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You don’t need labs to medically clear a psych patient

PEMBlog

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

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District Court Interprets EKRA

FDA Law

220 and was described on HP&M’s blog here. 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.”

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District Court Interprets EKRA

FDA Law

220 and was described on HP&M’s blog here. 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.”

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The Incredible Shrinking Exemption: FDA Final CDS Guidance Would Significantly Narrow the Scope of Exempt Clinical Decision Support Software Under the Cures Act

FDA Law

You can find our preliminary blog post on the release of this guidance here , and our blog posts on the draft CDS guidances here and here. The CDS Guidance interprets the “medical software” carve-out of the 21st Century Cures Act (2016) as it pertains to Clinical Decision Support (CDS) software functions.

Clinic 52
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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

Last week the anti-burnout buzz accelerated when ZDogg quoted my 2015 blog— Burnout is BS —in his viral video “It’s not burnout, it’s moral injury” echoing my advice that we stop saying the victim-blaming term. It’s a growing crisis affecting over half of all doctors in the U.S., It is unclear to me who first applied the term to doctors.

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What is primary care? Part 2

Noreta Family Medicine

Some family doctors work in a residency training program where they may see patients in the hospital, out of the hospital, and deliver babies. There are lab tests, imaging studies, vaccines, and screening questions for people in different age groups, as well as for folks with certain lifestyle habits.

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What can we learn from simulations? Amber Barnato

GeriPal

As we’ve written about on GeriPal when we were a blog (a decade ago!) Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. Of note, we talked about implicit bias in depth in this podcast with Kimberely Courseen. Amber: I do. You know what? Alex: That’s great.