For the past three years, Harvard Vanguard Medical Associates has offered many patients the option of participating in a  Shared Medical Appointment (SMA).  A SMA is a 90-minute group medical visit with the patient’s doctor, nurse practitioner or physician assistant, and a full multidisciplinary care team in the company of other patients. The patient participates as part of a small group of 8-15 patients who are scheduled for follow-up care or even an annual physical.