dr. petzel to provide detail here. this list or discussion of of the patient align team, where a physician is the focal point surrounded by other members to concentrate what he or she does best and that is to see patients can take care needs and the tracking of pharmacy requirements of standby others, all a part of that team. it is called patient align care team, our initiative and we are implementing not as a resource it. dr. petzel. >> thank you, mr. secretary. congressman, we absolutely agree that getting the most out of the people we have and operating the most efficient manner is very, very important. as the secretary described, were involved in trying to set up a circumstance where people first of all working teams and secondly, were each individual works at the top of their layson and they're only doing those things positions have to do. they were only doing those things and administrative personnel, pharmacies. the secretary mentioned we are moving this talent to do this in orthopedic op herbology in other subs

dr. petzel. >> thank you, mr. secretary. senator, the specific question you asked about women's comprehensive clinics, there are three ways we try to provide the primary basic care that women veterans might need in our large medical centers where we have large numbers of women, we have comprehensive clinics that bring together not only primary carry providers but obstetricses, gynecologist, mental health, endocrinologist, install the same clinic area. it places that -- in places that are smaller where we may not have all of that special expect tee we have primary care clinics devoted towoman's issues issuesd women veterans. those practitioners are trained to recognize and take care of the primary carry needs of women veterans, and then in a very small area is where we might have only one or two providers. we train those primary care providers in the needs of women. i think there will be some increase in the number of comprehensive clinics, but i think most of the medical centers that have a large enough population to do that