It was developed with efforts of different practitioners, represented by physicians, nurses and pharmacists. Women report that they were dissatisfied with the care they received from physicians and nurses. Multifactorial interventions aimed at both physicians and patients can reduce inappropriate prescription of antibiotics. This led to the distinction between physicians and surgeons. It also set up schools to train physicians and nurses. In the Western world there are centuries of tradition for separating pharmacists from physicians. It is a union that includes physicians as well as nurses. Deliveries are assisted by a number of professionals including&colon; obstetricians, family physicians and midwives. Ultimately, allowing physicians to focus on the patient. It was first based on the site created for physicians and healthcare professionals called eMedicine.com. The AMA was accused of limiting the associations between physicians and chiropractors. It is used by licensed physicians, psychologists, and others. Other officials typically include physicians or managers. Each country has different requirements and procedures for licensing or registering osteopathic physicians and osteopaths. Procedures for implementing antisepsis varied among physicians and experienced constant changes.