Thu. May 2nd, 2024

I was reading Tim Ferriss’ book called Tools of Titans and thought there was some great wisdom in there. One item came to mind for Direct Primary Care. It was from Seth Godin, a guru in that world. The advice is what he thinks is his greatest blog post. It is short so I will put the whole thing here but you can find the link here.

First, Ten

This, in two words, is the secret of the new marketing.

Find ten people. Ten people who trust you/respect you/need you/listen to you…

Those ten people need what you have to sell, or want it. And if they love it, you win. If they love it, they’ll each find you ten more people (or a hundred or a thousand or, perhaps, just three). Repeat.

If they don’t love it, you need a new product. Start over.

Your idea spreads. Your business grows. Not as fast as you want, but faster than you could ever imagine.

This approach changes the posture and timing of everything you do.

You can no longer market to the anonymous masses. They’re not anonymous and they’re not masses. You can only market to people who are willing participants. Like this group of ten.

The timing means that the idea of a ‘launch’ and press releases and the big unveiling is nuts. Instead, plan on the gradual build that turns into a tidal wave. Organize for it and spend money appropriately. The fact is, the curve of money spent (big hump, then it tails off) is precisely backwards to what you actually need.

Three years from now, this advice will be so common as to be boring. Today, it’s almost certainly the opposite of what you’re doing.

So, how does that relate to you? Well, your first ten patients need to LOVE what you offer and the experience they had. I have talked about this over and over again. Those docs who wing it with a part-time telemedicine attempt at DPC usually struggle. I have written about getting your stuff down as far as the quality of your office/product (see my chapter on You Can’t Put Whipped Cream on Dog Shit).

Keep doing great work. DPC is artisanal care. Be a master of your craft and you will be successful in DPC. Maybe not as fast as you want but it will come. It will be a “gradual build that turns into a tidal” and not the other way around.

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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

3 thoughts on “Your First Ten”
  1. This reminds me of a quote I saw the other day by Bradley Stulberg “strive for recognition over attention.”

  2. I have my practice in my small town area. My patients are the same people my kids go to school with, the parents of the kids I coach..etc. I had a core group follow me out of my FFS practice but then it has been about 10 people at a time in little waves. Mostly by word of mouth. I find that you get what you market. Throw out hollow cheesy ads and you get a certain patient base and vice versa with word of mouth referrals.

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