DPC Pediatricians Podcast

Episode Summary: This episode provides a detailed update from Phil and Marina as they reflect on the current state of their direct primary care pediatric practices. They walk through what it looks like to approach and reach patient capacity, and the operational and emotional shifts that come with that milestone. They share practical insights into how growth impacts day-to-day workflows, patient access, and key decision-making.A significant portion of the conversation focuses on hiring—one of the most complex aspects of scaling a DPC practice. They discuss considerations around bringing on additional physicians or team members, structuring compensation in a sustainable way, and ensuring alignment with the DPC model. The discussion highlights the importance of maintaining a strong cultural and philosophical fit as practices expand.They also explore the financial and operational implications of growth, including balancing increasing patient demand with preserving the personalized, relationship-based care that defines DPC. The episode offers a candid look at the tradeoffs involved in scaling, along with practical insights for navigating this next phase of practice development. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode, Phil and Marina explore how AI scribes are transforming everyday pediatric practice. What once required hiring and managing a human scribe can now be handled by tools that integrate directly into the clinical workflow.They share their experiences with different platforms and emphasize that there’s no one-size-fits-all solution—getting the most out of these tools requires some customization and experimentation. A key benefit is the ability to shift attention back to patients, with less time spent on the computer and more meaningful interaction during visits.They also discuss the importance of reviewing AI-generated notes for accuracy, along with the relatively low cost and accessibility compared to traditional scribes—especially for DPC and independent practices.Overall, AI scribes are quickly becoming a practical, patient-centered tool for improving efficiency while maintaining high-quality care. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Episode Summary: In this episode, Phil and Marina tackle the all-too-common (and often frustrating) reality of curbside consults from friends, neighbors, and anyone with your phone number.They unpack the emotional tension behind these requests—why they can feel draining, where boundaries get crossed, and how this dynamic impacts both physicians and relationships. More importantly, they share practical, real-world strategies for responding with clarity and professionalism—without damaging personal connections.If you’ve ever felt torn between being helpful and being taken advantage of, this conversation will hit home—and give you a better way forward.👉 Read the full breakdown to learn how to handle these situations with confidence and protect your time, energy, and expertise. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of the DPC Pediatricians Podcast, Phil and Marina tackle a question every Direct Primary Care (DPC) pediatrician eventually faces: why do patients leave—and how often does it really happen?Drawing on five years of real-world experience, they unpack the truth behind patient attrition in a membership-based model. While DPC is known for its accessibility, strong relationships, and high-quality care, no practice is immune to turnover. But the reasons patients leave may surprise you—and they’re not always what you’d expect.From families relocating or experiencing financial changes, to shifts in expectations or misunderstandings about the DPC model, Phil and Marina break down the most common causes of attrition. They also explore a critical mindset shift: not all attrition is a failure. In many cases, it’s a natural and even healthy part of running a sustainable practice.The conversation goes deeper into how pediatricians can:* Set clear expectations from the start* Build stronger, longer-lasting relationships with families* Identify preventable vs. unavoidable attrition* Use patient departures as opportunities for growth and refinementIf you’ve ever worried about losing patients—or wondered what attrition really looks like in a thriving DPC practice—this episode offers both reassurance and practical insight.Whether you’re new to DPC or years into your journey, this discussion will challenge your assumptions and help you build a more resilient, patient-centered practice. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Episode Summary: In this episode, Phil and Marina discuss the role newsletters can play in a Direct Primary Care pediatric practice. While not every practice sends them regularly, newsletters can be a powerful way to stay connected with families between visits, share helpful pediatric insights, and remind patients about the value of membership care.They explore how newsletters help keep your practice top of mind, strengthen relationships with current members, and even encourage referrals from families who may not need care very often. The conversation also touches on what makes a newsletter engaging—from seasonal health tips to practice updates—and how to keep the process manageable so it doesn’t become another overwhelming task.If you’ve ever wondered whether newsletters are worth sending—or what you should include in one—this episode offers practical insights and encouragement for DPC pediatricians looking to communicate more effectively with their families. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Episode OverviewIn this episode, the hosts discuss the value of hosting meet-and-greet events in a Direct Primary Care (DPC) pediatric practice. They explore whether these events are worth the time and effort, how to structure them effectively, and how they contribute to long-term patient relationships and practice growth.Key Themes & Takeaways1. Purpose of Meet and GreetsMeet-and-greets are designed to:* Build trust with prospective families* Explain the DPC model clearly* Answer common questions about membership, pricing, and access* Allow families to assess personality fit before committingThe hosts emphasize that in DPC pediatrics, relationship-building is central — and these events help establish that foundation early.2. Are They Worth the Effort?The hosts acknowledge:* They require time, preparation, and emotional energy* Attendance can be unpredictable* Not every attendee converts to a memberHowever, they conclude that:* Even small groups can be impactful* Conversions often happen later, not immediately* The trust built can lead to strong long-term membersThey view meet-and-greets as a long-game relationship strategy rather than a short-term sales tool.3. Setting ExpectationsImportant considerations include:* Being clear about what DPC is (and isn’t)* Addressing misconceptions about insurance* Explaining communication access (texting, same-day visits, etc.)* Clarifying pricing and membership structureTransparency reduces friction and builds confidence.4. Format & Structure TipsThe hosts discuss:* Hosting events in-office or virtually* Keeping groups small and conversational* Allowing plenty of time for Q&A* Avoiding a hard “sales pitch” toneThey stress authenticity — families are evaluating personality and philosophy as much as logistics.5. Relationship Over RevenueA recurring theme is that DPC is relational.Meet-and-greets:* Attract families who align with the practice model* Filter out families who may not be a good fit* Strengthen word-of-mouth referralsThe goal is not volume, but alignment and trust.Overall MessageMeet-and-greets are absolutely worth the effort in a DPC pediatric practice — not because they guarantee immediate sign-ups, but because they build credibility, clarify expectations, and foster strong patient-physician relationships.They are an investment in community-building and long-term practice stability. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Episode Summary: In this episode of DPC Pediatrician, Phil and Marina break down how to conduct a practical DIY market analysis before starting a pediatric Direct Primary Care (DPC) practice. They explain that while you don’t need to spend thousands on a formal report, you do need to thoughtfully evaluate three key areas: local demographics, community economics, and the broader wellness landscape. First, they discuss assessing whether there are enough children and growing families in the area by reviewing birth rates, school growth, and housing development. Second, they emphasize understanding average household income to ensure families can realistically afford a monthly DPC membership. Finally, they suggest looking at the success of other cash-based wellness services—such as doulas, lactation consultants, and chiropractors—as a proxy for whether families in the community are willing to pay out of pocket for personalized care. Blending analytical data with intuition, they encourage listeners to take a strategic yet practical approach when deciding if a pediatric DPC model will thrive in their chosen community. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Summary: In this episode of the DPC Pediatricians Podcast, Phil and Marina discuss practical, experience-based tips for ADHD practice owners, particularly those running Direct Primary Care (DPC) practices. They explore how ADHD traits—such as creativity, high energy, and big-picture thinking—can be strengths in entrepreneurship, while also acknowledging common challenges like being overwhelmed, inconsistent follow-through, time blindness, and difficulty with administrative tasks. The conversation focuses on building systems that work with an ADHD brain rather than against it, including simplifying workflows, outsourcing or automating tasks when possible, using external accountability, and creating routines that reduce decision fatigue. They also emphasize self-compassion, realistic expectations, and designing a practice model that aligns with personal strengths and limits, ultimately encouraging ADHD practice owners to embrace their neurodivergence as an asset rather than a liability. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of the DPC Pediatricians Podcast, Phil and Marina are joined by Nate Goodman, CPA, for a practical conversation about accounting and tax strategy for practice owners. Nate shares his journey into accounting and explains why many small business owners feel frustrated despite “having an accountant.”Together, they break down the differences between bookkeepers, accountants, and tax advisors, highlighting why true tax advising should be proactive and ongoing—not just a once-a-year tax filing. Nate emphasizes the value of regular check-ins, understanding your financial systems, and using the tax code strategically to improve your practice’s financial position. This episode is packed with clear, actionable insights to help DPC pediatricians take control of their finances and make more informed decisions year-round. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

This episode explores whether direct primary care pediatrics can work in rural communities and concludes that it is feasible but requires tailoring to local realities. Phil and Marina explain that many rural areas have lower, more homogeneous incomes, so pediatricians must study median income and set realistic monthly fees—often lower than urban practices—while clearly defining what is included, such as a well‑child exam plus a limited number of sick visits, with extra services billed separately to keep the model sustainable. Sparse populations mean not all children will join DPC, so physicians must confirm there are enough potential patients and use strategic contracts and panel sizes to make the math work. A key opportunity is telehealth, which allows management of issues like rashes, parenting questions, and behavioral concerns without long drives, making DPC attractive for families who would otherwise face significant travel. Phil and Marina describe niche approaches—such as behavioral health, ADHD, autism, or PANS/PANDAS care and parent‑coaching micro‑practices—that rely heavily on virtual visits and can serve a wider region, and they note that some rural areas include pockets of higher‑income families (for example, a town with an elite boarding school) that can sustain higher‑priced pediatric DPC, reinforcing their point that each DPC practice must be uniquely designed for its community. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

This episode explains that pediatricians can start a Direct Primary Care (DPC) practice even while carrying substantial student loans, as long as they plan carefully and intentionally. Phil and Marina share personal examples of launching DPC with 1500–2000 dollar monthly loan payments and original balances around 250,000 dollars to show it is possible but requires realism about cash flow. They describe strategies like keeping a part‑time employed position, timing departure around potential loan‑forgiveness milestones, and building savings and cutting expenses before opening. A major theme is not allowing fear or uncertainty about federal loan programs and politics to be the primary reason for staying in a burnout‑inducing job. They encourage combining detailed financial planning with an internal sense that “this is the right time,” emphasizing that student loans are usually a challenge to plan around, not an automatic deal breaker for DPC. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode, Phil and Marina discuss how Direct Primary Care (DPC) physicians can still experience burnout, though from different causes than in traditional fee‑for‑service systems. Instead of systemic pressures, burnout in DPC often stems from overcommitment, poor boundaries, and underpricing. They emphasize the need for clear expectations with patients, realistic pricing, and structured time management to sustain balance and prevent exhaustion. Ultimately, they encourage DPC doctors to take ownership of practice design so that their systems truly support well‑being and longevity in medicine. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Summary: This podcast episode features a conversation between DPC pediatrician Dr. Marina and entrepreneur/coach Sarah from Soul Seat Academy, focused on how physicians and small business owners can effectively hire, lead, and, when necessary, fire team members in a way that centers culture and humanity over rigid metrics. The discussion emphasizes hiring for cultural alignment and a “servant’s heart” first, then training for skills using clear job descriptions, fun and specific role titles, and detailed standard operating procedures so employees feel safe, supported, and empowered in their roles. They highlight the importance of regular check‑in meetings that normalize two-way feedback, encourage employees to propose solutions, and actively address “workplace trauma detox” from past toxic environments so trust can grow over time. Finally, Sarah shares her structured “come to deity” conversation framework for handling serious performance issues, outlining clear paths of resolution, resignation, or termination while still treating people with dignity and viewing mistakes as “tuition” for learning rather than automatic grounds for dismissal. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Key Highlights* Legislative Changes: The episode opens with discussion about the passage of the “One Big Beautiful Bill Act” in Congress, which brought significant Medicaid cuts and reduced subsidies for marketplace health insurance plans. While some provisions favored DPC practitioners, many families face potential insurance premium hikes next year.​* Insurance Premiums and Family Impact: Phil and Marina note that many families relying on subsidized health insurance will need to decide whether to continue paying increased premiums or go uninsured. Those with employer-based insurance are less affected, but marketplace plan holders may need to reevaluate their budgets, possibly impacting their DPC memberships.​* DPC Practice Opportunities: Phil views the situation as a double-edged sword. While a few current patients may leave DPC due to financial strain, there is a larger pool of new families, especially those dropping costly insurance, who may seek out DPC for its affordability and benefits. The advice is to focus on attracting these new families rather than only trying to retain those considering leaving.​* Communication Strategy: The episode emphasizes reaching potential new patients through social media, newsletters, and website updates, highlighting the fixed-fee, high-value nature of DPC. Phil and Marina stress that energy should not be spent trying to convert skeptics of DPC, but rather on making services known to those seeking alternatives due to insurance changes.​* Employee Health Plans and DPC Fit: The trend toward high-deductible employer health plans is identified as another avenue for DPC growth. Such plans often pair with Health Savings Accounts, which complement the DPC model for families looking to manage healthcare spending.​* Retention, Flexibility, and Patient Care Quality: While discounts or accommodations for loyal families facing hardship are optional, Phil and Marina point out that not all losses can or should be prevented. They highlight the inherent value of DPC, such as time spent with families, ability to address 90-95% of patients’ needs, and access to creative care solutions like e-consults to minimize specialist costs.​Actionable Advice* Focus on community outreach to families affected by insurance premium hikes.* Use clear, empathetic messaging to position DPC as a solution for uninsured or high-deductible families.* Accept unavoidable churn but explore flexible pricing for loyal patients when appropriate.* Utilize online platforms (social media, website, newsletters) to share DPC’s unique value.* Prepare for an influx of new patients as insurance rates rise, positioning DPC as an accessible, high-quality alternative for pediatric care.​The episode closes with encouragement for DPC pediatricians to see the coming changes as opportunities for service and growth rather than just challenges, reaffirming their mission to provide accessible care amid a shifting healthcare landscape. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

This podcast episode provides actionable, step-by-step advice for pediatricians who are considering launching their own direct primary care (DPC) practices, highlighting critical preparation strategies, pitfalls to avoid, and essential resources for a smooth transition.​Key Highlights* Defining Your Vision and Brand* Before taking practical steps, aspiring DPC practitioners should define the vision for their clinic, including which populations or services to focus on, care models, and how their personal strengths differentiate their practice.​* Building a suitable brand and refining this vision will influence choices regarding location, size, and offerings, setting the foundation for future growth.​* Crucial First Steps* The most important initial actions include learning about DPC via summits, podcasts, and online groups, understanding personal motivations, and saving up for startup costs if needed.​* Developing a resilient mindset for success is key, particularly as launching a practice involves overcoming doubts and embracing flexibility as situations inevitably evolve.​* Navigating Contracts and Legal Issues* Phil and Marina strongly advise obtaining and reviewing employment contracts to anticipate legal hurdles such as non-compete clauses, restrictions on patient communication, and potential backlash when departing existing jobs.​* Consulting an attorney, or using tools like ChatGPT for contract review, can help identify risks, plan exit timelines, and ensure compliance with state-specific regulations.​* Administrative Set-up* Establishing a legal entity such as an LLC or PLLC (depending on state) is necessary to receive payments, open business accounts, and set up other key infrastructure.​* Choosing a business name should be approached with care to avoid complications later; alternatives like “doing business as” names can help adapt as the practice evolves.​* Phil and Marina caution against unnecessary spending on third-party business registration services, highlighting that state and federal registrations are generally straightforward and inexpensive when done directly.​* Planning and Resource Management* Practitioners should create a clear timeline and a checklist for tasks leading up to the launch, using tools like startup guides or project boards to stay organized.​* Flexibility is important, as some steps may take longer than expected, and pivoting plans is often necessary in entrepreneurial ventures.​* Support and Community* Leveraging online groups, summit content, and available startup guides greatly facilitates the transition, offering motivation, expertise, and camaraderie for new DPC doctors.​Final AdviceThe episode closes with Phil and Marina encouraging listeners to seek out the DPC Pediatrician startup guide, join supportive communities, and give themselves grace for unexpected delays, assuring them that the journey, while challenging, is filled with opportunities and supportive colleagues. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

This podcast episode centers on the challenges direct primary care (DPC) pediatricians face around delegation and burnout as their practices scale, and provides practical advice and personal stories addressing these issues.​Key Highlights* Challenges of Scaling:* Pediatricians express frustration with shifting from high-volume patient care to handling extensive administrative duties, such as filing, forms, QuickBooks, and more, after opening their own DPC practices.​* Many practitioners start solo to maintain a lean operation and only begin hiring help, such as part-time staff or virtual assistants, once the workload becomes unsustainable.​* The Art of Delegation:* Delegation is difficult for many physicians due to perfectionist tendencies developed during medical training, making it hard to trust others with important tasks.​* Phil and Marina share that learning to delegate is a skill requiring practice and an acceptance that others may not do things perfectly, but must do them “well enough”.​* Practical Solutions for Burnout Prevention:* The digital age offers tools such as Loom for asynchronous training and record-keeping, which make delegation and onboarding easier, even for virtual assistants located overseas.​* Examples are shared, including offloading birthday card duties and documentation tasks to trusted helpers, freeing up time for the clinicians.​* Hiring help does introduce short-term challenges and mistakes during training, but this period is necessary for long-term relief and productivity.​* Strategic Growth and Self-Care:* Physicians are encouraged to critically evaluate which tasks they genuinely enjoy and which should be delegated to others, including administrative and personal scheduling duties.​* The importance of anticipating future needs, enlisting help before feeling overwhelmed, and accepting that the first hire might not always be the perfect fit are emphasized.​* Extreme ownership in the business is discussed, urging practice owners to take responsibility for ensuring clear communication and good systems rather than blaming staff for mistakes.​Episode SummaryIn this Episode Phil and Marina urge listeners to delegate sooner rather than later, to prioritize personal and professional well-being, and to embrace intentional growth and self-care practices for their clinics and themselves. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

This podcast episode features Dr. Phil Boucher and Dr. Marina Capella discussing the practicalities of setting and maintaining boundaries in direct primary care (DPC) pediatric practices. The conversation primarily unfolds through real-world case studies, illustrating how boundaries are defined, enforced, and how they can flex based on context and physician comfort levels.Main Themes* The concept of boundaries in DPC is not one-size-fits-all; physicians are encouraged to establish and respect their own boundaries tailored to their life and practice.* Boundaries are positioned as personal guidelines for how providers respond to requests, not about changing patient behavior directly.* Case studies deal with after-hours communication, appointment punctuality, handling alternative or online medical tests, and managing “over-communicative” or anxious parents.Key Highlights* After-Hours Communication: Phil and Marina discuss what they would do when receiving a late-evening text about a sick child. Each describes their thresholds for what is within their boundaries, such as handling situations over text or a brief call versus physically coming into the office. They stress giving actionable guidance to parents while also maintaining personal downtime and not feeling guilty for doing so.* Flexible Yet Firm Boundaries: Instances where providing help after hours or in unorthodox setups (like meeting a parent in a parking lot) were discussed as examples of flexible, situationally appropriate boundaries—balanced by the clear statement that such actions are not always expected or required.* Setting Expectations with Parents: Phil and Marina explore scenarios where parents miss or delay scheduled appointments. They emphasize the importance of being clear about availability and acceptable loss of appointment times, and the hazards of setting resentful boundaries due to over-accommodation, especially noting challenges faced by female physicians.* Handling Non-Traditional Test Results: The increasing frequency of parents bringing in lab tests ordered online is discussed. Both hosts advocate for transparency about expertise, investigating legitimate tests, and compassionately guiding parents without judgment while warning that not all “alternative” tests are medically credible.* Over-communication from Parents: Strategies are shared for managing parents who check in excessively, such as recommending logs, spacing communication, and scheduling feedback rather than replying instantly to every message. This helps “train” expectations and supports the physician-parent relationship without burnout.Episode Summary* Consistent Responses: Frequent, immediate responses train parents to expect 24/7 access, while delayed or scheduled responses help set realistic expectations and maintain provider wellness.* Gender Dynamics: The doctors note that boundary issues can be compounded by gendered expectations, with women more frequently pressured to overextend; having a protocol and iteratively communicating limits is vital.* Compassionate Framing: Even when saying no or limiting services, responses should be professional, kind, and indicate the physician’s desire to help within reasonable means. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

This episode of the DPC Pediatricians Podcast, hosted by Dr. Phil Boucher and Dr. Marina Capella, explores the unique benefits of Pediatric Direct Primary Care (DPC) from the patient's perspective and emphasizes why families embrace the DPC model.Key HighlightsText-Based Communication* Texting the doctor is the most popular feature among millennial and Gen Z parents who dislike phone calls; most pediatric DPC practices offer easy text-based communication.* Doctors can handle 60-75% of questions (such as rashes, feeding, or daycare return queries) virtually, which saves families from unnecessary office visits.* Parents appreciate quick reassurance via text, enabling convenience and lowering anxiety — “having a pediatrician in your diaper bag”.Personalized Relationships and Availability* DPC pediatricians typically have smaller patient panels and spend more time getting to know each child and family, supporting tailored recommendations and building trust.* Scheduling systems and automation allow doctors to check in on specific concerns proactively (e.g., scheduled text updates after a sick visit).* Patients feel valued, are not just “a number,” and rarely experience long waiting times — they have a direct relationship with fewer, familiar providers.Flexible Access and Team Approach* In Phil's practice, families can schedule appointments online at any time. * For coverage, practices introduce substitute pediatricians well in advance to ensure continuity and comfort when the main doctor is unavailable.* Team members are chosen for their expertise (e.g., asthma or anxiety), and families actively request to see specific providers based on their needs.Extended Visit Times and Child-Centric Care* Physicals and sick visits in DPC practices are much longer (up to an hour), allowing thorough discussion and a relaxed environment for both parents and children.* Doctors discuss family context (work changes, deployments), and adapt care accordingly.* Visits are child-friendly — playtime and gradual introductions reduce anxiety for toddlers, contrasting with rushed, institutional settings.Summit Announcement* Phil and Marina invite listeners to register for the upcoming Pediatric Direct Care Virtual Summit (September 17-19), designed for practitioners at all stages to learn about DPC operations, finances, and marketing. Recordings are available for registrants.In summary: The DPC model delivers high convenience, direct access, trusted relationships, flexible scheduling, and an anxiety-reducing experience for families and children — key reasons why patients are so satisfied with Pediatric Direct Primary Care. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

This podcast episode from DPC Pediatricians, featuring Dr. Phil Boucher and Dr. Marina Capella, focuses on the various fears physicians face when starting or growing a Direct Primary Care (DPC) practice, especially in pediatrics.Key HighlightsFinancial Fears* The most cited fear is financial risk—concerns about income loss, managing startup costs, and whether the practice will be financially viable.* Specific worries include affording personal expenses, losing benefits like health insurance, managing student loan payments, and depleting savings.* Strategies to manage financial fears include starting with a small budget, working part-time at another job (PRN), building a financial buffer, or obtaining a startup loan—something most other small businesses do regularly.Business Management Fears* Many physicians fear managing a business because they typically lack formal business education in medical training and often feel unprepared for tasks like hiring staff, handling payroll, or managing finances.* Phil and Marina emphasize that “all business skills are learnable,” pointing to the abundance of online resources, courses, and AI tools to support new practice owners.* Hiring professionals like accountants or clinic managers over time can offload responsibilities, but initial control and learning are essential.Fear of Being Alone or Losing Community* Starting a practice solo can feel isolating, especially transitioning from collaborative environments.* The episode highlights the importance of building community: connecting with local DPC physicians (even outside of pediatrics), joining business networking groups, and attending in-person or virtual DPC events like Masterminds and summits.Discomfort with Asking for Money* Discussing payment directly with patients feels unnatural for many physicians due to lack of previous experience and cultural norms within the profession.* Overcoming this discomfort comes with practice and understanding the value offered to patients; not every family will find the model a fit, and that is normal.Fear of Not Being an Expert* Many feel unqualified to market themselves as more than generalists, especially when pursuing fields like integrative or behavioral medicine without extensive extra certifications.* Both hosts encourage embracing continuous learning and recognizing that being an expert is relative—the physician will usually know more than the patient, and expertise grows incrementally through practice and further education.DPC Pediatrician Resources Mentioned* The hosts mention resources like online courses on DPC finances, free startup guides, and opportunities for community engagement through summits and masterminds for further support.Episode SummaryThis episode provides practical insights and reassurance for pediatricians and other physicians considering or building a direct primary care model, reinforcing that fears are manageable and success is achievable with patience, support, and persistent learning. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Podcast Summary:In this episode of DPC Pediatricians, Dr. Phil Boucher and Dr. Marina Capella dive into a fundamental question for anyone starting a Direct Primary Care (DPC) pediatric practice: What equipment do you really need at the beginning?Key Highlights:Start Lean and Grow as You GoNew DPC pediatricians often over-purchase equipment trying to mirror traditional practices. The hosts emphasize starting with only what’s essential — many fancy tools can wait or be added later.Clinical Essentials FirstMust-have items include: stethoscope, otoscope, ophthalmoscope, infant + adult scales, and basic vitals tools. You don’t need expensive versions to provide great care.You Don’t Need a Fully Stocked Exam RoomDr. Marina recalls seeing patients in a furniture-less room early on. Dr. Phil stresses using what's available and pivoting creatively (e.g., running to the hardware store for a black light last-minute).Affordable Furnishings Work Just FineIKEA-style tables, secondhand furniture, and minimalist setups are completely acceptable. Keep it clean and functional; kids and parents care more about care than decor.Lab Supplies Can Be MinimalStart with just rapid strep, flu, and urine tests. Sending labs to Quest or LabCorp is often more practical early on than drawing blood in-house — especially without an MA.Don’t Let Labs Hold You BackGetting group purchasing discounts is helpful, but not required to launch. Most pediatric patients won’t need frequent labs, and many parents are used to outside lab billing.Expensive Tools Can WaitBig-ticket items like vision screeners, lead testers, and hearing machines are nice but not needed immediately. Create a wish list tied to financial or patient milestones.Paperwork Still MattersKeep printed forms handy (PHQ-9, postpartum screens, Ages & Stages, etc.). A small stock of printed materials can go a long way in well visits.Tech & Admin BasicsA reliable laptop, printer, Wi-Fi router, and paper documents are sufficient to run a lean office. An EMR and e-prescribing setup are essential for functionality.Be Flexible & CreativeYou’ll encounter unplanned needs (like Nair for a hair tourniquet or extra bandages) — just get them when they arise. Most items can be picked up locally.Use Free & Community ResourcesHelpful tools include:* The DPC Pediatricians Facebook Group (shared files with starter lists)* Startup guides from dpcpediatrician.com* The upcoming DPC Virtual Summit in SeptemberTakeaway Message:You don’t need a perfect, fully equipped practice to start seeing patients. Begin with clinical basics, build smart, spend conservatively, and expand your tools as your practice grows. The beauty of DPC is that you get to design your setup in a way that supports your vision and budget. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Podcast Summary:In this episode of DPC Pediatricians, Dr. Phil Boucher and Dr. Marina Capella respond to recent legislation — the “One Big Beautiful Bill” — which is projected to strip 12–17 million people, including millions of children, of Medicaid coverage. They explore how Direct Primary Care (DPC) pediatricians can step in to help fill this critical gap.Key Highlights:A Massive Loss of Coverage Is ComingRecent federal legislation may result in millions of children losing access to Medicaid. This is expected to lead to downstream effects such as closures or service cuts at children’s hospitals and clinics, many of which rely heavily on Medicaid.DPC Practices Can Serve the UnderservedDespite the perception that DPC is only for the affluent, both hosts emphasize that DPC pediatricians can and do care for uninsured and lower-income families.Flat-Fee Visits Increase AccessMany immigrant or lower-income families avoid membership models due to psychological or financial barriers. Offering one-time flat-fee visits allows more flexible access, especially for acute concerns or school physicals.“When families really need something, they will often find a way to pay for a visit — especially when it’s more affordable and faster than urgent care.”Sliding Scale Memberships Can Be Life-ChangingBoth doctors offer discounted memberships (up to 50% or more) without requiring income verification. This flexibility enables care for families in tight situations while maintaining sustainability.Creative, Community-Focused Care Models* Providing free care to staff families* Offering VFC vaccines and catching up under-vaccinated children* Including developmental and speech screenings during other visitsThe Idea of a Sponsorship FundDr. Marina shares a potential model: a community sponsorship fund supported by wealthier patients.* Could be structured via optional membership tiers (e.g., pay extra to help another family)* Note: These are not tax-deductible unless run through a formal nonprofit* Personal relationships and transparency are key to getting buy-in from community membersAdvocacy as a DPC SuperpowerDPC physicians have more time and flexibility to get involved in advocacy work than many traditional physicians.* Participating in state chapters of the AAP or medical associations allows you to testify, vote, and influence policy* Both hosts share stories of real-world legislative impact (e.g., protecting mandatory newborn screenings)“You have more influence than you think. Legislators listen when a pediatrician speaks.”A Hidden Win in the New Law: HSA EligibilityThe new bill also contains a small but helpful clarification: DPC is not health insurance, and up to $150 per member can be paid with HSA funds — a positive step for patients trying to use pre-tax dollars for care.Takeaway Message:Although millions may soon lose Medicaid, DPC pediatricians are uniquely positioned to help — by offering flexible access models, sliding scale memberships, advocacy, and community-driven solutions. With time, creativity, and a heart for service, DPC can bridge gaps in a changing healthcare landscape.Special Announcement:Registration is now open for the first-everDirect Pediatric Care Virtual Summit – Fall 2025Free to attend at: dpcpediatrician.com/summitContent for every stage: curious, launching, growing, or thriving This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Podcast Summary:In this episode of DPC Pediatricians, Dr. Phil Boucher and Dr. Marina Capella address a common concern among physicians considering or practicing Direct Primary Care (DPC): how to handle weekend availability without compromising personal time or patient care.Key Highlights:* Weekend Worries Are Common but ManageableMany physicians worry about being on-call 24/7 in a solo practice, especially on weekends. Both hosts affirm this concern is valid but emphasize that the reality is often far less stressful than expected.* Setting Weekend Office HoursPhil's practice offers limited Saturday morning hours (8–10 AM), split among providers. Over three recent weekends, only one Saturday visit occurred, showing that weekend demand is often minimal.* Patient Communication is KeyPatients are trained to reach out early on Saturdays if needed. An automatic message sets expectations about office availability and response times for non-urgent vs. urgent concerns.* Texting on WeekendsPhysicians typically monitor texts on weekends, especially for simple questions. If urgent care is needed, patients are directed to trusted facilities. Newborns or serious cases are referred to the ER with proper guidance and notification.* Delegating and Covering Time OffWhen out of town, Marina communicates transparently with patients and uses a covering pediatrician when needed. Most issues can still be handled via text.* Clear Expectations Prevent BurnoutSetting and enforcing boundaries during onboarding helps patients understand when and how their pediatrician is available. Respect for the physician’s humanity and life outside the clinic fosters mutual trust.* Flexible and Dynamic SchedulingMarina structures her schedule around personal priorities, like spending summers at a mountain cabin or working only specific days. Patients are understanding when expectations are communicated.* Adult vs. Pediatric DPCPediatric DPC tends to involve more weekend support than adult DPC, due to the nature of children's needs and parental anxiety. However, this support can still be well-structured and limited.* Practice What Works for YouThe beauty of DPC is the autonomy to design a schedule that supports both your personal and professional life. Experimenting with availability and structure is encouraged and often leads to improved satisfaction.* Patient Retention Supports BoundariesNeither host has experienced patients leaving their practice due to limited weekend availability. In rare cases where expectations aren’t aligned, a respectful referral to another provider is appropriate.Takeaway Message:DPC allows pediatricians to set boundaries, build sustainable schedules, and still provide excellent care. Clear communication, mutual respect, and smart planning make it possible to enjoy both a fulfilling practice and personal life. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Key Highlights:In DPC pediatric practices, text messaging and selective telehealth use foster meaningful, efficient, and family-centered care. By embracing modern communication styles and setting clear boundaries, DPC physicians are redefining how pediatric care is delivered—with less stress, more connection, and greater flexibility for both families and providers.​1. Text Messaging for DPC Practices* Texting is a great feature DPC clients love to use.* It aligns with modern parents’ communication preferences—especially millennials who dislike phone calls.* Texting creates a faster, more convenient, and less stressful experience for families.2. Transitioning from Fee-for-Service Mindset* Initial hesitation around texting (e.g., fear of being overwhelmed) disappears once providers experience the manageable volume of communication in DPC.* The shift from a panel of thousands of patients to smaller, intentional patient panels reduces burnout and increases connection through text.3. Efficient Care Without Office Visits* Many issues can be resolved via text or photos—e.g., diaper rash, pink eye, or a bug bite—saving families time and unnecessary visits.* Examples include avoiding full office visits for simple questions like constipation or bug bites.4. Personalized, Ongoing Care* Unlike large healthcare systems, DPC physicians build personal relationships with patients and families, leading to more thoughtful, individualized care.* Patients often prefer asynchronous communication with someone they know and trust over impersonal telehealth with unfamiliar providers.5. Managing Message Volume and Expectations* Physicians set boundaries around response time (typically same day, not instant).* Automated replies help set after-hours expectations and offer booking options or advice for urgent needs.* Teams often triage messages first thing in the morning and during downtime.6. Recognizing Urgency Without Overreacting* Physicians discuss the psychology of interpreting urgency and how most parents are seeking reassurance—not demanding immediate appointments.* They encourage trusting relationships where patients feel heard without needing instant access 24/7.7. Minimal Use of Video Visits* Contrary to initial expectations, video visits are rare.* Asynchronous methods (texts, pictures, short videos) often work better than live video, which can be awkward or unnecessary.* Video visits are occasionally used for behavioral health consults or special cases.8. Texting Builds Trust & Peace of Mind* Knowing they can easily reach their physician brings parents peace of mind.* The model promotes trust and reduces unnecessary stress or reliance on unverified online sources. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this candid and inspiring episode, Phil and Marina explore the theme of failure—how it's an inevitable part of the human and entrepreneurial experience, and more importantly, how to learn and grow from it. They share personal stories of setbacks, including missteps in business ventures, early academic struggles, and social media flops, underscoring that failure is not the end but a stepping stone to success. The episode encourages fellow pediatricians, especially those in or considering irect primary care, to frame failure as a growth opportunity rather than a stopping point.Key Highlights* Reframing Failure: The hosts emphasize that failure is a natural and necessary part of learning—just like in child development, where kids must fall before they walk.* Cultural Challenges in Medicine:* Medicine often penalizes failure harshly, especially during training, which leads to a deep-rooted fear among physicians.* In entrepreneurship, however, failure is less risky and often essential for learning.* Phil’s Experiences:* Launched a virtual membership inspired by Blueberry Pediatrics that didn’t gain traction but led to a new patient retention strategy.* Attempted to start a clinic-based pharmacy, which failed due to regulatory and logistical issues—highlighting the importance of focusing on what patients truly need.* Uses social media prolifically and embraces that many posts will flop. He views each post as an experiment and doesn’t dwell on metrics.* Marina’s Vulnerability:* Shared her experience of failing foundational biology courses at Stanford and how she overcame academic setbacks to eventually succeed in medicine.* Spoke candidly about taking an extra year in medical school due to depression and how she found her stride during clinical rotations.* Takeaway Mindset:* Progress is not linear. The journey includes setbacks, and resilience is built by continuing through them.* Physicians have the training and adaptability to recover from business failures.* Having community and mentorship makes the process of learning from failure more manageable and less isolating.* Call to Action:* For pediatricians in or considering DPC, the takeaway is: don’t let fear of failure stop you. Try, pivot, and adapt.* Phil and Marina also offer one-on-one consulting through their site, dpcpediatrician.com, to support others on this path. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Podcast Episode Summary: Setting and Reaching Goals with PurposeHosts: Dr. Phil Boucher & Dr. Marina CapellaBook Discussed: All It Takes Is a Goal by John AcuffKey HighlightsOverview of the Book* All It Takes Is a Goal explores how to identify, prioritize, and achieve meaningful goals.* Acuff uses personal anecdotes and practical frameworks to help readers move from “idea” to “action.”* Especially relatable for perfectionists, over-thinkers, and high-achievers.Identifying Meaningful Goals* Best Moments List: Reflect on past experiences that brought you joy to guide future goals.* Avoid “should” goals (based on external expectations) in favor of goals rooted in personal fulfillment.Three Types of Goals* Easy Goals* Timeframe: 1–7 days* Low effort, low cost, builds momentum* Examples: Send an email, post on social media* Middle Goals* Timeframe: 30–90 days* Requires scheduling and consistency* Examples: Organize a clinic event, create a new service line* Guaranteed Goals* Timeframe: 3–12 months* Must be within your control and measurable* Examples: Train for a half-marathon, take regular voice lessonsLessons Applied to DPC Life* Both hosts discuss personal examples: starting autism support services, planning clinic events, learning new skills (like singing).* Importance of breaking large goals into achievable steps and celebrating small wins.* Middle and guaranteed goals often involve delegating and time management — crucial in DPC practice.Perfectionism and Progress* Perfectionism is a common “goal killer,” especially among physicians.* Phil stresses the value of “B+ work” over paralyzing perfection.* Emphasis on building confidence through small successes.Finding Time for Goals* Acuff encourages reclaiming “hidden time” (e.g., waiting in the car line, at the airport).* Quote: “The reason you're busy is because your imagination is bigger than your calendar.”Working Genius Concept* Phil also introduces The Six Types of Working Genius by Patrick Lencioni.* Recognizing your team’s strengths (idea generation, follow-through, execution) helps with delegation and goal completion. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Episode Summary: Standing Out Amongst the CompetitionIn this insightful episode, Drs. Phil and Marina explore how direct primary care pediatricians can differentiate themselves in a crowded healthcare market, particularly in contrast to traditional fee-for-service models.Key Highlights & TakeawaysThe Changing Landscape of Patient Choice* In traditional models, patients often choose providers based on insurance coverage and proximity.* In DPC, patients actively choose to pay out-of-pocket for care—so practices must compellingly demonstrate value.Standing Out: Being “Better” vs. Being “Different”* Being Better: Focus on reducing hassles—like offering same-day visits, online scheduling, and text communication.* Being Different: Emphasize unique offerings like integrative care, longer visits, personalized attention, or specialties (e.g., PANDAS care, mind-body medicine).Benefits Over Features* Features are things like “text messaging” or “longer appointments.”* Benefits are what those features mean to patients: peace of mind, deeper relationships, feeling heard.* Patients buy emotional outcomes, not logistical details.Marketing & Messaging* Avoid bland explanations of DPC.* Don’t just list services and hours on your website—highlight emotional and relational benefits.* Use testimonials and storytelling to bring benefits to life.Consumer Psychology* Position your practice like a luxury or specialty product (e.g., glass-bottled flavored milk vs. plastic gallon jug).* Create perceived value that justifies patients choosing and paying for your care over a "free" option.Actionable Advice* Review your website today and rewrite at least one feature as a benefit.* Use ChatGPT or a marketing lens to frame how you communicate your practice’s value This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Podcast Episode Summary: DPC Pediatrician — Zest Pediatric NetworkHost: Dr. Marina CapellaGuests: Dr. Drew Hertz & Dr. Keili Mistovich (Co-founders, Zest Pediatric Network)Episode Overview:This episode features an in-depth conversation with Dr. Drew Hertz and Dr. Keili Mistovich, co-founders of the Zest Pediatric Network. The discussion centers on how Zest is transforming the landscape for pediatricians interested in Direct Primary Care (DPC) by providing a supportive, collaborative network model that lowers barriers to entry, maintains physician autonomy, and enhances patient care.Key HighlightsWhy Zest Pediatric Network Was Created* Zest was founded to make it easier for pediatricians to enter the DPC model, especially for those who are hesitant to manage all business and clinical responsibilities alone.* The network aims to lower barriers for doctors who may not have business experience or resources to start independent practices.* The founders believe every pediatrician should have access to the DPC model, not just those with entrepreneurial backgrounds.Team-Based Approach* Zest operates on the philosophy that "DPC is a team sport," offering pediatricians the benefits of independence with the support of a collaborative team.* The network provides two main types of support: Business Team: Handles back-office operations, freeing doctors from administrative burdens so they can focus on patient care. Clinical Team: Offers cross-coverage among doctors, making it easier to take vacations and manage time off without compromising patient care.Expanded Services Through Economies of Scale* By pooling resources, Zest offers access to additional professionals—nutritionists, sleep consultants, lactation consultants, psychologists—who support comprehensive pediatric care.* These services would be difficult for solo practitioners to afford or coordinate independently, but are feasible when shared across multiple offices.Network Structure and Autonomy* Each doctor operates as an independent LLC, preserving their autonomy and preventing the network from becoming a corporate healthcare system.* Zest emphasizes a "servant leadership" model, where the network supports the physicians rather than employing them, and clinical support professionals are also independent contractors.* The structure allows doctors to have equity in the network and a say in its development and direction.Operational Efficiency and Growth* Zest has successfully launched multiple offices (three in Cleveland, two in Pittsburgh) and can help new practices become operational quickly—sometimes within three months.* The network manages everything from patient onboarding to administrative tasks, allowing doctors to focus solely on clinical care.Integration and Community Partnerships* Zest has established contracts with schools, Medicaid, and therapy centers, enabling broader service offerings such as autism assessments and evaluations.* The network's unified electronic medical record (EMR) system allows seamless sharing of patient information among the team, ensuring coordinated care.Maintaining the DPC Ethos* The founders stress their commitment to preserving physician autonomy and avoiding the pitfalls of corporate medicine, which many DPC doctors seek to escape.* Decision-making within the network prioritizes the independence and preferences of member physicians.Notable Quotes"DPC is a team sport because not everybody wants to go it alone.""We work for the doctors. The doctors don't work for us.""Maintaining autonomy for our physicians is always front of mind when making decisions about the network."ConclusionZest Pediatric Network offers a unique, scalable solution for pediatricians interested in DPC. By combining business and clinical support, expanding access to ancillary services, and maintaining physician autonomy, Zest enables doctors to focus on what they love—caring for children—while enjoying the benefits of teamwork and shared resources. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of DPC Pediatrician, Dr. Phil Boucher and Dr. Marina Capella dive into the frequently debated topic of whether DPC practices should charge an enrollment fee. They share their personal experiences, perspectives, and practical advice for pediatricians considering this approach.Key Highlights1. What Is an Enrollment Fee and Why Consider It?* An enrollment fee is a one-time charge for new patients joining a DPC practice. It helps offset the upfront time and effort spent on onboarding families, such as reviewing medical records, conducting lengthy initial visits, and creating follow-up plans.* Dr. Capella initially disliked the idea of enrollment fees but later found them beneficial for protecting against families who leave shortly after joining, despite significant upfront investment.2. Benefits of Charging an Enrollment Fee* Commitment Indicator: The fee encourages families to think carefully before signing up, ensuring they understand the membership model.* Financial Protection: It provides a buffer for the time-intensive onboarding process.* Clarity: It reinforces the idea that DPC is different from traditional practices, helping patients understand the recurring membership structure.3. Practical Approaches to Enrollment Fees* Both doctors charge $100 per family as a reasonable fee but note that practices can set their own amount or waive fees in certain situations (e.g., newborns or special cases).* Waiving fees can be used as an incentive to encourage sign-ups during meet-and-greet sessions.4. Alternatives to Enrollment Fees* Minimum Membership Commitment: Practices can require families to commit to a minimum duration (e.g., six months) instead of charging an enrollment fee. This ensures stability while avoiding upfront costs.* Flexible Policies: Some practices opt not to charge enrollment fees or enforce commitments to minimize barriers for families, especially in lower-income or rural communities.5. Tailoring Fees to Your Community* Pricing strategies should reflect the economic realities of your patient base. For example, in areas with lower average incomes, an enrollment fee might deter families from joining.* Testing your market and adjusting policies based on feedback is crucial for success.6. Final Thoughts* The beauty of DPC is its flexibility—practitioners can decide whether to charge fees or enforce commitments based on their values and community needs.* Both Dr. Boucher and Dr. Capella emphasize that it’s okay to experiment with different approaches and adjust as needed.For more content like this please visit, https://dpcpediatrician.com. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of DPC Pediatrician, hosts Dr. Phil Boucher and Dr. Marina Capella welcome Dr. Dhanu Sant and Dr. Valerie Miles from ThriveWell Pediatrics in Jacksonville, Florida. The discussion centers on their journey into direct primary care (DPC), their partnership model, and how integrative medicine shaped their practice.Key Highlights:1. Backgrounds of the Guests:* Dr. Sant's Journey:* Originally from Columbus, Ohio, Dr. Sant trained at Ohio State University and Columbus Children’s Hospital.* She began her career in a large pediatric practice but grew frustrated with the limitations of fee-for-service care, particularly the lack of time to address foundational health issues like nutrition and sleep.* Inspired by her Indian heritage and yoga practice, she transitioned to integrative medicine and started her own pediatric practice in Columbus.* In 2019, she decided to move to Florida for family reasons and began exploring a partnership with Dr. Miles.* Dr. Miles' Journey* Trained in Salt Lake City, Dr. Miles felt drawn to pediatrics early in her career.* She practiced in Durango, Colorado, where she encountered holistic approaches like garlic oil for ear infections, which sparked her interest in integrative medicine.* After moving to Jacksonville in 1999, she started her own insurance-based integrative practice in 2000 and became board-certified in integrative medicine.2. Formation of ThriveWell Pediatrics:* Drs. Sant and Miles met through integrative medicine conferences and maintained a supportive professional relationship over the years.* In 2019, they decided to combine their expertise and open ThriveWell Pediatrics as a direct primary care (DPC) practice in Jacksonville.* They attended the Nuts & Bolts DPC conference, which provided the foundational knowledge needed to launch their practice in 2020.3. Benefits of Their Partnership Model:* The doctors emphasized the importance of finding the right partner, likening it to a marriage.* They balance responsibilities based on their strengths, such as accounting and patient communication, making the workload more manageable.* Both agreed that having a partner enhances the experience of running a practice compared to doing it solo.4. Integrative Medicine in Pediatrics:* Both doctors highlighted how integrative approaches—such as addressing nutrition, sleep, and natural remedies—can be transformative for pediatric care.* Their shared vision for holistic care was instrumental in shaping ThriveWell Pediatrics into a unique DPC model.For more content like this please visit, https://dpcpediatrician.com. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Key Highlights: Transitioning to Direct Primary Care (DPC) with Dr. Laura Lindner1. Motivation for Transition* Dr. Lindner experienced growing frustration and burnout in her previous group practice due to a lack of autonomy, inefficiencies in patient care, and an inability to implement her ideas.* She was inspired by colleagues and other DPC practitioners who demonstrated the potential for this model in pediatrics.2. Initial Steps Toward DPC* Dr. Lindner began by researching the DPC model through Facebook groups like "Pediatricians that do DPC" and "DPC Docs."* She explored the financial feasibility of starting her own practice, including preparing for a temporary loss of income.* A healthcare attorney helped her navigate her employment contract, focusing on non-compete clauses and patient record ownership.3. Navigating the Transition* To comply with legal restrictions, she used creative methods to inform patients about her new practice:* Created a personal Instagram account to connect with patients indirectly.* Shared updates about her life and later redirected followers to her professional page after leaving her employer.* She emphasized the importance of maintaining professionalism during the resignation process, giving ample notice (four months) to avoid leaving her former practice in a difficult position.4. Challenges Faced* Finding office space within the constraints of her non-compete clause was particularly challenging. She eventually secured a rental arrangement for one exam room in an existing office.* Establishing an online presence was initially difficult due to SEO limitations and issues with gaining control over her Google profile, which was managed by her previous employer.5. Lessons Learned* Dr. Lindner advises others transitioning to DPC to:* Thoroughly review contracts with legal assistance.* Plan for logistical aspects like securing a business address and managing online visibility.* Maintain positive relationships with former colleagues and staff to facilitate smoother transitions.6. Results and Reflections* Within six months of opening Homegrown Pediatrics, approximately 5–7% of her former patients followed her to the new practice, increasing to about 10% over time.* Despite initial fears, she successfully built a sustainable practice while maintaining ethical and legal standards.For more content like this please visit, https://dpcpediatrician.com. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Key Highlights:* Journey into Direct Primary Care (DPC)* Dr. Amber Hull transitioned to DPC after a disability from a femur fracture in 2021 forced her to reevaluate her career.* She created Village Pediatrics, a low-overhead, concierge-style pediatric practice that focuses on house calls and direct patient access.* Her practice primarily serves children under five, with many families joining during pregnancy.* Postpartum Health & Women's Care* Dr. Hull integrates maternal health into her pediatric care, recognizing the impact of postpartum hormone shifts on women's well-being.* She educates families on the similarities between postpartum and menopausal hormonal changes, emphasizing issues like vaginal atrophy, decreased libido, and emotional challenges.* She collaborates with pelvic floor therapists and mental health professionals to support new mothers holistically.* Challenges in Postpartum Care* The healthcare system inadequately prepares parents for postpartum challenges, including relationship changes and physical recovery.* Many women experience a lack of medical guidance in navigating postpartum hormonal shifts and intimacy concerns.* Dr. Hull encourages open conversations with both parents to foster understanding and support during postpartum transitions.* DPC as a Sustainable Model* Dr. Hull discusses the benefits of DPC in allowing her to balance patient care with self-care.* She emphasizes the importance of setting boundaries, outsourcing non-medical tasks (e.g., bookkeeping, marketing), and maintaining financial sustainability.* Unlike traditional healthcare models, DPC allows her to cultivate direct relationships with specialists and community resources.* Resources & Continuing Education* Dr. Hull is an advocate for improving physician knowledge in postpartum and sexual health.* Recommended resources:* International Society for the Study of Women’s Sexual Health (ISSWSH)* Menopause Society* Dr. Kelly Casperson's book & podcast: You Are Not Broken* She will be speaking on menopause and intimacy at an upcoming medical conference.Final ThoughtsDr. Hull’s approach to DPC highlights the need for integrative, patient-focused care in pediatrics. By addressing postpartum health alongside infant care, she provides a holistic model that benefits both mothers and children. Her story is an inspiring example of how physicians can reshape their practice to align with both their values and well-being. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of DPC Pediatricians, Dr. Phil Boucher and Dr. Marina Capella recap their recent experience attending the Pediatric DPC Mastermind conference.Key highlights from the episode include:* Networking and Community Building: Marina shares that her favorite part of the conference was connecting with other DPC pediatricians from across the country. She emphasized the importance of these relationships, as DPC pediatrics can be a lonely field. Meeting others with similar challenges and practices, such as those focusing on house calls or integrative pediatrics, was especially rewarding.* Integrative Pediatric Care: Marina and Phil both highlighted a talk by Dr. Valerie Miles and Dhanu Sant from ThriveWell Pediatrics on integrative pediatrics. Their discussion on tools for managing common pediatric conditions, including the use of red blood cell magnesium tests, provided actionable insights that they have already integrated into their practices.* Surprise Birthday Celebration: A memorable moment for Phil was a surprise birthday celebration during the conference, which included a humorous video from his colleagues. This gesture made the conference even more meaningful for him.* Marketing and Growth Strategies: Phil talks about his talks on marketing and practice growth strategies. He emphasizes the importance of creating intentional marketing plans and targeting specific areas of expertise to grow a practice.* Utilizing AI in Practice: Phil and Marina both discuss how they've started embracing AI tools like ChatGPT to improve patient communication and reduce administrative tasks. This includes creating patient handouts and personalized treatment plans.* Clinical Learning: Both doctors reflect on various educational talks, including sessions on urgent care procedures, PANS/PANDAS, and managing complex medical conditions in pediatric DPC. They appreciate how DPC offers more time with patients, allowing for a deeper level of care.* Appreciation for the Podcast's Impact: They also express gratitude for listeners who shared how the podcast has influenced their practices and decisions, noting the responsibility they now feel in providing helpful advice.The episode concludes with a playful moment, as Phil's parody of "Popular" from Wicked is featured, humorously promoting the importance of social media in growing a DPC practice.For those interested in attending future conferences, they mention that details will be available soon on the Pediatric DPC Mastermind website. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Key Highlights:* Journey into Direct Primary Care (DPC):Dr. Jalan Burton transitioned from traditional pediatric practice to DPC after experiencing burnout in the conventional healthcare system. She founded Healthy Home Pediatrics in 2019, offering 85% house calls and 15% in-office visits.* Challenges in Traditional Healthcare:She describes systemic burnout, unrealistic time constraints (10-minute follow-ups), and the lack of autonomy in patient care as major reasons for leaving.* Building a DPC Practice:* Knowing Yourself & Your Needs: Entrepreneurs should assess their strengths, weaknesses, and personal circumstances before launching.* Financial Planning: Many DPC practices fail due to a lack of financial sustainability.* Avoiding Comparison: Success in DPC looks different for everyone, and comparing to others can be discouraging.* Balancing Motherhood & DPC:* Dr. Burton has three children, and one of them was born while managing her practice during the pandemic.* Strong support systems (family, childcare, home organization) helped her navigate work-life balance.* Maternity leave was planned strategically by scheduling early visits and arranging coverage with trusted colleagues.* Lessons Learned & Advice for New DPC Physicians:* Avoid blindly following online advice—every DPC practice is unique.* Invest in business coaching and mentorship.* Prioritize self-care and structured time management (e.g., dedicated self-care Fridays).* Implement systems for managing finances and patient memberships.* Future Plans & Mentorship:* Dr. Burton is launching a mentorship program for mothers in medicine and women of color transitioning into DPC.* Emphasizes the importance of creating sustainable, joyful practices that benefit both physicians and their communities. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Key Highlights:* Dr. Marina Capella’s New Clinic Building* Purchased a historic home for her practice, creating a welcoming, therapeutic environment.* Plans to expand services with a women’s health provider, a mental health therapist, and potential physical/occupational therapy offerings.* Dr. Phil Boucher’s Strategic Focus Areas* Prioritizing care for newborns and mental health patients.* Adjusting marketing efforts to target these patient groups effectively.* Exploring ways to demonstrate the long-term value of DPC for families with older children.* New Service Models & Pricing Tiers* Dr. Capella introduced three membership levels:* Essentials Membership (basic pediatric care with visit limits)* Complex Care Membership (for behavioral health or specialized care)* Concierge Home Visit Package (for high-end personalized care)* Designed to align pricing with service intensity and provide flexible options for families.* Virtual Care Memberships* Dr. Boucher is launching a virtual membership option to reach families in rural areas or those preferring remote care.* Covers basic pediatric consultations, behavioral guidance, and parenting support.* Vaccine Program Expansion* Dr. Capella successfully implemented VaxCare, reducing out-of-pocket vaccine costs and improving financial sustainability.* Challenges include workflow adjustments, but overall, it's a positive step for the clinic.* Adding Multidisciplinary Care* Dr. Boucher welcomed a speech-language pathologist to his clinic, expanding services for speech delays, autism support, and infant feeding.* Enhancing his practice as a true medical home with integrated care.Final Thoughts:* Both doctors are refining their DPC models to improve patient experience and financial sustainability.* They encourage other pediatricians to experiment with new service structures and share insights. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Episode Overview:In this episode, Dr. Phil Boucher and Dr. Marina Capella discuss their daily routines as Direct Primary Care (DPC) pediatricians. They share insights into their schedules, patient interactions, and how they maintain work-life balance while providing personalized care.Key Highlights:* Flexible & Customized Schedules:* Dr. Boucher structures his day to finish by 4:30 PM, ensuring quality time with his family.* Dr. Capella prefers starting at 10 AM, incorporating personal time in the mornings and offering evening/weekend appointments for accessibility.* Morning Routines:* Checking messages and planning patient visits is a priority before seeing patients.* Patient Care & Appointment Flow:* DPC allows for longer, unhurried patient visits (30-60 minutes).* Visits include sick checks, ADHD/autism evaluations, and integrative consults.* The ability to handle minor issues virtually (text, voice, or telemedicine) helps optimize in-person visits.* Boundaries & Avoiding Burnout:* Setting expectations early is crucial—patients must understand when to expect responses and what level of care is provided after hours.* Personal flexibility allows occasional after-hours care, but pediatricians must avoid over-promising and setting unsustainable precedents.* The challenge of balancing accessibility and personal life requires discipline.* Key Takeaways:* Every DPC practice is unique, shaped by the physician’s lifestyle and priorities.* Clear communication with patients prevents unrealistic expectations.* Maintaining boundaries is essential to prevent recreating the burnout of traditional fee-for-service models.Final Thoughts:Dr. Boucher and Dr. Capella emphasize that DPC offers unparalleled flexibility, but success depends on structuring schedules and boundaries wisely. Their conversation highlights the rewarding yet challenging aspects of running a DPC practice while ensuring a fulfilling work-life balance. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode, we tackle the question: Are Direct Primary Care (DPC) providers just in it for the money? Dr. Capella and Dr. Boucher share their personal experiences and insights, offering a candid look at the realities of running a DPC practice and the motivations behind it.Key Highlights:* Financial Sustainability vs. Patient Care:* Dr. Capella discusses offering discounted or free care to certain patients, emphasizing that while DPC practices are business ventures, they are also rooted in a commitment to accessible healthcare. This challenges the notion that DPCs are simply about making money, showcasing how they balance profit with patient needs.* Dr. Boucher highlights how owning a practice changes the way financial decisions are made, contrasting it with the traditional fee-for-service model where profit is often prioritized over patient care.* Addressing the Common Criticism of "Money-Driven" DPCs:* Both Doctors explain that while the DPC model is financially sustainable for doctors, it’s not the sole motivator. They share how DPC allows for more personalized, timely care, often benefiting underserved or lower-income populations, which counters the argument that DPCs are primarily profit-driven.* The Reality of Starting a DPC Practice:* Dr. Boucher shares the financial struggles he faced when starting his DPC practice, including needing to take on a side job just to stay afloat. This paints a clear picture that the road to financial stability in DPC is challenging and not simply a quick path to wealth.* Discounts, Accessibility, and Altruism:* Dr. Capella emphasizes the flexibility within DPC to offer discounts to patients in need, especially those on Medicaid. She explains how DPC models are designed to ensure healthcare is accessible to all, demonstrating that altruism is a key part of the DPC approach.* Hidden Costs and the Emotional Toll:* Both doctors reveal the emotional and financial costs of running a DPC practice. Dr. Boucher discusses the time spent on administrative work and the struggle of providing care with limited resources, while Dr. Capella talks about the emotional rewards that keep her motivated despite the challenges of the business side of DPC.This episode dives deep into whether DPCs are just about money or if they offer a more meaningful approach to patient care. Dr. Capella and Dr. Boucher shed light on the real-world challenges and motivations behind DPC practices, offering a fresh perspective on how healthcare can be both financially viable and focused on the well-being of patients. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of the DPC Pediatrician Podcast, we discuss the role of procedures in DPC practices, focusing on how they can enhance patient satisfaction and set your practice apart.Key Highlights:* On-Demand Care: Offering walk-in services like laceration repair or urgent procedures can differentiate your practice, as many traditional offices don't provide this flexibility. While not all patients expect it, providing these services on demand can be a major selling point.* Cost and Pricing for Procedures: We share that most procedures, such as laceration repairs or routine care, are included in the overall fee. However, certain procedures like circumcisions and ear piercings may incur additional charges due to their elective nature. They also emphasize the importance of factoring in material costs, such as sutures and dermabond, into the practice’s pricing.* Patient Satisfaction and Word-of-Mouth: This podcast also highlights how patients appreciate the convenience of having procedures like staples for head wounds handled on the spot, especially in emergencies. These services often lead to positive word-of-mouth, as parents share their experiences with others.* Practical Experience: We share a personal story about handling a staple procedure in a parking lot during dance practice, reinforcing the value of being able to offer immediate care when unexpected situations arise. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this conversation, two DPC pediatricians, Dr. Phil Boucher and Dr. Marina Capella, discuss the benefits and challenges of offering one-time visits alongside membership-based services.Key Highlights:* One-Time Visits vs. Memberships: Both doctors offer one-time visits to attract new families and address immediate health concerns, like ear infections or ADHD evaluations. While the pricing for one-time visits may be similar to a monthly membership fee, the membership provides ongoing access to personalized care, making it a more cost-effective option for families needing frequent visits.* Pricing Strategy: Dr. Boucher explains that his practice doesn’t compete with itself by offering lower-cost one-time visits. For example, a one-time visit for a sick child costs $147, while a membership costs $175 per month and includes additional benefits. Dr. Capella offers integrative one-time visits at a higher price ($300) to incentivize families to convert to a membership.* Community Engagement: To build relationships and visibility, both doctors offer services beyond traditional memberships. Dr. Boucher provides ear piercing and ADHD evaluations as separate services, while Dr. Capella offers free flu shots funded through VaxCare, encouraging conversions to membership through positive patient experiences.* Adapting Over Time: Both practitioners stress the flexibility of the DPC model. As their practices grow, they may phase out one-time visits, especially if they reach full capacity. The DPC model allows practitioners to continuously adapt and evolve their business strategies to meet patient needs and practice goals. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this insightful conversation, pediatricians Dr. Phil Boucher and Dr. Marina Capella discuss how to approach families who are hesitant or refusing vaccines. They share strategies for building trust, addressing concerns, and creating an open dialogue that empowers families to make informed decisions.Key Highlights:* Building Trust: The importance of listening to families’ concerns and fostering a supportive relationship to reduce vaccine hesitancy.* Understanding Hesitancy: Many families are not opposed to vaccines but have specific concerns. Tailored conversations can help ease their doubts.* Parental Autonomy: The doctors emphasize that, while pediatricians provide guidance, vaccine decisions ultimately lie with the parents.* Value of Regular Check-Ups: Even without vaccines, routine visits remain essential for tracking development and continuing vaccine conversations.* Managing Risks and Legalities: The importance of documentation, including the AAP’s vaccine refusal form, to protect both pediatricians and families.* Choosing Your Practice Policy: Whether accepting delayed vaccines or adhering strictly to schedules, the key is transparency and consistency.This episode offers practical advice for pediatricians on how to navigate vaccine hesitancy with empathy and professionalism. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode, Dr. Capella and Dr. Boucher share practical tips on using social media to grow your Direct Primary Care practice. Whether you're new to social media or just looking for ways to improve, this conversation covers the essentials to help you succeed.Key Highlights:* Educate & Build Trust: Use social media to inform and educate your community, positioning yourself as a trusted healthcare expert.* Authenticity Matters: Imperfection is powerful. Show the real you—whether it’s recording from your car or sharing everyday moments.* 80/20 Rule: Focus 80% of your content on educating your audience and 20% on showcasing your practice’s unique approach.* Target Your Ideal Audience: Create content aimed at specific groups (e.g., parents with ADHD concerns) and address their common questions.* Strong Hooks: Start your videos with a hook to grab attention within the first few seconds.* Consistency is Key: Building a social media presence takes time—focus on showing up consistently and educating your audience.While social media is a great tool, it’s not the only way to grow your practice. Whether you use it or not, the most important thing is to be consistent and offer value to your community! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of "DPC Pediatrician," Dr. Phil Boucher and Dr. Marina Capella dive into selecting the right space for a Direct Primary Care (DPC) practice. From envisioning your dream setup to understanding the practicalities of square footage, location, and lease agreements, they share personal experiences and expert tips to help you make informed decisions. Whether starting small or planning for growth, this episode is packed with actionable advice for building your ideal DPC practice space.Key Highlights:* Dr. Marina shares how she found her initial practice space and the importance of plumbing, layout, and flexibility for growth.* Dr. Phil explains how a temporary first-year space allowed his practice to start small while planning for future expansion.* Discussion on the pros and cons of different space sizes, from home-based setups to larger multi-provider offices.* Insights into negotiating lease terms, including rent reductions for new practices, build-outs, and shared spaces.* Tips on evaluating location based on visibility, convenience, and proximity to complementary healthcare services.* The importance of tailoring your space to your vision, whether it’s a micro-practice, a homey clinic, or a collaborative wellness center.* Advice on avoiding long-term lease commitments until you are certain of your practice’s needs and growth trajectory.Your practice space is more than just a physical location—it reflects your vision and values. Whether you’re looking for a cozy micro-practice or planning for a comprehensive pediatric wellness center, this episode provides valuable insights to help you find a space that supports your goals and your patients' needs. Stay tuned for more tips on building your ideal pediatric DPC practice. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of "DPC Pediatrician," Dr. Phil Boucher and Dr. Marina Capella discuss a unique aspect of pricing in pediatric Direct Primary Care (DPC): the family maximum charge. This episode dives into whether implementing a family maximum fee makes sense for your practice. They share their experiences with large families in their practices and explore the advantages and potential challenges of setting a cap on how much a family pays, no matter how many children they have. If you're wondering whether a family maximum is right for your DPC practice, this conversation is a must-listen!Key Highlights:* Dr. Phil explains why his practice set a $300 family maximum, emphasizing how large families with multiple children tend to be lower utilizers of services.* Discussion on how families with several children benefit from a cap, making pediatric care more affordable and encouraging them to join a DPC practice.* Dr. Marina highlights how offering integrative services in addition to pediatric care requires careful planning, particularly for large families that may seek specialized treatments.* Both doctors agree that larger families often have lower utilization rates because experienced parents are more confident and tend to seek care only when necessary.* Advice on adjusting pricing models to balance profitability and affordability while keeping care accessible for bigger families.* Insight into when it might be necessary to customize pricing for families with complex medical needs or high utilization.Setting a family maximum can make your pediatric DPC practice more attractive to large families and help foster long-term relationships with them. It’s important to find a balance between affordability for the families and sustainability for your practice.Tune in next time for more strategies to enhance your pediatric DPC practice. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of "DPC Pediatrician," Dr. Phil Boucher and Dr. Marina Capella explore an exciting question for pediatricians: Can you teach while running a Direct Primary Care (DPC) practice? They share their personal experiences with teaching medical students and residents, discussing how they integrate educational opportunities into their DPC practices. Whether you're passionate about educating the next generation of physicians or curious about how to stay involved in academia, this episode provides insights and actionable tips on making it work in a DPC setting.Key Highlights:* Dr. Marina explains how she became an adjunct faculty member and began teaching medical students, emphasizing the value of volunteer work and preceptorships.* Dr. Phil shares his experience hosting M3s and pediatric residents in his clinic, offering them a more personalized and relaxed learning environment compared to traditional practices.* Both doctors discuss the advantages of teaching in DPC, including the flexibility to give students more hands-on experience and in-depth education.* Insight into how DPC provides the time and space to teach not just clinical skills but also introduce students to the DPC model and business aspects of healthcare.* Dr. Marina talks about her creative approach to teaching medical Spanish in her clinic, combining real-world scenarios with classroom learning.* Practical advice for DPC pediatricians interested in teaching, including how to connect with local medical schools and offer valuable learning opportunities.If you're passionate about teaching and wondering how to integrate it into your DPC practice, this episode proves that it’s not only possible but also incredibly rewarding. By creating unique educational experiences for medical students and residents, you can inspire the next generation of physicians while enjoying the benefits of the DPC model. Tune in for more insightful discussions in future episodes! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of "DPC Pediatrician," Dr. Phil Boucher and Dr. Marina Capella dive into a topic that every pediatrician considering Direct Primary Care (DPC) wants to know: How long does it take to become profitable? They discuss the financial realities of starting a DPC practice, sharing their experiences and offering insights into the factors influencing profitability. From planning for slower months to knowing your overhead costs, this episode provides actionable advice for anyone navigating the financial side of DPC.Key Highlights:* Dr. Marina shares her experience of taking longer than expected to become profitable, emphasizing the importance of having financial safety nets and being prepared for a slow start.* Discussion on how having side gigs or other income streams can help stabilize finances during the first year of DPC.* Dr. Phil explains the significant costs of running a practice, highlighting major expenses for rent, vaccines, staff, and technology.* Tips for reducing overhead, such as starting with home visits or virtual care, to accelerate profitability.* Insights into patient acquisition and why it’s essential to manage expectations around how many patients will follow from previous practices.* Practical advice on planning for long-term financial success, including budgeting for personal and clinic expenses and considering lines of credit.* Emphasis on being patient, flexible, and willing to try different strategies to attract patients and grow the practice sustainably.Becoming profitable in a DPC practice takes time, and every journey is different. Whether you're aiming for profitability within six months or preparing for a longer road, this episode offers valuable tips to help you plan and manage your practice’s financial health.Don’t forget to tune in for more insights on building a thriving DPC practice! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of "DPC Pediatrician," Dr. Phil Boucher and Dr. Marina Capella discuss one of the most significant pain points for pediatricians: charting. They share practical strategies to reduce the time spent on charting without compromising patient care.By leveraging technology, optimizing workflows, and adopting best practices, they provide actionable tips to help pediatricians in Direct Primary Care (DPC) create more time for patient interactions and personal well-being.Key Highlights:* Dr. Phil and Dr. Marina talk about the common challenges pediatricians face with charting and documentation.* Insights into using Electronic Medical Records (EMR) efficiently to streamline charting processes.* Tips for adopting voice recognition software and other technological tools to speed up documentation.* Discussion on the importance of creating templates and standardized forms to reduce repetitive data entry.* Strategies for balancing thorough documentation with the need to minimize time spent on charting.* Real-life examples from their own practices on how they have successfully reduced charting time.* The benefits of having more time for patient care and personal life when charting is managed effectively.Reducing time spent on charting can significantly enhance the quality of life for pediatricians and improve patient care. By implementing the strategies discussed in this episode, you can streamline your documentation process and focus more on what truly matters: providing excellent care to your patients.Stay tuned for more tips and insights in our upcoming episodes. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode of "DPC Pediatrician," Dr. Phil Boucher and Dr. Marina Capella address a crucial aspect of running a Direct Primary Care (DPC) practice: getting comfortable asking patients for money. They discuss pediatricians' challenges when transitioning from traditional practice settings, where financial discussions were handled by others, to a DPC model that requires direct financial conversations.Tune in to learn practical tips and strategies for confidently discussing fees and valuing your services.Key Highlights:* Dr. Phil and Dr. Marina share their initial discomfort with discussing fees and how repeated practice helped them overcome it.* Insights into framing the value of DPC services, emphasizing the benefits such as unlimited visits, direct access to the pediatrician, and hassle-free communication.* Discussion on pricing strategies and adjustments, particularly how to set fair prices that reflect the value provided while covering practice overhead.* The importance of understanding patients' perspectives and focusing on the benefits they receive, rather than the technical aspects of the DPC model.* Strategies for handling objections and explaining the cost-effectiveness of DPC compared to traditional insurance-based practices.* Tips for marketing your DPC practice by highlighting convenience, personalized care, and transparency in pricing.* Encouragement should be given to embracing the discomfort of financial discussions and viewing each interaction as an opportunity to educate and build trust with potential patients.Getting comfortable with asking for money is a critical skill for DPC pediatricians.By focusing on the value you provide and practicing your financial conversations, you can ensure your practice thrives while delivering exceptional care. If you have more questions about the financial aspects of DPC, reach out to us—we're here to help! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode, Dr. Phil Boucher and Dr. Marina Capella discuss one of the most pressing concerns for pediatricians considering DPC: managing vaccines. They explore the challenges and solutions surrounding vaccine procurement and administration in a DPC model and offer practical advice on how to navigate this critical aspect of pediatric care without feeling overwhelmed. Whether you’re a seasoned DPC practitioner or just contemplating the switch, this episode is packed with valuable insights to help you ensure your practice can effectively handle vaccinations.Key Highlights:* Dr. Phil shares his experience with VaxCare, a service that simplifies vaccine management by handling procurement, billing, and inventory tracking.* Dr. Marina discusses alternative solutions for states without VaxCare, such as partnerships with local pharmacies and other practices to provide vaccines.* Examination of the financial implications of stocking vaccines and how to manage costs effectively, including strategies like adjusting membership fees.* Exploration of using services like ClaimMD to submit vaccine-related claims and potentially recoup some costs from insurance.* Discussion on the Vaccines for Children (VFC) program, its benefits, and the administrative workload it entails.* Emphasis on the importance of not letting vaccine logistics deters pediatricians from transitioning to the DPC model, as there are multiple viable solutions.Don’t let the challenge of managing vaccines keep you from pursuing a Direct Primary Care model if it aligns with your vision for pediatric practice. There are numerous ways to navigate this hurdle, and the flexibility of DPC allows for creative and effective solutions. Stay tuned for more episodes that tackle the real-world challenges and triumphs of DPC pediatricians. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

Welcome back to "DPC Pediatrician." In today’s episode, Dr. Phil Boucher and Dr. Marina Capella address a concern that many pediatricians face when contemplating a Direct Primary Care (DPC) model: managing high-needs parents and special needs children. They explore how the DPC setting changes the dynamics of these relationships, allowing for more personalized care and ultimately reducing the stress associated with high-demand patients. Join us as they share personal experiences and effective strategies for fostering patient relationships that are nurturing and sustainable.Key Highlights* Discussion on the realities of dealing with high-needs parents, emphasizing that while some parents may initially seem demanding, their anxieties often lessen with time and trust built through consistent, quality care.* Insight into managing special needs children in a DPC setting, where extended visit times and personalized attention can lead to more comprehensive and satisfying care for both patient and provider.* Dr. Marina and Dr. Phil reflect on the transformative impact of having the flexibility to address complex cases more thoroughly, which was often challenging in traditional practice settings due to time constraints.* Examples of how DPC has allowed for better management of chronic conditions and complex medical needs through a more involved and proactive approach.* Discussion on the benefits of modern communication tools like texting for maintaining continuity of care and providing quick updates, which enhances patient satisfaction and care outcomes.More questions or want more help?Learn more at www.dpcpediatrician.comThis episode highlights the unique advantages of Direct Primary Care in managing high-needs patients, offering hope and practical solutions to pediatricians who may feel overwhelmed by the demands of their practice. By embracing DPC, providers can rediscover the joy of pediatrics through meaningful interactions and improved patient care.Share this podcast with your colleagues who might be considering a leap into DPC or anyone passionate about innovative healthcare solutions. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode, Dr. Phil Boucher and Dr. Marina Capella explore the nuanced question: Can Direct Primary Care (DPC) serve low-income families effectively? This discussion delves into their personal experiences and innovative strategies for incorporating diverse economic backgrounds into their practices. The episode provides a heartfelt examination of the challenges and solutions involved in making DPC accessible to all, regardless of financial standing.Key Highlights* Dr. Marina discusses her commitment to serving underserved communities and her strategic approaches to integrate low-income families into her practice.* Dr. Phil shares insights on the common misconceptions about DPC being only for the wealthy and discusses the demographic reality of his patient panel which includes a diverse economic range.* Introduction of sliding scale fees as a practical solution to offer quality care to those who might not otherwise afford it, including a discussion on how these are managed within their practices to maintain sustainability.* The importance of community engagement and flexibility in service offerings to accommodate the financial and healthcare needs of various families, especially those who are low-income or uninsured.* Real-life examples of community support initiatives like formula banks and partnerships with local agencies to provide necessary care and support during community crises like the COVID-19 pandemic and formula shortages.More questions or want more help?Learn more at www.dpcpediatrician.comThis episode underscores the potential of Direct Primary Care to adapt and serve a wide economic demographic, challenging the notion that personalized care is only for the affluent. By being creative and community-focused, DPC practices can play a pivotal role in broadening access to quality healthcare.Share this podcast with your colleagues who might be considering a leap into DPC or anyone passionate about innovative healthcare solutions. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com

In this episode, Dr. Phil Boucher and Dr. Marina Capella dive into the nuances of naming a Direct Primary Care (DPC) practice. They explore the strategic and personal considerations that influence the choice of a practice name, reflecting on their experiences and the broader implications of this decision. This discussion illuminates the process of establishing an identity for a medical practice that aligns with personal values and professional aspirations, offering listeners practical advice for making this important decision.Key Highlights* The importance of choosing a practice name that embodies the brand and unique identity of the pediatrician, going beyond just a generic title.* Considerations around using personal surnames in practice names and the potential for future growth or partnership, which might influence the choice to opt for a more generic or inclusive name.* Tips on ensuring the chosen name is not already in use or too similar to existing practices nearby, including a recommended Google search to check for any overlaps.* The significance of the practice name in everyday operations, such as answering phone calls or promoting the practice online, and how it becomes a part of the practice's identity.* Discussion on long-term considerations, including how the choice of name might affect future business transitions, such as selling the practice or expanding.More questions or want more help?Learn more at www.dpcpediatrician.comNaming your practice is a significant step in shaping its identity and how it's perceived in the community. It's more than just a label—it's a reflection of your medical philosophy, your community's culture, and your personal brand. Whether you're about to name your practice or reconsidering the name of an existing one, consider what your choice will communicate to your patients and colleagues.Share this podcast with your colleagues who might be considering a leap into DPC or anyone passionate about innovative healthcare solutions. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com