Episode 96: Dr. Marty Schulman (He/Him) of Encinitas Personal Care - Encinitas, CA

Direct Primary Care Doctor

Dr. Schulman practices in Encinitas, CA
Dr. Marty Schulman

Dr. Marty Schulman graduated from UC Berkeley in 1981 and the UC San Diego School of Medicine in 1985. He completed his hometown’s Long Beach Memorial Family Medicine Residency Program in 1988. He worked as an associate in a small family medicine practice in Encinitas, California before being hired in 1990 to fill a clinical faculty position at UC San Diego. In addition to teaching students and residents, he became the medical director of his clinic site and later served as the clinical service chief for the division of family medicine. He was one of two family medicine faculty members chosen for the inaugural class of UC San Diego’s Academy of Clinician Scholars. In 2005, Dr. Schulman opened Encinitas Personal Healthcare, Inc. after deciding that he wanted to provide concierge-style medical care at a reasonable cost to patients. To do so, he created a practice model combining low annual fees with low overhead. Opting out of Medicare and having no insurance contracts allowed for him to be paid a reasonable non-discounted fee in full at the time of service. For thirteen years, Dr. Schulman incorporated travel medicine into his solo practice. For the last twelve years, he has served as the medical consultant for a six-bed residential treatment center for eating disorders patients. He has also maintained his relationship with UC San Diego through his hospital medical staff affiliation and work as part of the physician assessment teams at the PACE Program and the Physician Retraining and Reentry Program.


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Website: https://martyschulmanmd.com


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Welcome to the podcast, Dr. Schulman. Great

to be here.

This is such an awesome opportunity for the listeners as well as myself, just because you and I were sharing the stage at the American academy family practice.

Co-sponsored DPC summit in Kansas city. And there, people got a little bit of a taste of your story, but it was very truncated. And so this gives you a different floor, on which to share your story and to be able to share a longer version of your story.

So I wanted to get started with the fact that. Like you said in your opening statement, you've been open in your DPC, for a lot longer than most of us in this community. And so you graduated U C S D school of medicine in 1985. And you've practiced during the time when the insurance, landscape was very different.

And so I wanna ask, when you graduated medical school did you ever want to practice independently or were you employed, after you graduated residency up until you decided to open your, DP.

Well, early on, I had no thought of doing solo practice out of residency in long beach California, I joined a, a practice with three other family medicine docs in Encinitas. I had met my wife during medical school. We went up to long beach for residency. We knew we wanted to come back here to the San Diego area.

And it was a great practice. And I really enjoyed working with the other three docs and all the patients, but at the end of the year, it was, we like you and you like us. And so now it's time to buy into the practice. And that was the heyday of HMO managed care, capitated managed care. And I just didn't feel real confident.

Doing that at that point. And so they allowed me to stay on until I found somewhere else to work. And that somewhere else very quickly turned out to be clinical faculty practice at U C S D where I'd gone to medical school. And so I started there and that was in February of 1990. And uh, did mostly clinical work.

Did some medical student teaching did a lot of resident teaching, attending in the clinic and all that. And then pretty quickly I became the medical director of my site. And at one point I was the clinical service chief for three years. But then after about 10, 12 years, that's when I started thinking about doing something else.

And the thought of going solo probably should have been scarier than the thought of buying into an established practice, but just had to go for it at that time.

I hear. Yeah. And I wanna ask, because you were involved with training others, training the future of family medicine in your case, did you see the residents who were in training and as they graduated, have the same outlook in terms of, I'm going from here residency to an employed physician, or did you see some of those physicians branch out on their.