All consecutive patients with septic shock monitored by PICCO2 for whom the intensive care physician planned to decrease the NE dosage were enrolled.
Finally, being referred by an external physician appeared to decrease a patient's chances of entering a trial as more of these patients were ineligible or were recommended another treatment first.
Inclusion criteria were all consecutive patients with a diagnosis of severe sepsis or septic shock, according to the criteria of the Surviving Sepsis Campaign, treated with NE, for whom the attending physician decided to decrease the NE dosage, and who were monitored with a PICCO monitoring device [ 4].
Although the number of teaching physicians does not necessarily guarantee the quality of teaching, busy attending physicians were reported to decrease residents' satisfaction with the quality of attending teaching in the US national survey of surgical residents [ 45].
Given the existing situation in developing countries like Pakistan, it is essential to address physician motivation in order to decrease physician migration, health care worker shortages and minimize the wastage of already limited resources.
Physicians were permitted to decrease or stop the continuous infusion if clinically indicated, at any time after enrolment, during the studied period, or to convert the continuous infusion to intermittent boluses: however, they were required to specify the reason for interruption.
Patients with cHL are known to have an increased risk of developing second malignancies and the concern for development of RT-induced second malignancy has been the reason physicians have attempted to decrease the size of the RT treatment field over time 5, 7, 8, 19.
Increasing the scope of commonly required services provided by the physician was suggested to decrease the number of external consultations.
To help physicians identify and care for somaticizing patients more effectively and to decrease physicians' sense of frustration, we advocate regular psychiatric training for internists and general practitioners.
Consultations with office-based physicians would be expected to decrease from 149,544 (22%) to 15,148 (2.2%), and hospitalisations from 33,648 (5%) to 527 (0.077%).
