[LostWanderer]

This may be a shot in the dark but try looking for doctors who interact and are cheerful(to their patients). The referral thing between the patients is very strong so more patients will come and will feel good which works as a catalyst(Both the parties will have a good amount of dopamine flowing). And eventually the variety and number of patients will increase and so the doctor will have more practice and become better!

In the far off rural areas where connectivity is almost nil,The doctors rarely go to the hospitals and the doctor's assistant does more work,becoming at par with the doctors in a few years.