IFM | Direct Primary Care: Building Autonomy, Access and Sustainability
Release Date: 07/15/2026
IFM | Direct Primary Care: Building Autonomy, Access and Sustainability
Inside Family Medicine
IFM | Direct Primary Care: Building Autonomy, Access and Sustainability AAFP Vice President of Practice Advancement Dr. Karen Johnson, PhD, welcomes Dr. Maryal Concepcion, MD, FAAFP, a full-scope family physician, founder and CEO of , and host of the podcast, to discuss direct primary care (DPC) as an evolving practice model for family physicians. Drawing from her own transition out of corporate medicine, Dr. Concepcion shares how DPC has allowed her to build a sustainable practice centered on physician autonomy, meaningful...
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IFM | Strengthening Vaccine Confidence and Adult Immunization
Inside Family Medicine
AAFP Vaccine Science Fellows James Bigham, MD, MPH, FAAFP, and Amra Resic, MD, FAAFP, join host Emily Holwick to discuss practical strategies for improving adult vaccination rates in primary care. Drawing from their clinical experience and fellowship work, they explore how family physicians can build vaccine confidence through strong recommendations, trusted patient relationships, and team-based workflows. The conversation covers presumptive vaccine recommendations, shared clinical decision-making, increasing vaccine confidence with empathy, integrating the...
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CME | Dementia Demystified: From Early Signs to Everyday Management
Inside Family Medicine
In this CME On the Go episode, our hosts discuss evaluating and managing dementia-related concerns in primary care using a common scenario: an older patient brought in by an adult child concerned about Alzheimer’s disease and possible nursing home placement. They emphasize that these visits are time intensive and require history from both the patient and family, distinguishing normal aging from functional cognitive decline across domains such as memory, judgment, language and orientation, while remaining aware of family dynamics. Key exam priorities include...
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IFM | Family Physician Compensation: Myths, Models and Using the AAFP Career Benchmark Dashboard
Inside Family Medicine
In this episode of Inside Family Medicine, we hear from Norman Chenven, MD, founding CEO of Austin Regional Clinic (ARC), and AAFP Director of Career and Practice, Tracey Allen-Ehrhart. They discuss family physician compensation, common income myths, and tools for evaluating job offers. Chenven explains why he chose family medicine and outlines how compensation varies by geography, practice type, work hours, productivity, coding, patient satisfaction, and value-based quality measures. Allen-Ehrhart highlights the AAFP Career Benchmark Dashboard, which offers family...
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FFFM | What federal student loan borrowers need to know
Inside Family Medicine
In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of government relations, reviews June advocacy efforts, including the Family Medicine Advocacy Summit, where more than 300 physicians advocated for policies to improve access to care. He also highlights AAFP positions on H-1B physician policy, Medicaid work requirements, ACA marketplace changes, rural training and hospital payments, and reducing prior authorization burdens. Tully then discusses student loan changes from the...
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IFM | Firearm Injury Prevention in the Exam Room: A Conversation with Family Physicians
Inside Family Medicine
In this episode of Inside Family Medicine, James Bigham, MD, MPH, and Sanjay Batish, MD, discuss the family physician’s role in preventing firearm injuries and addressing gun violence through relationship-based, upstream care. Bigham describes training clinicians in culturally aware counseling, secure firearm storage and collaboration with gun shop owners through and the nonprofit SAFE, or Scrubs Addressing the Firearm Epidemic, emphasizing a public health approach that uses population data, including that firearm injury is the leading cause of death...
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CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind
Inside Family Medicine
In this re-released episode of CME on the Go, originally published on 12/1/2025, our hosts discuss the complexities of diagnosing and treating headaches in primary care. They cover common challenges faced by family physicians, such as differentiating between primary and secondary headaches, the importance of taking thorough patient histories, and the appropriate use of diagnostic tests like MRI and CT scans. The episode offers a deep dive into treatment options for headaches, including pharmacologic and non-pharmacologic methods, with a special focus on managing chronic...
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IFM | FASDs in Primary Care: Recognition, Prevention, and Support
Inside Family Medicine
AAFP Chief Medical Officer and Senior Vice President of Education, Inclusiveness and Physician Well-Being Margot Savoy, MD, MPH, FAAFP, welcomes back Jeffrey Quinlan, MD, FAAFP, a family physician and University of Iowa department leader with a 28-year US Navy career, to discuss his AAFP work on fetal alcohol spectrum disorders (FASDs) and substance use in pregnancy. He emphasizes that alcohol is a teratogen with no safe amount or timing in pregnancy and outlines associated neurodevelopmental, craniofacial, organ, growth and behavioral effects. The conversation covers...
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CME | Menopause, Minus the Mystery: What Every Clinician Should Know
Inside Family Medicine
In this re-released episode of CME on the Go, originally published on 9/2/2025, our hosts delve into menopause, providing family physicians with essential insights, treatment options, and the latest research findings. While discussing hormone replacement therapy, non-hormonal treatments, and the interpretation of the Women's Health Initiative, the hosts emphasize patient-centered care and the natural progression of menopause. This episode aims to equip physicians with practical tools and knowledge, enhancing their ability to support patients through this critical stage of life. ...
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FFFM | FamMedPAC: How Family Physicians Engage in Policy and Politics
Inside Family Medicine
In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of government relations, previews recent AAFP advocacy updates and interviews Domenic Casablanca, MD, FAAFP at FMX about the Family Medicine Political Action Committee (FamMedPAC). Highlights include urging HHS to preserve family medicine representation on the United States Preventive Services Task Force, AAFP advocacy efforts around Medicare payment reform and student loan repayment updates. Casablanca explains how a political action...
info_outlineIFM | Direct Primary Care: Building Autonomy, Access and Sustainability
AAFP Vice President of Practice Advancement Dr. Karen Johnson, PhD, welcomes Dr. Maryal Concepcion, MD, FAAFP, a full-scope family physician, founder and CEO of Big Trees MD, and host of the My DPC Story podcast, to discuss direct primary care (DPC) as an evolving practice model for family physicians. Drawing from her own transition out of corporate medicine, Dr. Concepcion shares how DPC has allowed her to build a sustainable practice centered on physician autonomy, meaningful patient relationships, and comprehensive, community-focused care.
The conversation explores Dr. Concepcion's journey into family medicine and direct primary care, practical considerations for launching and growing a DPC practice, strategies for managing financial and operational challenges, and the flexibility DPC provides to meet community needs. She also discusses common misconceptions about direct primary care, improving access to care in rural and underserved communities, and why supporting diverse practice models is essential to the future of family medicine.
Topics by Timestamp
00:00 Welcome and Guest Introduction
02:13 Why Family Medicine
05:04 Transitioning from Corporate Medicine to Direct Primary Care
09:15 Launching a DPC Practice and Lessons Learned
12:16 Financial and Operational Decisions for Long-Term Sustainability
16:15 Growing the Practice and Managing Risk
19:30 Building a Direct Primary Care Practice
21:30 Improving Access Through Transparent, Patient-Centered Care
24:24 Expanding Community Services Through Innovation
26:47 Addressing Equity and Access in Direct Primary Care
30:33 Supporting Diverse Practice Models and the Future of Family Medicine
32:07 Closing Remarks
Additional Resources
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Disclaimer
Copyright 2026. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of the American Academy of Family Physicians.