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. 9H AGO

    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
  2. 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
  3. 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
  4. 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. JAN 27

    When Doctors Break Quietly: What Corporate Medicine Takes and DPC Restores

    What happens when a pediatrician decides she’d rather rebuild her career than lose herself to the system? In this episode, I sit down with Dr. Noemi Adame, pediatrician and founder of Culver Pediatrics Center, who walked away from corporate pediatrics and rebuilt on her own terms. Known as the “Veggies Over Pills” doctor, she combines evidence-based pediatrics, lifestyle medicine, and integrative care for some of the most complex pediatric cases, including PANS/PANDAS. We talk about what DPC really restores to physicians: time and the ability to practice in alignment with your values again. In this episode, you’ll hear: Why DPC doesn’t magically fix everything, but does put you back in control How longer visits and fewer admin demands change outcomes for complex kids The difference between access and 24/7 availability (and why “minutes response time” is a trap) How clear boundaries actually protect both patients and physicians How Dr. Adame practices deeply evidence-based medicine without abandoning her values or her patients’ preferences This episode is for you if: You feel morally injured, rushed, or boxed in by the current healthcare system You’re DPC-curious, especially in pediatrics or lifestyle-focused care You’re craving autonomy, deeper patient relationships, and sustainable boundaries If you’ve ever felt torn between caring for patients and protecting yourself, this conversation will feel like permission and a push. It’s a reminder that medicine doesn’t have to cost you your identity. Resources mentioned PANDAS Physician Network (PPN) – treatment algorithm American College of Lifestyle Medicine (ACLM) – nutrition / lifestyle medicine training Andrew Weil Center for Integrative Medicine – integrative training (ADHD/autism) Peds DPC Facebook Group – pediatric DPC community Pediatric DPC Mastermind – where she deepened her PANDAS knowledge Guest Culver Pediatrics Center: https://culverpediatrics.com/ 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. Next Step: Get Guided Support 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/

    38 min
  6. JAN 20

    When Is It Time to Leave the System for DPC? (with Dr. Sandra Koehn)

    What do you do when medicine starts taking more than it gives back? For Internal Medicine physician Dr. Sandra Koehn, the breaking point became a turning point. In this episode, she shares how she went from exhausted and resentful in employed medicine to building Planted DPC in Rochester, New York around her family, her values, and her patients. If you’re a physician who keeps thinking “there has to be a better way,” you’ll hear exactly what changed for Dr. Koehn, the boundaries she set from day one, and how Direct Primary Care gave her a path out that didn’t require sacrificing her family or her calling. In this episode, you’ll learn: The exact moment Dr. Koehn knew she couldn’t stay in employed medicine any longer How she defined her non‑negotiables for family, schedule, and patient care before launching DPC Why time and access (not procedures) are the real value drivers in a DPC practice How she thought through her ideal patient and why it often mirrors your own life stage Practical examples of boundaries she’s setting now to prevent future burnout This episode is for you if: You’re a burned‑out physician who wants more autonomy, time, and meaning in your work You’re considering Direct Primary Care but feel stuck in fear, guilt, or “what ifs” You want a values‑aligned practice that supports being a parent, partner, or caregiver in real life Dr. Koehn’s story is a grounded, honest look at what it actually takes to leave the system and build something sustainable. If you’re standing at the edge, wondering whether to jump, this conversation will give you language, clarity, and next steps for your own DPC path. Resources & Links Planted DPC (Dr. Sandra Koehn), Rochester, NY: https://www.planteddpc.com Next Step: Get Guided Support What often gets missed is the internal shift required to make this sustainable — moving from employed physician to entrepreneur, often without many people around you who truly understand it. That’s exactly why DPC Women Connect exists — a small, in-person gathering this February for women navigating that transition. If this resonates, DM me CONNECT on Instagram link here: https://connect.harmonyopshealth.com/

    43 min
  7. JAN 13

    Is Your DPC Practice Failing? Why Your Accountant Might Be Wrong

    If doing your QuickBooks every weekend feels like pulling teeth, this episode is your novocaine. We sit down with Nate Goodman, a CPA who built his firm specifically for Direct Primary Care doctors. As a DPC patient himself who requires his staff to have DPC memberships, Nate lives in the same world you do. His team helps doctors turn “dark hole” finances into clear, predictable profit so you can stop guessing and get back to medicine. Who Is This For?  Doctors who are tired of wrestling with bookkeeping and just want clean numbers and clear guidance. Future DPC owners who want a financial “Launchpad” 6+ months before opening. Established clinics ready to scale using simple weekly scorecards instead of gut feelings. Key Lessons Start Early: Begin your accounting relationship at least six months before opening so entity choice, payroll, and pricing are right from day one. Let Data Find Hidden Profit: One DPC kept over $80,000 in year one just by restructuring pricing and tax strategy. Pick DPC-Specific Partners: Work with vendors (CPA, CRM, legal) who are actively investing in and serving the DPC space. Run on Rhythms: Use a weekly scorecard for non-financial KPIs like leads, patient count, churn, and reviews so you’re never flying blind. Design Your Life First: Decide what you want your life and panel to look like in ten years, then build the practice to match it. Running a DPC shouldn’t feel like a financial black box. With the right partner, you can see exactly where you are, where you’re going, and what to fix next. Guest Links Website: goodmancpa.com Email: nate@goodmancpa.com Book Mentioned: Traction by Gino Wickman (scorecard concept) If you’re planning your own off-ramp, don’t build your tech stack from scratch. Search “Harmony Ops for DPC” – your CRM, website, and automation setup to launch without tech overwhelm. Visit: harmonyopsfordpc.com

    38 min
  8. JAN 6

    Explaining DPC Without Convincing: A Real-Time Coaching Session with Dr. Alisa Awtry

    How to talk about Direct Primary Care, find your people, and let go of the guilt. Feeling burned out in corporate healthcare and obsessing over DPC, but stuck on how to explain it to patients or make the leap? In this coaching-style episode, Dr. Alisa Awtry, a family physician in Newberg, Oregon and founder of Rooted Direct Primary Care, walks through her real fears, questions, and messaging as she prepares to open her clinic. You’ll hear exactly how we refine her elevator pitch, simplify how she explains DPC, and deal with the emotional weight of leaving the system. Who this is for Physicians exploring Direct Primary Care Docs burned out in corporate / employed settings New and soon-to-launch DPC owners who feel stuck on messaging, onboarding, and “who am I leaving behind?” What you’ll learn How to explain Direct Primary Care without a 20‑minute lecture A simple way to define and attract your ideal DPC patient How to handle the guilt of leaving patients behind Practical tips for managing high pre-enrollment interest and onboarding cleanly How to build a community-centered practice without recreating corporate chaos. Guest: Dr. Alisa Awtry is a family physician in Newberg, Oregon and the founder of Rooted Direct Primary Care. She’s building a deeply community-centered DPC practice focused on proactive, relationship-based care. Resources & Links Rooted DPC Website: rooteddirectprimarycare.com Instagram: @rooteddirectprimarycare Facebook: Rooted Direct Primary Care Planning your own dream DPC? Don’t build your tech stack from scratch. Harmony Ops for DPC gives you a CRM, website, and automation setup built specifically for new DPC clinics so you can launch without tech overwhelm. Learn more: harmonyopsfordpc.com

    40 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