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Risking It All For a New Business Model at Family Physicians of St. Joe

Family Physicians of St. Joseph

The practice steadily grew through the 80’s and 90’s, and Dr. Eggebrecht joined in 1993, at a time when family doctors still rounded in the hospital and delivered babies. In 2007, Dr. Mancini joined the practice, followed by Dr. Meadows in 2012, and Dr. Gendernalik in 2015. Joseph has succeeded in doing just that.

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Long Time Passing: Where Have All the De Novo Decision Summaries Gone?

FDA Law Blog

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. This amendment allowed sponsors with low or moderate risk devices to proactively employ the De Novo process. These legislative changes helped.

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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

(Published 3/18/19, updated 6/20/25) What Is Physician “Burnout”—and Why It Matters Physician “burnout” is a state of emotional, physical, and mental exhaustion caused by prolonged stress in the medical workplace. So why are physicians experiencing physical and mental collapse from overwork? Not burnout.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

Recognizing Hypertensive Emergencies The end-organ dysfunction component of this diagnosis presents as particular symptoms, physical exam findings, or laboratory and imaging results. 2012 Sep 5;4:85-92. Nicardipine dosing: bolus at 30 mcg/kg/bolus (maximum 2 mg/dose), then a continuous drip at 0.5-4 Patel NH, Romero SK, Kaelber DC.

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Agitation Podcast Series Episode 2: Non-pharmacologic management of agitated children

PEMBlog

This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. Deaths due to physical restraint. 2012 Jan;109(3):27-32. Physical and chemical restraints. 2012 Feb;13(1):35-40. Dtsch Arztebl Int. PMC3272587. Coburn VA, Mycyk MB. 2009.07.003.

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Gabapentinoids – Gabapentin and Pregabalin: Tasce Bongiovanni, Donovan Maust and Nisha Iyer

GeriPal

Eric: And we have Tasce Bongiovanni, who is an acute care trauma surgeon at UCSF and the San Francisco General Hospital. By 2015 that number increased to 4% of US adults. There are a lot of reasons that may explain the massive increase in use of these drugs. However, most gabapentin prescriptions are written off-label indications.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

2012 Jan 13;61(RR-1):1-20. Cervical Spine Injuries are fortunately rare in children. this episode is all about learning when to suspect them, how to immobilize the C-spine properly, and which imaging test to choose. Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011.