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Kroll said that when it learned of Workplace's certification problem, it informed federal officials, offered to help clients whose tests had been sent there, and redirected all work to "providers who held the necessary certifications".
In this article, this certification problem was discussed.
Little is known, however, regarding the prevalence of this COD certification problem at the state level.
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There were large differences between clinical settings regarding experienced sickness certification problems, and physicians in PHC were by far most likely to find such tasks problematic.
8 15 In a systematic review about GPs' attitudes towards sickness certification, the problems identified from the 18 included studies were classified into three themes: conflicts (eg, between physician and patient), role responsibilities (eg, unclear and/or conflicting roles) and barriers to good practice (both within and outside the healthcare system).
9 Obstetricians (n=39) find handling of disagreement with patients regarding the need for sickness certification as a problem.
The physicians in these studies experienced problems with numerous tasks related to sickness certification and the problems varied considerably between types of clinics.
This suggests the information problems certification is intended to solve are often being dealt with effectively by market participants.
In general, there were only limited differences between GPs of different educational levels and with different frequency of consultations involving sickness certification, respectively, regarding problems in applying the guidelines and need for further competence in using them.
"There are some associations that certify, but there is no national certification; that's the problem," said Jim Wheeler, a contributor to HGTVPro.com, a home-improvement Web site.
Malicious lunacy certification was overwhelmingly a problem for those who had money or property (even if it was just a small estate or income) and for people whose behaviour was deemed to embarrass or to threaten the social standing of another, or others.
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