NewOutpatient Family Medicine | Midwest Lakes Region The Medicus FirmOutpatient Family Medicine | Midwest Lakes RegionFort Wayne, INThis outpatient opportunity offers the rare combination of building your own patient panel while enjoying the stability, resources, and support of one of the region's most respected health systems. Join one of Forbes' America's Best Employers as Parkview Health continues expanding primary care throughout the Midwest Lakes Region.
NewFamily Medicine/Internal Medicine Physician – Van Wert, OH (Greater Fort Wayne, IN Area) - Residency Stipend OhioHealthFamily Medicine/Internal Medicine Physician – Van Wert, OH (Greater Fort Wayne, IN Area) - Residency StipendVan Wert, OHMultidisciplinary setting --dedicated office staff, including Advanced Practice Provider, Practice Manager, LPN Supervisor, and clinical support. Starting bonus, Student Loans, Retention Bonuses, Residency Stipend, Relocation Bonuses for those who qualify.
Seeking an Experienced Family Medicine Physician Assistant in Bluffton, IN: Join Bluffton Regional Medical Center CHSPSC, LLC.Seeking an Experienced Family Medicine Physician Assistant in Bluffton, IN: Join Bluffton Regional Medical CenterBluffton, INA member of Lutheran Health Network, which is owned by subsidiaries of Community Health Systems, the hospital provides inpatient and outpatient care, emergency services, medical and surgical services, diagnostic imaging, rehabilitation, and womens services. Located about 30 minutes south of Fort Wayne, residents benefit from access to cultural, dining, and sports amenities while enjoying a small-town lifestyle.
Family Nurse Practitioner or Physician Assistant - Bryan, OH Marathon Health LLCFamily Nurse Practitioner or Physician Assistant - Bryan, OHOH$115,000–$150,000 / yearHealth and Well-Being: Free Marathon membership for in person and virtual care, employer paid life and disability insurance, and choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident and hospitalization plans. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.
Family Nurse Practitioner or Physician Assistant - Van Wert, OH (30 hours/week with PTO and benefits) Marathon Health LLCFamily Nurse Practitioner or Physician Assistant - Van Wert, OH (30 hours/week with PTO and benefits)OH$86,000–$116,000 / yearHealth and Well-Being: Free Marathon membership for in person and virtual care, employer paid life and disability insurance, and choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident and hospitalization plans. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.
Family Medicine Physician – Up to $250K Loan Forgiveness + Sign-On & Relocation Bonuses Parkview HealthFamily Medicine Physician – Up to $250K Loan Forgiveness + Sign-On & Relocation BonusesColumbia City, INParkview Physicians Group is currently seeking a Board Eligible / Board CertifiedFamily Medicine physicianto join our Parkview Physicians Group Family Medicine practice in South Whitley, Indiana. For additional information or to submit your CV, please contact us at providercareers@parkview.com.
Transitional Care Team: Family or Internal Medicine Physician: Fort Wayne, IN Parkview HealthTransitional Care Team: Family or Internal Medicine Physician: Fort Wayne, INFort Wayne, INParkview Physicians Group is currently seeking experienced Board Eligible / Board CertifiedFamily Medicine or Internal Medicine physicians to join our Population Health team in Fort Wayne, Indiana. Group consists of 1 physician & 5 advanced practice providers that are dedicated to providing quality continuation of care to patients that are discharged from the hospital.
Physician, OB/GYN – Telemedicine Opportunity – DrHouse DrHouse, Inc.Physician, OB/GYN – Telemedicine Opportunity – DrHouseFort Wayne, INRemote$100–$200In this role, you will manage a broad spectrum of clinical cases, including primary care, urgent care, men's and women's health, and chronic conditions , all delivered through secure virtual consultations. This role offers the flexibility to design a schedule that supports work-life balance while delivering high-quality, patient-centered virtual care statewide.
Physician, Emergency Medicine – Telemedicine Opportunity – DrHouse DrHouse, Inc.Physician, Emergency Medicine – Telemedicine Opportunity – DrHouseFort Wayne, INRemote$100–$200In this role, you will manage a broad spectrum of clinical cases, including primary care, urgent care, men's and women's health, and chronic conditions , all delivered through secure virtual consultations. This role offers the flexibility to design a schedule that supports work-life balance while delivering high-quality, patient-centered virtual care statewide.
Physician, Internal Medicine – Telemedicine Opportunity – DrHouse DrHouse, Inc.Physician, Internal Medicine – Telemedicine Opportunity – DrHouseFort Wayne, INRemote$100–$200In this role, you will manage a broad spectrum of clinical cases, including primary care, urgent care, men's and women's health, and chronic conditions , all delivered through secure virtual consultations. This role offers the flexibility to design a schedule that supports work-life balance while delivering high-quality, patient-centered virtual care statewide.
Nurse Practitioner or Physician Assistant Bryant Staffing SolutionsNurse Practitioner or Physician AssistantFort Wayne, INAn established employer-sponsored healthcare clinic in Fort Wayne, Indiana is seeking an experienced Nurse Practitioner to serve as the primary clinical provider in a small, patient-focused outpatient setting. Residents enjoy extensive parks and trails, a vibrant downtown, family-friendly attractions, diverse dining options, arts and cultural venues, and easy access to outdoor recreation throughout northeast Indiana.
Physician Parkview Health System IncPhysicianFort Wayne, INPhysician-led organization Regions largest employer with over 16,000 employees Strong primary care network Vibrant 15 hospital network with over 300 practice locations Health system is comprised of more than 1000 world-class providers in more than 45 specialties Named one of the Best Places to Work in Healthcare by Newsweek magazine for two years running (2025 and 2026) Benefits Our excellent benefits package includes: Commencement bonus Paid relocation Student loan assistance Retirement contribution plan Flexible spending accounts Medical, dental, vision and life insurance Short and long-term disability Many other non-traditional benefits About Parkview Packnett Family Cancer Institute About Parkview Packnett Family Cancer Institute Parkview Packnett Family Cancer Institute atParkview Regional Medical Centeris a physician-led, state-of-the-art cancer care destination designed to provide comprehensive, coordinated oncology services under one roof, with a healing environment that features natural light, private family spaces, and thoughtful design elements to support patients and their loved ones. Oncologic Plastic Surgery at the PFCI Candidate must be able to perform a wide breadth of reconstructions that arise from oncologic treatments, including: Oncoplastic reconstructions following breast conservation therapy Breast reconstructions following mastectomy, including DIEP flaps Local tissue transfer and free flap reconstruction of soft tissue defects Tissue replacement following major pelvic extirpations (such as pelvic exenteration) Local tissue transfers and complex closures following Mohs surgery Busy surgical services in need of microvascular plastic surgery support Practice location will be the Packnett Family Cancer Institute located at 11050 Parkview Circle, Fort Wayne, IN 46845 The PFCI is housed in a 200,000 square foot free-standing building located on the campus of the Parkview Regional Medical Center Parkview Health Committed to patients first- bringing the highest quality healthcare to the people of northern Indiana and northwestern Ohio.
Nurse Practitioner/Physician Assistant Primary Care Eventus WholeHealth CareersNurse Practitioner/Physician Assistant Primary CareFort Wayne, IndianaExceptional patientâcentered service skills, including compassionate communication, active listening, professionalism, and the ability to build trusting relationships with residents, families, and facility staff. As an Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will provide comprehensive primary care services within skilled nursing and senior living communities.
Advanced Practice Practitioner (NP/PA) CINQCAREAdvanced Practice Practitioner (NP/PA)Fort Wayne, INWe remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. Grace at Home is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities.
Bilingual Spanish Advanced Practice Provider Needed Corporate Wellness Event VitalCheck WellnessBilingual Spanish Advanced Practice Provider Needed Corporate Wellness EventFort Wayne, IN$130A workplace wellness screening program is seeking a Spanish Speaking Advanced Practice Provider (NP/PA) to provide onsite preventive wellness services within a professional workplace environment in Fort Wayne, IN. Our team builds up service models and technologies to enable companies to easily set up wellness clinics and other preventive medical services in the office at their selected times.
PPG RN Physician Extender Parkview Health System IncPPG RN Physician ExtenderFort Wayne, INBenefits: Health benefits, paid time off, employee assistance, community vendor discounts, payroll deduction options • Sign-on bonus: For certified and uncertified Medical Assistants, LPNs, and RNs hired in part-time and full-time positions. • Education: Clinical Orientation, tuition assistance, certification reimbursement • Growth: Parkviews Medical Assistant Advancement Pathway (MAAP) • Culture: World-class teamwork, Personalized health journeys for co-workers and family members.
RN Physician Extender Parkview Health System IncRN Physician ExtenderFort Wayne, INResponsible for working collaboratively with management, physician, and coworkers to provide excellent service to our patients. Sign-on bonus: For certified and uncertified Medical Assistants, LPN's, and RN's hired in part-time and full-time positions.
NP/PA- Family Medicine Parkview Health System IncNP/PA- Family MedicineFort Wayne, INCertifications as required by specialty which may be but are not limited to: BLSthrough the American Heart Association (AHA) ACLS/ACLS-EP PALS ATLS CSR Parkview Benefits and Support Onboarding Support to help you navigate getting your career started with Parkview as a provider Great Medical, Dental, Vision, and Prescription coverage and competitive premiums Parkview paid: Retirement contributions, Paid Medical Staff, Licensure, Professional Association, DEA Dues, and Malpractice Insurance. Job Requirements for Nurse Practitioner Graduate of an accredited Master of Science in Nursing program (DNP optional) Current or pending state license for Registered Nurse and Advanced Practice Registered Nurse Current or pending certification by an approved professional certification organization Minimum 1 year of experience as a Nurse Practitioner preferred.
Physician - Colon & Rectal Surgery Parkview Health System IncPhysician - Colon & Rectal SurgeryFort Wayne, INParkview Health Proudly committed to bringing the highest quality of care to northeast Indiana and northwest Ohio Largest non-profit health system in Northeast Indiana Regions largest employer with over 15,000 employees Health system is comprised of more than 1000 world-class providers in more than 45 specialties in over 300 locations. Benefits Our excellent benefit package includes: Highly competitive salariesplus annual incentive compensation opportunity Commencement bonus Paid relocation Student loan assistance Retirement contribution plan Flexible spending accounts Medical, dental, vision life insurance Short and long-term disability And many other non-traditional benefits!
Medical Oncology Physician Parkview Health System IncMedical Oncology PhysicianFort Wayne, INProudly committed to bringing the highest quality of care to northeast Indiana and northwest Ohio Regions largest employer with over 16,000 employees Health system is comprised of more than 1,100 world-class providers in more than 45 specialties in over 300 locations Named one of the nations top employers by Forbes Named one of the nations 15 Top Health Systems by IBM Watson Health. 200,000 square foot state of the art facility, opened in 2018 Serves the oncology needs for Parkview Health system Offers a comprehensive array of cancer services all under one roof; Diagnostic imaging, advanced treatments, specialty physicians offices, lab, nutrition clinic, gift and wig boutiques and more.
Primary Care Physician | Exceptional Work-Life Balance | Indiana's Second-Largest City Indiana University HealthPrimary Care Physician | Exceptional Work-Life Balance | Indiana's Second-Largest CityFort Wayne, INFort Wayne is Indiana's 2nd largest city and boasts one of the lowest cost of living areas in the nation (ranked as fifth on U.S. News and World Report's 2023-2024 list of Best Affordable Places to live in the U.S.). Active lifestyle includes kayaking, canoeing and paddle boarding at over 200 area lakes, PGA golf courses, bike trails, state parks, camping and a quarter-mile toboggan run.
Seeking a Cardiology: Heart Failure Physician Assistant in Fort Wayne, IN: Join Lutheran Hospital CHSPSC, LLC.Seeking a Cardiology: Heart Failure Physician Assistant in Fort Wayne, IN: Join Lutheran HospitalFort Wayne, INAccredited by The Joint Commission, the hospital offers comprehensive services including Level II adult and pediatric trauma care, stroke care, cancer care, heart and transplant services, maternity and pediatric care, and a wide range of inpatient and outpatient specialties to meet the needs of the regional community. Fort Wayne, Indianas second-largest city, is a nationally recognized and affordable community offering strong educational systems, multiple universities, cultural institutions, museums, sports teams, and an extensive trail network.
Physician Team Health Holdings IncPhysicianFort Wayne, INJoin TeamHealth's travel team in Indiana and make big impacts in small communities. We are looking for full-time physicians who are ABEM or AOBEM or who are board in family medicine or internal medicine, with EM experience.
Practice Manager IVX HealthPractice ManagerFort Wayne, INBased ideally in or near Fort Wayne, IN, the Practice Manager will lead both clinical and administrative teams across multiple sites, driving operational excellence and ensuring a consistently exceptional patient experience. Collaborate with clinical teams, regional leadership, and centralized departments (revenue cycle, pharmacy, etc.) to ensure clean workflows and efficient, reimbursable care.
Family Medicine | Outpatient Medical Edge RecruitmentFamily Medicine | OutpatientBryan, OHIf this sounds like the right opportunity for you, or if you are just interested in learning more, apply today or reach out to Alex Higgins directly at 214-499-1048 or ahiggins@staffmedhp.com. Conveniently located near Toledo, Fort Wayne, and Ann Arbor, it provides an ideal balance of small-town living and access to larger city amenities.
Float Physician Assistant or Nurse Practitioner (40 hours Weekly, PTO and Benefits) Marathon Health LLCFloat Physician Assistant or Nurse Practitioner (40 hours Weekly, PTO and Benefits)OH$57–$74 / hourActive license & current ANCC or AANP board certification required Independent practice provider preferred, where applicable per State regulation Federal DEA number preferred; may be required for full prescribing ability CPR/BLS certification required at time of start date Independent family practice experience including routine wellness care, chronic care management, and urgent visit, preferred. Active license & current NCCPA board certification required Independent practice provider preferred, where applicable per State regulation Federal DEA number preferred; may be required for full prescribing ability CPR/BLS certification required at time of start date Independent family practice experience including routine wellness care, chronic care management, and urgent visit, preferred.
Urgent Care Physician | Medical Director | Fort Wayne, IN CHSPSC, LLC.Urgent Care Physician | Medical Director | Fort Wayne, INFort Wayne, INClinical Duties: Evaluate and treat a broad range of acute illnesses, injuries, and occupational health conditions, perform common office procedures, including laceration repair, incision and drainage (I&D), wart removal, ingrown toenail removal, and treatment of sprains, strains, and fractures; Perform comprehensive patient assessments, establish diagnoses, and develop treatment plans, and order and interpret diagnostic studies, including laboratory tests, EKGs, and X-rays. Leadership & Oversight: Provide clinical leadership and oversight for urgent care and occupational medicine services; Develop and implement clinical protocols, quality initiatives, and best practices; Ensure regulatory compliance, patient safety, and operational excellence; Partner with administration to optimize workflows and program performance.
Nurse Practitioner- Family Medicine Parkview Health System IncNurse Practitioner- Family MedicineFort Wayne, INParkview Physicians Group is seeking a Nurse Practitioner to join our practice that employs excellent diplomatic communication skills. An interested candidate should have the ability to collaborate with intra-interdepartmental team members as well as community organizations or members.
Family Nurse Practitioner or PA- Independent Veteran Evaluations Empower Mental HealthFamily Nurse Practitioner or PA- Independent Veteran EvaluationsFort Wayne, IndianaCompany Overview: Join us at Empower Mental Health, a fast-growing private pay company dedicated to nurturing the growth of our employees and providing the highest quality of care to our clients. Job Summary: Are you an experienced and licensed Family Nurse Practitioner or Physician Assistant seeking a transformative opportunity or additional income to your current job?
NewTravel Emergency Medicine Physician TeamHealth CorporateTravel Emergency Medicine PhysicianFort Wayne, INJoin TeamHealth's travel team in Indiana and make big impacts in small communities. Do you want to live where you choose and practice emergency medicine where you can truly make a difference?
Colon & Rectal Surgery Physician Parkview HealthColon & Rectal Surgery PhysicianFort Wayne, INParkview Health is actively recruiting a Board Eligible/Board CertifiedColon & Rectal Surgeon to join our team in Fort Wayne, Indiana. The practice is limited to Colon and Rectal surgery cases including scopes, minimally invasive procedures, robotics, and elective and emergency procedures.
PPG RN Physician Extender DeKalb Health-AuburnPPG RN Physician ExtenderFort Wayne, INResponsible for working collaboratively with management, physician and coworkers to provide excellent service to our patients. Sign-on bonus For certified and uncertified Medical Assistants, LPNs and RNs hired in part-time and full-time positions.
RN Physician Extender DeKalb Health-AuburnRN Physician ExtenderFort Wayne, INEducation: Clinical Orientation, tuition assistance, certification reimbursement Growth: Parkviews Medical Assistant Advancement Pathway (MAAP) Culture: World-class teamwork, Personalized health journeys for co-workers and family members. Benefits: Health benefits, paid time off, employee assistance, community vendor discounts, payroll deduction options Sign-on bonus: For certified and uncertified Medical Assistants, LPNs, and RNs hired in part-time and full-time positions.
PRN - Family Nurse Practitioner Fast Pace HealthPRN - Family Nurse PractitionerBluffton, IndianaTemporaryThey must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere. Posting Title: PRN - Family Nurse Practitioner Overview: In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction.
Physician - Allowed Time Off - Non-Invasive Cardiology Parkview Health System IncPhysician - Allowed Time Off - Non-Invasive CardiologyFort Wayne, INSpecifics of Your Role as a Non-invasive Cardiologist Practice a full spectrum of general cardiovascular medicine Balanced variety of inpatient and outpatient clinical care Opportunity to develop and expand subspecialty interests, complimenting an already robust subspecialty clinic profile Primary practice based at Parkview Heart Institute with daytime outreach inpatient and outpatient coverage at satellite community hospitals and clinics Unique call strategy with dedicated night shift coverage at one institution Highly competitive salary and benefit model emphasizing quality over individual productivity The Team Parkview Cardiology is a stable, collaborative, and collegial group consisting of 26 cardiologists representing a variety of clinical and subspecialty interests within cardiovascular medicine Vibrant and dynamic group strives for a healthy work life balance Culture of care and innovation with a combination of cutting-edge thinking, skillful care and extensive experience Robust inpatient and outpatient support from dedicated cardiovascular nurse practitioners, nurses and administrative professionals Perineal leader in regional cardiovascular care, combining an impressive track record of innovation with a case volume that continually enhances our expertise The Parkview Heart Institute An entire hospital facility associated with Parkview Regional Medical Center comprising both inpatient and outpatient services to provide a complete spectrum of coordinated cardiovascular care Recently constructed state-of-the-art facility using the current advanced diagnostic, interventional, and surgical procedures Multidisciplinary approach to cardiovascular disease diagnosis and management Integration with Parkview Research Center offering participation in a combination of translational research and multiple clinical trials Affiliation with Cleveland Clinics Heart and Vascular Institute providing collaboration in clinical care and best practices to optimize patient care Parkview Health Proudly committed to bringing the highest quality of care to northeast Indiana and northwest Ohio Largest non-profit health system in Northeast Indiana Regions largest employer with over 14,000 employees Health system is comprised of more than 800 world-class providers in more than 45 specialties in over 300 locations. Benefits Our excellent benefit package includes: Highly competitive salariesplus annual incentive compensation opportunity Commencement bonus Paid relocation Student loan assistance Retirement contribution plan Flexible spending accounts Medical, dental, vision life insurance Short and long-term disability And many other non-traditional benefits!
Bryan, OH- NP- Family Medicine Parkview Health System IncBryan, OH- NP- Family MedicineOHGraduate of an accredited Master of Science in Nursing program (DNP optional) • Current or pending state license for Registered Nurse and Advanced Practice Registered Nurse • Current or pending certification by an approved professional certification organization • Minimum 1 year of experience as a Nurse Practitioner preferred. Certifications as required by specialty which may be but are not limited to: • BLS through the American Heart Association (AHA) • ACLS/ACLS-EP • PALS • ATLS • CSR.
Gastroenterology Physician - 2325642 Necnic GroupGastroenterology Physician - 2325642Fort Wayne, IndianaFamily activities: the award-winning Children’s Zoo and Science Central Art and cultural: Fort Wayne Philharmonic, Fort Wayne Museum of Art, and the Botanical Conservatory. Active academic community, including Indiana University School of Medicine and The Fort Wayne Medical Education Program, a family practice residency program.
Family Medicine Team- Fort Wayne, IN Parkview HealthFamily Medicine Team- Fort Wayne, INFort Wayne, INParkview Physicians Group is currently seeking a Board Eligible / Board CertifiedFamily Medicine physician to join our Parkview Physicians Group Family Medicine - Georgetown practice in Fort Wayne, Indiana. For additional information or to submit your CV, please contact us at providercareers@parkview.com.
Join our Caring Family Medicine Team in Columbia City, IN Parkview HealthJoin our Caring Family Medicine Team in Columbia City, INColumbia City, INParkview Physicians Group is currently seeking a Board Eligible / Board CertifiedFamily Medicine physician to join their well-established practice in Columbia City, Indiana. Group consists of physicians and nurse practitioners that are dedicated to providing quality primary care to families throughout northeast Indiana.
Veterinarian - Practice Veterinary Medicine Where Community Comes First - New Grads Welcome C. C. Veterinary HospitalVeterinarian - Practice Veterinary Medicine Where Community Comes First - New Grads WelcomeColumbia City, INColumbia City, Indiana offers a welcoming small‑town feel, strong local connections, and a pace of life that supports both professional fulfillment and personal wellbeing. We are a Fear‑Free–focused small animal general practice committed to compassionate, low‑stress care.
Join our team at Parkview Packnett Family Cancer Institute in Fort Wayne, IN Parkview HealthJoin our team at Parkview Packnett Family Cancer Institute in Fort Wayne, INFort Wayne, INSeeking medical oncologists interested in subspecialty expertise (one to three tumor sites is preferred) to join tertiary care teamsOpportunities for the following subspecialties:Breast Medical Oncology. Offers a comprehensive array of cancer services all under one roof;Diagnostic imaging, advanced treatments, specialty physicians offices, lab, nutrition clinic, gift and wig boutiques and more .
Walk-in Clinic: Family Medicine Parkview HealthWalk-in Clinic: Family MedicineFort Wayne, INParkview Health is actively recruiting a Board Eligible/Board CertifiedFamily Medicine Physician to join their well-established Walk-In Clinic team in Northeast Indiana. Parkviewwalk-in clinics offer extended hours, including evenings, weekends, holidays, and a virtual healthcare option.
APRN - Rheumatology American Oncology Network IncAPRN - RheumatologyFort Wayne, IN$80,000–$170,000 / yearAbility to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. Write prescriptions for: medication, blood products based upon laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and care post-discharge in accordance with written practice protocols.
APRN - Rheumatology American Oncology NetworkAPRN - RheumatologyFort Wayne, IndianaAbility to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. Write prescriptions for: medication, blood products based upon laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and care post-discharge in accordance with written practice protocols.
APRN - Oncology American Oncology NetworkAPRN - OncologyFort Wayne, IndianaAbility to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. Write prescriptions for: medication, blood products based upon laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and care post-discharge in accordance with written practice protocols.