Medical Assistant at Nova Plastic Surgery Llc

Work Life Balance

Foot & Ankle, Surgeon

HealthEcareers - Client New York, New York

Orlin & Cohen Orthopedic Group is seeking BE/BC fellowship trained, Orthopedic Foot & Ankle Surgeons to join our growing team in Nassau County on Long Island. Orlin & Cohen Orthopedic Group is Long Island’s leading multispecialty orthopedic practice. This is an exciting opportunity to join the Northwell Orthopedic family, an extensive network recognized nationally and internationally as a leader in patient care, education, and research. About Orlin & Cohen Orthopedic Group With the most Castle Connolly Top Doctors of any orthopedic practice on Long Island, Orlin & Cohen’s specialists are recognized among the best in the nation by their peers. Their experience and expertise can help you feel better, faster. Over 60 in-network orthopedists, featuring fellowship-trained specialists in sports medicine, knee, shoulder, hip, joint replacement, foot and ankle, spine, and hand In-house MRI and digital X-ray, pain management, and physical and occupational therapy The resources of the only orthopedic practice that spans from Staten Island to Southampton We continually recruit a diverse physician workforce to meet the needs of the diverse patients we seek to serve; as a result, our Health System is proudly ranked Diversity Inc’s #1 Hospital and Health System. We fully understand that diversity is integral for our institutional excellence and a means to attaining health equity. Our diversity and inclusion efforts are a part of everything we do, from education to clinical care, to research, to physician well-being. For more information and resources regarding our initiatives, please visit our Center for Equity of Care , https://www.northwell.edu/education-and-resources/community engagement/center-for-equity-of-care . Northwell Health is New York State’s largest health care provider and private employer, with 21 hospitals, with over 850 outpatient facilities and more than 16,600 affiliated physicians. We care for over two million people annually in the New York metro area and beyond, thanks to philanthropic support from our communities. Our 80,000 employees – 18,900 nurses and 4,900 employed doctors, including members of Northwell Health Physician Partners – are working to change health care for the better. We’re making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. For informati on on our m ore tha n 100 medi cal specialties , visit Northwell.edu and follow us @NorthwellHealth o n Facebook, Twitter, Instagram an d LinkedIn. For additional information and to apply, please contact Christa Viscuse, Physician Recruitment: [email protected] or upload your CV directly to: https://jobs.northwell.edu/career-specialties/physicians/ EOE M/F/D/V Full-time clinical base compensation at Northwell Health ranges from $125K to $750K, which is impacted by various factors, including but not limited to physician specialty, level of experience, quality of care, academic accomplishments, patient experience and productivity. The base compensation range listed is a good faith determination of potential base compensation at the time of this job advertisement and may be modified in the future

Best Match

Northwell Health Orthopedics – Trauma Surgeon, Lenox Hill Hospital (Manhattan, NY)

HealthEcareers - Client New York, New York

Northwell Orthopedics is currently seeking a BE/BC fellowship trained Orthopedic Trauma Surgeon to join our growing department and clinical team at Lenox Hill Hospital . Northwell Orthopedics performs the most orthopedic procedures in the New York Metropolitan area, with care offered at 48 outpatient locations and 18 hospitals. Lenox Hill Hospital, a 652- bed, acute care hospital located on Manhattan’s Upper East Side, has earned a national reputation for outstanding patient care and innovative medical and surgical treatments. The hospital is particularly well known for excellence in internal medicine, cardiovascular disease, orthopedics, sports medicine, otolaryngology/head and neck surgery and maternal/child health. The Hospital is also a recognized leader in the public health education and community outreach. Patients come to us from Manhattan, Brooklyn, the Bronx, Queens, Long Island, the tri-state area and even around the world. Lenox Hill is committed to providing the highest standard of care to a socioeconomically and ethnically diverse patient population, with multilingual translators available 24/7. We continually recruit a diverse physician workforce to meet the needs of the diverse patients we seek to serve; as a result, our Health System is proudly ranked Diversity Inc’s #1 Hospital and Health System. We fully understand that diversity is integral for our institutional excellence and a means to attaining health equity. As a result, our diversity and inclusion efforts are a part of everything we do, from education, to clinical care, to research, to physician well-being. For more information and resources regarding our initiatives, please visit our Center for Equity of Care, https://www.northwell.edu/education-and-resources/community-engagement/center-for-equity-of-care Northwell Health is New York State’s largest health care provider and private employer, with 21 hospitals, over 850 outpatient facilities and more than 16,600 affiliated physicians. We care for over two million people annually in the New York metro area and beyond, thanks to philanthropic support from our communities. Our 80,000 employees – 18,900 nurses and 4,900 employed doctors, including members of Northwell Health Physician Partners – are working to change health care for the better. We’re making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook , Twitter , Instagram and LinkedIn . To learn more and apply, please contact The Office of Physician Recruitment at [email protected] or apply directly via: https://jobs.northwell.edu/career-specialties/physicians/ EOE M/F/D/V Full-time clinical base compensation at Northwell Health ranges from $125K to $750K, which is impacted by various factors, including but not limited to physician specialty, level of experience, quality of care, academic accomplishments, patient experience and productivity. The base compensation range listed is a good faith determination of potential base compensation at the time of this job advertisement and may be modified in the future.

Best Match

Podiatric Surgeon

United States Air Force New York, New York

KEEPING US ON OUR FEET The physical demands of the Air Force require Airmen to constantly be on their feet. When a foot or ankle problem occurs, Podiatric Surgeons provide the medical diagnosis and necessary treatment to the affected area. From calluses to broken bones, these specialists care for a wide range of problems and help their patients heal from their ailments and injuries. REQUIREMENTS You must meet several requirements before joining the Air Force. These concern your background, overall health and other standards set by the Air Force, Department of Defense and federal law.Minimum Education Doctor of Medicine or Doctor of Osteopathic Medicine degree from an approved school of medicine or osteopathic medicine Qualifications Minimum 24 months’ podiatric surgical residency program Minimum of six months experience in podiatry assignments Valid and current license to practice podiatric medicine Completion of Officer Training School course Must be between the ages of 18 and have not reached your 42 nd birthday

Best Match

Aerospace Medicine Specialist/Flight Surgeon

United States Air Force New York, New York

CARING FOR THOSE WHO FLY The stresses and conditions that result from working in extreme conditions require unique, specialized care. Aerospace Medicine Specialists/Flight Surgeons are primary care physicians for pilots and crew members traveling in air or space. These physicians discover, prevent and manage the various physiological responses that result from encountering exceptional environments, enabling our Airmen to stay in peak condition and continue their jobs in the air. REQUIREMENTS You must meet several requirements before joining the Air Force. These concern your background, overall health and other standards set by the Air Force, Department of Defense and federal law.Minimum Education M.D. or D.O. degree and completed an ACGME- or AOA-accredited program of postgraduate specialty training Qualifications Completion of a primary course in aerospace medicine Must possess an aeronautical rating of Flight Surgeon, Senior Flight Surgeon or Chief Flight Surgeon Completion of a residency at a fully accredited residency program Minimum 12 months of experience as a flight surgeon (Aerospace Medicine Specialist only) Board eligible in Aerospace Medicine (Aerospace Medicine Specialist only) Completion of Officer Training School course Must be between the ages of 18 and have not reached your 48th birthday

Assistant/Associate Attending Surgeon, Hepatopancreatobiliary Service, Department of Surgery

Memorial Sloan Kettering Cancer Center New York, NY

Company Overview: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe. Job Description: Exciting Opportunity at MSK: Assistant/Associate Attending Surgeon on the Hepatopancreatobiliary Service Join MSK as an Assistant/Associate Attending Surgeon on the Hepatopancreatobiliary Service in the Department of Surgery. You will have the opportunity to contribute to cancer treatment and research in a collaborative environment.T he Department of Surgery comprises more than 100 world-class surgeons dedicated to providing our patients with innovative cancer care in our sophisticated facilities, among the most advanced in the world. Over the years, our faculty have pioneered new techniques such as laparoscopic surgery for the treatment of many cancers. Refer to the Department of Surgery Web page for additional information about the department and its services. Role Overview: The Assistant/Associate Attending Surgeon is a crucial member of the HPB Service team. They work closely with a multidisciplinary team to provide outstanding care for patients with liver, biliary, and pancreatic diseases. The role includes inpatient and outpatient responsibilities, performing HPB-related abdominal operations, and contributing to education and research. Key Qualifications: Board-certified or board-eligible in HPB surgery or surgical oncology Extensive training in an ACGME-accredited fellowship in HPB surgery or surgical oncology Proven experience in laparoscopic and/or robot-assisted minimally invasive HPB surgery Defined clinical, translational, or basic research interest in HPB malignancies Core Skills: Outstanding surgical skills with a focus on HPB procedures Ability to successfully implement innovative treatment approaches Capacity to work collaboratively within a multidisciplinary team Strong dedication to educating residents and fellows Proven track record in conducting impactful scientific research Salary Range : $375,000 - $645,000 (depending on level) Application Instructions: Please email a CV , a letter of interest , and contact information for three references to: Mindy Sovel Associate Director, Hospital Operations [email protected] Helpful Links : MSK Compensation Philosophy Review Our Greats Benefits Offerings Closing: MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Assistant/Associate Attending Surgeon, Head and Neck Service

Memorial Sloan Kettering Cancer Center New York, NY

Pay Range: $472,055 - $571,612 Company Overview: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe. Job Description: Exciting opportunity at MSK: Join our team as an Assistant/Associate Attending Surgeon in the Head and Neck Service . We are seeking a highly motivated individual with strong work behaviors to be part of a world-class organization that is leading the way in healthcare innovation. The incumbent will join the Head and Neck Service team of 13 surgeons and will have a primary clinical focus of head and neck oncologic surgery . Role Overview: Serve as a member of the m ultidisciplinary Head and Neck Disease Management Team. Provide an integrated, highly specialized, and personalized treatment approach for patients with thyroid, oral cavity, pharyngeal, laryngeal, sinonasal, skin, and salivary cancers Receive an academic appointment at Weill Cornell Medical College. Treat patients in both inpatient and outpatient setting in NY and NJ Perform complex surgical resections. Educate residents and fellows. Perform and conducting scientific research. Key Qualifications: Board certified or eligible head and neck surgeon Training in a n AHNS accredited head and neck surgical oncology fellowship E xperience in Trans Oral Robotic S urgery (TORS) Experience in integrating multi-disciplinary care of patients with advanced head and neck cancer Pay Range: $472,055 - $571, 612 Application Requirements: Submit C.V., letter of interest and contact information for three references to: Mindy Sovel Associate Director, Hospital Operations [email protected] Helpful Links : MSK Compensation Philosophy Review our great benefits offerings Closing: MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision . Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Posted 6 hours ago

Assistant or Associate Attending Surgeon, Gastric Mixed Tumor Service

Memorial Sloan Kettering Cancer Center New York, NY

Pay Range: 380,000 - 650,000 Company Overview: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe. Job Description: Exciting Opportunity at MSK: Surgical Oncologist, Gastric Mixed Tumor Service The Department of Surgery at Memorial Sloan Kettering Cancer Center (MSK) is seeking a highly motivated surgical oncologist to join the Gastric and Mixed Tumor Service. This position offers the opportunity to specialize in melanoma while also managing cutaneous malignancies, gastric cancer, and soft tissue sarcoma within a highly specialized multidisciplinary team. Role Overview The successful candidate will provide comprehensive surgical oncology care, to join the Gastric and Mixed Tumor Service team of 10 surgeons and will have a primary clinical and research focus on melanoma with the ability to treat patients with cutaneous malignancies, gastric cancer and soft tissue sarcoma. In addition, the candidate will participate in the care of other problems managed by the Gastric and Mixed tumor service including but not limited to, hernia repair, lymph node biopsy, splenectomy. The candidate will receive an academic appointment at Weill Cornell Medical College. As members of the multidisciplinary Melanoma Disease management Team, Gastric Disease Management Team and Soft Tissue Sarcoma Disease Management Team, surgical oncologists on the Gastric and Mixed Tumor service provide an integrated, highly specialized, and personalized treatment approach for patients with Melanoma, Gastric Cancer and Soft Tissue Sarcoma. Responsibilities include seeing patients in both inpatient and outpatient settings, performing surgical resections and abdominal operations, treating general surgical oncology problems on call, educating residents and fellows, and conducting scientific research. Core Requirements Board certification or eligibility in Surgical Oncology Training in an ACGME-accredited fellowship in surgical oncology Experience in the multi-modality management of melanoma along with clinical trial development is preferred. A defined clinical or translational research interest in melanoma. Second year surgical oncology fellows are eligible to apply Application Instructions To apply, please submit the following to Mindy Sovel Director, Hospital Operations; [email protected]: Curriculum Vitae (CV) Letter of Interest Contact information for three references Pay Range: 380,000 - 650,000 Helpful Links : MSK Compensation Philosophy Review Our Greats Benefits Offerings #LIOnsite Closing: MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Orthopedic Surgeon

Greenlife Healthcare Staffing New York, NY

Orthopedic Surgeon - Bronx, NY (#2776) Board Certified or Board Eligible Greenlife Healthcare Staffing is currently seeking an Orthopedic Surgeon to fill an opening with a multi-specialty practice located in Bronx, New York. Requirements of the Orthopedic Surgeon: Must have an active NY State License Must be Board Certified or Board Eligible Residents, fellows, and new graduates are welcome to apply Benefits of the Orthopedic Surgeon: The salary for this position is $250,000 - $300,000 / yr This is a Full-time position Benefits are Competitive and Negotiable $15,000 Sign-on bonus Responsibilities of the Orthopedic Surgeon: Take patients' histories, using specialized equipment to determine the extent of a fracture or injury, and determine the best mode of treatment. Perform blood tests to check for degenerative bone conditions. Strengthen an area of the body through exercises, ultrasounds, and strength training. Surgically repair bones, nerves, ligaments, tendons, and joints to promote healing. Treat acute and chronic injuries and pain. Prescribe medications to aid patients in their recovery. Monitor patients' healing processes and make necessary adjustments to their treatment plans. Arrange rehabilitation plans after surgeries. Supervise and assign duties to nurses and other medical staff, and refer patients to other specialists for further treatment or recovery plans. Enhance your abilities and remain up to date through attending medical conferences and courses. Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices. #J-18808-Ljbffr

Orthopedic Surgeon

Essen Health Care New York, NY

Overview At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary We are in search of an Orthopedic Surgeon to examine, diagnose, and treat diseases and injuries to the musculoskeletal system, prescribe a course of treatment for patients with injuries, disorders, or malformations, and perform required surgery. Conducts and supervises direct patient care, including some non-surgical treatment options. J1 Waiver and CONRAD 30 Waiver Candidates Welcome!!! Responsibilities Examines, diagnoses, and treats diseases and injuries to the musculoskeletal system. Prescribes course of treatment for patients with injuries, disorders, or malformations and performs required surgery. Conducts and supervises direct patient care, including some non-surgical treatment options. Plans and executes disease prevention and health promotion programs. Exercises command of medical units as provided by law and regulations. Conduct medical research on new injuries or diseases, and conducts, supervises, and participates in medical education and training of other medical personnel. Participates in on-call schedule in a responsive and timely manner. Provides outpatient consultation and hospital consultation services. Maintains CME units based on the requirements of the specifying Board. Maintains historical records by documenting symptoms, medications, and treatment events and writing summaries. Enhances department and organization reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments. Qualifications Documentation skills Analyzing information Decision-making Listening Verbal communication Patient services Building relationships Discretion Bedside manner Education, Experience, and Licensing Requirements: Completion of a residency in orthopedic surgery in an ACGME approved program Current BC/BE in orthopedic surgery (American Board of Orthopedic Surgery) Valid state medical license as MD or DO Valid DEA certificate 2 years’ experience working full-time as an orthopedic surgeon Salary: $320,000-$350,000 Equal Opportunity Employer Essen Health Care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population. #J-18808-Ljbffr

ORTHOPEDIC SURGEON

U.S. Army 1st Medical Recruiting Battalion New York, NY

As an Orthopedic Surgeon on the U.S. Army health care team, you’ll have the opportunity to learn the most advanced procedures and techniques performed today. From groundbreaking bionic prosthetics to regenerative bone and tissue research, the U.S. Army Medical Department is pioneering work that is changing medicine — and improving the success rate — of orthopedic surgery. When you join the Army Medical Corps, you’ll be making a difference in the lives of our Soldiers and the country at large. Additionally, you’ll gain access to invaluable opportunities like supporting humanitarian missions, leadership training and competitive benefit packages. Join us and use your expertise to help expand the boundaries of orthopedic surgery alongside professionals who share your passion. Benefits may include: Repayment of qualified education loans to lending institution, paid annually over a maximum of 3 years while serving Based on your area of concentration, you may be eligible for an accessions bonus, paid over a four-year period while serving. No-cost or low-cost medical and dental care for you and your family 30 days of paid vacation earned annually Commissary and post exchange shopping privileges Enrollment into the Uniformed Services Blended Retirement System Specialized training to become a leader in orthopedic medicine Requirements: Doctor of medicine or doctor of osteopathy degree from an accredited U.S. school of medicine or osteopathy; foreign graduates may apply with permanent certificate from the Educational Council of Foreign Medical Graduates Current license to practice medicine in the United States, District of Columbia or Puerto Rico Eligibility for board certification Completion of at least one year of an approved graduate medical education internship Completion of a training program in orthopedic surgery Between 21 and 42 years of age (waivers granted on a case-by-case basis) U.S. citizenship #J-18808-Ljbffr

Ashburn, VA

Posted 25 days ago

Healthcare

Job Description

Job Description Job Description

Medical Assistants play a crucial role at NOVA Plastic Surgery and Dermatology, ensuring that daily clinical operations are performed with excellence. They are the movers of the practice, responsible for supporting the providers and maintaining a seamless patient experience. Medical Assistants perform a variety of duties, demonstrating exceptional organizational skills, attention to detail, and a strong commitment to patient care.

Responsibilities:

Stocking and Cleaning

Unpacking supply orders.

Tracking supply inventory.

Ensuring that examination and procedure rooms are fully stocked with necessary supplies and equipment each day.

Cleaning and sanitizing rooms between patients to maintain a pristine and welcoming environment.

Procedure Setup and Assistance

Assist providers in preparing for procedures, ensuring that all necessary equipment and instruments are ready

Prepare patients for procedures, including proper positioning, prepping, and providing comfort and reassurance.

Following practice protocols on taking appropriate progress photos and uploading them using the correct software

Skillfully draw blood samples as needed, following protocols to maintain patient safety.

Draw up numbing solutions and reconstitute products as directed by the providers or Clinic Manager.

Charting and Documentation

Document all patient interactions including but not limited to, questions, concerns, and emails.

Accurately chart and document patient information, products regimen, medical history, and procedure details in the EMR

Ensure that all documentation is complete, organized, and easily accessible for providers.

Upload appropriate photos and consents to TouchMD as instructed by Clinic Manager.

Patient Education and Instructions

Communicate pre- and post-procedure instructions to patients, ensuring they are fully informed and prepared for their treatments.

Inform patients of current promotions

Send follow-up emails to reiterate post-care instructions, ensure the patient is healing well, and assist booking follow-up appointments as needed.

Answer patient questions and address concerns, providing exceptional customer service in-person, via phone, and/or via email.

Patient Retention

Schedule further skincare treatments for patients by booking appointments at the end of their procedure (preferred) or by following up with patients in the days after.

Coordinate with the Front Desk staff to secure timely and convenient appointments for patients.

Billing and Administrative Tasks

Enter quotes and bills into NexTech based on the providers recommendations ensuring accuracy and adherence to established procedures.

Collect and manage patient intake forms, ensuring proper documentation and organization.

Proactively inform providers of any relevant information or concerns that may impact the treatment plan.