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Each new franchisee is also assigned a more experienced provider as her mentor.
If a provider receives a failing score, the clinical supervisor recommends an appropriate follow-up action, which can include onsite mentoring from a more experienced provider, visits to a facility both staffed by experienced providers and with a higher client volume for the provider to improve confidence and experience, and retraining if necessary.
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More experienced providers also felt more strongly that the environmental history was important, while specialists felt they had less control over environmental hazards than primary care providers.
Thus, it is unlikely more challenging patients were purposely assigned to more-experienced providers.
The majority of surgical interventions in our study were initiated by women's concerns over the amount and/or duration of bleeding; it is certainly possible that at least some of the interventions would not have been carried out by a more experienced misoprostol provider.
Early studies by Kitahata 9 indicated that more experienced HIV providers were more likely to initiate cART earlier, and to follow established HIV care guidelines.
Early studies from other regions (particularly North America) have associated better-quality HIV services with delivery via specialized clinics and by more experienced clinical providers [ 22-26]].
This was unfailing with the exception of phase 1, station 5 where an excessive blood loss of 2000 ml was simulated and estimated more accurately by the more experienced health care providers (p-value = 0.01).
However, it also emerged that more experienced and better-qualified providers did not share this acceptance and were more likely to complain about salaries.
More experienced clinicians share best practices with less experienced providers.
Thus, perhaps the provider feedback is a more experienced and reflective view of the LNG IUS technology.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com