The owner of a Spip - 'Practice' - can upgrade a Clinician to an Editor.
In addition to everything a Clinician can do, an Editor is also able to populate and edit Spip itself, keeping it up-to-date and relevant.
A Practice can invite as many Clinicians or Staff as it likes to help it 'crowdsource' information.
It's easy to downgrade an Editor back to a Clinician.
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