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Damian Brockway, a paramedic and community health practitioner with Northeast Ambulance, sutures the finger of Rick Bridges as Andrea Groft, left, the per diem physician assistant, watches July 3, 2021, at the Penobscot County Health Clinic in Jackman. In the current model, the clinic is staffed with per diem physician assistants to expand the scope of practice available at the clinic. That care can be extended via a telemedicine visit with a doctor and the paramedic will perform whatever medical procedure is required.