I petition to remove the language specifying that the patient care team physician review the clinical course and treatment plan by a patient care physician for a patient that presents for the same acute complaint twice in a single episode of care- I feel that as a PA if we have concerns as a provider regarding a patient case we would be willing to discuss with the supervising physician- but should not be a requirement to discuss all cases that fall into that category- can be cumbersome for the patient which can also lead to distrust from the patient regarding the PA.