This is all wrong and Daniel Pink in his book, Drive..the surprising truth about what motivates us, has given me some (more) reasons for why it's a bad way to treat trained professionals like family doctors. Part of the appeal of general practice for me is the creative thinking and problem solving that is required on a daily basis. That's why I'm not a cardiologist (ok its one of the reasons!!).
Take a look at a stimulating talk by Daniel Pink over at TED. It's autonomy that good general practice thrives on. Think laterally and differently for maybe two consecutive patients each with an apparently similar problem-and then approach the problem solving in two different ways. Now that's the fun of being a family doctor.