After 16 years as a med-peds hospitalist, Dr. Brian Bost launched B2 Direct Care in Denver, but he didn’t completely give up hospital work, unlike most DPC docs. He kept his hospital shifts, started telemedicine-only at $75/month, and is taking a deliberately slow rollout. In this first call of an ongoing series, he and Dr. Anne Gonzalez review his hybrid model practice, pricing, imposter syndrome, and his developing hospital-to-home program.

IN THIS EPISODE

• Why the "all in or all out" advice doesn't work for every physician

• How to launch DPC slowly while keeping a hospitalist W-2 income

• Pricing: $75/month telemedicine and the $140/$220/$300 brick-and-mortar plan

• The hospital-to-home program he's building for post-discharge patients

• The Hospitalist-to-DPC Facebook group he started that’s growing fast, with 198 members in under a month

  
  

GUEST

Practice: B2 Direct Care, Denver CO

Specialty: Med-Peds  ·  16 years Hospitalist

Launched: February 2026 (telemedicine soft launch)

Members: ~15 (word-of-mouth only)

HOSPITALIST TO DPC SERIES

This is the first in an ongoing series. Dr. Anne and Dr. Bost will reconnect every 6 weeks to track his real-time progress: brick and mortar timeline, wait list growth, hospital-to-home program build-out, and how the hybrid hospitalist-DPC model holds up.

FROM DR. ANNE

I'm building something for DPC Life listeners and I want to make sure it's actually useful to you. There's a short form linked below - three questions, two minutes. What are you stuck on, what's helped you most, what do you want to hear more about. Everyone who fills it out gets a free brandable DPC presentation you can customize for Rotary clubs, employer groups, or any community talk. And check the box if you want to be notified when the DPC Life community launches!.

https://dpcfoundations.com/

ENJOY THIS EPISODE?

• Leave a review on Apple Podcasts or Spotify

• Share with any hospitalist, ER doc, or specialist who's been told DPC is all-or-nothing

• Subscribe so you don't miss the next Hospitalist to DPC call with Dr. Bost in 6 weeks

  
  

KEY TIMESTAMPS

00:00

Cold open — "You're either all in or you're all out"

02:00

Why a 16-year hospitalist decided to open a DPC — the family member story that changed everything

04:00

How DPC found him: LinkedIn, Facebook, and a community of physicians who actually welcomed him in

05:30

Pushing back on the all-or-nothing message: the soft launch strategy

10:30

Why he's choosing night shifts as a hospitalist to keep both worlds open

14:00

The $75 telemedicine price — and the $140/$220/$300 model coming with brick and mortar

17:00

Why he hasn't opted out of Medicare yet (and when he plans to)

21:00

The hospital-to-home program — his passion project and what it could become

28:30

Hospitalist-to-DPC Facebook group: 198 members in under a month

31:00

What's next: brick and mortar in 2 months, growing the wait list, hiring web help

38:00

Five-year vision: full-time DPC, opted out of Medicare, possibly the traditional 5-day office

You can be the most skilled physician in your city, but if nobody knows you exist, your practice won't grow. In Part 2, the real strategy comes out.

Dr. Nadia Sirdar walks through the exact patient acquisition tactics that got her to 50 members- including the farmer's market funnel that outperformed everything else (and the story of Mitch, a man in his 80s who may be her most effective referral source), the fireside chats that spread through garden clubs, and the speaking engagements that led her to the Maryland General Assembly advocating for menopause care legislation.

She also gets into something worth recognizing: physician visibility as an ethical obligation. In an era of rampant health misinformation, showing up as a trusted, evidence-based voice isn't optional anymore. It's part of the job.

KEY TAKEAWAYS

• Visibility is a clinical responsibility. Patients are being targeted by grifters. A trusted physician voice in the room matters.

• The farmer's market was Dr. Sirdar's top acquisition channel- not because it was clever, but because the conversations were real and deep in a way no digital ad can replicate.

• Patients need multiple touchpoints before they sign up. Consistent presence across multiple community spaces compounds over time.

• One core talk can fuel five different engagements. Recycling content leverages your efforts and protects your time. 

• A CRM is the difference between a patient connection that converts and one that disappears.

  
  

MEMORABLE QUOTES

"My patient said: 'My garden club sent me and I'm the first one. If this goes well, I'm telling my garden club.”

RESOURCES & REFERENCES MENTIONED

• Sibley Hospital (Johns Hopkins Community) — Dr. Sirdar invited to keynote the Foundation's Young Professionals luncheon

• Maryland Medical Society — Dr. Sirdar invited to co-chair the Women in Medicine committee

• Maryland General Assembly — Doctor of the Day program; site of menopause care insurance coverage legislation

  
  

ABOUT DR. NADIA SIRDAR

Specialty: Internal Medicine (ABIM Board Certified)

Background: Former Hospitalist

Practice: Bethesda Modern Primary Care

Location: Bethesda, Maryland

Focus: Adult Primary Care | Menopause & Perimenopause

Website: bethesdadoctor.com

Instagram: @drnadiasirdar

Facebook: Dr. Nadia Sirdar

LISTEN, SHARE & CONNECT

• Missed Part 1? Go back and hear how a hospitalist defied everyone who said she couldn't do this — and built a thriving practice anyway.

• Rate and review on Apple Podcasts or Spotify — your review helps other physicians find this show

• Share with any physician who thinks DPC isn't for their background

• Tag us and @drnadiasirdar with your biggest takeaway

  
  

FROM DR. ANNE

I'm building something for DPC Life listeners and I want to make sure it's actually useful to you. There's a short form linked below - three questions, two minutes. What are you stuck on, what's helped you most, what do you want to hear more about. Everyone who fills it out gets a free brandable DPC presentation you can customize for Rotary clubs, employer groups, or any community talk. And if you want to be notified when the DPC Life community launches, there's a checkbox for that too.

Link to form: Click here

KEY TIMESTAMPS

04:00

The rule of three touchpoints: patients say "I saw you three times before I signed up"

05:30

Why education has value even when patients don't sign up directly with you

06:00

Garden clubs, Mahjong groups, and how women's community circles became a referral network

10:00

The farmer's market as the #1 funnel — the full origin story (including Mitch)

13:00

What farmer's market conversations actually look like: deep, not fluffy

17:00

Funnel ranking: Farmer's Market → Fireside Chats → Larger Speaking Events

What happens when a hospitalist who’s spent years running codes and rapid responses is told she “can’t” do Direct Primary Care?

She launches anyway, hits 50 members in her first official quarter, and ends up standing in front of the Maryland General Assembly.

In this episode, Dr. Anne Gonzalez sits down with Dr. Nadia Sirdar, ABIM‑certified Internal Medicine physician and founder of Bethesda Modern Primary Care, for her second appearance on the show. Dr. Sirdar walks through the adrenaline‑filled first six months of DPC: the senior attendings who flatly told her not to do it, the imposter syndrome of having “no outpatient experience,” the ER‑level moments with no nursing backup, and the one cardiology relationship that unlocked an entire specialist network.

This is for every physician who’s been told their background “doesn’t fit” primary care and wants real‑world proof that it absolutely does.

Key Takeaways

• Hospitalist → DPC is more doable than the naysayers claim. Internal medicine is a continuum; the human body doesn’t change.

• Colleague discouragement is loud but not data. Your actual skills and track record are better predictors than their fear.

• 50 patients in one quarter is a real win, earned by consistent community visibility and a few high‑yield patient funnels.

• You are now the CEO. Protect 20% of your time for business strategy, not just clinical work.

• One strong specialist relationship can open an entire referral network; her “cardiology bestie” was the doorway to the Osler Medical Society.

• Imposter syndrome in DPC is normal and temporary. Decades of training are an asset, not a liability.

MEMORABLE QUOTES

"I keep having to remind myself: I am a competent physician giving really good care. But you get so beat down as an employed physician that you forget your value."

ABOUT DR. NADIA SIRDAR

Specialty: Internal Medicine (ABIM Board Certified)

Background: Former Hospitalist, now DPC Physician

Practice: Bethesda Modern Primary Care

Location: Bethesda, Maryland

Focus: Adult Primary Care | Menopause & Perimenopause

Website: bethesdadoctor.com

Instagram: @drnadiasirdar

Facebook: Dr. Nadia Sirdar

RESOURCES & REFERENCES MENTIONED

• Osler Medical Society — Named after William Osler, father of modern medicine; a physician networking society with 10-year specialty cohorts

  
  

LISTEN, SHARE & CONNECT

• Rate and review on Apple Podcasts or Spotify — your review helps other physicians find this show

• Share with any physician who thinks DPC isn't for their background

• Tag us and @drnadiasirdar with your biggest takeaway

• Don't stop here! Part 2 is where it gets tactical. Dr. Sirdar breaks down her top three patient acquisition funnels, her menopause advocacy, and how she ended up honored at the Maryland General Assembly.

KEY TIMESTAMPS

00:00

Cold open — "I am the rapid response. I am everybody."

02:00

Hitting 50 patients in the first official quarter

02:45

CEO shift: understanding ROI, funnels, and reserving 20% for strategy

05:00

From the end of the trajectory to the beginning — why hospitalists make great DPC docs

07:30

The real adrenaline of DPC: ER-worthy moments with no nursing backup

10:30

The discouragement: older physicians who flatly said "you cannot do this"

12:00

Her rebuttal: "Internal medicine is a continuum. The human body doesn't change."

14:00

Her mission: reaching residency directors to teach trainees that DPC is a real option

19:00

The 'cardiology bestie' story — how one relationship changed her specialist network

21:00

The Osler Medical Society: a 10-year cross-specialty physician cohort for mutual growth

When a patient asks "Do you take my insurance?" — do you know what to say?

Most DPC doctors freeze in that moment. Not because they don't believe in what they've built — but because nobody ever taught them how to talk about money without feeling like a salesperson.

This is one of our most listened episodes for a reason.

We coach Dr. Donna Mayeda, founder of Ke Ola Noa DPC in Honolulu, Hawaii, through exactly that conversation — live, unscripted, and only five months into opening her micropractice in a state where almost no one has heard of Direct Primary Care.

What we dig into:

• How to explain DPC vs. "concierge" in one or two calm sentences

• What to say when a patient doesn't see the value in a monthly membership

• Why dropping your price won't fix a value disconnect

• Mindset shifts for talking about money without feeling salesy

• How to build a simple elevator pitch — even if you're an introvert

  
  

If you've ever felt called to DPC but scared of slow growth, confused patients, or awkward money conversations — this episode will make you feel less alone and more prepared.

About Dr. Donna Mayeda

Dr. Donna Mayeda is an internal medicine physician and founder of Ke Ola Noa DPC in Honolulu, Hawaii. After six years in an employed corporate setting, she left to build a Direct Primary Care micropractice centered on autonomy, accessibility, and real relationship-based care. She is one of only a handful of DPC physicians in the entire state and is actively building community among DPC and DPC-curious physicians across Hawaii.

🌐 keolanoa.com 

📲 Instagram & Facebook: @keolanoadpc

Resources mentioned:

• Ke Ola Noa DPC — keolanoa.com

• DPC Life Podcast — available on Spotify and all major streaming platforms

Still not posting consistently on social media? You're not alone — and there's a fix that won't take over your schedule.

The Harmony Ops Social Media Sprint is a focused 2-week program where you spend just 2 hours on setup and walk away with a full content calendar scheduled, AI-generated captions written in your voice, and your social media running automatically — no daily effort required.

Built specifically for DPC doctors who know they need to show up online but don't have the time or bandwidth to figure it out from scratch.

👇 Join the Sprint and get your content running for you.

🔗 reach.harmonyopshealth.com

Enjoyed this episode? Leave us a review — it helps more doctors find their way to DPC. 

In this episode, allergist Dr. Anita Sivam shares how she left a large group practice in suburban Indianapolis to build Inspire Allergy & Asthma, a direct specialty care clinic focused on access, transparency, and food oral immunotherapy (OIT).

We talk through her 6–month transition out of insurance based care, how she’s marketing a niche service like food OIT, and the simple systems she is using for social media, referrals, and local events so she is not dependent on hospital networks to grow.

Who This Is For

• Physicians exploring direct primary or direct specialty care

• Doctors stuck in insurance driven allergy or specialty practices

• Anyone launching or marketing a new DPC or specialty practice

  
  

What You’ll Learn

• How Dr. Sivam planned her exit and launch timeline

• How to position a niche service like food oral immunotherapy

• Why clear, simple messaging beats complicated marketing

• How to use mom groups, local events, and DPC referrals to fill your schedule

• How longer visits and direct access change patient trust and outcomes

  
  

If you are starting or growing a DPC or direct specialty practice and you know you “should be posting” but you never stick with it, use this episode as your sign to build a real content system.

Still not posting? Build a system that runs your content for you.

Join the DPC Social Media Sprint 👇https://reach.harmonyopshealth.com

🔗 Links & Resources

Website: https://www.inspireallergyandasthma.com/ 

Social Media: @Inspire Allergy and Asthma (Instagram, Facebook, TikTok) 

Email: [email protected]

Thinking about DPC and quietly wondering: What does life actually look like on the other side?

In this live Q&A replay, we answer one of the most honest questions physicians have about DPC: how do you balance ownership, freedom, and boundaries when it is your name on the door. We talk about what it really feels like to carry the practice in your mind, without being on call 24/7.

We also keep coming back to one theme: community. How to lean on other DPC docs for coverage, build local relationships, and remind yourself you’re not crazy and you’re not alone.

Who this is for

• Physicians who want unfiltered answers about life in DPC

• Doctors overwhelmed by the “what ifs” of running their own practice

• Early DPC owners navigating boundaries, growth, and expectations

  
  

What you’ll learn

• How to set clear boundaries in your DPC (and why they protect both you and your patients)

• The shift from “always available” to sustainable, high-quality care

• Simple ways to structure your schedule from day one

• Why hearing “no” is normal in business and how to reframe it

• How to handle family and friends asking for medical advice

• How to set expectations early with patients so you don’t resent your own practice

• What “normal” growth looks like in the first year or two

• Why community and collaboration are non‑negotiable in DPC

  
  

These are the conversations most physicians never get to have. You’ll walk away realizing what you’re feeling is normal, and that there’s a healthier way to build this.

Ready to stop avoiding social media?

The Harmony Ops Social Media Sprint gets you started. $99. https://reach.harmonyopshealth.com/sprint-home-page

We walk through Dr. Rebecca Berens’ journey of building a DPC practice while navigating motherhood, uncertainty, and the unexpected challenges of opening in 2020. Instead of forcing growth, she leaned into her season of life and allowed her practice to evolve naturally through relationships and aligned care. Over time, her patient base shifted through trust and referrals rather than traditional marketing. This episode is a reminder that sustainable growth in DPC comes from community, mindset shifts, and letting go of the need to do everything alone. 

What You’ll Learn

• Why your DPC timeline doesn’t need to match anyone else’s 

• How to grow your practice through referrals and community 

• A non-salesy approach to marketing as a physician 

• Why you shouldn’t try to do everything alone in DPC 

• Key mindset shifts around money, growth, and sustainability 

  
  

Key Moments from the Episode

• Opening a DPC practice right before the pandemic 

• Feeling “behind” and learning to reframe success 

• Building a niche through aligned patient care 

• Using community groups to serve instead of sell 

• Transitioning to a referral-driven practice 

  
  

Who Is This For?

This is for physicians who feel behind, overwhelmed, or unsure if they’re doing DPC “right.” It’s also for those who want a more sustainable, community-driven way to grow their practice without burning out.

About the Guest

Dr. Rebecca Berens is a family medicine physician and the founder of Vida Family Medicine in Sugar Land, Texas. She has been practicing DPC for over six years and has built a referral-based practice focused where she helps break down health misinformation in a thoughtful and nuanced way.

on patients recovering from disordered eating. She is also the co-host of The Anti-Social Doctors Podcast.

Book Mentioned

• She Sells by Megan Dalla-Camina

• Buy Back Your Time by Dan Martell

• Influence by Robert Cialdini

• 10x Is Easier Than 2x by Dan Sullivan & Benjamin Hardy

  
  

  Podcasts Mentioned

• The Anti-Social Doctors PodcastFollow Dr. Rebecca on Instagram: @rebeccaberensmd

• EntreMD Podcast by Dr. Una

  
  

This episode covers how to find patients through Facebook group referrals and how to market authentically as an introvert. But knowing where to find patients is only half the equation.

The other half is knowing exactly what to say when you find them, and being clear enough about your practice identity that your message actually lands.

If you're preparing to open your DPC practice and want to build that clarity before you start marketing, DPC Foundations was built for exactly that moment.

The taller the building the deeper the foundation has to go. Foundations does that deep work first: your practice identity, your messaging, your clarity. This is what you need first.

Founding member price: $499 -  goes to $799 at launch in 2 weeks.

👉 Save your spot at dpcfoundations.com

If you feel like you spend more time checking boxes than caring for the human in front of you, this conversation will hit home.In this episode, I sit down with Dr. Marissa Fusella, a family medicine physician in Latham, New York, who’s in the early days of launching her Direct Primary Care practice, Fusella Family Medicine. After eight years in employed medicine, she felt the growing tension between loving her patients and feeling trapped in a system that doesn’t.

We talk candidly about what it’s like to leave a “stable” job, start a DPC with just one enrolled patient, and keep going when growth is slower than the Instagram highlight reels. Marissa shares how community, courage, and lots of imperfect action are shaping her path back to patient-centered care.

Who This Is For

• Physicians buried in paperwork who want to practice real, relational medicine again

• DPC‑curious doctors who want the unfiltered version of what the early months look like

• New DPC owners who need reassurance that slow, steady growth is normal

  
  

In This Episode, You’ll Learn:

• Why you should start before you feel fully ready

• How “done is better than perfect” looks in a real DPC launch

• Why community may be the most important growth strategy you have

• How simple meet‑and‑greets can educate a community and attract the right patients

• Why building slowly does not mean you’re building wrong

  
  

If this episode encourages you, share it with a physician who might be quietly questioning their current path. It might be the permission they need to take their next step.

Channel Resources

🌐 Website: https://fusellafamilymedicine.com

📘 Facebook: Fusella Family Medicine

📸 Instagram: Fusella Family Medicine

And if you're exploring your own DPC launch, don’t forget to check out the Breakeven Calculator for New DPC Practices to help you gain clarity and confidence around your numbers before you leap.

Breakeven Calculator for New DPC Practices: https://harmonyopshealth.com/launch

In this episode, I share the 10 fears I hear over and over from physicians who are thinking about Direct Primary Care but feel unsure about leaving employed medicine. We talk about realistic patient follow‑through, contracts, finances, timing, and how to know if you’re actually ready to move.

You’ll see that you’re not alone, you’re not the only one thinking about this, and there is a clear path forward.

In this episode, you’ll learn:

• What usually happens when you leave an employed practice (and what % of patients typically follow)

• How to explain a monthly membership fee to insured patients without feeling salesy

• When to start telling patients and colleagues you’re leaving, and how non‑compete / non‑solicit clauses affect that

• How to think about runway, side gigs, and the financial risk of leaving too early vs too late

• Simple ways to start talking about DPC so meet‑and‑greets feel less awkward

• How to build interest and a waitlist before you open, instead of launching to an empty panel

• The mindset and family / financial questions to ask when deciding if you’re ready to leave employed medicine

• Why you’re absolutely not the only one considering DPC, and how many practices are already thriving

• The Practice Momentum Flywheel: reach → resonate → respond → retain, and how that builds your practice over time

  
  

About the Independent Practice Path

Many physicians don’t need more information about DPC. They need a clear path and a small group to walk it with them.

The Independent Practice Path is an 8‑week small‑cohort program for physicians who want to move from “thinking about it” to actively preparing to open an independent direct care practice.

Over eight weeks, you will:

• Clarify your practice model so you know exactly what you’re building

• Practice how to talk about DPC and your membership in a way that feels natural

• Begin building interest and a waitlist before you open

• Put the basic systems in place that support your future practice

  
  

How to take the next step

1. Start the Readiness Reflection. Complete the short Readiness Reflection on the Independent Practice Path website to see where you are in the process and what your next step should be.

   Link: https://ipp.harmonyopshealth.com/

2. Join the next cohort. The next Independent Practice Path cohort starts on March 24. Enrollment closes once we begin, so if you want to be part of this round, complete the Readiness Reflection and register as soon as you’re ready.

3. Ask your questions. If you’re unsure if this is a fit, complete the Readiness Reflection and then email me using the address listed on that page.

   
   

Your future patients need you practicing medicine the way you imagined when you wrote your personal statement. If you’ve been thinking about DPC for a long time, this is your invitation to start taking concrete steps toward your own independent practice.
Email me at ⁠[email protected]⁠ and let’s figure out if IPP is the right fit for you. 

What if growth didn’t have to cost you your emotional bandwidth?

In this episode of the DPC Life Podcast, I’m joined by Dr. Noemi Adame, a pediatric Direct Primary Care physician in rural Indiana who has deliberately built systems to protect her time, energy, and longevity.

After years in employed and academic medicine, she chose DPC for more autonomy, but then realized that “freedom” without systems still felt overwhelming.

We get into gender bias, invisible labor, pricing discomfort, and how automation became the unexpected tool that transformed her practice.

What You’ll Learn

• Why female physicians often carry more invisible labor and how that accelerates burnout

• How automation can act as a boundary, not a barrier

• The specific systems that cut inquiries by 80% while increasing enrollment

• How to use pre-education marketing to filter and qualify leads

• Why self-scheduling slashes back-and-forth messaging and mental load

  
  

Key Moments

• The data showing female physicians receive 25% more portal messages

• The realization that the problem wasn’t time, it was emotional bandwidth

• The shift from answering every call manually to automated meet-and-greet funnels

• Panel growth up 20% while message volume stayed flat

• 80% fewer inquiries but 30% higher enrollment

• An honest conversation about pricing discomfort and guilt

  
  

About the Guest

Dr. Noemi Adame is a pediatric Direct Primary Care physician in rural Indiana. She founded her DPC practice after years in academic and employed medicine to create a more sustainable, relationship-centered way to care for families.

She is also the founder of DPC Women’s Café and host of an annual DPC Women’s Retreat, where she focuses on physician wellbeing, autonomy, and burnout-proofing practices through intentional systems and community.

Resources & Links

• DPC Women’s Café – Weekly virtual gathering for female DPC physicians (hosted by Dr. Noemi Adame)

• DPC Women’s Retreat – Culver, Indiana | October 15–18 | CME included. Physician wellbeing and burnout-proofing.

• SigmaMD – EMR platform mentioned in this episode: https://www.sigmamd.com

• Harmony Ops – CRM platform referenced: hhttps://24-7-bot.harmonyopsfordpc.com/dpc

Ready to See How DPC Really Stacks Up for Your Patients?

I created a DPC Patient Savings Calculator that lets patients compare what they might spend on DPC + a health share versus traditional insurance, using their own numbers. 

When you click the link in the show notes, you’ll get:

1. Calculator options for PhysiciansYou’ll see a free, generic calculator you can share with patients right away.

2. You’ll also see how to:

• Get a branded version of the calculator for your own practice

• Have it hosted for you with lead capture built in

• Plug it into my DPC‑specific CRM and nurture sequence, so every calculation becomes a tracked lead

  
  

The calculator is one of the tools inside my Independent Practice Path + CRM system, built so you can open or grow your practice with patients already lined up, not just hoping inquiries trickle in.

Click here: https://dpcsavings.com/calculator-physicians

Curious about the Independent Practice Path? Email me at [email protected] and let’s figure out if IPP is the right fit for you.

Start with the free generic version. The rest of the system is waiting quietly inside.

This episode of the DPC Life Podcast is streaming now on Spotify and all major platforms. Let’s build practices that protect us, not consume us.