The Clinical Problem Solvers

FEBRUARY 9, 2020

Clinical Reasoning Corner: Likelihood Ratios By Jack Penner Welcome back, Clinical Problem Solvers! Thank you for reading the latest post in our “Clinical Reasoning Corner”, where we discuss key clinical reasoning principles that shape how we think through cases. The inverse also holds true An LR of 0.5

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Sound Physicians

JUNE 16, 2025

A lack of clear communication among clinicians can leave patients feeling uneasy and uncertain. Posted in Emergency Medicine , Hospital Medicine Share Article Subscribe to the Sound Physicians Blog A trusted source for todays healthcare needs. Want to take a deeper dive into integrated care? Read the full webinar recap.

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The Clinical Problem Solvers

SEPTEMBER 2, 2020

Blog post – by Smitha Want to test your learning? She spends her free time with her husband, fellow clinical problem solver Zaven Sargsyan, and their ever-more-mobile 8-month-old son. Diagnosis The patient was found to have extensive bilateral consolidations on computed tomography of the chest. Take our Episode Quiz here.

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Barton Associates

MAY 8, 2025

In this blog, we’re going to outline four key ways temporary medical staff such as locum tenens providers can help healthcare facilities maintain continuity of high-quality patient care in the face of growing shortages. These professionals play a vital role in maintaining essential services and ensuring continuity of patient care.

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Sound Physicians

JUNE 9, 2025

Not all LOS is created equal The trend in recent years has been to move away from looking at overall LOS that includes more complex patients whose LOS tends to be longer and, instead, toward geometric mean LOS, an adjusted metric from the Centers for Medicare and Medicaid Services. All rights reserved.

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Family Medicine Initiative

APRIL 9, 2024

So, which patients should get them first? Patients ask me these questions fairly often, so I know it’s important for GPs to know the key facts. Yes, one year after stopping the medication, patients regain ½ – ⅔ of their previous weight loss: What are other clinical benefits? Does the rebound effect really exist?

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Sound Physicians

MARCH 12, 2025

With larger metropolitan hospitals struggling to manage the limited capacity of ICU beds, timely patient transfer isn’t always an available option, and even when it is an option, patients and their families in the community have an expectation that they can stay local for care.

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Joy in Family Medicine Coaching

DECEMBER 27, 2024

My longitudinal project addressed both the 80% of occupational drivers of engagement or burnout (per research in Mayo Clinic Proceedings ) and the 20% within an individual’s control. So, this blog series will explore how investing in physical health —a critical component of overall well-being— can make an impact.

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Integrated Care News by CFHA

MAY 8, 2025

Below is a summary of the findings published in that review, which includes structural and operational approaches as well as interventions for clinical encounters. I discussed this debate in my previous blog post. Establishing an honest dialogue, actively listening, and welcoming questions are critical to the vaccination discussion.

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Sound Physicians

NOVEMBER 5, 2024

Sound Critical Care is at the forefront of bringing coordinated leadership and clinical excellence to hospital ICUs and the patients within them. Clinicians must divide their time between the ICU and the group’s outpatient channels, and keeping up with patient demand becomes difficult.

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Sound Physicians

NOVEMBER 19, 2024

Great patient care starts with great clinician leadership. I am often asked about how Sound builds the next generation of clinical leaders. The expertise and thoughtfulness that our leaders bring to our patients, teams, and, most importantly, our hospital partners is not something that just happens.

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Louisville Lectures

MAY 5, 2023

Boot Camp: PHASE TWO Or, Emergencies and Assessing Them This week, we will look at two highly anticipated videos, Electrolyte Emergencies by Dr. Eleanor Lederer and Assessing the Seriously Ill Patient by Dr. David Nunley. Are you a resident or medical student looking to learn practical, evidence based approaches to your patients?

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Sound Physicians

APRIL 28, 2025

Still, we know that sometimes the final decision comes down to a single factor: cost. While we’ve earned our reputation over the decades for our clinical excellence in hospital medicine , we’ve also earned — somewhat unfairly — a reputation for being more expensive than our competitors. Physician compensation is tied to quality of care.

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Sound Physicians

OCTOBER 30, 2024

I interacted with Sound clinicians during my residency, and seeing the impact they had on the patients and hospital leadership was inspiring. I began as a nocturnist with Sound, otherwise known as a hospitalist who cares for patients at night. I saw how they approached problems and put out fires. What keeps you at Sound?

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Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Through food pharmacies, food insecurity screenings and innovative community partnerships, health care providers are ensuring patients get the nourishment they need to thrive. Family physicians play a pivotal role in combating food insecurity, serving as trusted advocates for their patients and connecting them to essential food resources.

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FDA Law Blog

FEBRUARY 27, 2025

Livornese As anticipated, the International Council for Harmonization (ICH) published the Good Clinical Practice (GCP) guideline E6(R3) Principles and Annex 1 on January 6, 2025. By Julie Kim & Deborah L. No word yet on whether FDA will issue guidance endorsing the final ICH E6(R3).

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The Clinical Problem Solvers

FEBRUARY 3, 2021

[link] Maani, Priyanka, and Lindsey discuss a clinical unknown with Dr. Jori May. Her clinical interest is non-malignant hematology, focusing on the care of patients with thrombosis and coagulation disorders. Blog post – by Smitha Want to test your learning? May earned her M.D.

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Common Sense Family Doctor

MAY 1, 2025

A patient with a history of headaches is brought by ambulance to the emergency department for the abrupt onset of weakness and decreased sensation in their left arm and leg. A code stroke is called. Are these symptoms of an acute stroke or a stroke mimic , such as a hemiplegic migraine ?

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Common Sense Family Doctor

MARCH 15, 2025

In a traditional health care setting, many administrative burdens and barriers stand in the way of patients receiving evidence-based care. Although not originally applied to health care processes, sludge audits can improve the efficiency of health systems and patients’ experiences. Travel to the doctor’s office. Wait times.

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Joy in Family Medicine Coaching

JANUARY 24, 2025

There are plenty of physicians I know who under-fuel - maybe I’ll offer a follow up blog down the road on that topic. Progress is about small, consistent steps over time—just like we remind our patients. Review my blog on feeling your feelings for processing emotions. It just needs to work for you.

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The Clinical Problem Solvers

SEPTEMBER 15, 2019

Welcome to the first of the “How do I…” series on the CPSolvers blog! This series is meant to reinforce simple “tools” that internists use to solve clinical problems. SCENARIO You’re a busy intern who has just admitted a patient for recurrent pneumonia. HOW DO I… EVALUATE DYSPHAGIA?

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FDA Law Blog

JULY 10, 2024

Lenz, Principal Medical Device Regulation Expert — FDA’s Center for Devices and Radiological Health (CDRH) recently partnered with the Digital Medicine Society (DiMe) to host a two-day workshop to help advance the use of patient-generated health data (PGHD) to support improved clinical trials, medical device development, and regulatory science.

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Common Sense Family Doctor

JANUARY 19, 2025

Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy. But that wasn’t the case for the estimated 1 in 15 US patients whose screening colonoscopies were performed by family physicians in 2021.

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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. A recent analysis of the U.S.

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FDA Law Blog

MARCH 7, 2024

Clissold — The trio of CDER, CBER, and CDRH released a new draft guidance titled “ Use of Data Monitoring Committees in Clinical Trials ” that revises the 2006 guidance “Establishment and Operation of Clinical Trial Data Monitoring Committees” and, when final, will replace the 2006 guidance.

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FDA Law Blog

MARCH 31, 2025

had sued FDA, HHS, the FDA Commissioner, and the Secretary of Health and Human Services last year, alleging that the LDT Rule conflicted with the text, history, and structure of the Federal Food, Drug, and Cosmetic Act (FDCA) and the Clinical Laboratories Improvement Amendments (CLIA).

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Physician's Practice

JUNE 26, 2025

Reynolds Fact checked by Chris Mazzolini Blog Article Telehealth has evolved into a vital service channel, yet many practices struggle with inadequate setups. Telehealth is no longer an emergency patch; it’s a front-door service channel that patients expect to work every bit as cleanly as a clinic visit.

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PEMBlog

JUNE 26, 2025

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the clinical pearls behind “no-zone” management, how to distinguish hard and soft signs, when to image versus operate, and why airway always comes first. In terms of assessing the patient with a penetrating neck injury, it all starts with the ABCs.

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FDA Law Blog

NOVEMBER 10, 2024

Each year, FDA selects a limited number of clinical trials to fund to help sponsors pursue development of medical products for rare diseases and advance their field. In October, FDA announced seven new clinical trial grants awarded in fiscal year (FY) 2024 – including one for a Phase 3 trial – totaling $17.2

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The Direct Doctors Difference

DECEMBER 8, 2023

A recent article featured on the medical blog, www.Kevinmd.com , highlights some super important reasons as to why you might consider seeing a doctor who is not affiliated with a hospital or large system. In addition, when patients have testing done at in-hospital labs and facilities, the costs are higher than stand-alone centers. "For

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Common Sense Family Doctor

APRIL 12, 2025

In its updated recommendations, the USPSTF recommends only a “clinical risk assessment” and notes that if FRAX is used, it “does not intend that these 10-year risk levels be used as mechanistic thresholds” to decide who should undergo dual-energy absorptiometry screening. being perfect and 0.5 being no better than chance.

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The Clinical Problem Solvers

JUNE 12, 2022

Clinical Reasoning Corner: Problem Representation By: Marcela A. de Oliveira Santana and Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers! The problem representation during the clinical reasoning process The PR is linked to hypothesis-generation and can act as a guide during the diagnostic journey.

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FDA Law Blog

FEBRUARY 28, 2022

Bauer, Senior Regulatory Drug Expert — Our readers probably know that we value and advocate for patient engagement as an essential component in the development of medical products (see our firm’s commitment here ).

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The Clinical Problem Solvers

SEPTEMBER 28, 2019

This is a peer-nominated group of academic clinicians renowned for their medical knowledge, teaching & communication skills, professionalism, and high-quality patient care. Some specific activities mentioned by the participants included patient-directed reading (e.g., NEJM , JHM , JGIM ).

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FDA Law Blog

OCTOBER 14, 2024

The District Court in this case, which came to the opposite conclusion and is now reversed, was a notable outlier in a string of cases in other circuits upholding FDA’s authority to regulate stem cell clinics on similar grounds as the Ninth Circuit did here. Stem Cell Clinic, LLC , 998 F.3d Regenerative Sciences, LLC , 741 F.3d

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FDA Law Blog

MAY 4, 2023

Cato — On May 2nd, FDA released a new draft guidance with recommendations for decentralized clinical trials (DCTs) for drugs, biologics, and devices. In a DCT, trial-related activities may occur in trial participants’ homes, at local health care providers’ offices, or in local clinical laboratories.

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FDA Law Blog

JULY 17, 2024

We also commend and congratulate the legions of rare disease patient advocates and the leadership of the EveryLife Foundation for Rare Diseases (“ELF”) who championed the advocacy efforts that led to this important milestone. clinical pharmacology/biomarkers, animal models, real-world evidence and other externally controlled comparisons [e.g.,

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