Updated: Apr 3
Direct Primary Care Doctor
After studying anthropology and religious studies at the University of California at Berkeley, Dr. Lindsey practiced massage therapy and yoga therapy for 7 years. She then went on to earn her DO from Touro University College of Osteopathic Medicine in Vallejo, California. She completed her residency in urban family medicine at Beth Israel Medical Center in NYC along with additional training in integrative medicine through a joint program with Andrew Weil’s Center for Integrative Medicine at the University of Arizona.
Dr. Lindsey is certified through the American Board of Family Medicine, American College of Osteopathic Family Physicians and the American Board of Physician Specialities in Integrative Medicine. From 2013-2019 she served as the Director of Osteopathic Education at the Marian Regional Medical Center Residency in Family Medicine in Santa Maria, California and continues to serve the osteopathic profession through teaching and committee leadership.
Drawing on her osteopathic and integrative medicine training, Dr. Lindsey provides primary care with a focus on optimizing wellness and addressing her patient’s individual concerns. She treats patients with a compassionate and open-minded attitude and is particularly interested in managing a broad range of women’s health and pediatric concerns. She enjoys her practice as well as her time with her family on the Central Coast.
She opened SLO Health Center in November of 2019.
Hometown Radio 05.05.20 Episode Featuring Dr. Faucette
Hometown Radio 01.16.20 Episode
Featuring Dr. Faucette and Her Patient
Resources Mentioned by Dr. Faucette:
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Welcome to the podcast, Dr. Faucette
Thank you. I'm excited to be here.
I wanted to start with the fact that as was mentioned in your bio pre DPC, you were in a very different, place in life professionally. So could you please give the audience a little bit of a flavor as to what your life was like in fee for service and pre
So I grew up on the central California coast. I you know, grew up in San Lupo. I did my medical school training in the San Francisco bay area. Then I went to New York city where I trained in urban um, underserved family medicine and completing my training. I stayed in the city for about a year. I was working in academic uh,
medicine, supervising residents.
I also did a lot of integrative medicine and osteopathic manipulation, which we'll probably talk about a little bit later, too. And then due to some family health issues, essentially, I moved back to the same area and my father who's really well connected in the community, told me that in Santa Maria really close by, you know, 30 minutes away was a new residency pro program in family medicine.
And so I essentially just jumped on board there as founding faculty and the director of osteopathic education for that program. So I'd say about 60% of my time was spent teaching and the other 40% was patient. And that entailed primary care as well as osteopathic manipulation and being a new program and being not well understood by the administration of a large.
Healthcare organization, there were a lot of challenges in terms of the patient care aspect. And so I would say it was even more we were getting more directives about how much we needed to bring in financially how long our patient visits could be. And it was kind of like you, you know, people, the administrators who were nons would come into our faculty meetings and essentially shake their finger at us, like almost every week about how we weren't bringing in enough money.
And, you know, I just got really frustrated with that. And also we were in a clinic without really, like I said, any physician management. And so when we would try to correct things like. Making sure that there was continuity between a patient and their physician, whether it be a resident or an attending physician, it just never went anywhere.
And ultimately, I got really frustrated after being there probably six years or so, and decided I needed to do something else. And at that point in time, I didn totally know what that something else was going to be. But that's essentially when I said, I, I just don't wanna practice medicine like this anymore.
I don't wanna see a different person every time I, you know, see a patient on my schedule. I wanna have relationships with my patients. I need that in terms of the procedures that I do, the osteopathic
It's the worst thing in the world to be switching different people, treating a patient every single time.
So yeah, it totally different than, than where I am now.
When you talk about that, you were like, Hey, I've gotta do something different. I can't be doing this for the rest of my life.
How did you branch out into other options in terms of your medical career, other forms of other models of healthcare and what eventually led you to learn about DPC?
Essentially, I was looking at a lot of different options and at that time I had. A five year old daughter. And my son was about a year old when I left Marion family medicine residency in Santa Maria. And it was very challenging to decide what direction to go. I was burnt out for one thing, having two young kids and also working in this system that was broken and the day to day frustrations of that.
So at that time, I really felt like I don't even wanna do clinical medicine anymore. And I think, you know, we see that in my, that, you know, if we're even looking at. Medical students are not going into clinical care it's because they're seeing all these burnt out doctors in their rotations and they don't wanna do that.
And, and so, yeah, I was sitting there saying, you know, I don't know. And what I ended up doing was a lot of different things. Um, I did medical reviews for um, essentially like social security disability applications. I shortly thereafter got credentialed with all of the various telemedicine companies.
So D doing urgent care from home. And the thing was, I had actually learned about direct primary care, probably about four years before I quit. And that was. Through a medical school friend and colleague Brianna C um, who's in Denver and I remember running into her at a conference and she was in the process of leaving her employed fee for service position to start a drug primary care practice with the intention of doing obstetrics as well.
I was really impressed. I was really excited to hear about it and started researching it. I remember getting on the AFP website and seeing the DPC toolkit that they had at that time and seeing really that endorsement from my professional organization saying this is a very legitimate and potentially game changing, alternative to fee for service model for primary care.
And so I kept going back to that. I mean, I was even talking to my colleagues about it and thinking through, you know, how could this work in a setting like hours where we are educating residents and you know, how could this even, and I know this is kind of a topic that there's a lot of disagreement in the direct primary care community around, like, can we get insurance to pay us in this model?
Because then you get transformation for the physician, the patients you get better outcomes at lower costs. And then when you have learners, seeing doctors practice in this way, you are creating this Situation where more people are gonna wanna do primary care. Those were all the things that really got me thinking like, okay, maybe I'll do this.
It seemed really daunting because as a resident, especially everyone tells us, never go into private practice. You just can't do that anymore. No one does that anymore. Just take a job, pay off your loans. I'd say well, half of my class went into academic medicine and stayed in New York city, but so many of my co-residents and people that grew graduated ahead of me came to California and started working for Kaiser, which, you know, has its pluses and minuses for sure.
Everyone's heard of the golden handcuffs and those are very alluring to people who have so much debt and just want something easy and they wanna buy a house and they wanna pay off their student loans. And yeah, I mean, I didn't have a lot of people around me encouraging me to do that.
And so I'd say it took me about six months and then I decided to jump in
I did not realize that Dr. SIFA was your, colleague in medical school, and and it's just such a, it's such a Testament as to how important it is to like dr. Onan meta says, you know, tell five people about DPC.
Anytime you get the chance because you never know what seeds you're gonna plant. And so whether it be, you know, telling someone about your practice, telling someone about your future practice, telling someone about a podcast, they heard, whatever it, it is. You never know what future effects you're, you're putting into, into motion by mentioning the movement.
So that's incredible. And when you talk about being involved in the residency and the residents seeing burned out physicians, it, it really makes people, question, what are they gonna do in fee for service and beyond. And so I really hope that the more and more we get the word out about how. In DPC, you can have autonomy. , you can plan out your financials to pay off your loans, but at the same time, you get to, as you're doing every day, practice medicine, the way you want to.
And so I hope that the culture does change as more of us are talking about direct primary care and every single practice featured on this podcast, every single physician has made an impact positively in their community by doing this model.
Absolutely. Yeah. If I think about our first class of residents, one is N nonclinical did a fellowship in informatics. Another one did, I think he did a fellowship in something, but anyway, he is uh, working in an ER. Another guy is medical director for a startup nonclinical. Another one is an urgent care only with dignity here in the area.
Another one went to a student health center at a local university, which is essentially like urgent care. And then one is working in an FQ H C up in Northern California. So one of the six is doing primary care.
Yeah. In my residency, I graduated 2015, but the classes of 2013 and 2014, I would say 80% if I'm guessing or more went to Kaiser.
Because I did residency INO in Northern California also. And I was so excited when my my former PS attending, he texted me, Hey, there's a resident who's wanting to do DPC. Can I get him in touch with you? And I was like, absolutely. I love, love, love that, you know, the, the conversation is changing more.
People are so much, more aware of. Oh yeah. DPC is totally a thing. Don't know if it's an option for me, but I, at least know it's a thing. And so it's sad to hear that that was the trend, but I definitely would say that that is where we can make it to difference. And so I wanna pull on your experience having been at Beth Israel and having exposure to underserved urban medicine.
I wanna ask about that because you're returning home to where you grew up and I wanna ask about something you had mentioned in a radio interview that. So many people are affected by medical expenses um, that cause 'em to
file for bankruptcy in this country.