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Is the Internet changing the way physicians practice medicine? Consider this: On June 15, 2003, investigators at the American Diabetes Association’s 63rd Scientific Sessions reported that addition of Pramlintide to an intensified insulin regimen using dose-titration successfully reduces the need for short-acting insulin, with manageable side effects. A nice little bit of information. But what’s remarkable is that it became available almost instantly to physicians worldwide via scores of Web sites serving every facet of the medical community.