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When integrated care was first implemented, many GPs resisted its introduction because of the perceived loss of autonomy resulting from becoming part of a care group, which involved relatively strict care protocols, internist-supervision, PNs taking over a large part of diabetes care and increased transparency due to performance monitoring.
Internists supervised the nurse practitioners.
Teams each comprising of three students (first, third, and fifth year) performed consultations including proposing management plans, all under the supervision of an internist.
Meanwhile, even based on this small pilot study, the first steps in the LUMC have been taken to improve the patient flow at the ED by, for example, introducing a hospital-wide patient data management system, adjusting the supervision model of internists and introducing the ABCDE approach for other ED clinicians.
Patients followed in the Duke General Internal Medicine clinic were cared for by a mix of faculty general internists in the Duke Division of General Internal Medicine (approximately 83%) and Duke Department of Internal Medicine residents under the supervision of the faculty (approximately 17%).
Internists working in non-university hospitals spent considerably more time in the outpatient clinic than the other two groups, while internists working in university hospitals spent more time on research, teaching and supervision.
All primary care providers were either general internists with a faculty appointment at Duke Division of General Internal Medicine or Physician Assistants under the supervision of the faculty physicians.
I'm an internist.
Internist Flushing, NY.
Today's Internist.
Internist and Endocrinologist.
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