TIME, TIME, TIME is the greatest barrier. In our practice, it has fallen to the NPs to complete these. I will say, too, that it is rather awkward when a patient has been a “survivor’ for quite some time and we’re now presenting them with a plan. We do have a team of navigators identifying patients before the appointments. However, I have heard of some places that have a team that does only Survivorship – in other words, a NP designated to this alone.