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Today my guest is Dr. Shehzein Khan, a family medicine physician in Irvine, California who launched her practice, Solace Primary Care, during her maternity leave and never went back to her panel of 1,700 patients. Dr. Khan is part of a growing group of physicians choosing to start DPC with a telehealth-first model, keeping overhead lean while building slowly and intentionally around a life that actually fits. We talk about how she heard about DPC through Instagram, why she resigned mid-maternity leave, and what it takes to set up a HIPAA-compliant telehealth practice from scratch. She explains why she believes in doing the uncomfortable thing, whether that’s posting the cringey first video, cold calling a sublease space, or launching your practice postpartum when the timing makes no sense on paper. If you’re a physician wondering whether you need a physical space before you can start, this conversation is for you.
IN THIS EPISODE
Telehealth first: the three things you actually need to set up and why keeping it lean matters
Malpractice insurance for a telehealth-only practice and what to ask before you commit to a carrier
What a telehealth DPC membership covers and how to explain labs, imaging, and outside care to patients
Scheduling around a 15-month-old and building a practice that bends around your life, not the other way around
Finding sublease space through physician mom groups, Facebook, Threads, and cold calls to specialists
Social media without the perfection: posting messy, using B-reels, and letting the algorithm find your people
Practice: Solace Primary Care
Location: Irvine, CA (Orange County)
Specialty: Family Medicine
Model: Telehealth DPC (transitioning to hybrid in-person)
CONNECT WITH DR. KHAN
Website: https://www.solaceprimarycare.com
Instagram: @dr.shehzeinkhan
Facebook: Shehzein Khan
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Leave a review on Apple Podcasts or Spotify
Share with any physician, resident, or new parent who is wondering whether telehealth DPC is possible
Subscribe so you do not miss any future episodes focused on telehealth
🛑 Stop staring at the blank screen.
The Harmony Ops Social Media Sprint is the 14-day program I built to get DPC practices set up and posting consistently in their own voice. No blank screen, no wondering what to say.
Join the 14-day Social Media Sprint and get posting in your own voice.
Episode #2 in the DPC Series: From Resident to DPC Practice Owner - The Real Costs & Strategy with Dr. Claire Russell
Today my guest is Dr. Claire Russell, a family medicine resident in Hendersonville, NC who is weeks away from graduation and getting ready to open Clinic by the Sea in Morehead City, NC. Dr. Russell is part of a growing wave of new physicians choosing to step straight from residency into DPC, and she's building her practice from the ground up in a small coastal community. We talk about her childhood dreams of being a country doc, why she chose a rural family medicine residency on purpose, the messaging she's writing for her clinic, and why one should do things even if you don’t feel ready. If you're a resident, a student, or anyone wondering whether you have to wait years before you start, this conversation is for you.
IN THIS EPISODE
Going straight from residency into DPC and why more new graduates are choosing this path
Why Claire picked a rural family medicine residency to get the broad scope DPC requires
The brand voice behind Clinic by the Sea: hanging your shingle and being a family doctor again
Enrollment fee or no enrollment fee, and the timing of opening the wait list
"Do it scared": why your landing page does not need to be perfect to go live
Practice: Clinic by the Sea (opening October 2026)
Location: Morehead City, NC (Carteret County)
Specialty: Family Medicine
Residency: MAHEC Hendersonville (graduating June 2026)
Wait List Opens: July 2026
CONNECT WITH DR. RUSSELL
Website: https://www.clinicbytheseadpc.com launching summer 2026
Instagram: @clinicbytheseadpc
ENJOY THIS EPISODE?
Leave a review on Apple Podcasts or Spotify
Share with any resident, med student, or new graduate considering DPC straight out of training
Subscribe so you don't miss Dr. Russell's next check-in once Clinic by the Sea opens its doors
📲 Stop staring at the blank screen.
The Harmony Ops Social Media Sprint is the 14-day program I built to get DPC practices set up and posting consistently in their own voice. No blank screen, no cringe.
Join the 14-day Social Media Sprint and get posting in your own voice.
I'm coaching Dr. Shikha Joshi of Bloom Direct Primary Care in Buffalo, New York. Dr. Joshi is four months into her DPC after nine years as a hospitalist, and she's doing what most early-stage DPC docs are doing: showing up at vendor events, talking to anyone who will listen, and wondering why it isn't converting faster. We dig into her elevator pitch and rebuild it from scratch around patient pain points, then work through the follow-up rhythm, the messaging on her social media, and how to spot which of her referral partners is actually her best one. If you're early stage and the marketing piece is the part keeping you up at night, this coaching call is for you.
IN THIS EPISODE
How to rebuild your DPC elevator pitch around patient pain points instead of features
The cocktail party formula: "You know when... well, at my practice..." and why it works
Why the fortune really is in the follow-up, and how often is actually too often
Niching down as a generalist: speaking to one ideal patient without excluding everyone else
How to figure out which of your referral partners is your strongest, and what to do with that
Practice: Bloom Direct Primary Care, Buffalo NY
Specialty: Internal Medicine (also Lifestyle Medicine and Obesity Medicine certified)
Background: 9 years as a Hospitalist
Launched: January 2026
CONNECT WITH DR. JOSHI
If you live in the Buffalo area and want to learn more about Bloom Direct Primary Care, or if you're a fellow DPC physician who wants to follow her work, here's where to find her.
Website: https://www.bloomdirectpc.com/
Instagram: @shikhajoshimd
https://instagram.com/shikhajoshimd
Facebook: https://www.facebook.com/profile.php?id=61583881385029
ENJOY THIS EPISODE?
Leave a review on Apple Podcasts or Spotify
Share with any DPC doc who is still rewriting their elevator pitch in the car on the way to a networking event
Subscribe so you don't miss the next coaching call or guest conversation
𝙔𝙤𝙪𝙧 𝙥𝙧𝙖𝙘𝙩𝙞𝙘𝙚 𝙙𝙚𝙨𝙚𝙧𝙫𝙚𝙨 𝙖 𝙨𝙮𝙨𝙩𝙚𝙢 𝙩𝙝𝙖𝙩 𝙬𝙤𝙧𝙠𝙨 𝙬𝙝𝙞𝙡𝙚 𝙮𝙤𝙪 𝙙𝙤.
Get started with the 𝗘𝗮𝗿𝗹𝘆 𝗣𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗣𝗹𝗮𝗻.
Today I'm sitting down with Alexa Torres of Care Identity, a brand and web designer who has spent close to a decade working specifically with Direct Primary Care physicians. Alexa has built over 100 DPC websites and cash pay practice brands, and she has more clarity about how DPC docs actually attract patients than almost anyone I've talked to. We get into niching down, why in-person networking is still the fastest way to grow, the psychology behind a buyer who visited her site 52 times before purchasing, and the AI twin work she's been doing for her own brand and her clients. If you're early stage and feeling like your marketing isn’t working, this is the conversation you need to hear.
IN THIS EPISODE
Why niching down tripled Alexa's business and what that looks like for a DPC practice
The hill Alexa will die on: in-person connection is still the fastest way to grow a DPC practice
The 52-touchpoint story: what one buyer's journey teaches us about patience and online content
Sales as a service: how I think about leading with patient pain points instead of DPC features
How Alexa is using an AI twin to create on-brand content without burning out on photo shoots
ABOUT THE GUEST
Business: Care Identity (DPC brand and web design)
Focus: Brand identity, websites, and marketing for DPC physicians
Track Record: Over 100 DPC and cash pay practice websites
Years in DPC: Close to 10 years working with DPC practices
CONNECT WITH ALEXA
Care Identity : www.careid.us
Klinishen’s Atelier : https://www.theklinishensatelier.com
I Need Patients Yesterday: https://www.theklinishensatelier.shop/inpy
Create Your AI Twin: https://www.theklinishensatelier.shop/aitwin
ENJOY THIS EPISODE?
Leave a review on Apple Podcasts or Spotify
Share with any DPC physician who feels stuck on the marketing side of building their practice
Subscribe so you don't miss the next episode on automations and using AI in your workflows
Join the DPC Lifer Club today 💙
First live call starts this Wednesday, June 3.
Monthly calls, real DPC conversations, and a community that grows with you.
Join here: https://dpclife.com/club
Starting your DPC practice is exciting. Losing patients because your systems aren't ready yet? Not so much.The Early Practice Plan is built for exactly where you are right now.
After almost two years of paying for DPC marketing companies that did not deliver, Dr. Moizah Saad finally decided to take control of her own growth.
In Part 2 of our live coaching call, we walk through the exact networking strategies, elevator pitch formula, and social media mindset shifts she is using to grow her DPC + hybrid clinic in Princeton, New Jersey. We also unpack the “Mamdani moment” that changed how she sees showing up online and why it matters more than she realized.
If you’re a DPC doctor who feels burned by agencies or flustered by marketing, this one is for you.
In this episode
The DPC elevator pitch formula I share with every doctor I coach
Why most paid DPC marketing companies fail us, and what to do instead
The “Mamdani moment” that flipped how Dr. Saad thinks about social media
“Fortune is in the follow up” and how to stop letting warm leads die in a drawer
Why building a regional DPC support group might be the move for New Jersey
About Dr. Saad
Practice: DPC + Hybrid Clinic, Princeton NJ
Specialty: Internal Medicine
Years in DPC: ~2 years (and counting)
Patient Focus: Adults in their 40s who feel unheard by traditional medicine
Enjoyed this episode?
Leave a review on Apple Podcasts or Spotify
Share with any DPC physician, aspiring DPC owner, or burned out doctor who needs the reminder that the marketing learning curve is universal
Subscribe so you don’t miss the next coaching call on DPC Life
📈 Thinking about opening your own DPC? Find out if your systems are ready. Take the free 𝗦𝘁𝗮𝗿𝘁𝗲𝗿 𝗦𝘆𝘀𝘁𝗲𝗺𝘀 𝗤𝘂𝗶𝘇👇
🔗 Starter System Quiz
In this episode, I sit down with Dr. Moizah Saad, an internal medicine physician who left California corporate medicine, moved to New Jersey, and opened her hybrid DPC clinic, Jersey Family Health.
She thought: “If I open my doors and put up a website, patients will come.”Reality: crickets.
On this live coaching call, we unpack the marketing blind spots corporate medicine never teaches you and walk step by step through one core shift: stopping the “everyone is my patient” mindset so she can finally speak directly to the exact patients who are already looking for her.
In this episode, you’ll learn:
Why “build it and they will come” is a lie: How corporate jobs hide the business side, and why a website and a logo are not a patient acquisition plan.
“All adults” is not a niche: How trying to talk to everyone guarantees no one feels like you’re talking to them.
How to find your true patient avatar: We mine Dr. Saad’s most meaningful cases to identify her real sweet spot: mid-life women with complex, “unsolved” medical issues who feel brushed off by the system.
Using channels that actually fit you: What happened when she stopped forcing herself onto every social platform and leaned into local community WhatsApp groups instead.
Meet the guest: Dr. Moizah Saad
Internal Medicine physician
Founder, Jersey Family Health (hybrid DPC, New Jersey)
Focus: complex medical mysteries and mid‑life women with chronic fatigue and long-ignored symptoms
Current challenge: unlearning corporate assumptions about “if you accept insurance, patients appear” and rebuilding real-world marketing skills from scratch.
From Dr. Anne
I’m building something specifically for DPC Life listeners and I want it to be actually useful, not theoretical.There’s a short 2-minute form linked below: what you’re stuck on, what’s helped you most so far, and what you want to hear about next.
Everyone who fills it out gets a free, brandable DPC slide deck you can customize for Rotary, employer groups, or any community talk. You can also check the box if you want early access when the DPC Life community launches.
Form + free slides: dpcfoundations.com
If you enjoyed this episode:
Leave a review on Apple Podcasts or Spotify
Share it with any primary care doc, hospitalist, ER doc, or specialist who needs to hear about DPC
Subscribe so you don’t miss the next episode of DPC Life
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
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