We originally went through a few doctors who were not the best until we found one that was good. We used that doctor for a while and then moved out of state. We knew what to look for by then and found a good one right away. We live in the Mecca for medical care in the country and therefor we have not just a pediatrician but a team of doctors and specialists that work together and communicate. The doctor talks the the psichiatrist and the therapists and mentors and they all discuss issues and figure out the best way to do things. They even get directly involved with the school and speak with the special ed teacher when we have school issues.

I know that isn't possible everywhere but the point is that if you get the right team any of them should be able to talk to the others about meds and dosage changes and any of them can them prescribe the change. If there is a cluster of facilities that are all combined in your area try to look for that, they are generally hospital systems. Other than that I could only advise that you find a doctor that is available more. I think the issue you have is that the doctor is better than the others so you are in a tough spot,