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But the inspector general found that most H.M.O.'s did relatively little to monitor and assess the quality of care, or to protect patients from "poorly performing practitioners".
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Cosmetic procedures can also be performed by practitioners with widely varied qualifications and training, including plastic surgeons, general surgeons, ear, nose and throat, head and neck surgeons, oral and maxillofacial surgeons, dermatologists, ophthalmologists and general practitioners.
"I will not cut for stone," runs the text of the Hippocratic oath, "even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in this art".
A parallel development has been the concept of limited transthoracic echocardiography that can be performed by practitioners with limited experience.
The rate of anaesthesia performed by practitioners considerably diminished as a consequence of the introduction of the ADM.
As compared to the situation before the introduction of the ADM, the number of farms in which anaesthesia was performed by practitioners diminished.
Spotlighting by proxy was a work process performed by practitioners to advocate for particular children to receive support for particular health- and rehabilitation-related needs at school.
The rate of abortion failure is likely higher for certain procedures or technologies which are more likely to be performed by practitioners with less training [ 6, 27].
In a survey of urologists in the United States, the reported incidence of vasectomy failure among practitioners who performed more than 12 vasectomies in the last year was half that of practitioners performing fewer procedures [ 13].
There are about 6,600 plastic surgeons certified by the American Board of Plastic Surgery; most estimates suggest that there are three to four times that number of practitioners performing cosmetic surgery without board certification.
Secondly, these differences could be due to the individual competence of the practitioners performing ultrasound in our centre.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com