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If you love your work but don't love the system that surrounds it, I'd like to hear from you. I'll be starting in primary care after about 6 years in Urgent Care, and several times I've heard from patients that my non-scheduled, walk-in, takes-as-long-as-it-takes kind of visit is far superior to what they sometimes experience in the day clinic. I recently had a patient hug me, just because I "listened." I know the people working in our primary care clinic are smart and caring people, so it's not that. I've also had a glance at their schedules and sometimes... yuck. Just no. So I'm sure the 15-minute visit, and all the reasons why that supposedly needs to be a thing, are a big part of what's wrong. But beyond that, surely there must be more that's out of whack. So: if you had the ability to impose one or two new rules as the administrator of a primary care group, or if you were setting out to start your own model of how clinic should be done (and money would work itself out somehow, guaranteed, for at least a year), what would you decree? How would you make life easier and better for patients and providers with one fell swoop?