PODCAST

DPC Pediatricians Podcast

Marina Capella & Phil Boucher

The place to learn all things pediatric DPC dpcpediatricians.substack.com

health & fitness medicine

All Episodes

12:09

Can I start a practice if I still have student debt?

DPC Pediatricians Podcast ·

2025/12/31

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

32:30

Can DPC Physicians Burnout?

DPC Pediatricians Podcast ·

2025/12/27

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

35:55

Episode 44: Hiring and Managing Employees

DPC Pediatricians Podcast ·

2025/12/02

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 heart” first, then training for skills using clear job descriptions, fun and specific role titles, and

15:35

Preparing for Growth in 2026

DPC Pediatricians Podcast ·

2025/11/15

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 and Marina note that many families relying on subsidized health insurance will need to decide whether to

24:58

Guidance for Newbies

DPC Pediatricians Podcast ·

2025/10/31

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 vision for their clinic, including which populations or services to focus on, care models, and how their

24:06

Delegation and Avoiding Burnout at Scale

DPC Pediatricians Podcast ·

2025/10/31

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 filing, forms, QuickBooks, and more, after opening their own DPC practices.* Many practitioners start solo

30:38

Boundaries - Revisited

DPC Pediatricians Podcast ·

2025/10/31

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 concept of boundaries in DPC is not one-size-fits-all; physicians are encouraged to establish and respect their

22:25

What does "Direct Primary Care" mean for Families?

DPC Pediatricians Podcast ·

2025/09/01

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 HighlightsText-Based Communication* Texting the doctor is the most popular feature among millennial and Gen Z parents who dislike phone calls; most pediatric DPC practices offer easy text-based communication.* Doctors can handle 60-75% of questions

35:13

Overcoming Fears in DPC

DPC Pediatricians Podcast ·

2025/09/01

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 HighlightsFinancial Fears* The most cited fear is financial risk—concerns about income loss, managing startup costs, and whether the practice will be financially viable.* Specific worries include affording personal expenses, losing benefits like health insurance,

25:53

What Equipment Do I Need to Start?

DPC Pediatricians Podcast ·

2025/07/31

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 GoNew DPC pediatricians often over-purchase equipment trying to mirror traditional practices. The hosts emphasize starting with only what’s essential — many fancy tools can wait or be added later.Clinical Essentials

24:41

What DPC Doctors Can Do in the Wake of Medicaid Cuts

DPC Pediatricians Podcast ·

2025/07/31

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 Coverage Is ComingRecent federal legislation may result in millions of children losing access to Medicaid

19:44

Weekends and Creating Your Schedule

DPC Pediatricians Podcast ·

2025/07/01

Podcast Summary:In this episode of DPC Pediatricians, Dr. Phil Boucher and Dr. Marina Capella address a common concern among physicians considering or practicing Direct Primary Care (DPC): how to handle weekend availability without compromising personal time or patient care.Key Highlights:* Weekend Worries Are Common but ManageableMany physicians worry about being on-call 24/7 in a solo practice, especially on weekends. Both hosts affirm this concern is valid but emphasize that the reality is often

19:09

Integrating Telehealth and Texting into DPC

DPC Pediatricians Podcast ·

2025/06/26

Key Highlights:In DPC pediatric practices, text messaging and selective telehealth use foster meaningful, efficient, and family-centered care. By embracing modern communication styles and setting clear boundaries, DPC physicians are redefining how pediatric care is delivered—with less stress, more connection, and greater flexibility for both families and providers.1. Text Messaging for DPC Practices* Texting is a great feature DPC clients love to use.* It aligns with modern parents’ communication

24:38

Learning From Failure

DPC Pediatricians Podcast ·

2025/06/01

In this candid and inspiring episode, Phil and Marina explore the theme of failure—how it's an inevitable part of the human and entrepreneurial experience, and more importantly, how to learn and grow from it. They share personal stories of setbacks, including missteps in business ventures, early academic struggles, and social media flops, underscoring that failure is not the end but a stepping stone to success. The episode encourages fellow pediatricians, especially those in or considering irect

32:05

Book Review of All it Takes is a Goal by Jon Acuff

DPC Pediatricians Podcast ·

2025/06/01

Podcast Episode Summary: Setting and Reaching Goals with PurposeHosts: Dr. Phil Boucher & Dr. Marina CapellaBook Discussed: All It Takes Is a Goal by John AcuffKey HighlightsOverview of the Book* All It Takes Is a Goal explores how to identify, prioritize, and achieve meaningful goals.* Acuff uses personal anecdotes and practical frameworks to help readers move from “idea” to “action.”* Especially relatable for perfectionists, over-thinkers, and high-achievers.Identifying Meaningful Goals* Best

16:32

Standing Out Amongst the Competition

DPC Pediatricians Podcast ·

2025/06/01

Episode Summary: Standing Out Amongst the CompetitionIn this insightful episode, Drs. Phil and Marina explore how direct primary care pediatricians can differentiate themselves in a crowded healthcare market, particularly in contrast to traditional fee-for-service models.Key Highlights & TakeawaysThe Changing Landscape of Patient Choice* In traditional models, patients often choose providers based on insurance coverage and proximity.* In DPC, patients actively choose to pay out-of-pocket for care—so

36:36

Meet Zest Pediatric Network

DPC Pediatricians Podcast ·

2025/04/23

Podcast Episode Summary: DPC Pediatrician — Zest Pediatric NetworkHost: Dr. Marina CapellaGuests: Dr. Drew Hertz & Dr. Keili Mistovich (Co-founders, Zest Pediatric Network)Episode Overview:This episode features an in-depth conversation with Dr. Drew Hertz and Dr. Keili Mistovich, co-founders of the Zest Pediatric Network. The discussion centers on how Zest is transforming the landscape for pediatricians interested in Direct Primary Care (DPC) by providing a supportive, collaborative network model

11:05

Enrollment Fees

DPC Pediatricians Podcast ·

2025/04/08

In this episode of DPC Pediatrician, Dr. Phil Boucher and Dr. Marina Capella dive into the frequently debated topic of whether DPC practices should charge an enrollment fee. They share their personal experiences, perspectives, and practical advice for pediatricians considering this approach.Key Highlights1. What Is an Enrollment Fee and Why Consider It?* An enrollment fee is a one-time charge for new patients joining a DPC practice. It helps offset the upfront time and effort spent on onboarding

29:13

ThriveWell Pediatrics

DPC Pediatricians Podcast ·

2025/04/08

In this episode of DPC Pediatrician, hosts Dr. Phil Boucher and Dr. Marina Capella welcome Dr. Dhanu Sant and Dr. Valerie Miles from ThriveWell Pediatrics in Jacksonville, Florida. The discussion centers on their journey into direct primary care (DPC), their partnership model, and how integrative medicine shaped their practice.Key Highlights:1. Backgrounds of the Guests:* Dr. Sant's Journey:* Originally from Columbus, Ohio, Dr. Sant trained at Ohio State University and Columbus Children’s Hospital.*

41:51

Transitioning To Direct Primary Care

DPC Pediatricians Podcast ·

2025/04/07

Key Highlights: Transitioning to Direct Primary Care (DPC) with Dr. Laura Lindner1. Motivation for Transition* Dr. Lindner experienced growing frustration and burnout in her previous group practice due to a lack of autonomy, inefficiencies in patient care, and an inability to implement her ideas.* She was inspired by colleagues and other DPC practitioners who demonstrated the potential for this model in pediatrics.2. Initial Steps Toward DPC* Dr. Lindner began by researching the DPC model through

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