The best practice change I ever made: using advanced access scheduling to gain control of my practice and my freedom
Vineand NAIR
Many family doctors feel trapped by their own schedules—constantly behind, unable to meet patient demand, and with little time left for themselves. I felt similarly and thought that was how practice was just supposed to be. Patients waited weeks for appointments, staff were stressed, and a "good doctor" was supposed to be busy and running behind. Learning and implementing Advanced Access—a scheduling model designed to balance supply and demand so clinicians can “do today’s work today”—transformed my practice, my patients’ experience, and my own sense of control.Implementation began with the understanding of the principles and learning the steps required: 1. Assess Current State (using the fundamental formula that underlies all of our practices) 2. Team Meetings and Buy-In 3. Eliminate Backlog 4. Increase Supply 5. Decrease and Control DemandThis change was not imposed by administration or policy—it came from my desire to improve my practice life. The focus was on practical, low-cost steps any clinician can apply. It also linked scheduling reform to personal well-being, proving that system improvement can directly enhance professional satisfaction.My experience with Advanced Access has been clear: I am able to have more control over my practice and could finish on time and enjoy real flexibility. My patients could usually be seen the same or next day; staff felt calmer and more capable; and my stress levels dropped. With an organized and responsive schedule, this can be the reality for more of us.The success of Advanced Access lies in its simplicity. It does not require new software or funding—only the commitment to measure, adjust, and stay consistent. It is fundamental in its nature and helps with the most important aspect of your patients' care – their ability to see you when they need to!Implementing Advanced Access was the best practice change I ever made. It improved access for patients, strengthened team morale, and gave me back control of my time and my freedom.
