PODCAST

DPC Pediatricians Podcast

Marina Capella & Phil Boucher

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

health & fitness medicine

All Episodes

25:34

What Causes Attrition in Pediatric DPC?

DPC Pediatricians Podcast ·

2026/03/22

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 high-quality care, no practice is immune to turnover. But the reasons patients leave may surprise you—and

14:27

Should I have a Newsletter?

DPC Pediatricians Podcast ·

2026/03/15

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

19:20

Are Meet and Greets Worth the Effort?

DPC Pediatricians Podcast ·

2026/03/01

Episode OverviewIn 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 & Takeaways1. Purpose of Meet and GreetsMeet-and-greets are designed to:* Build trust with prospective families* Explain the DPC model clearly* Answer common questions

20:13

How to do a DIY Market Analysis

DPC Pediatricians Podcast ·

2026/02/17

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

44:07

Tips for ADHD Practice Owners

DPC Pediatricians Podcast ·

2026/02/08

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

35:58

Accounting Pearls with Nate Goodman, CPA

DPC Pediatricians Podcast ·

2026/01/26

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

15:32

Does Pediatric DPC work in rural areas?

DPC Pediatricians Podcast ·

2026/01/18

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

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

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