Direct care and management of patients in the outpatient setting including: performing history and physical, evaluation, development of different diagnoses, collaborating with the physician to develop a plan of care, identification of individuals eligible for clinical trials, patient and family education, counseling and support, collaboration and referral to other services and provision of education to nursing staff, students and community providers. Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.