I am not in favor of the proposed revised rule for the following reasons:   1) It is important to practice in a transparent manner and using an initial for the last name could be perceived as a lack of trust, a hesitation to be candid & open, avoiding responsibility & accountability;    2) what "first name" would be used: Legal? Nickname? Full name? There is great room for vaiability (and consequently risk of inaccuracy & error).   3) what recourse does the patient have when s/he wants to follow-up with the clinician -- now off duty -- and unavailable to clarify a point, a direction, and/or explanation (about -- eg --: medication dose, emergency actions)..                                        Thank you for considering these comments.           Patricia C Seifert, RN