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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

We provide many more services over the phone and virtually and we have a whole division for preventative care. Most medical practices are still stuck doing piecework. Even the required operational framework for Patient Centered Medical Home recognition is completely top-down. 1) Healthcare is not at all customer centered.

Patients 130
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Oregon-based medical group Northwest Permanente announces affiliation with The Permanente Medical Group of Northern California

Permanente Medicine

Affiliation will allow groups to drive high-value care and innovation PORTLAND, ORE, April 16, 2025 – Oregon-based Northwest Permanente (NWP) and The Permanente Medical Group (TPMG) of Northern California announced a formal affiliation today. TPMG comprises nearly 10,000 physicians in 116 specialties, providing care for 4.6

Medical 52
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Biden Administration Facing Renewed Pressure to Legalize Cannabis

FDA Law Blog

As a reminder, cannabis remains a schedule I substance under the federal Controlled Substances Act (“CSA”), which by definition means it does not have an accepted medical use in treatment in the United States and thus cannot be legally sold or marketed for any purpose. Cole providing guidance to U.S. 21 U.S.C. § 812(b)(1).

Medical 96
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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

Our guests explain how we can incorporate race-conscious medicine in clinical settings, medical education, and biomedical/epidemiological research to responsibly recognize and address the harms of racial inequality. These factors include a high-protein diet, muscle mass, creatinine generation, and certain medications. link] Tsai J.

Clinic 52
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From GRP to SIUU – the Evolution of FDA Guidance on Off-Label Dissemination of Scientific Information

FDA Law Blog

By Dara Katcher Levy — Yesterday, FDA published a new Draft Guidance, “ Communications from Firms to Health Care Providers Regarding Scientific Information on Unapproved Uses of Approved/Cleared Medical Products Questions and Answers ” (SIUU Guidance or Draft Guidance).

Clinic 64
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FDA Knows Its Own Strength—and It Includes Concentration

FDA Law Blog

This of course, make sense—after decades of experience implementing the Hatch-Waxman, Congress and FDA had learned a few new tricks by 2009/2010. FDA replied that its definition of strength including concentration was clear even in 2009. mg) and the concentration (e.g., mg/mL) for liquid parenteral drug products.

IT 59
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J-Tip for infant Lumbar Puncture? Does needle free anesthetic help?

PEMBlog

And what about the J-Tip, a device that uses pressurized gas to send medication into the subcutaneous portion of the skin – deeper than topical anesthetics? There is inconclusive evidence that it’s better than placebo for IVs too – it may help… ( see Auerbach, 2009 ). 2009 May;16(5):388-93.