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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 Blog

220 and was described on HP&M’s blog here. Note that while EKRA was passed as part of a bill to combat the opioid crisis, its definition of “laboratory” applies to lab activities far beyond those involving opioid or other drug testing. In particular, the employee exemption, relevant to the S&G Labs Haw.,

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District Court Interprets EKRA

FDA Law Blog

220 and was described on HP&M’s blog here. Note that while EKRA was passed as part of a bill to combat the opioid crisis, its definition of “laboratory” applies to lab activities far beyond those involving opioid or other drug testing. In particular, the employee exemption, relevant to the S&G Labs Haw.,

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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 Blog

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

Psychiatrists define burnout as a job-related dysphoria in an individual without major psychopathy—meaning you’re normal; your job is killing you. It’s a growing crisis affecting over half of all doctors in the U.S., and it has been linked to rising rates of physician depression , doctor suicide , and medical errors.

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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.