Direct care services may include, but are not limited to, obtaining a patient history, providing a complete or focused physical examination, ordering, conducting and interpreting diagnostic and laboratory tests, performing procedures, patient and family education, and managing social, economic and ethical issues within the scope of a health care provider. The Orthopedic Institute uses the expertise of orthopedic surgeons, hospitalist and pain specialists, anesthesiologists, residents, orthopedic nurses, physical and occupational therapists, advanced practice nurses, case managers, social workers and nurse’s aides.