In heart failure patients with volume overload and diuretic resistance, ultrafiltration before IV diuretics effectively and safely decreases length of stay and readmissions. Clinical benefits persist at three months.

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This article presents the model of clinical education at the University of New Hampshire designed to assure that graduate clinicians learn not only how to manage their client's programs but their own professional development. Specific experiences and assignments designed to help students develop self-supervision skills are described.