Some might say anyone can run their own DPC. Some might be right. So, I am here to play Devil's advocate on this and help you understand whether you are right for DPC. I will start by saying that any doctor who wants to do DPC can do it but some are better doing it with the help of someone else, while some are best as their own owner/boss.
A few factors that might sway whether you want to/can be your owner/boss: The rest of your life: if you are someone who is very involved in the rest of your life and does not want the possibility of any outside influences (i.e. patients, business troubleshooting) to take away time for day-to-day responsibilities, it may be worth considering if you should work with a partner or join an existing practice. Boundaries: some doctors (people!) have better structure and boundaries with patients than others. Again, I don't think you cannot do DPC at all if boundaries are not natural for you, but if you are honest with yourself and know that you often "give too much," you may benefit from being affiliated with an existing/experienced DPC doctor who can advise and guide you along the way. Business interest: some doctors are really great at doctoring and want nothing to do with business ownership (think payroll, supply management, accounting - the list goes on!). If that is you, consider a partner who prefers to manage those things or joining an existing practice. If you relate to some of these hesitations, good! I think being honest with yourself up front as you consider whether DPC is right for you is a great place to start from. I have seen some doctors fail and I think those are ones who tend to blur their eyes to their own faults, realities, boundaries, or weaknesses. We all have these challenges and each person is unique. If you're not sure you are being honest or you don't know where to begin, sometimes the idea of hiring a coach can be super helpful to set your goals! There are a number of business structures and opportunities nowadays to enter DPC without having to be your own practice. - Join as a partner: the most classic version is to be an existing DPC doc's partner. The coverage sharing and business balance can be great! But you will still have lots of say (if you structure your contracts right) and also lots of responsibility (both good and bad). - Join as a contracted physician or employee: this is my preferred structure for those who want the fabulous work-life balance of a DPC doctor, the relationship building classic in small practices, and none of the administrative burdens! As a contracted physician, you can control your own overhead and keep it DPC lite! - Join a large group: this is becoming more and more available as the years pass. My only hesitation is do your research. The last thing you want to do after leaving the hospital-owned/corporate world is to end up right back in a corporate structure that removes your flexibility and independence! |
AuthorI am a Family Physician, wife to a doc, and mother of three with a mission to convince you as a doctor that you are worth more than the system is giving you and that you are already well-equipped to make a big change without adding more burdens! My passion is helping existing or start up Direct Care practices learn to troubleshoot, streamline, and simplify. Categories
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February 2024
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