Unfortunately, the shift from mostly private practice to employee physicians and the self focus of the newest generation of docs( less working hours, more pay, time off, etc), has been leading to a medical culture that puts less focus on our relationships with our patients. Docs can switch jobs when they don’t feel “ happy” easily; they don’t need to build a practice by word of mouth , so they don’t really have to invest the same kind of emotional energy and may never develop the relationships with patients that encourage real concern . You react differently to that 3am phone call when you care. After 32 years in one practice, I know. I was a graduate of Hahnemann. Sad.