RT Journal A1 Neinstein A T1 From “pull” to “push”: A transformation in medicine: comment on “participatory surveillance of hypoglycemia and harms in an online social network” JF JAMA Internal Medicine JO JAMA Internal Medicine YR 2013 FD March 11 VO 173 IS 5 SP 352 OP 353 DO 10.1001/jamainternmed.2013.3442 UL http://dx.doi.org/10.1001/jamainternmed.2013.3442 AB Consider the words we use to describe what a physician does when she or he sits across from a patient to perform a history. Take. Obtain. Elicit. These words all conjure images of physicians extracting information from patients. We pull information not just from our patients but also from our information systems, calling up vital signs and laboratory results when we want them, on our time and our terms. However, this is rapidly changing, as information will be coming to us from the patients themselves to create “push” medicine. Are we ready? Not yet, but with some pivoting and some preparation, we can be.