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[ 30] Similarly, the chiropractors in the SMH clinic began by explicitly limiting their legally-defined wide scope of practice to musculoskeletal conditions.
A further challenge is identifying what is relevant to public health and health promotion practitioners, given that it is a dynamic field characterized by a wide scope of practice, defined regionally and changing constantly.
Although there is limited information to assess this, core specialty outreach services routinely needed in remote Australian locations have been proposed [ 13], and rural health strategy in Australia highlights the importance of generalist specialists (for example, general medicine and general surgery) because of their wide scope of practice [ 14].
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Fights like this one are not new; they have been fought in many states for several decades, always between organized medicine and some nonphysician health professionals (e.g., optometrists or nurse anesthetists) seeking a wider scope of practice or more economic freedom.
In addition, in many international settings, generalist physicians have a wider scope of practice.
Advanced practice roles offer the ability to have a wider scope of practice and have demonstrated higher levels of job satisfaction and improved patient outcomes [ 76].
The graduates of a paediatric nursing course would require professional and legal recognition and accreditation for a wider scope of practice.
Limited input by medical staff also allowed for haemodialysis nurses to have a wider scope of practice than is typically found in other areas of nursing [ 75].
Acupuncture is a treatment modality that belongs to the wider scope of practice within traditional Chinese medicine (TCM), with TCM also including the use of herbal medical, massage and manipulation techniques.
Evidence shows that physician assistants, nurse practitioners and community health workers can substitute for high proportions of medical practitioner competencies [ 10], but medical doctors have the widest scope of practice [ 11] and are integral to healthcare provision in any context.
However, we used a mixed sampling strategy (random and purposive) in an attempt to identify a wide scope of family practice.
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