The Clinical Problem Solvers

SEPTEMBER 19, 2024

She currently practices at Johns Hopkins Hospital in Baltimore, MD. She currently practices at Johns Hopkins Hospital in Baltimore, MD. Interconception Care for Primary Care Providers: Consensus Recommendations on Preconception and Postpartum Management of Reproductive-Age Patients With Medical Comorbidities. Zakaria, S.,

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Today's Hospitalist

MAY 9, 2025

OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. We have seen explosive growth and become a cornerstone of modern health care systems. Yet this expansion has come with a significant administrative burden, particularly that of clinical documentation.

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PEMBlog

MAY 17, 2023

Collaborative Care in the Identification and Management of Psychosis in Adolescents and Young Adults. Pediatr Radiol 2019; 49:240. 2019 Mar;20(2):409-418. 2019 Mar;20(2):409-418. Epub 2019 Feb 19. 2019 May;20(3):537. 2019 Jul;20(4):688-689. Pediatrics 2021; 147. Sedel F, Baumann N, Turpin JC, et al.

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PEMBlog

MARCH 4, 2025

Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Clinical Features and Management Strategies in Children With Mycoplasma Pneumoniae. Clin Infect Dis 2019; 68:13. Plus, well discuss whether M. Plus, well discuss whether M.

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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. Work with your hospitals care coordination team to create pathways for kids with recurrent ED visits. 2019-1895L. Nicholas DB, Muskat B, Zwaigenbaum L, et al.

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The Clinical Problem Solvers

DECEMBER 16, 2020

Tsai has seen race-based medicine play out in clinical practice 10:45 What role should race play in making clinical decisions? 13:16 Status of the current conversation on removing race from eGFR calculators: why is it so contentious? Poet Marge Piercy has written, “The work of the world is as common as mud.”

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PEMBlog

SEPTEMBER 27, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca Comprehensive respiratory viral panels (i.e., Reasons to not order a comprehensive respiratory viral panel (i.e.,

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The Clinical Problem Solvers

APRIL 3, 2023

Michael’s Hospital in Unity Health Toronto, and Dr. Alika Lafontaine, the current President of the Canadian Medical Association. During this episode, we hear from Dr. Nav Persaud, a staff physician in the Department of Family and Community Medicine at St.

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BMJ

JULY 17, 2020

8 For example, prestigious medical schools and hospitals could use official WeChat accounts to share information and news with the general public. Psychological health during the coronavirus disease 2019 pandemic outbreak. Scholars such as Wen et al. National involvement is also needed to facilitate these efforts.

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FDA Law Blog

OCTOBER 10, 2022

Javitt — On September 28, 2022, the FDA issued the long anticipated final Clinical Decision Support Software Guidance (CDS Guidance), which replaces the revised draft guidance document from 2019. Interpretation of Statutory Criteria Under the Final Guidance. Medical information about a patient.

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FDA Law Blog

APRIL 11, 2022

Shapiro — One of the more complex areas of device regulation is the management of risks associated with malfunctions reported from the field. For instance, some products could remain in boxes in hospital inventory for an extended period. A December 2021 warning letter to Medtronic, Inc. Is FDA’s criticism valid?

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FDA Law Blog

JUNE 22, 2022

Moreover, the non-prosecution agreement resulting from the criminal investigation illustrates the extent of liability for hospitals and other health care entities and the importance to maintain robust controls and oversight over employee activities related to dispensing and administering controlled substances. 4, 2022).

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PEMBlog

SEPTEMBER 24, 2024

Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia. 2019 Apr 1;48(4):e169-e174. Management of Congenital Lung Malformations. The CT also showed normal pulmonary venous return via the left lower pulmonary vein. Pediatr Ann. 2022.08.003.

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FDA Law Blog

JANUARY 6, 2022

Clinical treatment facility” is defined as “a medical setting, other than a hospital, that provides detoxification, risk reduction, outpatient treatment and care, residential treatment, or rehabilitation for substance use, pursuant to licensure or certification under State law.” 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 24(b) (emphasis added).

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FDA Law Blog

JANUARY 6, 2022

Clinical treatment facility” is defined as “a medical setting, other than a hospital, that provides detoxification, risk reduction, outpatient treatment and care, residential treatment, or rehabilitation for substance use, pursuant to licensure or certification under State law.” 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 24(b) (emphasis added).

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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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FDA Law Blog

JUNE 10, 2024

Houck — It seems as though we cannot get through a week without hearing about controlled substance diversion by employees at another hospital or healthcare facility. DEA, Palomar Hospital Pays $250,000 for Diverting Fentanyl ( June 3, 2024 ). By Larry K. Employee diversion can result in unwanted local and national publicity.

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GeriPal

MARCH 24, 2023

For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care. If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. Is it you, Ira?

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GeriPal

MAY 18, 2023

We’ve invited two members who helped update the criteria including Todd Semla and Mike Steinman. We discuss a little history of the Beers criteria, including the original Beers Criteria that was published by the late Dr. Mark Beers, and how it has evolved over the last three decades. Alex: We’re having Beers. We’ll learn about that.

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GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? What is harm reduction and how can we implement it in practice?

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GeriPal

MARCH 2, 2023

2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. AFP 2019 Gabapentin for chronic neuropathic pain in adults. 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.

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GeriPal

MAY 8, 2025

Summary Transcript CME Summary Weve covered psychedelics on the podcast beforefirst in 2019 with Ira Byock, where we explored their potential role in medicine , and then again in 2023 with Stacy Fischer, Brian Anderson, and Theora Cimino, focusing on the reasons to approach psychedelic use in patients with caution. James 00:32 Good afternoon.

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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. Dr. Kozhimannil discusses her work on rural maternity care and the lack of hospital-based obstetric services. Published January 16, 2019.

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Medical Xpress

JUNE 8, 2025

The commonest strategy to manage acute pain in preterm babies is to give them sucrose , a sugar solution. One of these sites does not use sucrose for acute pain management. We found no link between preterm babies later behavior and how much sucrose they were given to manage pain. Whats more, pain isnt always managed.

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GeriPal

AUGUST 25, 2022

I had looked at a research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade, and really over the course of say around 2015 to 2019. We’re going to be talking about each one of these papers. Is it you, Melissa?

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GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting. Alex: Great.

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PEMBlog

JUNE 5, 2024

2019 Jul;144(1):e20183221. Let’s go ahead and pivot to initial management. 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. Cervical Spine Injury Risk Factors in Children With Blunt Trauma.

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FDA Law Blog

SEPTEMBER 30, 2024

Penalties for “Misclassification” The Medicaid Services Investment and Accountability Act of 2019 added new penalties to the Medicaid rebate statute for knowingly misclassifying a covered outpatient drug. pricing, among other things. The most noteworthy are the following: 1. See 42 U.S.C. 1396r-8(b)(3)(C)(iii).

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BMJ

MAY 10, 2022

In Turkey, the COVID-19 vaccination program is performed both in primary care family medicine units and in hospitals. Immunization, 2019. There are 44 family health centers, including 158 family physicians and 165 family health workers working in the district. REFERENCES World Health Organization. BMC Fam Pract. 2020;21(1):151.

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PEMBlog

APRIL 26, 2023

I’m Dr. Carney and I am a pediatric resident at Cincinnati Children’s Hospital Medical Center. From 2019 to 2020, the rate of firearm related deaths among children increased by 30%. Healthcare providers need to be aware of and manage their biases concerning this topic, and that starts by ensuring that we ask all families about it.

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PEMBlog

APRIL 4, 2025

Immunization status and the management of febrile children in the pediatric emergency department: what are we doing? Pediatr Emerg Care. 2023;39(1):1-5. doi:10.1097/PEC.0000000000002864 0000000000002864 Finkel L, Ospina-Jimenez C, Byers M, Eilbert W. So how common is it for children to be unvaccinated in the United States? Unfortunately.

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Physician's Weekly

JUNE 17, 2025

Prior authorization varies by plan but often requires patients or their providers to get permission (also called precertification, preauthorization, or preapproval) before filling prescriptions, scheduling imaging, surgery, or an inpatient hospital stay, among other expenses. “They’re, like, not accountable to anyone.”

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GeriPal

APRIL 17, 2025

What a Wonderful World could be sung in irony at this moment. I hope we all take it literally, with the hope this podcast ends with. Alex Smith ** This podcast is not CME eligible. To learn more about CME for other GeriPal episodes, click here. Transcript Eric 00:00 Welcome to the GeriPal Podcast. It is a terrific book. Alex 02:07 Yeah, I love it.

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The Clinical Problem Solvers

DECEMBER 2, 2020

20:00 COVID-19 and indigenous populations Takeaways Social Interventions are Valuable Currently in the COVID-19 pandemic, social interventions are the only interventions available to us. Reflection Question: How can I best communicate the importance of social interventions to my extended family, community, and patients?)

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Community Internal Medicine Chronic Disease IT 52

FDA Law Blog

SEPTEMBER 13, 2021

A final OIG rule to change the structure of manufacturer rebates to Medicare Part D and Medicaid Managed Care plans and their PBMs is enmeshed in litigation and is likely to be at least postponed until 2026 (see our post ), and perhaps prevented from implementation altogether, by Congressional mandate. Last Thursday, the U.S.

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