication is working effectively.

    The fear of fracture can make osteoporosis intimidating to live with. However, SMAs bring you together with other individuals enduring this same disease so you can learn from each other and build a community that shares strategies to reduce the risk of fracture and build confidence.

  • Schedule: [To be determined]

    The thyroid is an important gland that produces hormones, which are messengers for the body. When the thyroid produces too much or too little of these hormones, the conditions hyperthyroidism or hypothyroidism can occur.

    The standard treatment for hypothyroidism is a daily thyroid hormone replacement medication. For those with hyperthyroidism, antithyroid drugs can be used to block the thyroid's ability to make hormones.

    Your SMA is a time to learn if your thyroid medication is right for you and if the strength is producing the desired results. If they aren’t, your doctor can alter your prescription to try and find the correct dosage for your body’s needs.

    Additionally, during the SMA you are able to meet with others who have thyroid problems, allowing you to discuss what techniques are working for them and creating a community that helps every individual have better health.

FAQs

Are SMAs HIPPA compliant?

Confidentiality is a significant concern in healthcare, and we ensure that it is upheld even in this group setting. All patients and attendees for the SMA must sign a consent to confidentiality which provides a secure and private environment.

Does insurance cover SMAs?

SMAs are just like any other appointment you would have with a doctor, which means your copay and deductible is applicable. 

How do I know if SMAs are right for me?

Talking to your doctor is vital for determining if you would be a good candidate for shared medical appointments. Your doctor can tell you what they entail so you can see if it is something you would benefit from.

What chronic conditions do you provide SMAs for?

We provide SMAs for diabetes mellitus type I and type II, osteoporosis, obesity management, hypothyroidism, and hyperthyroidism.

How long is an SMA?

The typical length of an SMA is 90 minutes.

What if I have a personal question I do not want to disclose in front of the other patients?

If you have a personal question or would like to talk to the doctor privately, you can request to ask a question in a separate room.

How many people are present at each shared medical appointment?

There could be anywhere from 8 to 16 patients at a shared medical appointment along with your doctor, a medical assistant, and a facilitator.

Can I receive medication in an SMA?

Just like a regular doctor’s visit, you will leave with any necessary prescriptions, test prescriptions, results, or referrals.

Are SMAs available for tele-visits?

While SMAs are currently not available for tele-visits, we are working on providing it in the near future. If you are interested please send an email to info@metropolitanendocrinology.com.