On The Cover

Koi Pond at Ho’omaluhia
By Jae Lim, MD, PhD


This photograph was taken at Ho’omaluhia Botanical Garden in Kaneohe, Oahu, HI. The 400-acre park boasts hiking trails, freshwater lakes and streams, and a campground.


Dr Lim is an Otolaryngologist for the Hawaii Permanente Medical Group. He is passionate about exploring and photographing the natural beauty of Hawaii. More of his work can be seen at

What's New

E-Pub: 04/25/2018
The Importance of Continual Learning in a Rapidly Changing Health Care Environment
Michael H Kanter, MD; Patrick T Courneya, MD


E-Pub: 04/20/2018
Abstracts from the Kaiser Permanente 2018 National Quality Conference


E-Pub: 04/20/2018
Barriers and Facilitators to the Deprescribing of Nonbenzodiazepine Sedative Medications Among Older Adults
Jennifer Kuntz, PhD; Louis Kouch, PharmD; Daniel Christian, PharmD; Preston L Peterson, MD; Inga Gruss, PhD


E-Pub: 04/20/2018
Three Sides to Every Story: Preparing Patient and Family Storytellers, Facilitators, and Audiences
Lisa Hawthornthwaite; Taylor Roebotham; Lauren Lee, MA; Mim O’Dowda; Lorelei Lingard, PhD


E-Pub: 04/18/2018
Implementing a Narrative Medicine Curriculum During the Internship Year: An Internal Medicine Residency Program Experience
Tiffany Wesley, MD; Diana Hamer, PhD; George Karam, MD


E-Pub: 04-16-2018
Association of Psychiatric Diagnostic Conditions with Hospital Care Outcomes of Patients with Orthopedic Injuries
Steven Schwartz, MD; Shahrzad Bazargan-Hejazi, PhD; Deyu Pan, MS; David Ruiz, MD; Anaheed Shirazi, MD; Eleby Washington, MD


E-Pub: 04-16-2018
Thoughts on Sexual Health
Kelly Isbill, DO


E-Pub: 04/13/2018
Blue Eyes


E-Pub: 04/13/2018
Nebraska Farm Scenes


E-Pub: 04/13/2018


Knee Osteoarthritis: A Primer

Knee Osteoarthritis: A Primer
Michelle J Lespasio, DNP, JD, ANP; Nicolas S Piuzzi, MD; M Elaine Husni, MD, MPH; George F Muschler, MD; AJ Guarino, PhD; Michael A Mont, MD



Yellow Palms and Soles

Image Diagnosis: Yellow Palms and Soles
Puneet Chhabra, MBBS, MD, DM; Deepak K Bhasin, MD, DM, FASGE, AGAF, FAMS


 yellow palms article

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The Permanente Journal

The Permanente Journal is a peer-reviewed journal of medical science, social science in medicine, and medical humanities published quarterly by The Permanente Press.


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