RT Journal Article SR Electronic T1 The Shoeshine Stand and the Renaissance of Primary Care JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 347 OP 349 DO 10.1370/afm.3137 VO 22 IS 4 A1 Frey, John J. YR 2024 UL http://www.annfammed.org/content/22/4/347.abstract AB Over the past century, family physicians have moved from small independently owned practices, many of them solo, to being employed by large hospital systems, corporate entities, or health systems. Today, almost three-quarters of all physicians are employed and the highest percentage of employed physicians are family physicians.This essay contrasts the elements of independent practice with employed practice as part of what has been lost in the past half century, but what might be regained if physicians demanded more autonomy and control over their practices.