The clinical side
PMG delivers the care.
Consultations, orders, interpretations, follow-up and clinical accountability sit with PMG physicians. Nothing about that is delegated to a platform.
Care Delivery
A practising, physician-led telehealth organisation.
PMG is not a design studio for Medical Programmes. It is a clinical organisation that sees patients. Led by Dr Eric Thomas, a team of twelve licensed physicians delivers care by telehealth every day — consulting, ordering diagnostics, interpreting results, following patients over time, and holding independent clinical accountability throughout. 200,000+ consultations delivered to date; 50,000+ patients supported.
Operating experience
What the organisation has actually done.
These figures reflect the operating history of the PMG clinical team. Each number describes years of practical experience refining physician-led telehealth delivery — not a projection, and not a marketing claim.
Consultations delivered
200,000+
Physician-led telehealth encounters.
Patients served
50,000+
Across chronic and preventive care.
Active clinicians
12
Working together since 2022.
Laboratory integrations
26
Results flowing into clinical workflow.
Platform availability
99.87%
Measured across delivery infrastructure.
Operating geographies
5
USA, UK, Singapore, Australia, UAE.
Medicare-capable and nationwide across the United States. Twelve Medical Programmes designed against real patient throughput; six precision-medicine implementations already delivered. Our experience has informed the practical design of every programme — allowing clinicians to focus on care rather than administration.
Why operational experience matters
The missing ingredient in most precision medicine is operational, not scientific.
Assays validate. Molecules pass trials. Guidelines publish. And still, the majority of precision-medicine advances never reach routine clinical care. The gap is rarely the science — it is the coordinated clinical workflow around it.
Reliable precision medicine depends on things a laboratory or a molecule cannot supply: physician engagement, patient follow-up, laboratory integration, longitudinal measurement, and continuous improvement of the protocol as evidence accrues.
PMG has spent years refining exactly this operating model — running a physician-led telehealth practice at scale, treating chronic and preventive disease, integrating laboratories, and packaging what works into repeatable Medical Programmes.
This experience is the practical foundation that allows a Medical Programme to function reliably. It is what turns a validated innovation into safe, scalable, physician-led care.
How care flows
Ten stages from healthcare need to discharge or continuity.
A representative pathway — refined through more than 200,000 physician-led telehealth consultations. Every stage exists because it is what the practice actually does, in the order it actually does it.
- Engagement · 01
Patient identifies a healthcare need
A person recognises an unresolved question about their health — a chronic condition, an unexplained symptom, a family history worth understanding.
Before any clinical relationship begins, the patient encounters clear editorial explanations of what the pathway involves, what it does not, and what it is likely to change.
Engagement · 02Education and engagement
- Assessment · 03
Clinical assessment
A structured intake gathers history, current medications, prior results and the specific reason for seeking care. Eligibility for a Medical Programme is determined before a clinician's time is booked.
The patient meets a licensed PMG physician by video. The clinician takes the history, reviews the intake and forms an initial clinical impression.
Assessment · 04Telehealth consultation
- Judgement · 05
Independent physician judgement
The ordering physician — named, licensed in the patient's state, clinically accountable — decides whether diagnostics or intervention are appropriate. Nothing is automated.
Where warranted, tests are ordered through governed laboratory integrations, or an intervention is initiated. Where not warranted, the physician says so.
Judgement · 06Appropriate diagnostics or intervention
- Care · 07
Interpretation and treatment planning
Results are read by a physician in the context of the patient's history. A written plan is shared with the patient in plain language and signed into the clinical record.
The same team manages the plan over time — prescriptions, remote monitoring, adjustments and safety review — rather than handing the patient back to a portal.
Care · 08Follow-up and monitoring
- Continuity · 09
Ongoing care where clinically appropriate
Chronic domains — diabetes, hypertension, obesity, cardiometabolic risk — are followed longitudinally under the same clinical governance and the same physician team.
When the clinical goals of the pathway are met, the patient is discharged with a clear written summary for their primary care team. Ongoing care continues only where the clinician deems it appropriate.
Continuity · 10Discharge when goals have been achieved
The same operating model, five perspectives
How the pathway looks from where you stand.
The operating model does not change from stakeholder to stakeholder — but what you see of it does. A short journey from each vantage point.
Perspective
A patient
One clinical team, followed over time — not a portal.
- Step 01Recognise a need
Symptom, chronic condition, family history.
- Step 02Meet a physician
Video consultation with a named, licensed clinician.
- Step 03Receive a plan
Diagnostics, interpretation and a written plan in plain language.
- Step 04Stay with the team
Follow-up and adjustment — not a hand-off to a portal.
- Step 05Discharge when ready
Clear summary sent to primary care.
Inside the pathway
What actually happens between the patient and the practice.
A closer read of the five clinical stages that sit inside the ten-stage flow above — described the way the practice describes them internally.
- Stage 01
Consultation
A patient meets a PMG physician by video. The clinician takes the history, reviews existing records, forms an initial assessment and, where appropriate, orders diagnostics — laboratory tests, molecular panels, or continuous monitoring. Nothing is automated: the ordering physician is named, licensed in the patient's state, and clinically accountable for the decision.
- Stage 02
Testing
Sample collection and diagnostics are coordinated with the patient — mail-in kits, home phlebotomy, remote monitoring devices, or a local laboratory. Results flow back into the same clinical record the physician is working from, through governed laboratory integrations rather than PDFs and portals.
- Stage 03
Interpretation
A physician — not an algorithm — reads the results in the context of the patient's history and programme. AI-assisted tooling surfaces relevant guidelines, prior notes and eligibility flags; the clinical decision stays with the clinician. The interpretation is written up, signed, and shared with the patient in plain language.
- Stage 04
Follow-up
The patient stays with the same care team. Prescriptions are managed, monitoring is reviewed, plans are adjusted. Chronic domains such as diabetes, hypertension and obesity are followed over months and years — not a single encounter. Remote patient monitoring feeds back into the physician's workflow between visits.
- Stage 05
Discharge or continuation
When a defined pathway is complete, the patient is discharged with a clear summary for their primary care team. When care is ongoing, the programme continues under the same clinical governance, with outcomes captured longitudinally.
What clinical governance actually means
Physicians design the pathway, read the results, and follow the patient.
Governance is not a document. It is the sequence of independent clinical decisions taken by named, licensed physicians as each patient moves through the programme.
- Pathway design.
Clinicians define who the programme is for, what is measured, and what a good outcome looks like — before it runs.
- Ordering and interpretation.
Every test is ordered by a physician; every result is read by one. AI drafts, summarises and cross-references. It does not decide.
- Longitudinal follow-up.
Chronic conditions — diabetes, hypertension, obesity, cardiometabolic risk — are managed over months and years by the same team.
- Independent judgement.
Clinicians hold final authority. Commercial partners, technology and diagnostics do not direct care decisions.
Clinical scope
The domains PMG physicians treat every day.
Care is delivered by internal-medicine and primary-care physicians with deep experience in the chronic and preventive domains where precision medicine changes outcomes.
Internal medicine
Primary care
Diabetes
Hypertension
Obesity
Cardiometabolic risk
Preventive medicine
Geriatric and Medicare care
Remote patient monitoring
Framework · Nº 05 / 05
PMG–GKIM signatureThe Medical Programme Lifecycle™
Care delivery is only one stage of a larger loop. Every consultation, interpretation and follow-up feeds Measurement — and Measurement is what allows the programme to learn, evolve and improve for the next patient.
The operating side
GKIM builds what makes it reliable.
Laboratory integrations, knowledge engineering, agentic workflows, billing eligibility, monitoring and audit trails — the operating systems that let a distributed clinical team practise safely at scale. GKIM does not treat patients.
Continue