Also, I'm not quite sure what you meant by the term "ancillary" staff, or your suggestion that the tedious menial process of filling out all this idiotic paperwork, should be automatically relegated to non-physician members of the treatment team such as nurses--or, in my particular situation, a master's-level psychotherapist possessing many years of experience--along with a professional license, which required eight years of full time training, allowing me to design appropriate treatments for my patients and to provide care for them as a fully autonomous clinician. (Although I would never describe my role as "independent", since I despise the notion that ANY healthcare professional should ever practice within the dangerous isolation of an all-knowing bubble.)