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Writer's pictureMaryal Concepcion

Four Years In: Reflecting On Choosing DPC After Residency

Direct Primary Care Doctors



Year 3 In Review -  A Reunion Episode With Dr. C. and Dr. J. Mutch, Dr. Mundkur & Dr. Hughes
Dr. Christina Mutch and Dr. Jake Mutch, Dr. Mundkur & Dr. Hughes

As the My DPC Story Podcast celebrates its 4th year anniversary, the reunion episode brought together three distinguished guests—Dr. Lauren Hughes, Dr. Deepti Mundkur, and Dr. Jake Mutch—alongside host Dr. Maryal Concepcion to reflect on their journeys and their 4th year anniversaries of their DPCs. They share their updates and share best practices within the Direct Primary Care (DPC) model. This episode is rich with valuable insights into the DPC landscape and the transformative impact it continues to have on both providers and patients. Here’s a closer look at the topics discussed during this milestone episode.



Navigating Control and Delegation in DPC Practices

Confronting The Idea of Staff

Dr. Lauren Hughes candidly shares her thoughts on staffing and what she views as tasks that can be delegated within her practice. Similarly, Dr. Deepti Mundkur questions the necessity of hiring staff given the complexities involved, particularly in high-cost areas like San Diego, where reliable staff may be hard to find.





Successful Delegation Models

In contrast, Dr. Jake Mutch offers a compelling narrative illustrating the benefits of effective delegation at Defiant DPC. At Defiant, they emphasize coordination and hospitality, ensuring seamless patient care from follow-ups on specialist visits to handling referrals and lab appointments. By trusting his staff with these responsibilities, Dr. Mutch not only improves patient care but also alleviates the pressure on physicians, fostering a more sustainable practice.


Harnessing AI for Enhanced Practice Efficiency

Transforming Workflows

Artificial Intelligence (AI) integration in medical practices emerged as a crucial topic. Dr. Jake Mutch has embraced AI to streamline workflows, generate notes, draft lab reports, and coordinate care. This technology shift reduces dependency on human assistants for mundane tasks, allowing them to focus more on patient care.





Health Benefits and Time Savings

Dr. Deepti Mundkur also shared her experience with AI, explaining how it aides in creating detailed notes, thus reducing the physical strain of typing. Additionally, she has introduced ergonomic upgrades in her office, enhancing overall health and efficiency. These integrations allow physicians to save valuable time, which can then be devoted to direct patient interaction and care.


Emphasizing Personal and Professional Balance

Flexibility and Fulfillment

The DPC model's inherent flexibility enables physicians to maintain a balance between professional duties and personal life. Dr. Mundkur, who manages her practice independently without staff, highlights that this flexibility affords her time for art, travel, and family. Dr. Hughes echoed these sentiments, discussing her hiring of additional doctors to manage patient care better, emphasizing the importance of overall health.


Updates from the Guests

As the guests shared updates, Dr. Hughes mentioned hiring two new doctors to better manage patient load and mental well-being. Dr. Mutch celebrated the birth of his baby Beckett and noted the successful implementation of AI and the first price increase for legacy members in four years. Dr. Mundkur remains devoted to maintaining a steady patient panel and underscores the importance of personal fulfillment alongside professional responsibilities.


Fighting Misinformation and Building Legitimacy

Social Media and Public Engagement

Dr. Lauren Hughes elaborated on her use of social media as a tool to combat misinformation and promote DPC. By sharing evidence-based information in a conversational tone, she has been able to legitimately engage with the public and influence health decisions positively. Her efforts have garnered appreciative feedback from individuals who have benefitted from her advice.


Cultural Shift in Healthcare

The panel members collectively emphasized the need for a cultural shift in healthcare, highlighting the limitations of traditional insurance-driven models and advocating for systemic changes. Dr. Mundkur's recorded frustrations over insurance constraints serve as a poignant reminder of the systemic barriers that persist in the U.S. healthcare system.





The Impact of DPC on Quality of Care

Personalized Patient Care

The discussion underscored how DPC's focus on personalized care rather than patient throughput leads to better health outcomes and more profound doctor-patient relationships. Dr. Mutch’s coordination of a breast MRI for a patient, despite initial rejections, exemplifies the proactive and tailored approach DPC physicians can offer.


Emotional Depth and Humanity in Patient Relationships

Through emotional and poignant stories, such as Dr. Van Gundy assisting a family during a medical emergency, the episode highlighted the deep, human connections that DPC fosters. These relationships often extend beyond clinical care, providing emotional support during times of crisis.


Looking Forward: Expanding DPC's Reach and Influence

Community Outreach Programs

Dr. Mutch's engagement in the “Walk with A Doc” program demonstrates how community initiatives can build trust and educate the public on health topics. Programs like these are instrumental in reshaping public perceptions of healthcare and reinforcing the trust between patients and doctors.


Growing Interest in DPC

The episode also noted the growing interest in DPC among physicians, reflecting a shift towards more sustainable and fulfilling practice models. The DPC model’s ability to offer autonomy, professional satisfaction, and better patient care continues to attract healthcare providers seeking a transformative change.


As we celebrate this milestone anniversary, it is clear that the Direct Primary Care model offers a promising alternative to traditional healthcare. By addressing control issues, leveraging AI for efficiency, balancing personal and professional lives, combating misinformation, and fostering deeply personal patient relationships, DPC physicians are redefining what quality care looks like. The insights shared in this episode provide a roadmap for both current and aspiring DPC practitioners to build sustainable, patient-centered practices.


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For a comprehensive look at their journeys from the very beginning, you can explore our earlier interviews by following these links: 'Episode 51: A Year In Review' and 'Episode 105: Year 2 In Review, and Year 3 In Review.


Dr. Christina Mutch and Dr. Jake Mutch, both family physicians in the group, are graduates of William and Mary. Their shared experience at the West Virginia School of Osteopathic Medicine revealed the limitations of rushed seven-minute patient visits, which often hindered meaningful lifestyle changes necessary for disease management. In August 2020, they took the bold step of establishing Defiant DPC in Williamsburg, Virginia. In September 2021, they joyfully welcomed their baby girl, Isla, into their family. As of this recording, they have also welcomed their baby Beckett, and both mother and baby are thriving.


Dr. Lauren Hughes, a board-certified pediatrician and IBCLC (International Board Certified Lactation Consultant), is the founder and owner of Bloom Pediatrics and Lactation in Kansas City, Kansas. Her practice offers a wide range of pediatric services, including expert breastfeeding support. Dr. Hughes holds the distinction of being the first in Kansas to hold both the title of IBCLC and MD. In addition to her medical career, she is a loving wife and a mother of three children—Calvin and twins, Nolan and Sloane.


Dr. Deepti Mundkur, an internal medicine graduate from the University of California, San Francisco School of Medicine, Fresno Medical Education Program, hails from a small coastal town in India. Recognizing the importance of personalized primary care, she initiated My Happy Doctor, her DPC in San Diego, California, in July 2020. Dr. Mankur continues to provide exceptional care to her patients through telemedicine and home visits, aligning with her mission to meet both personal and professional goals in healthcare.



LINKS/RECOMMENDED RESOURCES:

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DR. DEEPTI MUNDKUR:


 

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