Auxiliary Bets
This section catalogs adjacent opportunities and vertical expansions that don't belong in the v1 Starlight Practice plan but are real enough to plant a flag on. They were ideated alongside the core pediatrics DPC plan and are kept here so the team has shared visibility instead of these living only in private memories or chat threads.
Important framing: none of the bets in this section are in v1 scope. v1 is pediatric Direct Primary Care, with Dr. P's Austin practice as customer zero. Every page below describes a bet that should not consume engineering attention until v1 is healthy. The point of writing them down is so we can pattern-match opportunities as they arise without re-inventing the analysis from scratch.
Two flavors of bet
| Flavor | What it is | Examples |
|---|---|---|
| Vertical expansion | Same Starlight Practice product, applied to a different practitioner segment. | Adults Direct Care, Dentistry |
| Adjacent product | A different product that shares engine, data, or distribution with Starlight Practice but is sold and used differently. | CME Delivery, Diagnostic Game |
The vertical expansions follow the GTM order pediatrics → adults → dentistry — the hardest UX (parent + child stakeholders) gets solved first, and everything downhill from there is engineering, not product invention. See the GTM logic in the core business plan.
The adjacent products share two pieces of technology with the core platform:
- Synthetic patient generation — already required for HIPAA-safe testing of Starlight Practice (see Compliance · Synthetic Data).
- LLM role-play + structured medical artifact generation — generating realistic lab values, imaging reports, EKG interpretations, history-taking dialogue.
Building those two pieces well for the EMR enables a separate product family at low marginal cost.
Pages in this section
📄️ Adults Direct Care
The first vertical expansion after v1 pediatric DPC is operational. Same product, simpler workflow.
📄️ Dentistry
The second vertical expansion after adults. Bigger market by practitioner count, different pain pattern, same one-pane-of-glass thesis.
📄️ CME Delivery
A paid, clinician-facing product that shares the case-generation engine with the Diagnostic Game but is sold and used very differently. Two heads, one body.
📄️ Diagnostic Game (House-MD)
The most speculative bet in this section. The consumer-flavored sibling of CME Delivery — same engine, different audience, different ambition.
Trigger conditions (when each bet becomes interesting)
| Bet | Becomes interesting when… |
|---|---|
| Adults Direct Care | v1 is operational with Dr. P + a meaningful number of pediatric DPC families; Austin pediatric saturation looks plausible. |
| Dentistry | Adults DPC is operational and we have a learned playbook for porting Starlight to a non-medical-DPC vertical. |
| CME Delivery | We've built the synthetic-case + LLM-role-play substrate for Starlight, and we have at least one practicing clinician (Dr. P) willing to vet the case quality. |
| Diagnostic Game (consumer) | CME for clinicians has shipped and the case-engine is mature enough that the consumer-flavored derivative is mostly packaging and distribution. |
These are gating conditions, not dates. Erik calls the moment.