There are two types of doctors:
1.) NAY on Accutane - Will only prescribe accutane as a last resort. They'll give ya all types of topical and stuff like tetracycline.
2.) PRO Accutane - Will prescribe accutane if you ask for it.
When I went to the clinic at my school for mild acne problem, every doctor wanted to give me accutane. My acne isn't even that bad.
I suggest, if you want accutane, find a doctor that will give it ta ya. It's not that hard.