It sounds like they’re having the same problems up north:

Over the past decade, family doctors have quietly narrowed their practices according to their personal preferences and needs. Most urban doctors have given up obstetrics, hospital care and palliative care. Without these, onerous call schedules disappear. These docs have come to appreciate the freedom of time and with that taste of freedom, few would go back.

Many former traditional family doctors have focused their practices on areas that they enjoy and that pay well, such as cosmetic procedures, including Botox injections and laser skin treatments; low-risk obstetrical deliveries; salaried hospital-only shifts; and high-volume nursing home care, wherein many patients can be seen at one nursing home during morning or afternoon rounds.