The large primary care practice that I switched to is associated with a medical school. This location has experienced rapid population growth, overwhelming the available medical resources. Long waiting times to see a new pcp, even longer for specialists. Each primary care practice has a triage nurse dedicated to helping new patients get refills for urgently needed medications, lab tests, etc. The urgent care facilities have people dedicated to facilitating this. Video visits are available; they can review your records and initiate appropriate tests and treatment while you’re waiting months to see the doctors. They can also send your records to the appropriate specialists for an “electronic consultation” to get your care started.