After 20 years as full-time faculty at The George Washington University School of Medicine, with a focus on clinical care, research, and medical education; I left to start my own Direct Primary Care practice closer to home. Having taught numerous courses, led an entire curricular revision, and started a national organization of medical educators; I remain passionate about medical education. However, in addition clinical medicine, my new focus is alternative ways of treating pain and depression as well as helping physicians break free from dysfunctional traditional insurance-based model and consider direct care. In addition to practicing traditional Internal Medicine and Primary Care, I certify patients for medical cannabis and provide ketamine and esketamine treatments for chronic pain and depression. My book “Medical Cannabis and CBD: A Physician’s Guide for Patients” is designed to explain and de-stigmatize medical cannabis for patients. In addition, having started and run several different types of practice models including concierge, executive health, international health, and direct primary care; I have the experience and insight to help doctors at any career stage to shed their burnout from traditional practice and experience the joys of practicing medicine on their own terms.