PRACTICE PEARLS

 

Fam Pract Manag. 2018 Mar-Apr;25(2):42.

BE MINDFUL OF THE JOY IN MEDICINE

To avoid burnout as a busy family physician, it is important to remind yourself each day of your mission and what brings you joy. Developing strong relationships with the right team of physicians and staff can also make your day so much better.

My team holds a huddle at the end of each day where we ask, “What joyful thing happened to you today?” or “What joy did you find in family medicine today?” The discussion that follows helps us remember why we are here.

RULE OUT HEART MURMURS MORE EFFECTIVELY IN CHILDREN

Heart murmurs are a common clinical finding in children and one of the most common reasons for referring pediatric patients to cardiologists. However, most of these murmurs turn out to be the result of normal blood flow, not symptoms of underlying heart disease — a fact that does little to reduce parental anxiety or expensive evaluations.

A recent study suggests that how you listen for a murmur may make all the difference. Researchers considered 194 pediatric patients who had been referred to pediatric cardiologists for evaluation of a heart murmur. The cardiologists listened for a murmur first while the patients were lying down and again once the patients stood up. For 100 of the patients, the murmur disappeared completely upon standing. To be sure, the patients were then given an echocardiogram. Only two of the 100 registered an abnormality, and only one of those actually required intervention. Overall, 30 of the 194 participants had abnormal findings on echocardiogram that explained the murmur.

Although the study is limited, it does point to a possible way of reducing the number of false alarms among pediatric patients.

Source:

Lefort B, Cheyssac E, Soulé N, et al. Auscultation while standing: a basic and reliable

WE WANT TO HEAR FROM YOU

Practice Pearls presents readers' advice on practice operations and patient care, along with tips drawn from the literature. Send us your best pearl (250 words of less), and you'll earn $50 if we publish it. We also welcome questions for our Q&A section. Send pearls, questions, and comments to fpmedit@aafp.org, or add your comments below.

 
 

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