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As young doctors researching the modern primary care system, Rushika Fernandopulle, MD, MPP, and Pranav Kothari, MD quickly drew the same conclusion regarding patients' experiences with doctor office visits in the 21st century. "In almost every way, the system is poor," says Fernandopulle, who founded the Arlington, MA, practice Renaissance Health in 2004 alongside Kothari and a third physician, Amy Schoenbaum, MD. "And nobody's innovated this model for primary care in a long time."