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I am leading research on the relationship between Gatekeepers and Wizards . One specific area of focus has been email communication between Gatekeepers and Wizards; governance issues exists on both sides of the interface, and of note, there may exist a "two-tier" access to Wizardry expertise for patients .
It is encouraging to note that despite acknowledged divisions between Gatekeepers and Wizards, there exists awn ongoing will and determination to improve things for both themselves and for the benefit of patient care.