About

The most personal form of medicine is disappearing.

Private practice is one of the most personal, human-attentive forms of healthcare delivery humankind has ever known. The idea reaches back to antiquity: a healer who knows the patient, and answers to the patient.

In today’s healthcare business environment, private practices are disappearing.

We need to stop this. So we developed a new business model: CIP, coordinated independent practices.

How CIP works

Four functions, put together around independent practice, become something none of them is alone.

Collective marketing

Referral engine

Care coordinators

Care loops

TSCN is the first CIP.

The Tri-State Specialized Care Network is focused on musculoskeletal problems, such as spine and joint conditions. These are what its founders know best, and this is where we begin.

Let’s invent a better healthcare system together.

Membership

Three ways to join

Doctor Membership

For any doctor or practitioner who treats a spine or joint patient, in independent practice.

Surgical care

  • Spine surgery, neurosurgical and orthopedic
  • Orthopedic joint surgery

Medical and interventional care

  • Pain management
  • Physical medicine and rehabilitation
  • Neurology
  • Rheumatology
  • Sports medicine
  • Imaging and radiology

Primary and whole-person care

  • Family medicine
  • Internal medicine
  • Psychology and behavioral health
  • Nurse practitioners in independent practice

Therapy and integrative care

  • Physical therapy
  • Chiropractic
  • Acupuncture
  • Occupational therapy

Don’t see your field? If you treat spine or joint patients, you belong here. Call the TSCN Doctor Line at (732) 800-5762.

Sponsors

Support the network that keeps doctors independent and gives patients more choice. Sponsors are listed on our sponsor pages and shared with member doctors.

The Hippocratic Oath, written in the shape of a cross, in a 12th-century Byzantine manuscript (Vatican Library, Urbinas Graecus 64). The Oath itself was composed in ancient Greece in the 5th or 4th century BC.

Our moral foundation

The Hippocratic Oath reflects the world of ancient medicine, and some of its provisions no longer fit modern practice. Its enduring commitments—to care for the sick, avoid harm and exploitation, and protect confidentiality—continue to inform medical ethics, alongside today’s emphasis on patient autonomy and informed choice. Despite its age, it still speaks to the doctor’s role in the health of their patients.

Modern adaptations include the World Medical Association’s Declaration of Geneva (Doctor’s Pledge) and Louis Lasagna’s modern Hippocratic Oath (1964).

The Hippocratic Oath

Classical oath

I swear by Apollo the doctor, and Asclepius, and Hygieia and Panacea and all the gods and goddesses as my witnesses, that, according to my ability and judgement, I will keep this Oath and this contract:

To hold him who taught me this art equally dear to me as my parents, to be a partner in life with him, and to fulfill his needs when required; to look upon his offspring as equals to my own siblings, and to teach them this art, if they shall wish to learn it, without fee or contract; and that by the set rules, lectures, and every other mode of instruction, I will impart a knowledge of the art to my own sons, and those of my teachers, and to students bound by this contract and having sworn this Oath to the law of medicine, but to no others.

I will use those dietary regimens which will benefit my patients according to my greatest ability and judgement, and I will do no harm or injustice to them.

I will not give a lethal drug to anyone if I am asked, nor will I advise such a plan; and similarly I will not give a woman a pessary to cause an abortion.

In purity and according to divine law will I carry out my life and my art.

I will not use the knife, even upon those suffering from stones, but I will leave this to those who are trained in this craft.

Into whatever homes I go, I will enter them for the benefit of the sick, avoiding any voluntary act of impropriety or corruption, including the seduction of women or men, whether they are free men or slaves.

Whatever I see or hear in the lives of my patients, whether in connection with my professional practice or not, which ought not to be spoken of outside, I will keep secret, as considering all such things to be private.

So long as I maintain this Oath faithfully and without corruption, may it be granted to me to partake of life fully and the practice of my art, gaining the respect of all men for all time. However, should I transgress this Oath and violate it, may the opposite be my fate.

English translation by Michael North (2002), National Library of Medicine.

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