DPC Life: Conversations Beyond the Practice

Anne Gonzalez, MD

Your practice should fit your life — not the other way around. DPC Life is the podcast for independent-minded doctors who are ready to step out of the system and into Direct Primary Care. Each week, we share honest stories from physicians who’ve built practices that work for their patients, their families, and themselves. Whether you’re managing kids’ schedules, craving more time for yourself, or looking to practice medicine on your own terms, this show is your guide and your community. Subscribe now and join the DPC family that’s got your back. Brought to you by HarmonyOps Health & DPC Ads

  1. 6D AGO

    10 Fears That Keep Physicians Stuck (And How To Finally Start Your DPC Practice)

    In this episode, I share the 10 fears I hear over and over from physicians who are thinking about Direct Primary Care but feel unsure about leaving employed medicine. We talk about realistic patient follow‑through, contracts, finances, timing, and how to know if you’re actually ready to move. You’ll see that you’re not alone, you’re not the only one thinking about this, and there is a clear path forward. In this episode, you’ll learn: What usually happens when you leave an employed practice (and what % of patients typically follow) How to explain a monthly membership fee to insured patients without feeling salesy When to start telling patients and colleagues you’re leaving, and how non‑compete / non‑solicit clauses affect that How to think about runway, side gigs, and the financial risk of leaving too early vs too late Simple ways to start talking about DPC so meet‑and‑greets feel less awkward How to build interest and a waitlist before you open, instead of launching to an empty panel The mindset and family / financial questions to ask when deciding if you’re ready to leave employed medicine Why you’re absolutely not the only one considering DPC, and how many practices are already thriving The Practice Momentum Flywheel: reach → resonate → respond → retain, and how that builds your practice over time About the Independent Practice Path Many physicians don’t need more information about DPC. They need a clear path and a small group to walk it with them. The Independent Practice Path is an 8‑week small‑cohort program for physicians who want to move from “thinking about it” to actively preparing to open an independent direct care practice. Over eight weeks, you will: Clarify your practice model so you know exactly what you’re building Practice how to talk about DPC and your membership in a way that feels natural Begin building interest and a waitlist before you open Put the basic systems in place that support your future practice How to take the next step Start the Readiness Reflection. Complete the short Readiness Reflection on the Independent Practice Path website to see where you are in the process and what your next step should be. Link: https://ipp.harmonyopshealth.com/ Join the next cohort. The next Independent Practice Path cohort starts on March 24. Enrollment closes once we begin, so if you want to be part of this round, complete the Readiness Reflection and register as soon as you’re ready. Ask your questions. If you’re unsure if this is a fit, complete the Readiness Reflection and then email me using the address listed on that page. Your future patients need you practicing medicine the way you imagined when you wrote your personal statement. If you’ve been thinking about DPC for a long time, this is your invitation to start taking concrete steps toward your own independent practice.Email me at ⁠anne@crescendooperations.com⁠ and let’s figure out if IPP is the right fit for you.

    16 min
  2. MAR 10

    Stop Answering the Same Question 30 Times: Systems for the Modern DPC

    What if growth didn’t have to cost you your emotional bandwidth? In this episode of the DPC Life Podcast, I’m joined by Dr. Noemi Adame, a pediatric Direct Primary Care physician in rural Indiana who has deliberately built systems to protect her time, energy, and longevity. After years in employed and academic medicine, she chose DPC for more autonomy, but then realized that “freedom” without systems still felt overwhelming. We get into gender bias, invisible labor, pricing discomfort, and how automation became the unexpected tool that transformed her practice. What You’ll Learn Why female physicians often carry more invisible labor and how that accelerates burnout How automation can act as a boundary, not a barrier The specific systems that cut inquiries by 80% while increasing enrollment How to use pre-education marketing to filter and qualify leads Why self-scheduling slashes back-and-forth messaging and mental load Key Moments The data showing female physicians receive 25% more portal messages The realization that the problem wasn’t time, it was emotional bandwidth The shift from answering every call manually to automated meet-and-greet funnels Panel growth up 20% while message volume stayed flat 80% fewer inquiries but 30% higher enrollment An honest conversation about pricing discomfort and guilt About the Guest Dr. Noemi Adame is a pediatric Direct Primary Care physician in rural Indiana. She founded her DPC practice after years in academic and employed medicine to create a more sustainable, relationship-centered way to care for families. She is also the founder of DPC Women’s Café and host of an annual DPC Women’s Retreat, where she focuses on physician wellbeing, autonomy, and burnout-proofing practices through intentional systems and community. Resources & Links DPC Women’s Café – Weekly virtual gathering for female DPC physicians (hosted by Dr. Noemi Adame) DPC Women’s Retreat – Culver, Indiana | October 15–18 | CME included. Physician wellbeing and burnout-proofing. SigmaMD – EMR platform mentioned in this episode: https://www.sigmamd.com Harmony Ops – CRM platform referenced: hhttps://24-7-bot.harmonyopsfordpc.com/dpc Ready to See How DPC Really Stacks Up for Your Patients? I created a DPC Patient Savings Calculator that lets patients compare what they might spend on DPC + a health share versus traditional insurance, using their own numbers.  When you click the link in the show notes, you’ll get: Calculator options for PhysiciansYou’ll see a free, generic calculator you can share with patients right away. You’ll also see how to: Get a branded version of the calculator for your own practice Have it hosted for you with lead capture built in Plug it into my DPC‑specific CRM and nurture sequence, so every calculation becomes a tracked lead The calculator is one of the tools inside my Independent Practice Path + CRM system, built so you can open or grow your practice with patients already lined up, not just hoping inquiries trickle in. Click here: https://dpcsavings.com/calculator-physicians Curious about the Independent Practice Path? Email me at anne@crescendooperations.com and let’s figure out if IPP is the right fit for you. Start with the free generic version. The rest of the system is waiting quietly inside. This episode of the DPC Life Podcast is streaming now on Spotify and all major platforms. Let’s build practices that protect us, not consume us.

    48 min
  3. MAR 3

    “Do You Take My Insurance?” How Dr. Donna Mayeda Explains DPC Without Feeling Salesy

    Coaching a brand-new DPC micropractice in Hawaii through pricing pushback, ‘concierge’ confusion, and early-growth doubt. When a patient asks, “Do you take my insurance?” most DPC‑curious docs freeze. In this episode, we coach Dr. Donna Mayeda, founder of Ke Ola Noa DPC in Honolulu, through exactly what to say, without feeling salesy or defensive. Just five months into her micropractice, Dr. Mayeda is building Direct Primary Care in a state where almost no one’s heard of it. We dig into: How to explain DPC vs “concierge” in one or two calm sentences What to say when patients don’t see the value in a membership fee Why lowering your price won’t fix a value disconnect Mindset shifts to talk about money without feeling like a salesperson How to craft a simple elevator pitch (even as an introvert) If you’ve ever felt called to DPC, but you’re scared of slow growth, confused patients, or awkward money talks, this coaching session will make you feel less alone and more prepared. About Dr. Donna Mayeda Dr. Donna Mayeda is an internal medicine physician and founder of Ke Ola Noa DPC in Honolulu, Hawaii. After six years in an employed corporate setting, she chose to open a Direct Primary Care micropractice focused on autonomy, accessibility, and relationship-based care. She is one of only a handful of DPC physicians in the state and is actively building a supportive network for DPC and DPC-curious physicians across Hawaii. Website: keolanoa.com Instagram & Facebook: Ke Ola Noa DPC If this conversation resonated with you, share it with a physician who’s been “DPC curious.” And if you’re thinking about starting your own DPC practice, don’t do it alone. 👉 Want step‑by‑step support? Email me at anne@crescendooperations.com to see if the Independent Practice Path is right for you.

    54 min
  4. FEB 24

    Should You Start Hybrid Instead of Pure DPC? with Dr. Cindy Ojevwe

    DPC can look freeing from the outside, but few people talk about the uncertainty that comes with DPC. In this episode, we sit down with Dr. Cindy Ojevwe, a family medicine physician and owner of Dr. Cindy Care in Mechanicsburg, Pennsylvania. We talked about her burnout in employed medicine and why she built her own Direct Primary Care practice. She shared the realities of starting solo, the unexpected challenges of growth, and the mindset shifts required when every decision - clinical and business - becomes your own. This conversation reflects on what it really takes to build a practice that aligns with our values while learning to give ourselves time and grace in the process. This episode is for: Physicians considering leaving employed medicine or transitioning into DPC Solo practice owners navigating early growth and uncertainty Women in DPC who feel isolated in decision-making or leadership In this episode, you’ll discover: Growth in DPC takes time - patience matters. Community and mentorship reduce isolation. Financial support during early growth lowers pressure. Boundaries are necessary for long-term sustainability. Practice models can evolve as community needs change. Building a solo practice takes courage, patience, and a willingness to grow through uncertainty. The freedom DPC offers comes not from doing everything alone, but from building systems and a community that support you along the way. Give your practice - and yourself - the time and grace to grow into the vision you started with. Resources & Guest Information Website: www.drcindycare.com Instagram: @drcindycare Facebook: Dr. Cindy Care LLC Podcast: The Care Room with Dr. Cindy YouTube: youtube.com/@drcindycare

    31 min
  5. FEB 17

    What Does an Automated DPC Practice Actually Look Like? — Dr. Erik Petersen

    You can’t grow a DPC practice, be a great physician, and still show up fully at home if everything stays on your plate. At some point, something breaks, or you decide to build it differently. In this episode, we sit down with Dr. Erik Petersen, founder of First Call DPC in Panama City Beach, Florida, to unpack what an automated DPC practice actually looks like. Erik shares how his background in emergency medicine pushed him toward Direct Primary Care as the answer to poor access, fragmented care, and constant burnout. We talk about starting lean, layering in virtual and in-person care, and using automation to clear out the “noise” so he can stay focused on patients, not paperwork. You’ll hear what worked, what didn’t, and how he’s building a model that protects both patient access and physician sustainability. If you’ve been wondering, “Is there actually a sane way to grow DPC?” this conversation gives you a real-world example. This episode is for you if you’re: A physician exploring or transitioning into Direct Primary Care A DPC owner who wants to grow without adding complexity or staff bloat A doctor who wants better patient access without sacrificing evenings, weekends, or family In this episode, you’ll discover: Why it’s safer to start small and let growth follow patient demand How access and relationships become your top retention strategy Specific ways automation can remove noise and protect your focus How virtual + in-person can work together inside one DPC model Why optimizing care goes beyond prescriptions and quick visits Conversations like this are a good reminder: building a DPC practice isn’t about doing more, it’s about doing the right things on purpose. Growth looks different for everyone, but clarity comes from knowing your numbers, learning, adapting, and staying connected to the mission of better care. One of the biggest questions I hear from physicians is:“What’s my actual breakeven point if I start a DPC?” In this episode, I share a simple app I built that helps you calculate that breakeven point in a few minutes so you can see, on paper, what you really need for your practice to work. Guest Links & Resources First Call DPC – Panama City Beach, Florida Vacation Medicine – virtual urgent care service First Call DPC Skool Community – upcoming education and resources for DPC physicians Breakeven Calculator for New DPC Practices – https://dpc-health-check.lovable.app The in-person DPC Women Connect event is almost full — we still have a spot open. If you’ve been thinking about coming, this might be your moment. If you’re in that season of “something has to change” and you want help thinking through your own numbers and model, start with the Breakeven app. It gives you a clear, objective starting point — so you’re not building your next step on guesses.

    43 min
  6. FEB 10

    How to Escape Physician Burnout by Starting a Direct Primary Care Practice

    What really happens when a burned‑out family doctor walks away from the RVU treadmill and rebuilds medicine on her own terms? In this episode, we sit down with Dr. Lyndsi Cress, a family medicine physician and founder of Coral Direct Primary Care in Little River, South Carolina, who walked away from high‑volume employed medicine to build a slower, more human practice. After years of rushing through visits, inbox overload, and creeping burnout, she found Direct Primary Care and rebuilt her career around time, autonomy, and actual relationships with patients. This conversation pulls back the curtain on what it’s really like to leave the system and start a DPC from scratch: the fear, the uncertainty, and the surprising freedoms on the other side. This episode is for you if: You’re a physician quietly wondering, “Is this what medicine is supposed to feel like?” You’re DPC‑curious but stuck on where to start or what you’re missing You want more control over your schedule, your income, and your patient relationships In this episode, you’ll discover: Why starting before you feel “ready” is the hardest and most important move How the skills that got you through residency are the same ones that make you a capable business owner What happens to patient care when you remove time pressure and panel overload How schedule freedom reshapes both your practice and your family life Why growth in DPC often comes from trusting the model and taking consistent action If you’ve ever wondered whether medicine could feel slower, more personal, and more sustainable, Dr. Cress’s story is proof that you don’t have to wait for the system to change. You can change your own. Thanks for joining us for Episode 24 of the DPC Life Podcast. Tune in and see what’s possible on the other side of burnout. Resources + Links Website: https://coraldpc.com Coral Direct Primary Care (Facebook, Instagram) Next Step: Get Guided Support The hardest part isn’t just launching the practice. It’s becoming a physician-entrepreneur, often without anyone around you who really gets it. That’s why I created DPC Women Connect: a small, in-person gathering this February for women physicians navigating the shift from employed to independent. If you want support, strategy, and women who are walking the same path, DM me CONNECT on Instagram or learn more here:https://connect.harmonyopshealth.com/

    37 min
  7. FEB 3

    Hiring a Second DPC Doctor: Mistakes, Red Flags, and Lessons Learned

    What if the worst day in Direct Primary Care is still better than the best day in employed medicine?  In Episode 23 of DPC Life, I talk with Dr. Wendy Molaska, family physician and founder of Dedicated Family Care in Madison, WI, and the 2025 DPC Physician of the Year. We walk through how she built a diverse, high-trust DPC clinic, expanded her team without losing her identity, and used the freedom of DPC to show up in advocacy and leadership without burning out. Who it’s for  Physicians who want to grow a DPC panel without recreating employed-medicine burnout DPC owners thinking about their first (or next) hire and afraid of getting it wrong Women physicians who care about advocacy, leadership, and community impact but refuse to sacrifice their sanity again In this episode, you’ll hear: How DPC created margin for Dr. Molaska to lead, advocate, and still know her patients The hidden cost of “panic hiring” and how she course-corrected after early missteps Why, in DPC, you are the brand – and how that changes who you hire How word-of-mouth and community trust filled her panel with diverse and underserved patients A practical way to engage in policy and advocacy without needing everyone to agree with you If this episode gives you even one idea or one ounce of hope, share it with a physician who’s wondering if DPC is “worth the risk.” Then hit follow so you don’t miss the next conversation. We’ll see you in the next episode of DPC Life.  Resources + Links Dedicated Family Care Website: https://familydpc.com  Dr. Wendy Molaska Email: DrMolaska@familydpc.com  Follow / Connect: LinkedIn + Facebook + Instagram (Dedicated Family Care)  Next Step: Get Guided Support The hardest part isn’t just launching the practice. It’s becoming a physician-entrepreneur, often without anyone around you who really gets it. That’s why I created DPC Women Connect: a small, in-person gathering this February for women physicians navigating the shift from employed to independent. If you want support, strategy, and women who are walking the same path, DM me CONNECT on Instagram or learn more here: https://connect.harmonyopshealth.com/

    39 min
5
out of 5
5 Ratings

About

Your practice should fit your life — not the other way around. DPC Life is the podcast for independent-minded doctors who are ready to step out of the system and into Direct Primary Care. Each week, we share honest stories from physicians who’ve built practices that work for their patients, their families, and themselves. Whether you’re managing kids’ schedules, craving more time for yourself, or looking to practice medicine on your own terms, this show is your guide and your community. Subscribe now and join the DPC family that’s got your back. Brought to you by HarmonyOps Health & DPC Ads

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