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At each study visit, participants were evaluated by a research nurse and a clinical officer (similar to a physician assistant in the US and Europe), and additional evaluation was performed by a supervising physician as needed.
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In addition, physician encounters occurred as needed.
Physician- part time physician that comes in as needed for diagnosis and treatment.
Another notable finding is the identification of patients whose conditions are triaged as low acuity, yet assessed by the treating emergency department physician as needing immediate stabilization (3.4%, CI 1.8% to 4.9%).
Patients were ineligible if they received home care services, lived in a nursing home or long term care home, were identified by their family physician as needing palliative care, were scheduled for major elective surgery in the next year, or were planning to leave the country for more than one month during the 12 month follow-up period.
They would meet with physicians as needed to understand a client's prognosis and options.
It may be ideal to have as few physicians as needed to address a patient's care.
These youth will be referred back to their community physicians as needed and may require medical clearance before resuming participation in the study.
We expect exclusions to be minimal due to the clarity of inclusion/exclusion criteria and the availability of physicians as needed for patient eligibility questions during the initial 8-week visit.
They were also to provide ongoing guideline based care for patients in whom ART was initiated, issuing monthly repeat prescriptions, and conducting laboratory and clinical monitoring for side effects and complications, with referral back to hospital physicians as needed.
Analgesics were typically prescribed as a 'prn' (take as needed) by the attending physician.
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