Common Sense Family Doctor

DECEMBER 14, 2024

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Watchful waiting refers to clinical observation only.

Routine Screenings 52

Routine Screenings Screening Complication Diagnose 52

PEMBlog

OCTOBER 31, 2024

2018 Nov 22;379(21):2002-2014. N Engl J Med 2018; 379:2015-2026. References Schnadower D, Tarr PI, Casper TC, Gorelick MH, Dean JM, O’Connell KJ, Mahajan P, Levine AC, Bhatt SR, Roskind CG, Powell EC, Rogers AJ, Vance C, Sapien RE, Olsen CS, Metheney M, Dickey VP, Hall-Moore C, Freedman SB. N Engl J Med. Freedman et al.

Hospital 105

Hospital Illness Patients Provider 105

FDA Law Blog

JULY 17, 2024

An Opportunity to Leverage the Newly Created Rare Disease Advisory Committee across CDER and CBER In Frank and James’ 2018 proposal there was also a recommendation for the formation of a Rare Disease Advisory Committee, which would allow FDA access to experts in the science of small trials and other aspects of rare disease research.

Patient-Centered 105

Patient-Centered Community Medical Specialty Clinic 105

PEMBlog

APRIL 22, 2025

Manage Wait Times with Intentionality Long, unstructured waits are hard for all kidsbut especially for autistic children who rely on routine and predictability. Medical Management of Children With Autism in the Emergency Department. The Journal of Clinical Psychiatry. 2018 May/Jun;79(3):17r11506. Pediatrics. 2019-1895L.

Family 77

Family Families Patient-Centered Physicals 77

PEMBlog

OCTOBER 18, 2024

The condition affects multiple organ systems—muscular, cardiac, and respiratory—leading to a myriad of clinical complications. When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is essential for optimal management.

Patients 52

Patients Complication Management Consulting 52

FDA Law Blog

DECEMBER 16, 2024

All proposals underwent an initial technical, clinical, commercial, and regulatory review before receiving funding and in-kind service support. We noted in last years post that in Fiscal Years 2018 2022 , fewer than 100 510(k)s went through the Third Party Review Program annually. Fiscal Year 2023 showed similar performance.

Consulting 52

Consulting Manufacturing Utilities Provider 52

PEMBlog

SEPTEMBER 24, 2024

Most patients are afebrile by the third day of treatment and clinically improved within two weeks. Management of Congenital Lung Malformations. 2018 Jul;48(3):247-250. Epub 2018 Apr 6. An important point from this case is to consider CT imaging when a child has persistent or recurrent pneumonia. Pediatr Ann. 2022.08.003.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

FDA Law Blog

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. EKRA is codified at 18 U.S.C. § 220 and was described on HP&M’s blog here. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § EKRA Issue.

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

GeriPal

JUNE 8, 2023

Our last podcast was with Laura Petrillo in 2018 – 5 years ago seems ancient history – though many of the points still apply today (e.g. And yet we’re also in a different place in diabetes monitoring and management. Eric: And you can probably tell already, the topic at hand is diabetes management in late life.

Diabetes 74

Diabetes Management Patient-Centered Families 74

FDA Law Blog

NOVEMBER 20, 2024

Since the first issuance of FDA’s guidance Use of International Standard ISO 10993-1, “Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process” in 2016, sponsors submitting premarket submissions to FDA have had the option of using these techniques to evaluate certain biocompatibility endpoints.

Provider 59

Provider Medical Manufacturing Consulting 59

FDA Law Blog

DECEMBER 11, 2023

This is based on FDA’s reported 2018 review of the CLIA database. [2] This is 50% greater than the 2018 numbers relied upon by FDA in its estimates. [3] 11] In fact, in Fiscal Years 2018 – 2022, fewer than 100 510(k)s went through the Third-Party Review Program annually. [12] of 510(k) decisions, respectively. [13]

IT 69

IT Medical Patient-Centered Provider 69

FDA Law Blog

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. EKRA is codified at 18 U.S.C. § 220 and was described on HP&M’s blog here. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § EKRA Issue.

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

GeriPal

MAY 19, 2022

It depends on the clinical situation. But we still, regardless of how you do this calculation have to temper it with clinical judgment. Mary Lynn: I’m willing to bet that you temper that calculation with your clinical judgment though. Eric: All right. We want to switch from, let’s say morphine to Dilaudid.

IT 139

IT Patients Individual Relationship 139

FDA Law Blog

SEPTEMBER 20, 2021

FDA will discuss the goals letter and field public comments, on September 28, 2021 (announcement here ), as well as a separate workshop on meetings management practices, which is to be held by July 30, 2024. based upon the anticipated clinical benefit of earlier patient access to the product.”.

Patient-Centered 52

Patient-Centered Manufacturing Clinic Provider 52

Physician's Weekly

JUNE 15, 2025

This review compares guidelines from the American Society of Clinical Oncology (ASCO), the European School of Oncology-European Society of Medical Oncology (ESO-ESMO), the National Comprehensive Cancer Network (NCCN), and the Society of Obstetricians and Gynaecologists of Canada (SOGC) for managing sexual health symptoms.

Management 52

Management Referral Relationship Physicals 52

Physician's Weekly

JUNE 17, 2025

BKPyV-DNAemia is common after kidney transplant but rarely leads to graft loss or death, likely due to improved screening and management practices. The study investigated the prevalence of BKPyV-DNAemia in 522 adult patients who received a kidney transplant between 2010 and 2018.

Screening 59

Screening Patient-Centered Management Patients 59

Physician's Weekly

JUNE 19, 2025

“It’s also often the family member or the person helping to manage them.” The Health Resources and Services Administration projects a 50% increase in demand for geriatricians from 2018 to 2030, when the entire baby boom generation will be older than 65.

Nurse Practitioner 52

Nurse Practitioner Families Family Primary Care 52

GeriPal

OCTOBER 10, 2024

And they begin on today’s podcast with one clinical ask: everyone should be a generalist and a specialist. They are looking to build on both their research and clinical programs and are interviewing candidates for the Associate Chief of Research and for full-time physician faculty to join them in the inpatient and outpatient setting.

Screening 121

Screening IT Families Family 121

Physician's Weekly

JUNE 11, 2025

The systematic review of peer-reviewed intervention was published from 2018 to 2023. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV. Of the 669 participants, the mean age from studies was 45.4 PW: How can clinicians promote greater ART adherence?

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

The Clinical Problem Solvers

NOVEMBER 6, 2023

Identify ways to navigate clinical interactions with patients while respecting them and affirming their experiences with food and fatness. Between the years 2019 and 2021, Harrison served as Associate Editor—and later as Managing Editor—of Wear Your Voice Magazine. is rooted in anti-Blackness. Williams-Forson and Da’Shaun L.

Community 52

Community Manufacturing Patients Medical 52

FDA Law Blog

OCTOBER 17, 2023

FDA previously released the final guidance document in December 2018 outlining the program’s principles, features, designation criteria, and other considerations. Additionally, the 2022 draft guidance suggested the addition of a new section to the 2018 guidance on reducing disparities in health and healthcare.

Medical 53

Medical Diagnosis Healthcare Clinic 53

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Mazie, welcome to GeriPal. William: Sure.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. They just kept at it.

Medical 100

Medical IT Patient-Centered Healthcare 100

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. So let’s just say you have a healthy 55 year old or 65 year old in your clinic. Eric 05:13 All right, I’m going to start off at the beginning, then.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. Alex joined in 2018. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. Alex 05:15 Oh, really? And so we did this song.

IT 65

IT Hospital Screening Patients 65

GeriPal

MARCH 2, 2023

2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. JAMA Surgery 2018 Gabapentin and mood stabilizers in the Nursing Home Setting: Antiepileptic prescribing to persons living with dementia residing in nursing homes: A tale of two indications. J Am Geriatr Soc.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

The Clinical Problem Solvers

MAY 30, 2022

Kozhimannil—the Distinguished McKnight University Professor in the Division of Health Policy and Management at the University of Minnesota and Director of the Rural Health Research Center. The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. The practice of midwifery in rural US hospitals. 2016;61(4):411-418.

Community 52

Community Patient-Centered Families Family 52

GeriPal

AUGUST 17, 2023

Praised by the FDA, Alzheimer’s Association (AA), and Pharma as a “game changer”, but derided by others for the drug’s lack of clinical efficacy, risk of severe adverse effects, absence of diversity in trial populations, high costs, and an FDA approval process that was in the kindest words “rife with irregularities”. Eric: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

FDA Law Blog

JUNE 19, 2023

Take for example FDA’s Unified Agenda announcement for ISO 13485 harmonization, which first occurred in the Spring of 2018 and was re-issued until a proposed rule was published in early 2022 (see our post here ). Cato — The long-running saga of FDA regulation of laboratory-developed tests (LDTs) has taken yet another new turn.

IT 56

IT Management Clinic Medical 56

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. Eric: For those of you don’t know, Emmy was on our podcast back in 2018 … man, pre-COVID times. Love to talk about also in the serious illness population. I’m going to first turn to Emmy.

IT 102

IT Families Family Diagnosis 102

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. Let’s go ahead and pivot to initial management. Cervical Spine Injuries are fortunately rare in children. Harding, M., Leonard, J.

Patient-Centered 52

Patient-Centered Patients IT Hospital 52

GeriPal

MARCH 3, 2022

I want to say like 2017, 2018, something like that. And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. It was amazing. It was really, really crazy. Alex: Yeah.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

FEBRUARY 15, 2024

Eric: So you both published a paper in JAGS, what, 2018, ’19 looking at what happens to people? Same thing with kind of medication management. More and more people have been having to call 911 for falls and they’re not able to get up. All of these are factors that are on the individual level.

Community 116

Community Transportation IT PCP 116

Family Medicine Initiative

APRIL 10, 2024

million people in 2018), shows that the longer you know your GP, the better off you are. On average, twice as many patients have contact with GPs than with all specialists (in offices and/or outpatient clinics) combined. of healthcare costs in the EU 2018. GPs improve chronic disease management, which prevents complications.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

JUNE 22, 2023

Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. Michele: The article was 2018, but I think Bonnie read the article more recently. There are clinics. Alex: A few years back.

Families 133

Families Family IT Community 133

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. That could include a robust home care plan to manage his symptoms. And in addition, my work in palliative care, I also am a clinical ethicist. Ivermectin to treat cancer.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Eric 08:37 And that’s because you randomized clinics, you didn’t randomize patients interventions. We did it by the clinic level. And so everyone who’s in that clinic was.

Primary Care 80

Primary Care IT Clinic Patient-Centered 80