Is the Addition of More Patients Plus the Limited Amount of Time Physicians Have With Patients a Recipe for Disaster?

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I think it is, I think we will see the movement towards use of nurse practitioners physicians assistance in the same, in culturation process and the same quarter backing needs have to be there, so whoever is going to do that they have to take that view, this is my patient, I need to take care of them, I need to look out for the big picture, I do have experts that I can turn to when I get beyond my level of knowledge but this really does have to be a system and a coordinated process.