Participating MOH staff (TMs, clinic managers and clinical supervisors) gave written informed consent.
Other studies have also found that PHC clinic managers often balance operational management and service delivery to many patients amidst staff shortages in the health system (33– 33).
The clinical group consisted of 27 attending physicians; 17 residents and fellows; 19 medical students; 9 nurse practitioners; 10 nurses; 10 ancillary clinic staff, including medical assistants, social workers, pharmacists, and clinic managers; and 11 clinical research personnel.
These clinics usually include administrative assistants, clinic managers, nursing staff, clinical providers, billing specialists and other individuals who each bring their own perspectives, skills, experiences, and goals to patient care.
The direct supervision and coordination of CBE program differed for the various institutions but these included institutional faculty, project coordinators, clinical instructors and hospital staff or clinic managers.
Notwithstanding the existence of the detailed clinic supervision manual (48), there appears to be a disjuncture between the supervision guidelines in the manual and the clinic managers' diary reflections of an unsupportive management environment.
Clinic managers reported lack of consultation on decision-making, especially those related to financial management.
The lawyers who pressed the claims reaped one-third of the profits, and the clinic managers received another third.
The Vanderbilt e-prescribing design team conducted initial interviews with clinic managers, physicians and nurses, and then represented the sequences of steps carried out to complete prescriptions in activity diagrams.
Cruz says he's constantly smoothing over relations with clinic managers, and starting over again when a new one takes over.
