I have a slightly different take on this situation. The clinic nurse can have a central role in advocating for complex patients and some physicians can do great follow through and others drop the ball. The most annoying is the provider who is always late to clinic, and after arriving has terrible time management skills and each day ends well past scheduled time.
These chronically late providers are also usually "unable" to function without a nurse to keep the ball rolling. Our facility has fortunately clarified that nurses are not expected to stay late for these chronically disorganized providers. Overtime is paid only when a true patient emergency exists.
The person who pays the price is the patient who may not get the benefit of patient teaching or care coordination.