Episode 46: Dr. Thomas White (He/Him), Dr. Josh Carpenter (He/Him) & Dr. Brianna Buchanan (She/Her)

Together, they are the team at Hometown Direct Care - Cherryville and Shelby, NC


Direct Primary Care Doctors

The team of Physicians at Hometown Direct Care
Dr. White, Dr. Carpenter & Dr. Buchanan

Dr. Thomas White is a native of Cherryville, NC. He attended Duke University for his undergraduate and medical degrees then went on to complete a residency in Family Medicine at Charlotte Memorial Hospital. In 1988 he returned to Cherryville and established Cherryville Primary Care. In 2015 he opened Hometown Direct Care, the first direct primary care practice in the area, which now offers care in Both Cherryville and Shelby, NC. He is board-certified in Family Medicine and Clinical Lipidology. In 2015, he served as the President of the North Carolina Academy of Family Physicians. In 2020, he was selected as the Family Physician of the Year in North Carolina by his peers! He is married to Diana, and they have 2 children — Whitney, a hospice RN, and Daniel, also an MD who is in his fourth year of a surgical residency - and two grandchildren Lawson and Addy.

Dr. Joshua Carpenter is a native of Duncan's Creek in Rutherford County, North Carolina. He attended Burns High School, the University of North Carolina at Charlotte, and The Brody School of Medicine at East Carolina University before completing his Family Medicine Residency at Cabarrus / NorthEast Medical Center. He is married to Megan, and they have a daughter, Lucy and son Edison. Dr. Carpenter works primarily at the Shelby location, which was opened in August of 2017. He is board-certified in Family Medicine.


Dr. Brianna Buchanan is a family medicine physician originally from the Midwest, who has been settled in North Carolina for the last 7 years. After attending medical school at Campbell University School of Osteopathic Medicine, she completed Family Medicine residency at Harnett Health. Besides medicine, Brianna has sung and played acoustic guitar for over a decade and uses her love of music in the community. She loves to travel and has explored overseas on various medical mission trips, including Africa during the Ebola crisis. She chose family medicine to invest in the doctor-patient relationship. Brianna’s love for family health is what drew her to Direct Primary Care. She is married to Logan Buchanan. They enjoy backpacking/outdoor adventure, travel, and exploring the world of cuisine.


Resources Mentioned by the Team at Hometown Direct Care:

- Dr. Thomas White's feature in the Gaston Gazette as the NC 2020 Family Physician of the Year!

- Rubicon MD

- DPC Alliance

- DPC News


CONTACT:

https://hometowndirectcare.com


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TRANSCRIPT*:

[00:00:00] Direct primary care is an innovative alternative path to insurance driven healthcare. Typically patients pay their doctor a low monthly membership and in return build a lasting relationship with their doctor and have their doctor available at their fingertips.

[00:00:29] Direct primary care to me means the intersection of a simple but brilliant business model characterized by lower overhead, full transparency and a manageable patient panel intersecting. With the opportunity to practice more independently with freedom from the tyranny of the large employer and the games play a third party payers, that's a win for both patient and doctor.

[00:00:58] But the real beauty of [00:01:00] direct primary care to me is that it is a means to an end. It in the end is a way of achieving why I chose medicine to begin with the incredible privilege to truly inadequately listen to the patient without time constraints, without metrics and without the usual rules of medicine and serve as that patient partner Bozar and advocate in this very confusing, complex thing.

[00:01:30] We call health care, direct primary care to me means serving my patients and community to the best of my ability while simultaneously maintaining my own personal, physical and mental wellbeing. Direct primary care to me means just returning to that patient focused medicine and getting back to the central [00:02:00] doctor patient relationship.

[00:02:01] I am Dr. Thomas White. I am Dr. Josh carpenter. I am Dr. Brianna Buchanan of hometown direct care, and this is our DPC story. Um,

[00:02:18] Dr. Thomas White is a native of Cherryville North Carolina. He attended duke university for his undergraduate and medical degrees, and then went on to complete a residency in family medicine at Charlotte Memorial hospital in 1988, he returned to Cherryville and established Cherryville primary care. And then in 2015, he opened hometown direct care.

[00:02:41] The first direct primary care practice in the area, which now offers care in both Cherryville and Shelby, North Carolina. He is board certified in family medicine and clinical hepatology. In 2015, he served as the president of the North Carolina academy of family physicians. And then last year in 2020. [00:03:00] He was selected as the family physician of the year in North Carolina, by his peers.

[00:03:05] He is married to Diana and they have two children, Whitney, a hospice nurse, and Daniel, also an MD who is in his fourth year of a surgical residency and two grandchildren Lawson and Natty. Dr. Joshua Carpenter is a native of Duncan's Creek in Rutherford county, North Carolina. He attended burns high school, the university of North Carolina at Charlotte and the Brody school of medicine at east Carolina university before completing his family medicine residency at caravan Northeast medical center, he is married to Megan and they have a daughter, Lucy and son Edison.

[00:03:40] Dr. Carpenter works primarily at the Shelby location, which was opened in August of 2017 and he is board certified in family medicine. Dr. Brianna Buchanan is a family medicine physician originally from the Midwest who has been settled in North Carolina for the last seven years after attending medical [00:04:00] school at Campbell university school of osteopathic medicine.

[00:04:03] She completed family medicine residency at Harnett health. Besides medicine, Brianna has sung and played acoustic guitar for over a decade and uses her love of music in the community. She loves to travel and has explored overseas on various medical mission trips, including Africa during the Ebola crisis.

[00:04:22] She chose family medicine to invest in the doctor, patient relationship and Brianna's love for family health is what drew her to direct primary care. She is married to Logan Buchanan and they enjoy backpacking and outdoor adventure traveling and exploring the world of cuisine together. They are hometown direct care.

[00:04:46] Welcome to the podcast, Dr. White, Dr. Carpenter and Dr. Buchanan. Thank you. Thanks for having me so excited to be here. This is such an honor, and I just love that you guys are [00:05:00] here on my DPC story just before the start of this year is AFP DPC summit, and I feel so excited to have you on because of the fact that there are three physicians in your practice, Dr.

[00:05:15] White, you started the practice, Dr. Carpenter. You've joined the practice a few years back and now Dr. Buchanan, you're joining. And I just think that hometown is showing how this movement has really grown over the years in that you are supporting three physicians coming in at different times. So thank you so much for being here, Dr.

[00:05:36] White. I would like to start off with your practice prior to 2015, because when you opened hometown direct care, it was after you had already had an established practice. And so I was wondering if you could share with the listeners, what was cherry hill primary care like in terms of demographics, in terms of your everyday experience as a [00:06:00] physician in your former model of practice?

[00:06:03] I started Cherryville primary care in 1988, came back to my hometown and it was initially a solo traditional practice. I had a partner over the years. I had several partners and ultimately became part of the, of large local hospital system. And by the, by the year 2000, my practice remained busy, probably had a panel of about 3000 patients.

[00:06:31] We had two physicians in the practice. We had two nurse practitioners was a very large busy practice. At one time, we were open seven days a week. And as I began to move into a little more administrative role, my panel diminished a little bit, but by the year 2013, I was, I was busy. A full panel plus administrative beauties.

[00:06:58] And I saw all [00:07:00] ages. It was not doing stat tricks, so it was not doing prenatal care, but I was doing nursing home care. I had done hospital care for many years. I had a somewhat shrinking pediatric practice because I'd been in practice myself for so long. But by the year 2013, I made the decision to leave that hospital system.

[00:07:21] And to go down another path I want to ask, because you mentioned an administrative portion of your practice after you would transition from taking care of patients solely. What was the reason for you to go into administrative positions? Because I'm wondering, did you start having a sense of what the buzzword is?

[00:07:44] The burnout. From patient care and the demands that the hospital system was putting on you, that you sought almost like a safe Haven in administrative practice to give you a little bit of a break from the demands of patient care. [00:08:00] Yeah. So I think it was a mix. It was a mixed bag. I think part of it was to try to get away from at least one or two days a week that seeing 30 plus patients and feeling under such pressure.

[00:08:14] And then part of it was a very naive, idealistic thought that I had that somehow I could help support primary care colleagues. If I got into a position of being a regional medical director, it was both selfish and altruistic, but probably more selfish because I just couldn't keep going at the pace that I was going.

[00:08:38] I quickly learned that sitting in meetings all day was also not what I want to do. Given what you've just shared. How did you come to learn about direct primary care as an alternative to the model that you were practicing? 2009, I began to hear lectures about direct primary care. Dr. Brian Forester, a colleague [00:09:00] of mine from apex, North Carolina was presenting lectures.

[00:09:04] I was intrigued. I really wasn't ready to make that decision, but by the time that I made the decision to resign from my employee job, and actually I took a year sabbatical, I didn't jump directly from my old practice to a new practice. I intentionally had wanted a year sabbatical and didn't. And so it was, I got into that sabbatical and looked at a lot of options.

[00:09:30] The one I kept coming back to was direct primary care. I made a lot of phone calls and made a lot of visits and studied it. And it was about six months into my sabbatical that I made the decision. The real epiphany for me was when I got a phone call, when I looked at my cell phone and it said Wichita, Kansas.