Josh Charles charms as cantankerous small-town doctor in Fox’s Best Medicine: TV review

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Fox’s new series Best Medicine arrives as a gentle fish-out-of-water dramedy. It follows a brusque Boston surgeon who swaps urban urgency for the slow rhythms of coastal Maine. The show leans on cozy small-town tropes, a touch of diagnostic mystery and Josh Charles’ steady presence to keep its warmth from tipping into saccharine.

Premise: A city doctor relocates to a sleepy Maine town

The protagonist is a high‑skill heart surgeon whose life is upended after a traumatic event at work. Haunted by a newfound fear of blood, he retreats to the seaside community where he spent childhood summers. There he steps into the role of the town physician after the previous doctor dies.

This setup flips the familiar medical series formula. Rather than focusing on emergency-room adrenaline, Best Medicine emphasizes everyday encounters and the social demands of a tightknit community. The story echoes long-running shows like Doc Martin, while nodding to contemporary small-town comedies.

Cast and key characters steering the story

  • Josh Charles stars as Dr. Martin Best, the socially awkward surgeon adjusting to life as a generalist.
  • Annie Potts plays Joan, Martin’s pragmatic aunt and local grounding force.
  • Cree appears as Elaine, Martin’s well-meaning but often hapless assistant.
  • Abigail Spencer is Louisa, a teacher and the show’s central romantic foil.
  • Supporting roles include an affable gay couple who run a restaurant, and a father-and-son handyman team.

These actors create a warm ensemble that populates the town with distinct, often quirky personalities.

How the show balances humor, heart and medical puzzles

Best Medicine is as much about people as it is about diagnoses. Episodes often turn small clinical mysteries into plot catalysts. The lead revels in clinical intellect but bristles at the expectation that he also be the town confessor.

The series favors situational humor and character-driven arcs over hospital drama. Think diagnostic curiosities paired with interpersonal scenes at the diner, the market or a community hall.

Small-town rituals and recurring comic beats

The writers populate the town with ritualized events that test the doctor’s tolerance for local customs. These running elements function as both comic set pieces and windows into the community’s soul.

  • A communal baked-beans supper that reveals social hierarchies.
  • A high-school baseball clash that turns neighborly rivalry into plot fuel.
  • An annual wilderness lesson taught by a reclusive local who briefly emerges from the woods.
  • A domestic medical mishap involving topical estrogen cream that produces unexpected side effects and social complications.

These vignettes allow the show to alternate between whimsy and small moral quandaries.

Comparisons, themes and what the series avoids

Visually and tonally, Best Medicine opts for bright, inviting scenes. It intentionally steers clear of darker rural storylines that have dominated other dramas. That choice produces a sunny, optimistic view of small-town life.

On the one hand, this creates a cozy atmosphere viewers will find comforting. On the other, the series rarely addresses systemic local issues. Traces of conflict exist, but they often resolve quickly to preserve the show’s upbeat tenor.

Where the show shines and where it softens edges

Josh Charles anchors the series with a dry, cantankerous charm. He keeps the protagonist’s impatience believable without turning him into a caricature. That balance gives the show an emotional core.

Still, many supporting characters feel deliberately unthreatening. Potential tension — a former bully, moments of male grievance — is introduced and then smoothed over. The result is comfortable viewing, but one that sometimes lacks bite.

Episodes, tone and what to expect in early installments

The initial episodes introduce the town’s people, rituals and a few diagnostic puzzles. Expect episodic medical mysteries layered with interpersonal drama and light romantic tension.

Best Medicine premieres on Fox on Jan. 4 at 8 p.m. ET. Subsequent episodes air Tuesdays at 8 p.m. ET starting Jan. 6.

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