Already a member or subscriber? Sign in now

APRIL 2002

Articles

Why We’re In the Mess We’re In

Robert D. Gillette

Three forces are making it difficult to be a family physician today, but there are reasons to be optimistic.

Eight Ideas for Managing Stress and Extinguishing Burnout

William Zeckhausen

Small changes can make a big difference in how you deal with the pressures of practice.

Building a Mind-Set of Service Excellence

Paul Plsek

Here’s how to assess and improve the level of service your practice is currently providing.

From the Editor

The Struggle Between Evidence and Quality

Robert L. Edsall

Two potent influences in health care today are evidence-based medicine and rapid-cycle quality improvement – EBM and QI. It’s fascinating to me that the two should be ascendent at the same time, since in some respects they seem to get along about as well as the Montagues and…

Letters

Getting Paid

Five Tips for Less Costly Flu Vaccination

Kent J. Moore

By planning ahead, you can take at least some of the red ink out of giving flu shots.

Coding & Documentation

CODING & DOCUMENTATION

Kent J. Moore

After-hours codes in the ED | ICD-9 codes for newborn visits | Coding injections

Monitor

MONITOR

Docs expected to refuse new Medicare patients due to payment cuts | PRACTICE PEARLS from here and there | Medicare payment error rate lowest to date | Burned out already? | Insuring your own | Patients urged to speak up | No harm in full disclosure | A force to reckon with

Improving Patient Care

A Tool for Better Well-Woman Exams

Thomas J. Weida

You can use this encounter form to improve your documentation and your care.

Practice Diary

Computers

How Much Will That EMR System Really Cost?

Jack Valancy

This spreadsheet helps you compare the long-term costs of electronic medical records systems.

Ask FPM

ASK FPM

Maria V. Ciletti, Michael T. Ciletti, Alice G. Gosfield, Kent J. Moore, Jeffrey B. Sansweet

Discounts for uninsured patients | Covering call for ob/gyns | Billing for patients seen in your absence | Buying into a practice

Balancing Act

Putting Politeness Into Practice

Pamela J. Vaccaro

Never underestimate the effect common courtesies can have on your patients, your staff and your life.

Resources

CME Quiz (AAFP members and print subscribers only)

Disclosure: All editors and editorial advisory board members in a position to control content for this activity, FPM journal, are required to disclose any relevant financial relationships. View disclosures.

Advertising: Career Opportunities (PDF)

Copyright © 2026 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. See permissions for copyright questions and/or permission requests.