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The hybrid model is an alternative approach to boutique medicine and doesnot disenfrachise patients or exacerbate the physician shortage.physicians with a hybrid practice accept from a few to upto three hundred patients from their current practices to choose to join the concierge option.Patients who donot want to join the concierge model, donot have to leave the practice and can still see their primary physician as they always have.In these practices,doctors continue to be highly productive and take care of atleast the same number of patients as they would in a traditional practice.