I am not sure if this is happening all over but when I go, sometimes I never see the doctor only the physician's assistant. So last time I needed a shot in my knee and they asked, since the doctor was with a patient, could the P/A give it to me. I said no. What I am paying for is the doctor's expertise. I have no idea of the training or reputation of the P/A. They acting miffed as did the doctor. I go to see THIS doctor. I expect him to see me when I am there.