Nashville’s healthcare is world-class. We’re home to leading hospitals, research centers, and some of the best specialty care in the country. If what you require is highly specialized, highly technological, and very expensive, you have a wide range of choices — if you can figure out what you need, and how to be accepted.
Figuring out what you need is no longer simple. Figuring out which physician or medical center you should choose is even more complicated. Do you go to Vanderbilt, or St. Thomas, or Centennial? Do you go to Mayo, Johns Hopkins, or Cleveland Clinic?
Many of you will not have an established primary care provider. Or, your primary care provider may be an advanced practice clinician, not a physician. If you have a physician, he or she is probably an employee and will recommend services offered by their employer.
In your everyday experience, do you face long waits, rushed visits, and endless paperwork? Do you have a trusted relationship with your physician?
Historically, your general internist or family physician helped you answer those questions. They knew your history, provided most of your care, and referred you to trusted specialists when needed. That model is collapsing.
Why It’s So Hard to Find a Good Primary Care Doctor
The truth is, even in a medical hub like Nashville, it’s increasingly difficult to find a general internist or family physician who can see you regularly, spend real time with you, and help coordinate your care. A recent article from the New England Journal of Medicine explains why your difficulties are found throughout the nation:
Bureaucracy Has Replaced Bedside Time¹
According to a recent article in the *New England Journal of Medicine*¹, primary care doctors now spend much of their day on non-clinical tasks:
- Prior authorizations
- Medication refills
- Physical therapy and equipment forms
- Insurance paperwork
These administrative duties eat up hours that should be spent listening to you, preventing disease, and managing complex conditions. Your doctor becomes a data-entry clerk instead of your trusted advisor.¹
Endless Forms That Don’t Improve Your Health¹
More and more, doctors are asked to complete forms for:
- Return-to-work notes
- Disability or leave requests
- Emotional support animals
- Utility assistance
Your primary care provider spends much of the day on forms, not on patients.
Specialists Are Pushing Work Back to Your Doctor¹
Primary care used to be the center of coordination. But many specialists now expect the primary care doctor to:
- Order follow-up tests
- Deliver results to the patient
- Refill medications the specialist started
This extra load comes with no discussion, no staff support, and no extra time. Your primary care provider is increasingly doing the long-term care of specialists.
The Electronic Health Record Has Taken Over¹
The digital chart was meant to streamline care. Instead, it often serves billing and compliance more than the patient. Doctors are expected to document everything. You now share your short visit with the computer, and the doctor spends as much time with the computer as with you. Getting the visit paid for via the computer takes time from you.
All of these reasons are why your primary care doctor looks tired, distracted, and rushed. They’re doing two jobs: medical care and bureaucratic survival.¹
What Makes Concierge Medicine Different
With Dr. Conway, your visit is yours — unrushed, focused, and personal. One visit with Dr. Conway normally completes the work of several visits with others.
Why Nashville Patients Are Making the Switch
Nashville is a city of entrepreneurs, creatives, executives, and working families who don’t have time for broken systems. That’s why more patients are choosing concierge care: to have unhurried appointments, easy scheduling, and direct access to Dr. Conway’s cell phone.
Concierge Medicine in Nashville: Real Care, Not Red Tape
In a system drowning in complexity, concierge medicine brings back what matters: the relationship between you and your doctor.
You don’t need more forms. You need more care.
Call to Action
If you’re frustrated with traditional primary care, concierge medicine in Nashville is your choice. Call Dr. Conway for an appointment at 615-708-0390.
Endnotes
¹ Landon, B. E., Fazio, S. B., Cluett, J. L., Reynolds, E. E., & Potter, J. (2025). *Death by a Thousand Cuts — The Crushing Weight of Nonclinical Demands in Primary Care*. New England Journal of Medicine, 392(18), 1771–1773. https://doi.org/10.1056/NEJMp2415431


