Medscape August 19, 2024
Ann Thomas, MD, MPH

William Fox, MD, a self-described “dinosaur,” works in an independent internal medicine practice with two other physicians in Charlottesville, Virginia. He is rarely able to accept new patients, and when he does see one, they often have to wait months for the appointment. He accepts the burden of many pent-up needs, along with the huge administrative chore of coordinating their care with subspecialists.

“I will probably have to make multiple visits in a quick succession in order to make sure that I stabilize all the various issues,” Fox said. Doing so for a complicated new patient is nearly impossible because of time pressures, especially as it has become increasingly difficult for his patients to access subspecialists.

Fox traced the roots...

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