In this episode of Out of Network, Dr. Ryon Parker sits down with Dr. Joshua Goldman (Board-Certified Plastic & Reconstructive Surgeon, co-founder of Vegas Plastic Surgery Institute) to discuss the challenges of modern healthcare, physician burnout, and why so many are moving away from traditional insurance models.

You’ll learn:

✅ How burnout is caused by the administrative burdens of insurance
✅ The broken system that limits time doctors can spend with patients
✅ Why concierge medicine is growing as a solution to care delivery issues
✅ The surgery outcomes that set realistic expectations and prevent patient frustration
✅ Why volume-based models are hurting both physicians and patients
✅ The shift in expectations when it comes to patient care
✅ How healthcare is often about balancing time with quality outcomes

Timestamps

 00:00 – Intro: Dr. Joshua Goldman + Vegas Plastic Surgery Institute
 03:33 – What craniofacial + microsurgery means
 10:47 – What elite surgical training selects for
 19:10 – Leaving academia to build a new model
 21:33 – Why insurance-based care breaks (admin + overhead)
 25:10 – Denials and recoupments: getting paid, then losing it
 27:21 – The “third model” (concierge feel without cash-only)
 33:30 – Concierge-level experience standards
 35:10 – Expectation-setting and why volume kills quality
 40:08 – Patient selection: when to say no
 01:01:37 – Closing takeaways: access and “time to care” 

Connect with Out of Network:
 🌐 Website: https://www.outofnetworkpod.com/
 📱 Instagram: https://www.instagram.com/outofnetworkpodcast/
 ▶️ YouTube: https://www.youtube.com/@OutofNetworkPodcast
 🎵 TikTok: https://www.tiktok.com/@outofnetworkpodcast

Connect with the Hosts:
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Parker Medical: https://parkermedical.org/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/
Seth Premiere Medical: https://sethmedical.com/

Dr. Goldman → https://vegaspsi.com/meet-dr-joshua-goldman/
https://www.instagram.com/goldstandardplasticsurgery/

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🎙 About Out of Network
 Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.

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#OutOfNetwork #Healthcare #PlasticSurgery #MedicalBurnout #ConciergeMedicine #ReconstructiveSurgery #MedicalCare #PhysicianBurnout #HealthcareSystem

Enjoyed the Episode?
If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.