NJH and Mayo both use the team approach - you will have a workup and be assigned doctors as needed. They create a plan for you, which in many cases can be managed locally with periodic checkins at NJH.

You are lucky the just "defer to one another"- my original pulmonologist "fired" me because I dared an an ID doc (in his clinic) after 12 months of unsuccessful treatment. Thankfully, the ID doc hooked me up with another pulmo who worked with him as a team. My current team - even though or clinic doesn't officially call them that - consists of 2 pulmonologists, an ID doc on consult, 2 ENTs, 2 respiratory therapists, 2 speech therapists, and referrals to gastroenterology, allergy, rheumatology and a counselor as needed. It is so encouraging, and I get a response within hours on exacerbations, about 3 days on everything else.