Épisodes

  • Should I have a Newsletter?
    Mar 15 2026

    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
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    14 min
  • Are Meet and Greets Worth the Effort?
    Mar 1 2026

    Episode Overview

    In 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 & Takeaways

    1. Purpose of Meet and Greets

    Meet-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 committing

    The 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 member

    However, they conclude that:

    * Even small groups can be impactful

    * Conversions often happen later, not immediately

    * The trust built can lead to strong long-term members

    They view meet-and-greets as a long-game relationship strategy rather than a short-term sales tool.

    3. Setting Expectations

    Important 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 structure

    Transparency reduces friction and builds confidence.

    4. Format & Structure Tips

    The 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” tone

    They stress authenticity — families are evaluating personality and philosophy as much as logistics.

    5. Relationship Over Revenue

    A 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 referrals

    The goal is not volume, but alignment and trust.

    Overall Message

    Meet-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
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    19 min
  • How to do a DIY Market Analysis
    Feb 17 2026

    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
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    20 min
  • Tips for ADHD Practice Owners
    Feb 8 2026

    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
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    44 min
  • Accounting Pearls with Nate Goodman, CPA
    Jan 26 2026

    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
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    36 min
  • Does Pediatric DPC work in rural areas?
    Jan 18 2026

    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
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    16 min
  • Can I start a practice if I still have student debt?
    Dec 31 2025

    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
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    12 min
  • Can DPC Physicians Burn Out?
    Dec 27 2025

    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
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    33 min