What if your smartphone camera could capture your complete vital signs during a virtual doctor visit—no wearable required?

Dr. Anna Chacon welcomes Dr. Joshua Engle, founder of With You MD, a virtual-first medical practice specializing in primary care and chronic care management for Medicare and Medicaid populations. Dr. Engle completed his training at USC and Harvard's Beth Israel, where he developed a passion for medical technology through programs pairing medical students with engineering students. His background includes working on pediatric seizure monitoring devices and neuroradiology research. Today, Dr. Engle champions telemedicine as a powerful tool to serve historically underserved populations through CCM and RPM billing codes.

How did COVID-19 accelerate the acceptance of virtual care in healthcare? The conversation explores Dr. Engle's entrepreneurial journey from academic medicine to launching With You MD, his strategies for patient acquisition through social media and networking, and the challenges of staffing a virtual practice. Dr. Engle shares insights from his podcast "Your First 100," discusses practical advice on EMR selection and hiring philosophy, and reveals his excitement about remote photoplethysmography (RPPG)—emerging technology that could revolutionize telehealth by capturing full vital signs through a smartphone camera.

Dr. Joshua Engle is a graduate of USC Keck School of Medicine who completed his internship at Loyola MacNeal Hospital and post-doctoral research at Harvard's Beth Israel Deaconess Medical Center. As founder of With You MD, he combines medical technology with wellness to serve Medicare and Medicaid populations. Before medical school, Dr. Engle launched a nonprofit providing over 3,000 free blood pressure screenings in underserved communities. Selected for USC's prestigious Health, Technology, and Engineering program, he pioneered work in neuroimaging for early disease detection. At With You MD, Dr. Engle ensures all medical technology undergoes rigorous clinical validation.

In This Episode:

• (00:00) From USC to healthcare entrepreneurship: Dr. Engle's medical technology journey
• (04:40) Choosing entrepreneurship over traditional hospital practice
• (09:24) Patient acquisition strategies: social media, networking, and organic growth
• (15:48) Building a virtual practice: platforms, technology, and With You MD's approach
• (19:35) The staffing challenge: hiring philosophy and setting expectations for success
• (27:52) The future of virtual care: remote photoplethysmography and emerging health tech
• Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!

About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.

About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.

Resources:

Dr. Joshua Engle / With Yo...

• (00:00:00) - Dr. Joshua Engel on Virtual First Medical Practice
• (00:02:18) - How I got into telemedicine: My story
• (00:04:53) - Post-Post-Residency Care: How did you structure your
• (00:08:12) - Do you have any in-person care?
• (00:09:34) - How Do You Usually Get Patients to Attend Your Practice?
• (00:17:34) - EMRs for Virtual Clinics, which one do you use
• (00:19:22) - How to Train and Manage a Medical Practice Staff
• (00:23:12) - How to Get the Best Out of Your Staff
• (00:24:00) - Inspiring physicians: Suzy Baldwin
• (00:25:04) - Do you do any angel investing in healthcare startups?
• (00:26:41) - Startups in healthcare: How to get started
• (00:28:10) - What's next for Virtual Healthcare?

Are you unknowingly violating Medicaid rules that could trigger a license investigation?

Dr. Anna Chacon welcomes Phoebe Gutierrez, a compliance and operations expert with over 12 years of experience as a California state regulator overseeing Medicaid programs. Phoebe is the founder of Camino Strategy, a boutique consulting firm specializing in digital health compliance, and co-hosts a weekly podcast on digital health innovation. Her unique background bridges government regulation and entrepreneurship, positioning her as a vital resource for physicians navigating the complex landscape of telehealth, medical directorships, and multi-state licensure. What drives her work? A fierce commitment to protecting clinicians from inadvertent compliance violations that could jeopardize their licenses.

This conversation explores the hidden compliance pitfalls physicians face in digital health, from balance billing violations in Medicaid to state-specific medical director requirements. How can doctors protect their licenses when working with telehealth startups? Phoebe reveals the critical differences between IMLC and traditional licensure, discusses which states have the strictest enforcement, and explains why Maryland's delegation rules catch so many practitioners off guard. The episode also examines regulatory changes on the horizon, including prescribing restrictions and FTC investigations into subscription-based telehealth models. Will the future of healthcare be purely virtual, or are we heading toward a hybrid model? Phoebe shares her insights on balancing entrepreneurship with motherhood while building a thriving consulting practice.

Phoebe Gutierrez is a healthcare compliance and operations expert with over 12 years of experience as a California state regulator overseeing Medicaid programs. She investigated fraud, developed policy, and collaborated with the Medical Board of California. Now founder of Camino Strategy, a boutique consulting firm, Phoebe helps digital health startups build compliant operational structures. Based in Sacramento with four children, she comes from a family of entrepreneurs and co-hosts a weekly podcast on digital health innovation. Her mission: protecting physicians from inadvertent compliance violations in the rapidly evolving telehealth landscape.

In This Episode:

• (00:00) Phoebe Gutierrez - background in compliance and protecting physicians from inadvertent violations
• (05:10) Understanding balance billing violations and how compliance investigations begin
• (10:47) The risks physicians face when working with digital health startups
• (16:17) Resources and networks for strengthening compliance knowledge in healthcare
• (20:32) Entrepreneurship, family business legacy, and building Camino Strategy
• (25:18) State-specific regulations that catch medical directors off guard
• (30:12) The future of telehealth and why hybrid models will dominate
• (35:19) Upcoming regulatory changes in prescribing rules and FTC oversight
• Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!

About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.

About the host: Dr. Anna Chacon, boa...

• (00:00:00) - Skin Group: Digital Health Compliance
• (00:01:24) - Obamacare compliance advocate on Medicaid fraud
• (00:08:13) - Transition from Medicaid to telehealth
• (00:09:19) - Do I Need IMLC Status for Telehealth?
• (00:15:01) - Between the Consulting and Working With Startups
• (00:16:40) - Where to Gain Remote Healthcare Compliance Knowledge?
• (00:20:55) - Single AIM and the Camino Consulting that you run
• (00:23:18) - Are the rules for telehealth in states strict?
• (00:27:39) - Do you have certain law firms that are specialized in this area?
• (00:29:14) - Do You Need a Virtual Office?
• (00:33:05) - How Did I Meet My Podcast Host Leo on Skype
• (00:35:18) - What Regulatory Changes Should Telehealth Be Aware of?
• (00:38:13) - HMS CEO on Federal regulations for prescription drugs

What happens when physicians realize their $300,000 debt has created golden handcuffs they can never escape?

Dr. Anna Chacon welcomes Dr. Rami Wehbi, a former family physician who transformed burnout into entrepreneurship. As Founder and CEO of Match Day Health and host of The Dream Job Podcast, Rami guides healthcare professionals through strategic career transitions beyond clinical practice. His journey began during COVID when he dropped out of residency, struggled with an identity crisis, and eventually became VP of Clinical Operations for an AI startup. After raising over $1 million in funding, he built Match Day—a six-month paid fellowship offering personalized coaching, job placement support, and access to a curated network of 600 healthcare leaders.

This conversation tackles the harsh realities behind medical training's golden handcuffs. Why do residents tolerate systemic abuse with $300,000+ debt hanging over them? How can healthcare professionals leverage existing skills in non-clinical roles when the system forces them to "basically go to jail" for three to five years? Rami dispels myths about easy career pivots, emphasizing that transitions require thick skin, strategic planning, and facing inevitable rejection. From the broken residency hierarchy to Match Day's structured fellowship model, they explore what it takes to bet on yourself and build a purpose-driven career beyond the bedside.

Dr. Rami Wehbi is a physician-turned-entrepreneur who transformed burnout during residency into Match Day Health—a six-month fellowship helping healthcare professionals transition into non-clinical roles. After raising over $1 million in funding, Rami and his team provide personalized coaching, job placement support, and access to a curated network of 600+ healthcare leaders and hiring managers. He also hosts The Dream Job Podcast (formerly Beyond Medicine), sharing stories of career transformation across the healthcare landscape.

In This Episode:

• (00:00) Dr. Rami Wehbi's journey from burned-out resident to health tech founder
• (06:31) The hidden costs of medical training and inevitable career rejection
• (11:30) Why residency needs reform: "basically go to jail" for your future
• (17:20) Building Match Day from a top 15 podcast to million-dollar fellowship
• (22:10) Golden handcuffs: why physician transitions are harder than other clinicians
• Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!

About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.

About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.

Resources:

Match Day Health - https://www.matchday.health/bmg-matchday-health

LinkedIn: https://www.linkedin.com/in/ramiwehbi/

The...

• (00:00:04) - Meet Dr. Ana Chacon
• (00:01:00) - Obamacare compliance officer: Fraud and corruption
• (00:07:49) - Transition from Medicaid to telehealth
• (00:08:56) - Do you Need IMLC Status for Telehealth?
• (00:13:41) - How Did You Do This and Have Four Kids at the Same Time
• (00:14:38) - Mixing Consulting and Startup Work
• (00:16:17) - What resources or networks do healthcare professionals need to strengthen compliance knowledge?
• (00:20:32) - Are Single Aim and Camino Consulting 100% Your Business?
• (00:22:55) - Are the state rules for telehealth in general?
• (00:27:15) - When to hire a lawyer in healthcare?
• (00:28:50) - Do You Need a Virtual Office to See Your Patients?
• (00:32:41) - How Did I Meet My Doctor on-Air?
• (00:34:55) - What Regulatory Changes Should Telehealth Be Aware of?
• (00:37:50) - HMS CEO on the Federal Paying Rules