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Send us Fan MailYou already know more about direct care than you think. So if you're still stuck researching, listening to podcasts, or waiting for the “right time,” this episode is for you. I'm breaking down the real reason many doctors never make the transition into direct care — and it's not lack of information. We're talking about perfectionism, fear, people-pleasing, and the internal voices keeping you stuck. If you've been craving more freedom, simplicity, and connection with patients, this conversation will help you take the next step. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailYou already know more about direct care than you think. So if you're still stuck researching, listening to podcasts, or waiting for the “right time,” this episode is for you. I'm breaking down the real reason many doctors never make the transition into direct care — and it's not lack of information. We're talking about perfectionism, fear, people-pleasing, and the internal voices keeping you stuck. If you've been craving more freedom, simplicity, and connection with patients, this conversation will help you take the next step. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Dr. Jason Tucciarone and Dr. Alan Schatzberg (Stanford University, Stanford, CA) join AJP Audio to discuss the use of low-dose buprenorphine as an adjunctive therapy to extend the anti-suicidal effects of ketamine treatment in patients with major depressive disorder and suicidal ideation. AJP Editor-in-Chief Dr. Ned Kalin joins to discuss the rest of the June issue of the Journal, which takes a close look at issues surrounding suicide and severe depression. 01:20 Tucciarone and Schatzberg interview 03:36 Disparity between effects on suicidal ideation and antidepressant ratings 05:36 Ethics of placebo and ketamine in patients with suicidal ideation 08:28 Immediate clinical implications 11:40 Limitations 14:10 Further research 16:19 Kalin interview 16:24 Tucciarone et al. 20:39 Rovers et al. 24:30 Jelen et al. Transcript Board-certified psychiatrists, if you're seeking meaningful inpatient work with real clinical autonomy, consider becoming the Clinical Director for a 16-bed behavioral health hospital in Fergus Falls or Bemidji, Minnesota. You'll lead a supportive interdisciplinary team, enjoy predictable work-life balance, and have opportunities for teaching and mentorship without RVU pressure or third-party billing. Learn more on APA's Career Center, JobCentral, by searching Direct Care and Treatment – State of Minnesota. Direct Care and Treatment – State of Minnesota: bit.ly/DCTClinicalDirector Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org
Send us Fan MailMost doctors leave insurance… but still run their practice like they're in-network.I did the same thing at first.I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck.In this episode, I'm sharing why I shifted away from CPT-code thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don't just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailMost doctors leave insurance… but still run their practice like they're in-network.I did the same thing at first.I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck.In this episode, I'm sharing why I shifted away from CPT-code thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don't just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Dr. Emily Holt returns to the podcast one year after opening Poppy Direct Care in New Orleans, and the landscape around her has changed dramatically.When Maryal last spoke with Dr. Holt, Poppy was just months old and DPC Summit attendees were touring her 100-year-old clinic house. A year later, her panel has more than doubled, she's about to opt out of Medicare, and she's a named plaintiff in a lawsuit against Louisiana's Attorney General over the state's classification of mifepristone and misoprostol as controlled substances.This conversation goes deep on what it actually looks like to build a mission-driven DPC in a state that keeps making reproductive healthcare harder to deliver.In this episode, Dr. Holt shares:How word of mouth (plus authentic Instagram and TikTok) became her entire growth engineWhy her practice is intentionally slow-rolling, and how she and her husband decided what "enough" looks likeThe patient shift happening as 2026 insurance premiums skyrocket and Medicaid eligibility stays restrictiveWhat it means that every Planned Parenthood in Louisiana has closed, and how Poppy is trying to fill the gapHer free Tuesday night clinic for birth control and rapid STI testing, and the new Louisiana Health Department rules designed to shut clinics like hers outWhy being a Baija Charitable Alliance affiliate mattered for 340B pricing, and what the new program changes mean for small DPCs serving uninsured patientsThe reality of trying to provide IUDs for emergency contraception when no nearby pharmacy stocks themHow being her own boss let her join a lawsuit that employed physicians told her they couldn't touchWhat Reproductive Health Access Project (RHAP) offers cliniciansHer vision for turning Poppy into a training ground for med students and residents shut out of reproductive health experience in-stateMemorable moments:"If you can't stand for something, you will fall for anything."The state offering one dollar per patient to reimburse rapid STI testing supplies that cost forty-five dollarsThree generations of plumbers getting Poppy ready for Monday patientsWhy patients tell her, unprompted, that they trust her to trust themResources mentioned:Dr. Emily Holt's GoFundMe for an autoclave at Poppy Direct CareTake Me Home Program — free at-home HIV, hepatitis C, and syphilis testing mailed nationwideReproductive Health Access Project (RHAP)Dr. Byron Jasper and Byja Charitable AllianceAAFP DPC Member Interest GroupThe July My DPC Story live event in New Orleans, pairing Dr. Esther Katibi's nonprofit with Dr. Holt's work at PoppyDr. Holt's advice for DPC physicians thinking about reproductive health access in their own communities: find the helpers, get connected to local groups already doing the work, and don't wait until you have everything figured out to start.Learn more about VIVID VAULT HEALTH SOLUTIONS TODAY! Find a My DPC Story Event near you! State Summits in CA, IL, a My DPC Story LIVE event and the DPC Women's Summit are all coming! Learn more at mydpcstory.com/upcoming-events! The DPC Directory: If you're a DPC doctor, you'll find resources to grow your practice! If you serve the DPC world, grab a FREE listing today and get discovered by doctors who need your services.
Send us Fan MailGetting impressions but no patients? The problem may not be your ads.In this episode, I break down why marketing fails for many doctors and service-based businesses: unclear messaging, weak systems, and missing patient qualification.Learn the five-step phone script that turns calls into qualified patients, how to position your services for profitability, and why marketing is more than just running ads.If you're building a direct care practice, this episode will change how you think about growth. Support the showFor specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailGetting impressions but no patients? The problem may not be your ads.In this episode, I break down why marketing fails for many doctors and service-based businesses: unclear messaging, weak systems, and missing patient qualification.Learn the five-step phone script that turns calls into qualified patients, how to position your services for profitability, and why marketing is more than just running ads.If you're building a direct care practice, this episode will change how you think about growth. Support the showFor specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailI want to talk about something most doctors don't say out loud.That uncomfortable feeling when you see another physician succeed. The little sting. The doubt. The thought that maybe you're behind.Nothing is wrong with you for feeling that. You were trained to compare—from school, to boards, to training. So your brain learned to measure your worth against other people.But their success isn't taking anything away from you. There is no real scoreboard here.The moment you stop making their win mean something about you, you get your focus back. And you start building your own path again. Support the showFor specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailI want to talk about something most doctors don't say out loud.That uncomfortable feeling when you see another physician succeed. The little sting. The doubt. The thought that maybe you're behind.Nothing is wrong with you for feeling that. You were trained to compare—from school, to boards, to training. So your brain learned to measure your worth against other people.But their success isn't taking anything away from you. There is no real scoreboard here.The moment you stop making their win mean something about you, you get your focus back. And you start building your own path again. Support the showFor specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailWhat if your clinic could earn revenue without you in the room? Dr. Tea Nguyen sits down with podiatrist and business coach Dr. Sarah Neitzel to break down exactly how she built a profitable medical nail spa alongside her private practice — and what it takes for other physicians to do the same.They cover structuring two separate LLCs, hiring nail technicians, startup costs, and how to identify which tasks you should stop doing yourself. If you've ever thought about adding a cash service to your practice, this one's for you.Dr. Sarah Neitzel is a board-certified podiatric surgeon and founder of Visionary Practice Solutions, a coaching program helping physicians across specialties build thriving, independent practices. She owns both a podiatry clinic and a medical nail spa in Silverdale, Washington.Connect with her: LinkedIn: https://www.linkedin.com/in/sarah-neitzel-dpm/Website: https://www.visionarypracticesolutions.com/Facebook: https://www.facebook.com/Dr.SarahVPS/Instagram: https://www.instagram.com/dr.sarah.coaching Support the showFor specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailWhat if your clinic could earn revenue without you in the room? Dr. Tea Nguyen sits down with podiatrist and business coach Dr. Sarah Neitzel to break down exactly how she built a profitable medical nail spa alongside her private practice — and what it takes for other physicians to do the same.They cover structuring two separate LLCs, hiring nail technicians, startup costs, and how to identify which tasks you should stop doing yourself. If you've ever thought about adding a cash service to your practice, this one's for you.Dr. Sarah Neitzel is a board-certified podiatric surgeon and founder of Visionary Practice Solutions, a coaching program helping physicians across specialties build thriving, independent practices. She owns both a podiatry clinic and a medical nail spa in Silverdale, Washington.Connect with her: LinkedIn: https://www.linkedin.com/in/sarah-neitzel-dpm/Website: https://www.visionarypracticesolutions.com/Facebook: https://www.facebook.com/Dr.SarahVPS/Instagram: https://www.instagram.com/dr.sarah.coaching Support the showFor specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailIn this episode, I sit down with Dr. Ronen Elefant, Founder and CEO of ACES National Surgical Team, to break down how direct surgical care is reshaping access, pricing, and the patient experience. From trauma surgeon and hospital leader to national innovator, Dr. Elefant shares how bundled pricing, existing surgery centers, and physician autonomy are creating a simpler, more transparent system for patients and surgeons alike.A powerful look at what happens when you remove insurance from the equation and rebuild care around the patient.Connect with him:Website: ACES National Surgical TeamLinkedIn Profile: https://www.linkedin.com/in/ronenelefantInstagram: @ronenelefantYoutube: https://www.youtube.com/@ACESSurgicalteamTiktok: @ronen.elefant Support the showFor specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailIn this episode, I sit down with Dr. Ronen Elefant, Founder and CEO of ACES National Surgical Team, to break down how direct surgical care is reshaping access, pricing, and the patient experience. From trauma surgeon and hospital leader to national innovator, Dr. Elefant shares how bundled pricing, existing surgery centers, and physician autonomy are creating a simpler, more transparent system for patients and surgeons alike.A powerful look at what happens when you remove insurance from the equation and rebuild care around the patient.Connect with him:Website: ACES National Surgical TeamLinkedIn Profile: https://www.linkedin.com/in/ronenelefantInstagram: @ronenelefantYoutube: https://www.youtube.com/@ACESSurgicalteamTiktok: @ronen.elefant Support the showFor specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailIf you're a physician building your own practice and questioning your pricing, boundaries, or worth—this episode is for you. In EP 219, I unpack how imposter syndrome, scarcity mindset, and fear of rejection shape decisions in practice ownership and direct care. You'll see why undercharging and overgiving are not strategy issues, but money mindset patterns. Learn how shifting beliefs and strengthening boundaries leads to real, sustainable growth.
Send us Fan MailIf you're a physician building your own practice and questioning your pricing, boundaries, or worth—this episode is for you. In EP 219, I unpack how imposter syndrome, scarcity mindset, and fear of rejection shape decisions in practice ownership and direct care. You'll see why undercharging and overgiving are not strategy issues, but money mindset patterns. Learn how shifting beliefs and strengthening boundaries leads to real, sustainable growth.
Send us Fan MailThinking about going 100% direct care or starting with a hybrid model? In this episode, I share my personal journey from an insurance-based practice to fully direct care. I break down the pros and cons of each approach, explain the financial and operational considerations, and offer guidance on when a direct care model works best. Learn how to simplify your practice, protect revenue, attract the right patients, and build a patient-centered business you love—without the stress of insurance. Support the showFor specialists tired on insurance and ready to do something about it - Start building your Direct Specialty Care practice with the Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Available for the next 20 doctors. Learn more here.Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailThinking about going 100% direct care or starting with a hybrid model? In this episode, I share my personal journey from an insurance-based practice to fully direct care. I break down the pros and cons of each approach, explain the financial and operational considerations, and offer guidance on when a direct care model works best. Learn how to simplify your practice, protect revenue, attract the right patients, and build a patient-centered business you love—without the stress of insurance. Support the showFor specialists tired on insurance and ready to do something about it - Start building your Direct Specialty Care practice with the Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Available for the next 20 doctors. Learn more here.Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailIn this episode, I share 5 strategies I've used to succeed in any physician coaching program and get real results. I talk about setting intentions, committing effort, and taking action. I also reveal how I built my thriving direct care practice, left insurance behind, and designed the Direct Care Society Launch Course to help specialists create a simple, profitable, and sustainable private practice. Support the showFor specialists tired on insurance and ready to do something about it - Start building your Direct Specialty Care practice with the Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Available for the next 20 doctors. Learn more here.Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailIn this episode, I share 5 strategies I've used to succeed in any physician coaching program and get real results. I talk about setting intentions, committing effort, and taking action. I also reveal how I built my thriving direct care practice, left insurance behind, and designed the Direct Care Society Launch Course to help specialists create a simple, profitable, and sustainable private practice. Support the showFor specialists tired on insurance and ready to do something about it - Start building your Direct Specialty Care practice with the Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Available for the next 20 doctors. Learn more here.Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailIn this episode, I tackle five common misconceptions that keep doctors stuck in the insurance-based model. I share how to clear mental clutter, overcome limiting beliefs, and take action to build a simpler, more profitable, and fulfilling direct care practice—where you set your prices, choose your patients, and focus on what you love about medicine without the friction of insurance. Support the showFor specialists tired on insurance and ready to do something about it - Start building your Direct Specialty Care practice with the Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Available for the next 20 doctors. Learn more here.Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailIn this episode, I tackle five common misconceptions that keep doctors stuck in the insurance-based model. I share how to clear mental clutter, overcome limiting beliefs, and take action to build a simpler, more profitable, and fulfilling direct care practice—where you set your prices, choose your patients, and focus on what you love about medicine without the friction of insurance. Support the showFor specialists tired on insurance and ready to do something about it - Start building your Direct Specialty Care practice with the Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Available for the next 20 doctors. Learn more here.Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailBusy doesn't always mean profitable. In this episode, lets break down three common mistakes that quietly sabotage direct care practices: undercharging, neglecting the full patient experience, and underutilizing simple technology. Learn how to shift your pricing, create meaningful patient touchpoints, and stay top of mind—so you can build a practice that's both sustainable and fulfilling. Ethical Selling replay available for a limited time: watch it here Support the showFor specialists tired on insurance and ready to do something about it - Start building your Direct Specialty Care practice with the Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Available for the next 20 doctors. Learn more here.Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send us Fan MailBusy doesn't always mean profitable. In this episode, lets break down three common mistakes that quietly sabotage direct care practices: undercharging, neglecting the full patient experience, and underutilizing simple technology. Learn how to shift your pricing, create meaningful patient touchpoints, and stay top of mind—so you can build a practice that's both sustainable and fulfilling. Ethical Selling replay available for a limited time: watch it here Support the showFor specialists tired on insurance and ready to do something about it - Start building your Direct Specialty Care practice with the Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Available for the next 20 doctors. Learn more here.Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com
Send a textThinking about leaving employment to start your own practice? I break down what every physician needs to know first—from reviewing non-compete clauses to choosing between insurance-based and direct care models. I also share the three essential skills—marketing, operations, and ethical communication—that will help you launch a practice that matches the lifestyle and patient care you truly want, giving you freedom, fulfillment, and clarity in your next career move. Support the showStart building your Direct Specialty Care practice with the Direct Care Society® Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple Practice Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textThinking about leaving employment to start your own practice? I break down what every physician needs to know first—from reviewing non-compete clauses to choosing between insurance-based and direct care models. I also share the three essential skills—marketing, operations, and ethical communication—that will help you launch a practice that matches the lifestyle and patient care you truly want, giving you freedom, fulfillment, and clarity in your next career move. Support the showStart building your Direct Specialty Care practice with the Direct Care Society® Launch Course, a step-by-step online program using the 4 pillars to success, use DCS500 for $500 off at checkout. Already have a Direct Specialty Care practice and ready to grow even more --> The Direct Care Society® The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at checkout. --> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple Practice Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textFeeling stuck in your direct care practice? Maybe leaving insurance isn't “working” the way you thought it would. I get it—this isn't just about logistics; it's about identity. In this episode, I break down the four things that could be holding your practice back: controlling overhead, getting more people to know you, refining your offer, and shifting your mindset to step fully into direct care. Plus, I share journal prompts and practical strategies to help you reclaim your energy, grow revenue, and build a practice that actually works for you. Support the showEthical Selling Masterclass register here Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at the checkout. --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textFeeling stuck in your direct care practice? Maybe leaving insurance isn't “working” the way you thought it would. I get it—this isn't just about logistics; it's about identity. In this episode, I break down the four things that could be holding your practice back: controlling overhead, getting more people to know you, refining your offer, and shifting your mindset to step fully into direct care. Plus, I share journal prompts and practical strategies to help you reclaim your energy, grow revenue, and build a practice that actually works for you. Support the showEthical Selling Masterclass register here Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Save $582 when you purchase a 6 month access at the checkout. --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textConfused about high ticket packages vs. memberships in private practice? This episode breaks down the key differences and when to use each for maximum revenue stability and better patient care. Learn how to structure premium offers, avoid common pricing mistakes, and build a sustainable direct care medical practice with smarter business strategy and recurring revenue models. Support the showEthical Selling Masterclass register here Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout. --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textConfused about high ticket packages vs. memberships in private practice? This episode breaks down the key differences and when to use each for maximum revenue stability and better patient care. Learn how to structure premium offers, avoid common pricing mistakes, and build a sustainable direct care medical practice with smarter business strategy and recurring revenue models. Support the showEthical Selling Masterclass register here Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout. --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a text Support the showJoin The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout. --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a text Support the showJoin The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout. --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textHappy 4 years to The Direct Care Podcast for Specialists! If you have a Direct Specialty Care Practice and are looking for massive growth, join me in The Circle. No contractMonthly live sessionsAccountability & on-going supportTake $300 off your first month simply for being a listener. Use code LOVE300 at checkout. Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textHappy 4 years to The Direct Care Podcast for Specialists! If you have a Direct Specialty Care Practice and are looking for massive growth, join me in The Circle. No contractMonthly live sessionsAccountability & on-going supportTake $300 off your first month simply for being a listener. Use code LOVE300 at checkout. Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textIn this episode, Dr. Joseph “Joe” Pazona, board-certified urologist and CEO of VirtuCare, shares his journey from traditional clinical practice to healthcare entrepreneurship. Frustrated by physician burnout and gaps in specialty care—especially in rural and underserved communities. Dr. Pazona founded VirtuCare to deliver high-quality urology services through a mix of telemedicine, on-site care, and innovative staffing models. He also discusses his direct specialty care practice, Pazona MD, emphasizing patient access, education, and experience. Listeners will learn how VirtuCare is transforming care delivery, empowering physicians, and creating sustainable, flexible solutions for modern healthcare challenges. Connect with him: VirtuCare Website: https://myvirtucare.com/LinkedIn Profile: linkedin.com/in/joepazona Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send a textIn this episode, Dr. Joseph “Joe” Pazona, board-certified urologist and CEO of VirtuCare, shares his journey from traditional clinical practice to healthcare entrepreneurship. Frustrated by physician burnout and gaps in specialty care—especially in rural and underserved communities. Dr. Pazona founded VirtuCare to deliver high-quality urology services through a mix of telemedicine, on-site care, and innovative staffing models. He also discusses his direct specialty care practice, Pazona MD, emphasizing patient access, education, and experience. Listeners will learn how VirtuCare is transforming care delivery, empowering physicians, and creating sustainable, flexible solutions for modern healthcare challenges. Connect with him: VirtuCare Website: https://myvirtucare.com/LinkedIn Profile: linkedin.com/in/joepazona Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a textIf you're thinking about starting a direct care practice, you need to know something important, to get something new, you have to let go of the old. In this episode, I'm talking about the things you'll lose—old habits, chaotic schedules, burnout, even identities that no longer serve you, so you can make room for calm, clarity, and real growth. Using the symbolism of the Lunar New Year, I explain why shedding what holds you back is not punishment—it's necessary for momentum and alignment. If you're ready to break free from busyness, create space for your patients, and build a direct care practice that works for you, this episode is for you.
Send us a textIf you're thinking about starting a direct care practice, you need to know something important, to get something new, you have to let go of the old. In this episode, I'm talking about the things you'll lose—old habits, chaotic schedules, burnout, even identities that no longer serve you, so you can make room for calm, clarity, and real growth. Using the symbolism of the Lunar New Year, I explain why shedding what holds you back is not punishment—it's necessary for momentum and alignment. If you're ready to break free from busyness, create space for your patients, and build a direct care practice that works for you, this episode is for you.
Send us a textIn this episode, Dr. Matthew R. Hitchcock, MD, MBA, shares his journey as a direct primary care physician and healthcare entrepreneur. Frustrated by long waits and high costs in traditional imaging, he founded Hitchcock Direct Imaging, a cash-only, insurance-free imaging center in Chattanooga, Tennessee. Dr. Hitchcock discusses how direct care models can improve patient access, the regulatory hurdles he navigated, and the importance of transparency in healthcare pricing. Learn how collaboration, innovation, and patient-focused care are reshaping the healthcare experience. Connect with him:Website: Hitchcock Family MedicineHitchcock Direct Imaging Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a textIn this episode, Dr. Matthew R. Hitchcock, MD, MBA, shares his journey as a direct primary care physician and healthcare entrepreneur. Frustrated by long waits and high costs in traditional imaging, he founded Hitchcock Direct Imaging, a cash-only, insurance-free imaging center in Chattanooga, Tennessee. Dr. Hitchcock discusses how direct care models can improve patient access, the regulatory hurdles he navigated, and the importance of transparency in healthcare pricing. Learn how collaboration, innovation, and patient-focused care are reshaping the healthcare experience. Connect with him:Website: Hitchcock Family MedicineHitchcock Direct Imaging Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
This Day in Maine for Tuesday, January 20, 2026.
Send us a textTired of feeling burned out, trapped, or stuck in a job that drains you? It's time to take control. In this episode, I break down the mindset shifts, practical steps, and systems every doctor needs to launch a profitable, low-stress direct care practice. Learn the Single Package Success model, simplify your services, build freedom, and create sustainable income. If you're ready to level up your career and reclaim your life, this episode gives you clarity, actionable steps, and the confidence to start now. Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a textTired of feeling burned out, trapped, or stuck in a job that drains you? It's time to take control. In this episode, I break down the mindset shifts, practical steps, and systems every doctor needs to launch a profitable, low-stress direct care practice. Learn the Single Package Success model, simplify your services, build freedom, and create sustainable income. If you're ready to level up your career and reclaim your life, this episode gives you clarity, actionable steps, and the confidence to start now. Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a textDr. Sushrusha Arjyal shares her journey from board-certified psychiatrist and sleep specialist to founder of Bliss Sleep and Psychiatry in Cary, NC. She discusses the challenges and rewards of transitioning to private practice, including financial decisions, patient communication, and key mindset shifts for success. Dr. Arjyal emphasizes curiosity, networking, coaching, and teaching future physicians about the business of medicine. She also reflects on balancing her roles as physician, entrepreneur, speaker, and mother, offering insights for those navigating a career in medicine. Connect with her:Website: Bliss Sleep and Psychiatry PLLCFacebook: Bliss - Sleep and Psychiatry PLLC | Asheville NC Instagram: @bliss__sleep_and_psychiatryLinkedIn: Bliss - Sleep and Psychiatry PLLCYoutube: www.youtube.com/@Bliss-SleepandPsychiatryPLLC Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a textDr. Sushrusha Arjyal shares her journey from board-certified psychiatrist and sleep specialist to founder of Bliss Sleep and Psychiatry in Cary, NC. She discusses the challenges and rewards of transitioning to private practice, including financial decisions, patient communication, and key mindset shifts for success. Dr. Arjyal emphasizes curiosity, networking, coaching, and teaching future physicians about the business of medicine. She also reflects on balancing her roles as physician, entrepreneur, speaker, and mother, offering insights for those navigating a career in medicine. Connect with her:Website: Bliss Sleep and Psychiatry PLLCFacebook: Bliss - Sleep and Psychiatry PLLC | Asheville NC Instagram: @bliss__sleep_and_psychiatryLinkedIn: Bliss - Sleep and Psychiatry PLLCYoutube: www.youtube.com/@Bliss-SleepandPsychiatryPLLC Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a text1. The Direct Care Movement Is Mainstream Now2026 is the year specialists can no longer ignore the shift—direct care is making headlines and attracting advocates like Mark Cuban, who's cutting out middlemen and championing patient-centered care. The time to act is now.2. You Have More Power (and Options) Than You ThinkThe old insurance model is broken, but you don't have to play by those rules. Whether you're worried about opening a new office, choosing your location, or deciding on cash vs. membership models, direct care lets you design your practice your way.3. Support, Community, and Real Answers AwaitJoin Dr. Tea's private Facebook group for monthly Q&As, peer support, and details on the next group coaching cohort. You're not alone—connect, ask questions, and get ready to take control of your career in 2026. Support the show*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here --> Contact me here --> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here --> Record your question easily here --> FREE Direct Care Guide to get you started --> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a text1. The Direct Care Movement Is Mainstream Now2026 is the year specialists can no longer ignore the shift—direct care is making headlines and attracting advocates like Mark Cuban, who's cutting out middlemen and championing patient-centered care. The time to act is now.2. You Have More Power (and Options) Than You ThinkThe old insurance model is broken, but you don't have to play by those rules. Whether you're worried about opening a new office, choosing your location, or deciding on cash vs. membership models, direct care lets you design your practice your way.3. Support, Community, and Real Answers AwaitJoin Dr. Tea's private Facebook group for monthly Q&As, peer support, and details on the next group coaching cohort. You're not alone—connect, ask questions, and get ready to take control of your career in 2026. Support the show*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here --> Contact me here --> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here --> Record your question easily here --> FREE Direct Care Guide to get you started --> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a textDr. R. Michelle Koolaee is a board-certified rheumatologist with over 12 years of experience in academic and multi-specialty practices across Los Angeles. In 2025, she opened a direct care rheumatology practice in Pasadena to move beyond the constraints of 15-minute visits and provide patients with more time, access, and personalized care. She now shares her journey to help other physicians explore and implement the direct care model. Connect with her: Email: michelle@drrmichellekoolaee.com Website: https://www.drrmichellekoolaee.comFree Newsletter: https://mailchi.mp/drrmichellekoolaee/subscribe Support the show*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here --> Contact me here --> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here --> Record your question easily here --> FREE Direct Care Guide to get you started --> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a textDr. R. Michelle Koolaee is a board-certified rheumatologist with over 12 years of experience in academic and multi-specialty practices across Los Angeles. In 2025, she opened a direct care rheumatology practice in Pasadena to move beyond the constraints of 15-minute visits and provide patients with more time, access, and personalized care. She now shares her journey to help other physicians explore and implement the direct care model. Connect with her: Email: michelle@drrmichellekoolaee.com Website: https://www.drrmichellekoolaee.comFree Newsletter: https://mailchi.mp/drrmichellekoolaee/subscribe Support the show*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here --> Contact me here --> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here --> Record your question easily here --> FREE Direct Care Guide to get you started --> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Today Dr. Demetrio Aguila, a Direct Care surgeon and Host of the Direct Care Movement Podcast interviews the Host of My DPC Story, Dr. Maryal Concepcion. For those listeners new to the podcast, or for those who are always happy to hear a DPC doctor talk about before and after opening a DPC, today you get to hear some of our Host's back story. Dr. Concepcion, a family physician and DPC pioneer in rural California, shares her journey of leaving fee-for-service medicine to open her own DPC practice. The conversation highlights the freedom, flexibility, and genuine patient relationships that DPC offers, contrasting it with the restrictions and burnout found in traditional healthcare systems. Listeners will hear practical advice for residents and medical students considering DPC, the financial realities of running a membership-based clinic, and tips for overcoming staffing challenges in rural areas. The episode also dispels common myths about DPC and discusses the growing movement toward patient-centered care. Hear more from Dr. Aguila at the Direct Care Movement podcast on Apple Podcasts!Register for Hint Summit today and use promo code MYDPCSTORY for $50 off your Clinician ticket! Gusto, the Payroll and HR Solution loved by so many DPCs (including Big Trees MD)! Earn $100 after running your first payroll! Get paid for your medical expertise with Sermo! Sign up for free and start earning today!Support the showBe A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube