This included offering an extensive physician-conducted geriatric assessment as a regular service.
However, their study long-term care facility was characterized by extensive physician involvement, potentially limiting the generalizability of the findings as stated by the authors.
QUESTION FROM TIM RICHARDSON: With care provided in teams, is the extensive training physicians receive now still necessary?
The following passage is from the AMA policy document "Physician Obligation in Disaster Preparedness and Response" that was adopted in June 2004: "National, regional, and local responses to epidemics, terrorist attacks, and other disasters require extensive involvement of physicians.
The low maternal mortality rates reported by the Netherlands, Norway, and Sweden in the early 20th century were believed to have been the result of an extensive collaboration between physicians and highly competent, locally available midwives [ 2].
For future research we recommend the development of a far more extensive network of physicians, taking into account that only a limited number will actually participate and refer patients.
The positioning of topical NSAIDs in the NICE guidelines reflects the extensive experience that physicians in Europe have with topical preparations, as well as several randomized, controlled trials conducted with a topical NSAID and placebo, with or without an oral comparator arm.
Issues concerning professional autonomy, limitations in clinical management of the patient, and utilization review could be crucial elements of provider satisfaction and might reveal trends among dentists that parallel those observed in the more extensive literature on physicians and managed care.
"It will take real structural change in the work environment for physician satisfaction to improve," Dr. Mark Linzer, an internist at the University of Wisconsin who has done extensive research on physician unhappiness, told me.
