From Hospitalist Burnout to Driver's Seat: How Dr. Nadia Sirdar Built a Bethesda DPC Practice Rooted in Aging in Place, Women's Midlife Health, and Real Relationships

After nearly a decade as a hospitalist in the Washington, DC area, Dr. Nadia Sirdar realized she had stopped feeling. End-of-life conversations had become a script. Length-of-stay metrics were drowning out the humans in front of her. She wasn't burned out on medicine. She was burned out on the system.

In this episode of My DPC Story, Dr. Maryal Concepcion sits down with Dr. Sirdar, internal medicine physician, public health expert, and founder of Find Bethesda Doctor, to talk about the leap from hospital medicine to Direct Primary Care, opting out of Medicare to care for elderly patients aging in place, building a practice for women in midlife (and the surprise wave of husbands who joined too), and what it actually takes to thrive as a physician and as a patient over a lifetime.

This conversation is for any physician who has scrolled federal job boards at midnight wondering "is this it?", and for anyone who needs to hear that saying your dream out loud is the first move toward making it real.

What You'll Learn

• Why hospitalist autopilot can mimic a stable career while quietly costing you everything
• How opting out of Medicare unlocked Dr. Sirdar's ability to care for elderly patients aging in place
• Why multilingual care (English, Spanish, Hindi, Urdu) and cultural fluency change patient outcomes
• How to build a DPC practice for women in midlife, perimenopause, and menopause, and why men keep asking to join
• The financial planning realities of leaving fee-for-service: self-funding, opt-out timelines, and why a smaller piggy bank forces smarter decisions
• How to set boundaries with patients without losing the relationship
• Why "if you've seen one DPC, you've seen one DPC" is the most freeing sentence in medicine
• The vendor traps new DPC physicians fall into and how to avoid them
• How functional strength, real food, and aging in place are the three pillars of thriving Dr. Sirdar teaches her patients

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