Since I began practicing in this community in 1986, there have been many developments in healthcare, from the delivery of care to the diagnosis and treatment of medical diseases. For example, electronic health record systems have made it easier for patients and their doctors to have access to their medical history. However, the lack of interoperability between these systems have hampered their effectiveness.

In addition, I have seen the deterioration of the doctor-patient relationship exemplified by the diminishing time physicians are allotting to every patient interaction. The exorbitant and needless documentation to achieve government and insurance requirements for payment and authorization of diagnostic tests and prescription drugs has added pressure to physician practices to increase patient volume at the direct expense of patient care. The most frequent complaint I hear from new patients that come to see me is having access to physicians for questions, timely appointments, and communication of their test results.

Dr. Rams was born in Santiago Cuba in 1955. After graduating from the University of Miami Medical School in 1981, Dr Rams completed Internal Medicine residency and Gastroenterology fellowship at Jackson Memorial Hospital/University of Miami Complex in 1986. He is board certified in Internal Medicine and Gastroenterology. Since then, he has been in private practice in Miami. Dr. Rams always welcomes patient questions because he believes proper education is the foundation of proper health.