Practice Management
CEO Tim Barry, the founder and top executive of VillageMD, is stepping down from his role as the company faces significant financial difficulties. Majority owner Walgreens Boots Alliance has reported substantial losses amounting to billions of dollars, according to Forbes. VillageMD has struggled for more than a decade to attract patients to its clinics located within Walgreens retail stores. This has led to a sharp reduction in its intended expansion plans to stand up clinics …
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President-elect Trump has announced his intended appointment of Janette Nesheiwat, MD, to be the next surgeon general, according to NPR. She is currently a medical director for CityMD and has contributed to Fox News. With a specialization in emergency and family medicine, she is known for supporting vaccine efforts with an emphasis on the balance of risk and benefit. CityMD merged with Summit Health and was ultimately acquired by VillageMD in early 2023 for $8.9 …
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The American Academy of Pediatrics (AAP) has issued its first clinical practice guideline on prescribing opioids for outpatient acute pain management in children, published in Pediatrics. The guideline recommends using immediate-release opioids at the lowest dose for age- and weight-appropriateness, with an initial supply of no more than 5 days unless the pain is due to trauma or surgery requiring longer treatment. Codeine and tramadol should not be prescribed to children under 12, adolescents with …
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In a study of 320,141 children published in JAMA Network, researchers found those treated with amoxicillin-clavulanate had a slightly higher risk of treatment failure (defined as lack of effectiveness or intolerability) compared with amoxicillin. And for those treated with amoxicillin-clavulanate, there was also a higher risk of gastrointestinal symptoms and yeast infections. Accessing treatment in urgent care was more common among patients who received amoxicillin-clavulanate (9.6%) than those who received amoxicillin (5.9%), and urgent care …
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Researchers quantified the real-world risk for hospitalization among adults diagnosed with respiratory syncytial virus (RSV) in outpatient settings in a study presented in JAMA Network Open. They examined all-cause 28-day hospitalization following outpatient RSV infections among all adults as well as a high-risk subgroup of adults across 6 RSV seasons comprising 67,239 outpatient infections. Data revealed approximately 5% of adults experienced all-cause hospitalization within 28 days following outpatient RSV infections. The analysis showed an absolute …
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Rates of postpartum depression (PPD) have doubled over the last decade, according to a Kaiser Permanente cross-sectional study of 442,308 births from 2010 to 2021, presented in JAMA Network Open. The rate of diagnosis jumped from about 9% to 19% in 2021 (P for trend <.001). In the study, 83.7% of subjects had initiated prenatal care during the first trimester, and authors note that in spite of better screening tools and clinician awareness, PPD continues to be …
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In the week ending November 9, 2024, 30%-40% of adults had received 2 of the most recommended vaccines, according to the latest update from the Centers for Disease Control and Prevention (CDC). An estimated 34.7% of adults reported having received a seasonal influenza vaccine, and 39.7% of adults age 75 and older have received a respiratory syncytial virus (RSV) vaccine. Likewise, 31.6% of adults aged 60–74 years at increased risk have received an RSV vaccine. …
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At least 60% of Americans say they will probably not get an updated COVID-19 vaccine for this flu season, according to the Pew Research Center. The Centers for Disease Control and Prevention recommends vaccination for everyone 6 months and older, yet only 15% of those surveyed in October said they had received a COVID vaccine. Another 24% say they probably will get an updated vaccine. While the center reports partisan differences, there are also noteworthy …
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The H5N1 bird flu virus that recently infected a teenager in British Columbia is apparently a mutated virus strain, increasing its ability to infect humans, according to STAT News. The teen, hospitalized on November 8, was reported to be in critical condition this week. No evidence suggests the virus has spread to others, meaning this mutated strain could die out once the teen recovers. Virologists believe the mutation likely developed during the teen’s illness, though …
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The US Preventive Services Task Force (USPSTF) recently posted an “in progress” recommendation statement for clinicians to screen for intimate partner violence and caregiver abuse in primary care settings. The proposed statement is open for public comment until November 25, 2024. The USPSTF suggests that clinicians screen pregnant and postpartum women as well as women of reproductive age for signs of intimate partner violence. However, it determined that there is insufficient evidence to recommend either …
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