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Taking the line of least resistance by just continuing to allocate work regardless of what is a safe and manageable workload for individuals is an unwise strategy.
Allowing CHWs to provide the longer-acting injectable could expand access to the method while also ensuring a manageable workload for clinicians.
Further research and professional consultation is also required in primary care to focus on how maximum returns can be generated whilst maintaining a manageable workload for GPs, as this appears to be a key barrier to implementing ideal fit note practice.
Key ingredients of the approach include: peer-to-peer health promotion, selection of volunteers by the mothers, a manageable workload for the volunteers (no more than 15 households per volunteer), frequent (at least monthly) contact between volunteers and mothers, and regular supervision of the volunteers.
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These include improving working conditions, addressing social needs and professional development through better resources, occupational safety, manageable workload levels, management support and recognition, as well as flexible working schedules, access to training and career development, access to transportation and education for family members, and access to healthcare services (10, 19, 29).
Our findings that those who prefer salary over private practice have fewer patients' listed and lower earnings seem to suggest that this particular group of doctors only to a limited extent is responsive to financial incentives, i.e. it appears that they are willing to trade income for more manageable workload.
However, the desire for flexibility and a more manageable workload because of greater family responsibilities is preferred by young male doctors as well.
Both Boomers (53%) and Gen Xers (61%) suggest the push for more life balance is linked to the growing numbers of women entering medical school and their desire for flexibility and a more manageable workload because of greater family responsibilities.
.771 Trust other students in the program −.835 Rely on classmates to help me −.835 Rely on classmates to respond to course questions within a few hours −.826 Enjoy discussing my ideas about course content with other students −.655 Prefer to do schoolwork on my own .805 Prefer to learn by trying things for myself .854 I feel this program has a manageable workload.
"We want social workers to have a manageable workload, to have a good work-life balance," she says.
This is because the additional pressures and tensions lead to a lower quality and quantity of work – overload people and they achieve less than if they had a high, but manageable, workload.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com