Building a Virtual Practice: Dr. Joshua Engle on Telemedicine, Patient Acquisition, and Healthcare Innovation

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
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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...

Chapters

• (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?