The Clinical Problem Solvers

DECEMBER 24, 2019

Dr. Travis Smith Travis Smith is an attending EM doc and clinical preceptor at St. He is a graduate from the University of Florida Emergency Residency-Jacksonville campus in 2012 and Lake Erie College of Osteopathic Medicine-Bradenton in 2009. In his free time, Moses enjoys running, reading, and discovering new vegetarian restaurants.

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The Clinical Problem Solvers

MAY 9, 2021

The answer to this question may not be easily answered and may not always be found in the clinical setting. The use of race is based on a false/biological concept of race AND many studies show that this can harm patients ( i.e. clinical resources are withheld based on results of algorithm).

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The Clinical Problem Solvers

APRIL 24, 2025

Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Child and Adolescent Psychiatric Clinics of North America.

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PEMBlog

OCTOBER 11, 2023

Clinical signs of bladder injury are nonspecific. Epub 2012 Nov 19. Additionally, when the bladder is full, it can ascend into the abdomen, rendering it more susceptible to damage from blunt forces. To diagnose bladder rupture, CT cystography is the preferred diagnostic test. 2013 Jan;189(1):288-93. doi: 10.1016/j.juro.2012.09.003.

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Noreta Family Medicine

FEBRUARY 12, 2025

An Escape Fire for Healthcare I recently watched a film, called “ Escape Fire: The Fight to Rescue American Healthcare, ” a 2012 documentary about how the priorities in the US healthcare system are focused on increasing revenue, instead of on goals that improve health, like preventive care.

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FDA Law Blog

MAY 13, 2024

FDA has even gone so far as to maintain that the “real-life clinical performance of a medical product might be more clearly demonstrated through RWD/RWE because a controlled clinical trial often cannot evaluate all applications of a product in clinical practice across the full range of potential users.”

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The Clinical Problem Solvers

MARCH 14, 2025

Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Child and Adolescent Psychiatric Clinics of North America.

Mental Health 52

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PEMBlog

MAY 1, 2025

In this episode, we tackle the clinical mischief of Parvovirus B19 , a common viral infection with a surprisingly wide range of manifestationsfrom the classic slapped cheek rash of erythema infectiosum to aplastic crises in children with hemolytic anemias and fetal hydrops in pregnant contacts. UpToDate , Jun. link] Edwards, Morven S.

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FDA Law Blog

JANUARY 12, 2025

Since that time, it was formalized in FDA regulations (21 CFR 314 Subpart H) in 1992, codified in the Food, Drug, & Cosmetic Act by FDAMA (21 USC 356(c)) in 1997, revised by FDASIA in 2012, and described in guidance, most importantly, in the 2014 Expedited Programs for Serious Conditions Drugs and Biologics (2014 Guidance).

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FDA Law Blog

JUNE 29, 2022

Breakthrough Therapy Designation (BTD) was created in 2012 as part of the FDA Safety & Innovation Act (FDASIA). Additionally, if trial results from multiple well-designed studies “reflect an inconsistent picture of clinical benefit,” the determination may also be “more challenging”. randomization, blinding).”

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FDA Law Blog

FEBRUARY 29, 2024

A surrogate endpoint is a marker, such as a laboratory measurement, radiographic image, physical sign or other measure that is thought to predict clinical benefit but is not itself a measure of clinical benefit. Drug companies are still required to conduct studies to confirm the anticipated clinical benefit. That did not happen.

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FDA Law Blog

JUNE 23, 2021

In 2012 we at the Agency, under Dr. Janet Woodcock’s leadership, identified the need for more systematic patient engagement — a way to improve representativeness and be more proactive rather than reactive to interacting with patient communities. However, the scope of patient input goes beyond setting the clinical context.

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FDA Law Blog

APRIL 3, 2023

Vanda is also conducting clinical studies of a long-acting injectable form of its marketed drug Fanapt tablets, an anti-seizure drug. This objection echoed a criticism that had been expressed by industry ever since CMS’s proposed rule in 2012. All of these products are line extensions under CMS’s definition.

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FDA Law Blog

AUGUST 18, 2024

In 2012, the FDCA was modified to allow the submission of a De Novo request without the need for a prior 510(k), and set a target review time by FDA of 120 days. Each of these De Novos can represent a clinical advance. This amendment allowed sponsors with low or moderate risk devices to proactively employ the De Novo process.

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FDA Law Blog

MARCH 1, 2023

In this report, it’s stated that 62% of drug shortages reported between 2012 and 2017 were due to quality issues which is attributed in part to a lack of recognition or reward for manufacturers with mature quality management systems that focus on continuous improvement and early detection of supply chain issues.

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PEMBlog

MAY 11, 2023

Pediatr Emerg Care This randomized, double-blinded, placebo-controlled trial in infants 0-3 months old getting an LP, younger than 3 months, presenting to the ED meeting clinical criteria for LP. 2012 Jul;28(7):687-90. Ferayorni A, Yniguez R, Bryson M, Bulloch B. Pediatr Emerg Care. doi: 10.1097/PEC.0b013e31825d210b. 0b013e31825d210b.

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Pamela Wible MD

JUNE 20, 2025

During that time, psychologist Herbert Freudenberger volunteered at a New York City free clinic treating addiction. He overheard the term and used it to describe himself and clinic staff in a 1974 article on staff burnout detailing long-term physical and psychological job stress. Doctors have the highest suicide rate of any profession.

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Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions This study shows wide variation among HPV vaccine uptake among children and adolescents in a multi-state network of community-based clinics, with higher uptake in Latino patients, especially foreign-born Latinos. Dataset OCHIN electronic health record data from 27 US states.

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Common Sense Family Doctor

DECEMBER 4, 2024

A recent editorial in the Journal of the American Heart Association discussed a “paradigm shift” in management of severe aortic stenosis: 69% of Medicare fee-for-service beneficiaries who underwent aortic valve replacement from 2012-2019 had TAVI, with the percentage undergoing SAVR falling from 75% in 2012 to just 10% in 2019.

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Canadian Family Physician

FEBRUARY 18, 2025

Setting St Michael’s Hospital Academic Family Health Team, including 5 clinics and an interdisciplinary home-based outreach team, in Toronto, Ont.

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FDA Law Blog

JUNE 9, 2025

These events marked a turning point in expanding representation in clinical studies and opening the door to more personalized medical care. Since 1993, Congress has continued to direct the federal government, and in particular FDA, to take steps to close the gap in clinical research representation.

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Physician's Weekly

JUNE 19, 2025

Data came from the three influenza seasons from 2012 to 2015. While RSV types A and B showed no significant differences in clinical outcomes, chronic obstructive pulmonary disease and chronic kidney disease emerged as factors associated with disease severity, alongside frailty,” the researchers wrote.

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FDA Law Blog

JUNE 7, 2021

However, the FDA guidance goes on to say in some cases, additional context is needed by specifically inserting a sentence in the indications statement that: no clinical benefit has been established. be “reasonably likely to predict” ultimate clinical benefit). Janet Woodcock approved Betaseron as the first drug for multiple sclerosis.

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PEMBlog

JUNE 2, 2025

Clinical Case You are a senior resident working in the busy emergency department on an overnight shift. Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. 2012 Sep 5;4:85-92. Quick References 2024; 10.1542/aap.ppcqr.396258.

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FDA Law Blog

MARCH 13, 2023

Who better than people living with a condition to inform drug companies, physicians, academics, and the FDA on what it is like to live with their condition, what symptoms most impact their lives, what goes into their decision about whether to participate in a clinical trial, and what kind of treatment effects would be most meaningful to them?

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Permanente Medicine

APRIL 29, 2025

From 2012 to 2016, death rates from colorectal cancer among Black people were nearly 40% higher than in whites and double that seen in Asians and Pacific Islanders, according to the American Cancer Society. Deaths per 100,000 for Hispanic, white, and Asian patients decreased to 20 during the same time period.

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The Clinical Problem Solvers

NOVEMBER 16, 2020

37:50​ Race vs. ancestry vs genetics–implications for research and clinical practice 52:02 ​What can we start doing tomorrow? Given that there is no standard definition of race, its imprecision does not meet the standards of clinical medicine. 2012 Sep;53(3):279-95. racial essentialism). racial essentialism). Random House.

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PEMBlog

DECEMBER 14, 2023

2012 Oct;147(4):619-26. But it might underestimate it because lots of mild cases don’t actually present clinically, and they’re not diagnosed endoscopically. Diagnosis can be suspected clinically, but awake fiber optic Flexible laryngoscopy is definitive. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

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FDA Law Blog

APRIL 8, 2024

The White Paper notes that of the 123 drugs in shortage in January 2024, a quarter were first reported in shortage prior to 2020, with the oldest dating back to 2012, and shortages were experienced across therapeutic areas; analgesics/anesthetics (17%), anti-infective (12%), and cardiovascular (13%) products comprised 42% of shortages.

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GeriPal

MARCH 2, 2023

There was this big thing called the CMS National Partnership to Improve Dementia Care, started in 2012. I understand that it can be a hard place clinically. The whole focus was to reduce antipsychotic prescribing. So the concern is that people would just potentially shift and be using alternative medications.

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PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. 2012 Jan 13;61(RR-1):1-20. If they have no pain in the midline with any of these movements, then the cervical spine is clinically cleared.

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PEMBlog

APRIL 26, 2023

Pediatrics November 2012; 130 (5): e1416–e1423. 2012-2481 Haasz, M., Today, we are going to discuss firearm safety and ways to screen for it in both the ED and clinic settings. Melzer-Lange, Joseph O’Neil, Wendy J. Pomerantz, Elizabeth C. Powell, Seth J. Scholer, Gary A. 10.1542/peds.2012-2481 Beidas, R. S., & Betz, M.

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GeriPal

FEBRUARY 2, 2024

But you could have clustering within clinics, within clinicians who care for a panel of patients, that sort of thing. And then the cluster part is simply our randomization unit, and for us it was a hospital and, again, for a number of reasons. Eric: And this was done pre-COVID, right? Scott: This was, yes. Eric: Yeah.

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GeriPal

MARCH 7, 2024

There’s an organization that I took my training from, which began, I want to say, in 2012. Because I don’t come from a clinical background, so I have a whole different set of language in the way I approach something than someone with a medical background. Jane: We’re following behind the birth doula movement.

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GeriPal

MARCH 20, 2025

I was part of a writing group that wrote clinical guidelines for VSET for voluntarily stopping eating and drinking. And she was from Oregon, of course, and in Oregon in 2012, she had completed an advanced directive for stopping eating and drinking once she had advanced dementia. Why did you write this paper?

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GeriPal

AUGUST 1, 2024

So I’m hearing, and I’d love to talk about specific diets and maybe the evidence for them, but before we do that, how should we ask about this in our clinics? Eric 18:14 Elizabeth, how do you bring it up in your clinic? So fourth year is where you start your clinicals. Emily, I got a question for you. Alex 18:25 Yep.

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Common Sense Family Doctor

MARCH 23, 2025

We make evidence that other groups use to make guidelines"), the passage of the Affordable Care Act made AHRQ a target again in 2012, when a House appropriations subcommittee voted to zero out its budget again. Ironically, the need for AHRQ's work has never been greater.

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