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When Is It Time to Leave the System for DPC? (with Dr. Sandra Koehn)
What do you do when medicine starts taking more than it gives back? For Internal Medicine physician Dr. Sandra Koehn, the breaking point became a turning point. In this episode, she shares how she went from exhausted and resentful in employed medicine to building Planted DPC in Rochester, New York around her family, her values, and her patients.
If you’re a physician who keeps thinking “there has to be a better way,” you’ll hear exactly what changed for Dr. Koehn, the boundaries she set from day one, and how Direct Primary Care gave her a path out that didn’t require sacrificing her family or her calling.
In this episode, you’ll learn:
The exact moment Dr. Koehn knew she couldn’t stay in employed medicine any longer
How she defined her non‑negotiables for family, schedule, and patient care before launching DPC
Why time and access (not procedures) are the real value drivers in a DPC practice
How she thought through her ideal patient and why it often mirrors your own life stage
Practical examples of boundaries she’s setting now to prevent future burnout
This episode is for you if:
You’re a burned‑out physician who wants more autonomy, time, and meaning in your work
You’re considering Direct Primary Care but feel stuck in fear, guilt, or “what ifs”
You want a values‑aligned practice that supports being a parent, partner, or caregiver in real life
Dr. Koehn’s story is a grounded, honest look at what it actually takes to leave the system and build something sustainable. If you’re standing at the edge, wondering whether to jump, this conversation will give you language, clarity, and next steps for your own DPC path.
Resources & Links
Planted DPC (Dr. Sandra Koehn), Rochester, NY: https://www.planteddpc.com
Next Step: Get Guided Support
What often gets missed is the internal shift required to make this sustainable — moving from employed physician to entrepreneur, often without many people around you who truly understand it.
That’s exactly why DPC Women Connect exists — a small, in-person gathering this February for women navigating that transition.
If this resonates, DM me CONNECT on Instagram
link here: https://connect.harmonyopshealth.com/
View all episodes
By Anne Gonzalez, MD
5
55 ratings
What do you do when medicine starts taking more than it gives back? For Internal Medicine physician Dr. Sandra Koehn, the breaking point became a turning point. In this episode, she shares how she went from exhausted and resentful in employed medicine to building Planted DPC in Rochester, New York around her family, her values, and her patients.
If you’re a physician who keeps thinking “there has to be a better way,” you’ll hear exactly what changed for Dr. Koehn, the boundaries she set from day one, and how Direct Primary Care gave her a path out that didn’t require sacrificing her family or her calling.
In this episode, you’ll learn:
The exact moment Dr. Koehn knew she couldn’t stay in employed medicine any longer
How she defined her non‑negotiables for family, schedule, and patient care before launching DPC
Why time and access (not procedures) are the real value drivers in a DPC practice
How she thought through her ideal patient and why it often mirrors your own life stage
Practical examples of boundaries she’s setting now to prevent future burnout
This episode is for you if:
You’re a burned‑out physician who wants more autonomy, time, and meaning in your work
You’re considering Direct Primary Care but feel stuck in fear, guilt, or “what ifs”
You want a values‑aligned practice that supports being a parent, partner, or caregiver in real life
Dr. Koehn’s story is a grounded, honest look at what it actually takes to leave the system and build something sustainable. If you’re standing at the edge, wondering whether to jump, this conversation will give you language, clarity, and next steps for your own DPC path.
Resources & Links
Planted DPC (Dr. Sandra Koehn), Rochester, NY: https://www.planteddpc.com
Next Step: Get Guided Support
What often gets missed is the internal shift required to make this sustainable — moving from employed physician to entrepreneur, often without many people around you who truly understand it.
That’s exactly why DPC Women Connect exists — a small, in-person gathering this February for women navigating that transition.
If this resonates, DM me CONNECT on Instagram
link here: https://connect.harmonyopshealth.com/