The DPC NP

Pioneering Direct Primary Care: Kelly Botta's Journey of Resilience and Innovation in Family Medicine


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When you're at the crossroads of your career, sometimes the road less traveled leads to the most fulfilling destinations. Kelly Botta, a Physician Assistant with a fire for change, invites us into her world where she transformed her professional trajectory from the confines of traditional medicine to the boundless horizons of her own direct primary care practice, Smarty Pants Medicine. Through her candid recount, we hear of a journey marked by burnout and bravery, as she navigates from a structured group setting to her leap into the entrepreneurial waters of healthcare during the thick of COVID-19, all while balancing the acts of patient care and motherhood.

Step into the intimate spaces of house calls and the strategic expansion to a physical clinic with Kelly's personal stories that resonate with heart and healing. Her practice isn't just a medical endeavor; it's a testament to the strength of human connections and the significance of safety, particularly in these peculiar times. From the driver's seat of her car to the welcoming doors of her clinic, Kelly's experience sheds light on the pivotal role of telehealth, and the profound impact of direct primary care on both provider and patient well-being.

With a blend of entrepreneurial savvy and medical expertise, Kelly unveils the behind-the-scenes of running a direct primary care practice. From the decision to manage a smaller patient panel for a sustainable lifestyle, to adopting cloud-based EMR systems like Atlas MD for seamless patient interaction and management, Kelly's narrative is rich with insights. She shares how this model proposes a unique compensation structure, challenges the norms of healthcare, and fosters a space where physicians can practice medicine aligned with their personal values—a revolution in family medicine that's as smart as it is compassionate.

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The DPC NPBy Amanda Price, FNP-BC

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