DPC Pediatricians Podcast

In this podcast episode of DPC Pediatricians, Phil and Marina tackle a common question among physicians considering or building a Direct Primary Care (DPC) pediatric practice: do you need a unique niche or “competitive edge” to succeed? They discuss why most successful DPC pediatricians begin with comprehensive general pediatrics rather than a highly specialized service line, and how relationship-...

In this podcast episode, Phil and Marina discuss one of the most uncomfortable but important topics in Direct Primary Care: raising membership prices. They challenge the common advice that physicians should avoid price increases and simply see more patients, arguing that this mindset undermines the core DPC goal of providing high-quality, relationship-based care. Phil and Marina explain that risin...

In this episode Phil and Marina discuss the challenge of dealing with entitled or difficult patients in a Direct Primary Care pediatric practice. Using recent real-world examples, they explore how unrealistic expectations, manipulative behavior, and misunderstandings can create emotional and operational strain for physicians. The conversation emphasizes the importance of maintaining clear communic...

In this episode of DPC Pediatricians , Phil and Marina discuss how DPC practices can use the slower summer season as an opportunity for growth and innovation. Phil shares his idea for an ADHD “tune-up” program focused on improving sleep, nutrition, exercise, routines, and school readiness before the academic year begins. They explain how DPC physicians have the flexibility to create specialized pr...

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 ac...

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 cus...

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 prac...

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 h...

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 prac...

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 d...

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...

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, i...

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...

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, s...

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 des...

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...

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 he...

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...

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 vi...

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 fi...

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 concep...

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 Highlights Text-Based Communication * Texting the doctor is the most popular feature among millennial and Gen Z parents who dislike phone calls; mos...

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 Highlights Financial Fears * The most cited fear is financial risk —concerns about income loss, managing startup costs, and whether the practice will be financially v...

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 Go New DPC pediatricians often over-purchase equipment trying to mirror traditional practices. The hosts emp...

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 C...