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Episode 165: WDx #8 – Clinical unknown with Dr. Ann Marie Kumfer & Dr. Debra Bynum

The Clinical Problem Solvers

After completing a year as Chief Resident, she joined the faculty at WakeMed hospital where she worked in the clinic caring for Raleigh’s underserved, attended on the inpatient service with UNC residents and students, and helped to found one of the first hospitalist programs in the area.

Clinic 52
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Personalized medicine in a community health system: the Endeavor Health experience [Dissemination and implementation research]

Annals of Family Medicine

In 2014, Endeavor Health (formerly NorthShore University HealthSystem) launched the Center for Personalized Medicine to catalyze the delivery of personalized medicine. Objective: To describe a decade-long implementation process for genomic and precision medicine embedded in a primary care community hospital network.

Community 130
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Direct Primary Care - Role for the Future of Healthcare

The Direct Doctors Difference

According to DPC Frontier, a site owned by a DPC physician/lawyer who was a founder of the movement, there are now over 1500 clinics doing pure Direct Care across the nation. Looking back to 2014, when we began, there were less than 100. There are likely many more than have been officially labeled on the map.

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Probiotics don’t improve outcomes in children with acute gastroenteritis

PEMBlog

every year, leading to emergency department visits and hospitalizations. 2018 Nov 22;379(21):2002-2014. Introduction Acute gastroenteritis affects millions of children in the U.S. However, for pediatric gastroenteritis, the evidence suggests they do not provide significant benefits. N Engl J Med. doi: 10.1056/NEJMoa1802598.

Hospital 105
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A Question 30 Years in the Making: Would a Final LDT Rule Withstand Judicial Scrutiny?

FDA Law Blog

Regulating LDTs: A Long and Winding Road In what might sound to some like protesting too much, the PR invokes FDA’s longstanding assertion that IVDs “manufactured” by laboratories are medical devices and that clinical laboratories that develop tests are acting as manufacturers. FDA’s position is, however, only one side of the story.

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The 340B Showdown: HRSA Proceeds Towards Enforcement Despite Litigation

FDA Law Blog

The 340B program, authorized under Section 340B of the Public Health Services Act and administered by HRSA, imposes a ceiling price on pharmaceutical manufacturer sales to “covered entities,” which are certain health clinics that receive federal funding and certain types of safety net hospitals to provide them drugs at lower prices.

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

Pamela Wible MD

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. I’m a systems thinker, a scientist, a doctor.