Doctor's Desk


About the Micropractice Clinic Model

Compared to traditional medical offices, in a micropractice, staff, facilities and equipment are minimized, thereby allowing resources to be directed back to the patient and physician. Further, technology, such as an online scheduler and secure electronic messaging, removes the middle-person with patient-physician relationship, improves efficiency, access and communication for both parties. Dr. Manning's practice model requires that patients feel comfortable with actively providing their input and getting involved in their own care by completing pre-visit questionnaires and by engaging in self-service using the technological tools made available.


  • Time is valuable. Micropractices prioritize running on time. If patients are late, they may have to re-book and/or a charge will apply. Patients are advised to allow a 30 minute buffer due to the unpredictable nature of medicine.

  • No-Shows are greatly reduced thanks to automated phone, email or text message reminders is sent to patients 3 business days prior to their appointment, and offer both a cancellation and confirmation option. In our experience, people who do not show up for their appointments tend to be those who do not confirm their appointment with our automated service. Patients are waiting months to see Dr. Manning: if you do not confirm your appointment at least 24 hours prior to your visit, it will be cancelled to enable another person to have an appointment.

  • 24 business hours notice of appointment changes or cancellations is required to avoid Late Cancellation or Missed Appointment fees ($100.00).



  • Email is the main method of communication for administrative concerns. Communication by email is much quicker than phone, however, medical issues are only addressed during a scheduled in-person or virtual appointment.

  • Administrative staff are mobilized for tasks technology cannot support; medical office assistants have minimal involvement with patients as physicians attend to many patient-related concerns directly.


  • Quick and simple to use. Patients are encouraged to book appointments online on the Medeo platform: almost all appointments are booked online, and can be done at the patient's convenience, 24/7.

  • This is faster for patients and reduces office expenses, allowing resource redirection to the patient experience. For those unable to do so, appointments can be booked by phone, however, very few elect for this option.


  • Instead of telephone calls, patients will receive a secure email notification directly from the physician via Medeo for administrative concerns. Another example of resource reallocation and improved communication channels.


  • In order for the clinic to run on-time and for the physician to remain accessible, no walk-ins or "add-on" visitors are permitted.