About the Journal

Journal Overview

Sponsored by the National Permanente Medical Groups, The Permanente Journal is a peer-reviewed journal of medical science, social science in medicine, and medical humanities. Free full-text access is available online. The Permanente Journal advances knowledge in scientific research, clinical medicine, and innovative health care delivery.
We welcome submissions from all disciplines related to medicine. Instructions for Authors and Manuscript and Artwork Submission Instructions are available along with a link to our manuscript submission center at www.thepermanentejournal.org/authors.html. Before submitting a manuscript to The Permanente Journal, please review these instructions as well as the Manuscript Submission Instructions. Manuscripts should be submitted online at: https://mc.manuscriptcentral.com/permj.
The Permanente Press publishes The Permanente Journal and books related to health care. The Permanente Press is owned, published, and copyrighted by the Permanente Federation. Journal Subscriptions are entered for the calendar year. Advance payment in US dollars is required.
The Permanente Press publishes artwork and creative writing in several venues, including The Permanente Journal (TPJ), leaflet, in print and online. The Permanente Press is owned, published, and copyrighted by the Permanente Federation. Instructions for Artists and Artwork Submission are available along with a link to oursubmission center at www.thepermanentejournal.org/authors/artwork.html.
For information about subscriptions, missing issues, billing, subscription renewal, and back issues, e-mail: permanente.journal@kp.org.
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The Permanente Journal
500 NE Multnomah St, Suite 100
Portland, Oregon, 97232
E-mail: permanente.journal@kp.org
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The Permanente Journal welcomes requests for reprints and reproduction. Use of any and all material published in The Permanente Journal is copyrighted and protected. Materials include whole articles, abstracts, figures and tables.

Editorial Board

Tom Janisse, MD
Publisher and Editor-in-Chief




Vincent Felitti, MD
Preventative Medicine, Book Reviews


Gus M Garmel, MD, FACEP, FAAEM
Clinical Medicine


Arthur Klatsky, MD
Original Articles




Mikel Aickin, PhD


James J Annesi, PhD, FAAHB, FTOS, FAPA
Health Behavior Research


Ricky Chen, MD
Medicine in Society


Gary W Chien, MD


Carrie Davino-Ramaya, MD
National Practice Guidelines


Charles Elder, MD
Integrative Medicine


Philip I Haigh, MD, MSc, FRCSC, FACS


Lisa Herrinton, PhD
Health Systems Research


Robert Hogan, MD
Family Medicine, Health Information Technology

Lee Jacobs, MD
Associate Editor-in-Chief




Eric Macy, MD


Scott Rasgon, MD
Corridor Consult






Ashok Krishnaswami, MD, MAS



David Riley, MD
Case Reports


Ruth Shaber, MD
Women’s Health


John Stull, MD, MPH
Spirit of Medicine Dialogues


Gretchen Summer, PhD, RN
Nursing Research and Practice


KM Tan, MD
Continuing Medical Education


Calvin Weisberger, MD
Cognitive Clinical Medicine


Winston F Wong, MD, MS
Community Benefit, Disparities
Improvement and Quality Initiatives


Scott S Young, MD
Care Management Institute and Quality

 Editorial Board

Maher A Abbas, MD, FACS, FASCRS
Digestive Disease Institute, Cleveland Clinic, Abu Dhabi, UAE; Associate Professor of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio


Richard Abrohams, MD
Internal Medicine and Geriatrics, The Southeast Permanente Medical Group, Atlanta, Georgia


Fábio Ferreira Amorim, MD, PhD
Professor of Medicine, Escola Superior de Ciênciasda Saúde in the Department of Research and Scientific Communication, Brasilia, Brazil


Stanley W Ashley, MD
Attending Surgeon, Brigham and Women's Hospital; Frank Sawyer Professor of Surgery, Harvard Medical School; Attending Surgeon, Gastrointestinal Cancer Center, Dana Farber Cancer Institute; Chief, General Surgery, Harvard Vanguard Medical Associates, Boston, Massachusetts


Thomas Bodenheimer, MD
Professor, Dept of Family and Community Medicine, University of California, San Francisco


Brian Budenholzer, MD
Associate Clinical Professor in the Department of Family Medicine at the Brody School of Medicine at East Carolina University, Greenville, North Carolina


Alexander M Carson, RN, PhD
Associate Dean of Research and Enterprise at the Institute of Health, Medical Sciences and Society at Glyndwr University in Wrexham, Wales, United Kingdom


Rita Charon, MD, PhD
Professor of Medicine, Founder and Executive Director of the Program in Narrative Medicine at Columbia University Medical Center, New York, New York


Dan Cherkin, PhD
Senior Research Investigator, Group Health Cooperative, and Affiliate Professor, Dept of Family Medicine and School of Public Health—Health Services, University of Washington, Seattle


Marilyn Chow, RN, DNSc, FAAN
Vice President, Patient Care Services, Kaiser Foundation Health Plan; Associate Clinical Professor, Dept of Community Health Systems, School of Nursing, University of California, San Francisco


Robert R Cima, MD, FACS, FASCRS
Assistant Professor of Surgery, Division of Colon and Rectal Surgery; Vice Chairman, Department of Surgery, Mayo Clinic, Rochester, Minnesota


Ellen Cosgrove, MD
Vice Dean, Academic Affairs and Education, University of Nevada, Las Vegas School of Medicine, Las Vegas, Nevada


Quentin Eichbaum, MD, PhD, MPH, MFA, FCAP
Assistant Dean for Program Development; Associate Director of Transfusion Medicine; Associate Professor of Pathology, Associate Professor of Medical Education and Administration; Member, Vanderbilt Institute for Global Health; Vanderbilt University School of Medicine, Nashville, Tennessee


Linda Fahey, RN, NP, MSN
Regional Manager, Quality and Patient Safety, Patient Care Services, Kaiser Permanente, Southern California, Pasadena


Adrianne Feldstein, MD, MS
Associate Medical Director, Quality Management Services, Kaiser Permanente Northwest; Investigator, Center for Health Research, Portland, Oregon


Richard Frankel, PhD
Professor of Medicine and Psychiatry, University of Indiana School of Medicine, Indianapolis

Carol Havens, MD
Family Practice and Addiction Medicine, Director of Clinical Education, The Permanente Medical Group, Oakland, California


James T Hardee, MD
Internal Medicine, Colorado Permanente Medical Group; Associate Clinical Professor of Medicine, University of Colorado School of Medicine, Westminster


Arthur Hayward, MD
Internal Medicine and Geriatrics, CMI Clinical Lead for Elder Care; Assistant Clinical Professor, Division of General Medicine, Dept of Internal Medicine, Oregon Health Sciences University, Portland


Catherine Hickie, MBBS
Director of Clinical Training, Bloomfield Hospital, Greater Western Area Health Service; Conjoint Senior Lecturer in Psychiatry, University of New South Wales, Australia


Thomas E Kottke, MD
Medical Director for Population Health, HealthPartners; Consulting Cardiologist, HealthPartners Medical Group; Senior Clinical Investigator, HealthPartners Institute for Education and Research; Professor of Medicine, University of Minnesota, Minneapolis


Tieraona Low Dog, MD
Director, Integrative Medicine Concepts, Pecos, New Mexico; President, My Own Health; Director, Scientific and Regulatory Affairs, Healthy Lifestyle Brands, Tempe, Arizona


Lewis Mehl-Madrona, MD, PhD, MPhil
Director of Geriatric Education, Maine Dartmouth Family Medicine Residency; Director of Education and Training, Coyote Institute, Augusta, Maine


Michel M Murr, MD, FACS
Professor of Surgery, Director of Bariatric Surgery, University of South Florida Health Science Center, Tampa, Florida


Sylvestre Quevedo, MD
Department of Medicine and Global Health Sciences, University of California, San Francisco


Ilan Rubinfeld, MD, MBA, FACS, FCCP
Director, Surgical Intensive Care; Associate Program Director, General Surgery Residency; Henry Ford Hospital, Detroit, Michigan; Assistant Professor of Surgery, Wayne State University School of Medicine, Detroit, Michigan


Marilyn Schlitz, PhD
Founder, Worldview Enterprises LLC, President Emeritus and Senior Fellow; Institute of Noetic Sciences, Petaluma, California


Audrey Shafer, MD
Associate Professor, Dept of Anesthesia, Co-Director, Biomedical Ethics & Medical Humanities Scholarly Concentration, Stanford University School of Medicine, Palo Alto, California


Mark Snyder, MD
Specialist Leader, Electronic Medical Record Implementation and Physician Adoption; Deloitte Consulting, LLP, McLean, Virginia


Swee Yaw Tan, MBchB (Edin), MRCP (UK), ACSM, FAMS
Associate Consultant: Cardiology; Cardiac CT Angiography and Cardiac Rehabilitation, National Heart Center, Singapore


William L Toffler, MD
Professor of Family Medicine; Director of Predoctoral Education, Oregon Health and Sciences University, Portland


Paul Wallace, MD
Chief Medical Office and Senior Vice President of Clinical Translation, Optum Labs, Cambridge, Massachusetts

The Editorial Staff have disclosed that they have no personal, professional, or financial involvement in any of the manuscripts they might judge. Should a conflict arise in the future, the Editorial Staff have agreed to recuse themselves regarding any specific manuscripts. The Editorial Staff also will not use the information gained through working with manuscripts for private gain.

Reprint Permissions

The Permanente Journal welcomes requests for reprints and reproduction. Use of any and all material published in The Permanente Journal is copyrighted and protected.


The Permanente Journal offers free full-text access for all online content. Although individual sharing of content is permitted, reprint permission is required for republishing or reprinting journal content.


Use as a handout, reprinting, republishing, adapting, or any other use, requires permission. Usage includes, but is not limited to;

  • Journal Reprints
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  • CD's
  • Online Internet and Intranets

Materials include whole articles, abstracts, figures and tables. To obtain permission to republish, reprint, or adapt material published in The Permanente Journal, please access and complete the Reprint Permission Form


Click here to open the Reprint Permission Form


Adapted material must be approved by The Permanente Journal, please email a copy of adaptation to: max.l.mcmillen@kp.org.


Allow 3-4 weeks for processing. If you have additional questions about reprint permissions, contact:


Max McMillen, ELS
500 NE Multnomah St, Suite 100
Portland, Oregon, 97232
Phone: 503-813-4387
E-mail: max.l.mcmillen@kp.org

Contact Us

Tom Janisse, MD
Publisher & Editor-in-Chief
Merry Parker
Managing Editor & Publisher
Lynette Leisure
Creative Director
Amy Eakin
Business & Publishing Operations Manager
Max McMillen, ELS
Senior Editor & Staff Writer
Christopher Dauterman, MBA
Web Developer & Analyst
Ian Kimmich, ELS
Copy Editor & Publishing Coordinator


    25,000 print readers per quarter, 6900 eTOC readers, and in 2015, 1.4 million page views on TPJ articles in PubMed from a broad international readership


    The Permanente Journal (ISSN 1552-5767) is published quarterly by The Permanente Press. The Permanente Journal is available online (ISSN 1552-5775) at www.thepermanentejournal.org.


    Articles, editorials, letters to the editor, and other material represent the opinion of the authors. Send your comments to permanente.journal@kp.org.

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