Episode 55: Dr. Jalan Burton (She/Her) of Healthy Home Pediatrics - Washington, D.C.

DPC Doctor



Dr. Jalan Burton, or Dr. J, as she loves to be called, is a Pediatrician, wife, and mother of three with over fifteen years of experience in well and sick child care, complex care, children with special needs, public health, youth development and managed care. Her DPC is Healthy Home Pediatrics.


Dr. J is a proud University of Virginia graduate and she attended Columbia University for her Master of Public Health degree and for her medical degree, she attended The George Washington University School of Medicine. She completed her internship and residency at the University of North Carolina’s Pediatric Primary Care Program.


Through her practice, Healthy Home Pediatrics, Dr. J collaborates with families to provide comprehensive primary care that integrates traditional evidence-based interventions with customized plans that prioritize healthy foods, quality sleep, integrative medicine, and healthy family routines.


When Dr. J is not providing excellent patient care she is spending time with her husband and their three children (2 boys and a baby girl). She is actively involved in her community as a volunteer Clinical Instructor at The George Washington University School of Medicine, local Parent-Teacher Association (PTA), and Community Association.


Dr. J enjoys listening to podcasts, cooking, urban gardening, and exercising.


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Dr. J's Favorite First Foods for Infants video:


Nurse Kimmie is on the team at Healthy Home Pediatrics
Kim Duncan, LPN lovingly referred to as Nurse Kimmie
Praise for Dr. J!

Resources Recommended or Mentioned by Dr. J

- Mothers In Medicine Blog. Dr. J writes under the name "Mommabee"

- Spruce Health communications platform including a phone tree

- Cerbo electrnic medical record

- FB Groups: DPC Women, DPC Docs

- Active Campaign

- Calendly

- Emla Cream

- Buzzy Bee


BOOKS

- Stop Physician Burnout - by Dike Drummond

- Reset Your Mindset - by Natalie Eckdahl


PODCASTS

- How I Built This

- Side Hustle Pro

- The BizChix

- Stacking Your Team


WEBSITES

- Kidshealth.org

- Scarleteen - Sex Education For The Real World

- Zero to Three.org



CONTACT:

website: Healthy Home Pediatrics

Socials: @healthyhomepeds



TRANSCRIPT*

Welcome to the podcast, Dr. Burton.


You are all the way on the east coast and I'm all the way on the west coast. So I'm so excited to have you on the pod. And I wanted to start off with the name of your practice, healthy home pediatrics.


And I feel that, reading your bio where you talk about a holistic. Approach to pediatric care and the care for families. I think that the name says it all, but I would love if you could tell us more about your practice and how you are running your practice out of patients home.


Yeah, thank you.


So much for having me on the podcast, I just think it is so amazing that you are doing this podcast in addition to being a mom and starting your DPC practice. I think it's amazing. And I'm so proud of all of us for doing this and changing the game. Not only for our patients, but for our families, you know, our kids get to see us do these things, and then they get to know how big they can be as well.


And I think it's, this is what the world needs, for all of us to like, be as big as we can be. So I always say that when patients are truly supported that they thrive. I have a background in public health and in medicine and. For me house calls and DPC are like where it's at, because when you really center care on patients, most of what they do happens at home, and as a pediatrician, I need to see what's happening at home.


I need to see what's going on. I need to see what you're eating, where you're drinking, where you're having lunch, all those things. And the reason why I started this practice was because I had so many mentors who were finding really innovative ways to re-establish care with patients to recenter care.


And it's really about relationships, the best doctors, the doctors who inspired me the most when I was a medical student, the doctors who inspired me the most as an attending were those doctors that found the ways to have relationships like true, meaningful lasting relationships with patients, which is really rare in medicine these days.


But I knew I wanted to practice in medicine in a different way. And I knew it had to be unrushed I knew it had to be sustainable. I knew it had to be joy-filled. I know, I keep going back to those things. And for me, that's like sitting on people's couches, and sitting on the floor with kids and playing that's my four year old patient bringing me peppers that he cut out of the refrigerator to show me he's eating fresh food and literally shoved them in my mouth.


And I'm like sitting there being fed by four year olds in their houses. That to me is the epitome in my practice. Healthy home pediatrics, like the name, it just came to me, after just like, thinking about what I wanted to be thinking about, like what I wanted it to feel like it came in my husband who was a writer, was like, Ooh, that's wonderful.


Those are great. Like it's just sounds great. It looks great. And that's.


That's wonderful. And, kudos to you because also I love your logo in that, that the classic, this is where the location is the pin on the map. It's all incorporated with the heart. It's absolutely wonderful.


So if you haven't seen Dr. Burton's excuse me, Dr. J's logo. Yeah. Check it out. It's awesome. Now I want to go back to what you mentioned in terms of the experience you'd come from prior to opening healthy home. So you have over 15 years of experience, and I want to ask you, in terms of along your journey, how did you come to learn about direct primary care?


Yeah.


Oh, wow. So that's a long so I was always that kid that knew she wanted to be a doctor. I was like three and four years old. Like nurse's costume that I was like, y'all need to switch this up and make it a doctor. Cause I'm going to be the doctor and I'm gonna be in charge. And so my parents were just like, yeah, you always said that.


So my parents were amazing and my grandparents were amazing in just every single science engineering program that there was, that was free or low cost. I was in it. They enrolled me in it before I even reached the age cutoff in some of the programs. I was like the youngest kid in there. And so it was really my parents.


So I I knew I wanted to be a doctor. I went to the university of Virginia, did a lot of stuff like health and a peer mentor. Like I've always loved communicating with people we've learned loved to have innovative ways of wellness. And so I was a pure health educator and undergrad, and then I did some international.


And I just started working with public health professionals and I was like, wait, whoa, wait, the doctor patient one-on-one is great. But if I don't understand these determinants of health, if I don't understand these kinds of like systems and organizations and processes, I'm never going to make the impact that I want.


And I decided to get my MPH and went to Columbia university and got my MPH. And so after that I started. At UNC for my residency. And I think going to a Southern program was great because I got such a wide range, what I've seen is, especially students that come from like Southern schools or Midwestern schools, we got a lot more hands-on training and a big variety of things.


Like I was running a code my first week of intern year. If I. My students in DC and my residents in DC, there's so many specialists, they don't get all that hands-on training. So I got so much hands on training at UNC chapel hill, shout out to my crew there at the UNC program. And it was wonderful.


So I actually started doing house calls as a resident and the UNC primary care. We had a pediatric primary care track that became a pediatric primary care residency. And so I did house calls with one of my mentors, Alison Kavanaugh for medically complex kids. I did house calls with the newborn nurses and the whole time I was there, I was like, oh, I should, doctor should be doing these house calls so that, they can prescribe, they can diagnose, they could do everything right there in the home.


So right out of residency, I got my, what I thought was gonna be my dream job, like so many of us, and then it was toxic and terrible, right? That's just the story. And I can say that now without crying a few years ago, I wouldn't have been able to say that, but it was terrible. It was toxic. And all of these, especially women of color, that had trained me as a medical student were in the same positions, making the same amount of money. Nobody had been elevated and I just looked around and they were all burnt out and I was like, Nope, no, my husband was like, absolutely. They're all taking their computers on their vacations. Nobody's getting vacations, nobody's being respected.


Nobody really has a voice. These big, huge institutions. I was at a leading academic institution and I said, no, like that, I feel like that's the DPC story, right? That everybody like we try so many of us try to fit in these systems. And so I left academics and did private practice. And also did some Medicaid work.


I was the medical director and the interim chief medical officer for the DC Medicaid for children with special needs. And it was such a wonderful experience, such a dynamic experience. I was supervising care managers and nurses who were doing house calls and I kept being like DC government pay me, let me go and do these house calls.


I will keep these kids out of the emergency room. I'll keep them out of urgent care. I'll make sure all their medicines are good. And I kept getting no, like that's not the way we get paid. Nope. That's not the way the system is set up. Nope. That's not the way we do things. And I was like no. Just pay me my salary and pay my loans off and I will get this together for you.


Nope. That's not what Miami do. So I kept running into nodes and there was a note. And thankfully I did a leadership program with the American academy of pediatrics, and I was able to spend two years researching practice management, interviewing doctors. I interviewed every DPC concierge. Like you name it.


I was like, hi, I'm working with the AAP on a project. Tell me about your practice. Like you're doing with your podcast, just asking people, their stories. And I kept being led back to DPC. Went back to DPC, led the back to BBC. And then one of my mentors from GW when I was a medical student, Dr.


Matthew Mintz had a DPC practice here on, but that's. I went up to his office, we ate and had Pokay. He became one of my best mentors. And then, I was like, let's do it. Let's open up the practice. So I opened up in 2019 and did locums and moonlighting for a few years to cover the cost of everything.


And now it's just all in with the DPC. So I just wanted a model where it was me and the patient, and I couldn't deal with the insurance companies anymore. There's a, I know that there's, they're very important, but I think you may care that it's not set up for primary care, right? Like it's not set up for relationship based primary care like insurance should be for, acute things that happen that are out of control out of your control, not the regular maintenance and wellness.


Okay.


So just for the listeners, I feel that my cup is so filled talking with you, Dave, also, I'm sure you can picture how happy and glowing she is talking about her practice because she has chosen her path. And when you talk about women in color doctors and of color, as well as your children, seeing you, you had this amazing encouragement by your family and your showing your children, what you can do as a person of color and as a female of color in medicine, I literally have these tingles inside of me because I am so happy for you.


And the fact that you have already passed your two year mark, your two and a half years well into your practice and you are making a difference in each and every family's lives that you. Take under your care. So kudos to you, you did it, you are doing it. And I just, I hope that everybody, If you haven't visited Dr.


Jay's website, also check it out because right on the front and her smiling. So it's amazing. So there you


go. You must point out the very cute patient on there, whose mama is a wonderful photographer. But if the patients, like they're just amazing. They're so wonderful. And when they get access to you and they know they have somebody that they can call, literally anytime they need, first of all, they don't abuse you and call you whenever they want to.


I know people are usually worried about that. They're like, oh, they have your cell phone. I'm like, yeah, they have my business cell phone. And I'm a personal stuff on that, my business cell phone. And they can reach me all day. I don't get calls overnight because they call me as soon as things are going on, they call me during the day I check on them.


We check in again, after lunchtime in nap time, we check in again at bedtime, we check in again in the morning, it's a different model of care. It's not the same. So that's what I tell a lot of. Other women of color who are interested in opening up their own practices. I'm like gotta think of this as being completely different.


What would you want and make that for your patients? And then you will see, they will be well taken care of you will be taken care of. It will be okay.