Introduction to Issue 29:4 by the Editor-in-Chief

I heartily commend this issue of The Permanente Journal (29:4) to you for your educational interest. Each article holds clinical value to all of us, regardless of specialty or practice type. As an otolaryngologist-head and neck surgeon, it is important for me to understand the advances in other specialties, and I am certain it is no different in your own specialty. Because of the clinical care team effect, we must be aware, in general, what is happening in other patient care fields. Contained in this issue is a plentiful compilation of insightful, helpful, and applicable articles across the range of medical specialties. These articles reflect the dual mission of The Permanente Journal for clinical outcomes and patient care studies and health care science delivery and innovations.

The scope of this issue includes topics such as telehealth, antiretroviral therapy, postpartum outcomes, cognitive function and decline, clinical pharmacy teams and naloxone refills, knee reconstruction, patient assaults on psychiatry residents, neck mass imaging, primary care coordination, and many more interesting topics. Additional topics for your consideration include spirituality in serious illness education, myocardial infarction early diagnosis on electrocardiogram, fertility preservation, and the Mediterranean diet. Every article in this issue can be helpful to our readership.

As a reminder, The Permanente Journal is a fully open access medical journal, with no subscription fees, no fees to submit, no fees to access—essentially free from any fees. At the current time, this is a unique format for a general medical journal. The Permanente Journal is fully online, has an international distribution, and considers manuscripts from all specialties.

In 2026, The Permanente Journal will celebrate its 30th anniversary and will feature both traditional content as well as articles that represent growth and development. Please enjoy this issue and the forthcoming anniversary issues.