Description: "Scope of practice is not the only challenge. Patients do not present with clear diagnoses. They usually present with symptoms of undifferentiated clinical problems. They do not come in to the office complaining of asthma. They complain of cough or dyspnoea. To take it from symptoms to diagnosis and management is the value of the skilled primary care provider. As we work to limit our patients' exposure to potentially harmful tests or treatments, and avoid unnecessary referrals to specialists, primary care providers need to lean on their judgment and clinical skills"-- Provided by publisher.