Why Transition to DPC? This Cardiologist Says ‘Practice Enjoyment and Quality.’

Who says DPC doesn’t work with specialties?

Making the switch from practicing invasive cardiology in a traditional healthcare setting to practicing Direct Primary Care was an easy decision for Dr. Kahn in Detroit. His new world doesn’t involve insurers, ICD-10, or billing fees. But it does involve a whole lot more happiness as of October 1! But let’s take a quick look at his “before:”

Generally, I was seeing more complex cases of heart disease compounded by obesity, metabolic disorders, and poor lifestyle. Trying to manage or at least give advice to patients was getting more complex and time consuming. In addition, the advent of advanced labs with inflammatory, oxidative, and genetic markers was taking more time to analyze and offer advice. Phone calls for pre-authorization first for invasive procedures, then for nuclear procedures, and now for just echocardiograms waste more and more time during the day. They say that if you love what you do, you will never work a day in your life. I was finding that what I was doing was starting to feel suspiciously like work.

He describes his activity with some of his patients as “the four minute smile” because he had to dart in and out of appointments that quickly just to stay on time. Unfulfilled and well, rushed, Dr. Kahn knew there had to be a better way. But he didn’t want to just follow suit of others around him who had thrown in the towel on medicine. Instead, he created his own solution and in turn his own opportunities.

So what does his “after” look like? We can’t wait to find out, but we imagine he won’t be sorry to leave “the four minute smile” in the dust.

An Open Invitation to Be Brilliant.


To all the docs in a traditional practice who feel trapped. To all the physicians who wrap up each day feeling exhausted, buried behind mountains of paperwork. To all those former med students who thought there would be more patient in patient care.

It’s your turn. 

Your turn to be who you always wanted to be. Provide the kind of patient care you always imagined. Run the practice you always dreamed of. Your turn to be brilliant.

Direct Care is waiting for you, and making the transition isn’t all that difficult. Truth be told, neither is starting your own practice. There are lots of people who want direct care. And lots of people who support it, too.

So before you succumb to the desire to sell tupperware, there are a few things you should know. The way it’s been doesn’t have to be the way it is. Patients want personalized medicine as much as you want to provide it. And finally, change is not only possible, but happening around the country this very minute.