Agreed Allan! I read an article as a new grad in 1998 that stated we should be primary care and not tertiary care. With direct access and a much higher level of education, we can be so much more to our patients who are also our clients/customers. Sometimes we are better advocates for their health than the gatekeepers who just write more scripts for unnecessary meds and testing. A patient of mine asked me yesterday if his wife could see me. He said his PCP stated she may have a rotator cuff issue and was told to hold off on PT until she gets an x-ray. He said even his 6 year old niece knows that an x-ray wouldn't help him with that Dx. Luckily, we can just see her with direct access and avoid waiting for the referral.
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