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 Manageable

Many 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 far less stressful than expected.

* Setting Weekend Office Hours

Phil's practice offers limited Saturday morning hours (8–10 AM), split among providers. Over three recent weekends, only one Saturday visit occurred, showing that weekend demand is often minimal.

* Patient Communication is Key

Patients are trained to reach out early on Saturdays if needed. An automatic message sets expectations about office availability and response times for non-urgent vs. urgent concerns.

* Texting on Weekends

Physicians typically monitor texts on weekends, especially for simple questions. If urgent care is needed, patients are directed to trusted facilities. Newborns or serious cases are referred to the ER with proper guidance and notification.

* Delegating and Covering Time Off

When out of town, Marina communicates transparently with patients and uses a covering pediatrician when needed. Most issues can still be handled via text.

* Clear Expectations Prevent Burnout

Setting and enforcing boundaries during onboarding helps patients understand when and how their pediatrician is available. Respect for the physician’s humanity and life outside the clinic fosters mutual trust.

* Flexible and Dynamic Scheduling

Marina structures her schedule around personal priorities, like spending summers at a mountain cabin or working only specific days. Patients are understanding when expectations are communicated.

* Adult vs. Pediatric DPC

Pediatric DPC tends to involve more weekend support than adult DPC, due to the nature of children's needs and parental anxiety. However, this support can still be well-structured and limited.

* Practice What Works for You

The beauty of DPC is the autonomy to design a schedule that supports both your personal and professional life. Experimenting with availability and structure is encouraged and often leads to improved satisfaction.

* Patient Retention Supports Boundaries

Neither host has experienced patients leaving their practice due to limited weekend availability. In rare cases where expectations aren’t aligned, a respectful referral to another provider is appropriate.

Takeaway Message:

DPC allows pediatricians to set boundaries, build sustainable schedules, and still provide excellent care. Clear communication, mutual respect, and smart planning make it possible to enjoy both a fulfilling practice and personal life.

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dpcpediatricians.substack.com