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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.

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.

  1. 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.

  2. 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 · 02

    Education and engagement

  3. 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.

  4. The patient meets a licensed PMG physician by video. The clinician takes the history, reviews the intake and forms an initial clinical impression.

    Assessment · 04

    Telehealth consultation

  5. 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.

  6. Where warranted, tests are ordered through governed laboratory integrations, or an intervention is initiated. Where not warranted, the physician says so.

    Judgement · 06

    Appropriate diagnostics or intervention

  7. 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.

  8. 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 · 08

    Follow-up and monitoring

  9. 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.

  10. 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 · 10

    Discharge 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.

  1. Step 01
    Recognise a need

    Symptom, chronic condition, family history.

  2. Step 02
    Meet a physician

    Video consultation with a named, licensed clinician.

  3. Step 03
    Receive a plan

    Diagnostics, interpretation and a written plan in plain language.

  4. Step 04
    Stay with the team

    Follow-up and adjustment — not a hand-off to a portal.

  5. Step 05
    Discharge when ready

    Clear summary sent to primary care.

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
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.

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.

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See how care delivery is packaged into Medical Programmes.