Medical assistants may schedule appointments for a busy doctor's office. Some medical assistants also take on secretarial duties. Medical assistants are often called upon to take a patient's blood pressure and other vital signs. Patients often meet with a medical assistant prior to meeting with a doctor.
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Vanguard also plans to add Admiral Shares to the $20 billion Vanguard Dividend Appreciation Index Fund. The new share class will feature an estimated expense ratio of 0.10% and is expected to be available for purchase in December.he changes are summarized below. 1  Individuals gain access to Admiral Shares of eight funds. 2  For eight of its index funds, Vanguard today changed the name of Signal Shares to Admiral Shares, a move that enabled retail clients with a minimum investment of $10,000 to qualify for the lower-cost shares.