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Vaccine Coverage in Young Children Holding Steady

Two Morbidity and Mortality Weekly Reports issued last month offer a snapshot of vaccination coverage among young children in the United States. In particular, coverage rates for three vaccines children need to start school are holding steady at close to the desired 95% threshold.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191106mmwrskidsvax.html

Taking Hypertension Medication at Bedtime Improves CVD Risk

The Hygia Chronotherapy Trial found that bedtime hypertension therapy better reduced the risk of cardiovascular disease than taking blood pressure medication on awakening, as previous studies have suggested.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191106bedtimehbpmeds.html

Ticagrelor Compared to Clopidogrel in Acute Coronary Syndrome and Stable Coronary ... Restricted content. Login required.

Nov 1, 2019 - The authors determined there is no benefit from the use of ticagrelor in patients with acute coronary syndrome and stable coronary artery disease because of the uncertainty about benefits and evidence of potential harms.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1101/od1.html

Care of the Military Veteran: Selected Health Issues - American Family Physician Restricted content. Login required.

Nov 1, 2019 - According to the U.S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. Less than one-half of all veterans receive care at a Veterans Health Administration or military treatment facility, leaving most to receive services from...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p544.html

Hidradenitis Suppurativa: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Nov 1, 2019 - Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. Additional risk factors include family history, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p562.html

The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ... Restricted content. Login required.

Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/1101/p575.html

Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ... Restricted content. Login required.

Nov 1, 2019 - The allopurinol hypersensitivity assay, or HLA-B*58:01 test, is a blood test to detect the presence of a human leukocyte antigen B (HLA-B) genetic variant that increases the risk of life-threatening, severe cutaneous adverse reactions in patients taking allopurinol.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2019/1101/p530.html

Researchers Explore Rural Training Track Assets, Risks

New research looks at the challenges family medicine residency rural training tracks face as they struggle, in many cases, to stay in operation.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20191101rttresidencies.html

Aspirin for Colon Cancer Risk Prevention - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Nov 1, 2019 - Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1101/od2.html

Study Finds No Link Between IIV, Miscarriage

A study published in the journal Vaccine on Oct. 16 found no association between administration of inactivated influenza vaccine to pregnant women and miscarriage.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191030iiv-sab.html

Let's Fix Rural Americans' Inadequate Access to Care

It's no surprise that rural communities are suffering from health disparities, Kyle Leggott, M.D., writes in this Fresh Perspectives blog post. Although 20% of Americans live in rural areas, only 12% of primary care physicians practice there.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20191030fp-ruraltraining.html

Speak Out for Teaching Health Centers Today

Funding for the Teaching Health Center Graduate Medical Education program runs out Nov. 21. In this Leader Voices Blog post, John Cullen, M.D., asks AAFP members to join efforts to reauthorize funding and expand the program.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20191029lv-thcgme.html

Closing Down Tobacco Road

In his latest In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights the Academy's advocacy efforts related to tobacco and nicotine regulation and tells family physicians how to learn more about a new payment model.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20191029itt-tobacco.html

STI Screening Is Critical as Number of Cases Skyrockets

As the number of reported cases of sexually transmitted infections continues to climb, Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., addresses the need to screen for STIs and not shy away from difficult conversations. Read more in this Leader Voices Blog post.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20191023lv-stiscreening.html

AAFP Adds Voice to Lawsuit Calling for DACA Preservation

In an amicus brief to the U.S. Supreme Court, the AAFP and 32 other medical organizations are arguing to preserve the Deferred Action for Childhood Arrivals program.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20191023dacaamicus.html

JUUL Suspends U.S. Sales of Non-tobacco, Non-menthol Flavors

On Oct. 17, JUUL Labs Inc. announced that it was suspending U.S. sales of its non-tobacco, non-menthol-based flavors (mango, crème, fruit and cucumber), pending FDA review of the company's premarket tobacco product applications.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191023juulannouncement.html

Survey: One in Five Young Americans Thinks Vaping Is Harmless

Results of an American Society of Clinical Oncology survey reveal that more than 20% of young Americans think that e-cigarettes are not only nonaddictive -- they're actually harmless.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191023ascovapesurvey.html

Family Physician Couple Returns to Rural Roots in Minnesota

Two family physicians who just happen to be married give AAFP News a firsthand view of their wide scope of practice and strong community ties in their small rural town of Sleepy Eye, Minn.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20191018sleepyeye.html

Vaccination Gaps Leave Pregnant Moms, Infants Unprotected

According to recent research from the CDC, about 65% of mothers surveyed reported they had not received the seasonal influenza and tetanus, diphtheria and acellular pertussis vaccines before or during pregnancy.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191016vaccinpregnancy.html

Survey Examines Marijuana Use Among U.S. Adults

A survey of more than 169,000 American adults found that individuals with one or more documented medical conditions are far more likely to use marijuana than those without a medical condition.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191016marijuanasurvey.html

Acne Vulgaris: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Oct 15, 2019 - Acne vulgaris is the most prevalent chronic skin disease in the United States, affecting nearly 50 million people per year, mostly adolescents and young adults. Potential sequelae of acne, such as scarring, dyspigmentation, and low self-esteem, may result in significant morbidity. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1015/p475.html

Elagolix (Orilissa) for Endometriosis Pain - STEPS - American Family Physician Restricted content. Login required.

Oct 15, 2019 - Elagolix can decrease pain in women with endometriosis, but it is expensive and has adverse effects similar to those of other medications that decrease estrogen levels.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1015/p502.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ... Restricted content. Login required.

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

AAFP Creates New MIG for Employed Physicians

Employed family physicians have a new member interest group where they can network, communicate ideas and share common interests.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20191015employedmig.html

Family Medicine Is Key to Abundant Opportunities

Former AAFP President Warren Jones, M.D., has been taking on leadership roles in family medicine for decades. At 71, he's not done yet.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20191014fdf-jones.html

Primary Care Exception Needs Expansion, AAFP Tells CMS

In an Oct. 9 letter to CMS, the Academy advocated for the expansion of codes under the primary care exception rule -- an update that would reduce administrative complexity without compromising patient care.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20191014exceptionrule.html

AAFP Updates CME Search, Reporter Functions for Members

The Academy has updated the CME Search and CME Reporter tools on AAFP.org, making it easier for members to find the specific CME products and activities they need.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20191011cmesearch.html

AAFP to HRSA: Primary Care Services Best Delivered by FPs

The AAFP has responded to a request for information from the Health Resources and Services Administration regarding rural communities' access to health care services. Noting that 17% of AAFP members currently practice in rural areas, the Academy said FPs are best-suited to deliver ...

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20191009hrsaletter.html

In Wake of Measles Outbreaks, CDC Updates 2019 Case Totals

The CDC is reporting details from this year's measles outbreaks after the New York State Department of Health declared that the state's nearly yearlong outbreak has ended. The good news: The United States has maintained its measles elimination status.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191009measlesupdt.html

Caring for Immigrants at the Border and on Capitol Hill

Claudia Mercado, M.D., treated thousands of asylum-seekers this summer in Laredo, Texas, and more are on the way. Now she's taking her message to Washington, D.C.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20191007fdf-mercado.html

CDC: THC Products Used in Most Vaping Illness Cases

The CDC said the latest findings from its investigation into lung injury associated with e-cigarette use, or vaping, indicate that three-fourths of those affected used tetrahydrocannabinol-containing products.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191007thcvaping.html

Antibiotics for Acute Rhinosinusitis in Adults - Medicine by the Numbers - American ... Restricted content. Login required.

Oct 1, 2019 - Because of the relatively high rate of reported adverse effects and the high likelihood of resolution of symptoms with supportive care and symptomatic management, the authors recommend selective antibiotic use in patients with acute sinusitis. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1001/od1.html

The Feasibility of Screening for Social Determinants of Health: Seven Lessons Learned ...

Oct 1, 2019 - If addressing patients’ social needs sounds overwhelming, the results of this pilot project might surprise you.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p13.html

Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ... Restricted content. Login required.

Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p403.html

Scope of Practice: Reclaiming Young Patient Care -- FPM

Oct 1, 2019 - Caring for the whole family is a defining aspect of family medicine, yet many physicians have stopped seeing young patients. Here’s why and how to welcome them back.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p26.html

Keeping It Fresh -- FPM

Oct 1, 2019 - Variety in our daily work may be a way to improve care and satisfaction with practicing medicine.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0900/p3.html

Incivility in Health Care: Strategies for De-escalating Troubling Encounters -- FPM

Oct 1, 2019 - With rudeness, discrimination, and violence on the rise, how do we take care of our patients while protecting ourselves?

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p8.html

e-Cigarettes More Effective Than Nicotine Replacement for Cessation of Tobacco Use in ... Restricted content. Login required.

Oct 1, 2019 - Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p442.html

How to get more young patients into your practice -- FPM

Try these six steps to get more young people in your patient panel.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/young_patients.html

Steering Family Medicine Through Storm Toward Sunlight

In this Leader Voices Blog post, AAFP President John Cullen, M.D., recaps his year as president and the work the Academy is doing on issues of importance to family physicians.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190924lv-cullenyear.html

DPC Doc Shares Vision in State Leadership Role

Molly Rutherford, M.D., M.P.H., combined addiction medicine and direct primary care in one practice. Now Rutherford, the Kentucky AFP's Board chair, is letting others know her model works.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190923fdf-rutherford.html

AAFP Offers CMS Improvements to Proposed 2020 MPFS

The AAFP recently responded to CMS' proposed 2020 Medicare physician fee schedule with a 61-page letter that focused on issues of importance to family physicians.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190923mpfscomment.html

Transformation in Practice Series Takes on Agenda-setting

A new resource from the AAFP aims to help physicians who struggle to fit all of their patients' needs, concerns and questions into a typical 15-minute office visit and put an end to those "hand on the doorknob" moments.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190920tipsagenda.html

Emerging Leader Institute Names Best Project Winners

The AAFP Foundation has announced the Family Medicine Leads Emerging Leader Institute award recipients from its 2018 class, including the overall best project award winners.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190918emergingleaders.html

Invest in FPs and Maybe Insurance Won't Cost as Much as a Car

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin makes the case that the most prudent place to invest any single health care dollar is in family medicine.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190917itt-investfm.html

AAFP to Congress: Reauthorize THCGME Program Now

The AAFP is pressing Congress to reauthorize funding for the Teaching Health Center Graduate Medical Education program before it expires Sept. 30 and urges members to join a Speak Out campaign on this critical issue.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190917thcgmespeakout.html

Teaching Health Centers and Graduate Medical Education Reform

Teaching Health Centers and Graduate Medical Education Reform

AAFP News : Media Center

https://www.aafp.org/news/media-center/kits/gme-teaching-health-centers.html

Social Justice Brought Resident Leader to Family Medicine

Michelle Byrne, M.D., M.P.H., had a job she loved running a pediatric practice, but her desire to do more led her to medical school and family medicine.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190916fdf-byrne.html

Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention - American Family ...

Sep 15, 2019 - Pelvic inflammatory disease (PID) is an infection of the upper genital tract occurring predominantly in sexually active young women. Chlamydia trachomatis and Neisseria gonorrhoeae are common causes; however, other cervical, enteric, bacterial vaginosis–associated, and respiratory ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p357.html

Otitis Media: Rapid Evidence Review - American Family Physician

Sep 15, 2019 - Acute otitis media (AOM) is the most common diagnosis in childhood acute sick visits. By three years of age, 50% to 85% of children will have at least one episode of AOM. Symptoms may include ear pain (rubbing, tugging, or holding the ear may be a sign of pain), fever, irritability, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p350.html

Urinary Incontinence in Women: Evaluation and Management - American Family Physician

Sep 15, 2019 - Urinary incontinence is a common problem among women worldwide, resulting in a substantial economic burden and decreased quality of life. The Women’s Preventive Services Initiative is the only major organization that recommends annual screening for urinary incontinence in all women ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p339.html

Can We Prevent Perinatal Depression in the Primary Care Office? - Editorials - American...

Sep 15, 2019 - Even if we do not provide maternity care, our commitment to the total care of our patients, which includes addressing behavioral medicine needs, allows us to be the ideal physicians to champion interventions to prevent perinatal depression.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0915/p327.html

Glycopyrronium (Qbrexza) Topical Wipes for Hyperhidrosis - STEPS - American Family ...

Sep 15, 2019 - Glycopyrronium wipes are a useful alternative for the topical treatment of hyperhidrosis of the axillae in patients nine years and older who do not respond to or tolerate nonprescription antiperspirants or topical aluminum chloride.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0915/p372.html

Vitamin D Is Not Effective as Primary Prevention of Cardiovascular Disease or Cancer - ...

Sep 15, 2019 - Vitamin D supplementation does not prevent cardiovascular events or cancer in mostly nondiabetic adults (men 50 years and older, women 55 years and older).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p374.html

Surgeon General Issues Advisory on Risks of Marijuana Use

U.S. Surgeon General Jerome Adams, M.D., M.P.H., recently issued an advisory on the health risks associated with marijuana use in adolescents and pregnant women, warning that no amount of the drug has been deemed safe.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190912sg-marijuana.html

New Research Shows Fewer Family Physicians Seeing Children

New longitudinal research conducted in Vermont shows that fewer family physicians are taking care of children. Rather, the researchers verified previous findings that showed a temporal trend of child visits moving from family medicine to pediatric practices.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190911fpschildren.html

AAFP to House Small Business Committee: Mandatory Prior Authorizations For Needed ...

AAFP to house small business committee: mandatory prior authorizations for needed medical services delays care, increases costs.

AAFP News : Media Center

https://www.aafp.org/news/media-center/more-releases/aafp-to-house-small-business-committee.html

Many Patients Hide Life-threatening Issues From Clinicians

New research indicates that many patients who experience an imminent threat such as suicidality, abuse or sexual assault routinely withhold this information from their clinicians.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190910withhholdinfo.html

Student Leader Found Intersection of Medicine, Social Justice

Medical student Julia Wang, a daughter of immigrants, is emerging as a champion for health equity and social justice.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190909fdf-wang.html

AAFP Scores Win on Payment to Support Rural Residencies

As of Oct. 1, Medicare will start picking up the tab for residents' training time at critical-access hospitals, a move that helps the AAFP's Rural Health Matters initiative.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190905ipps.html

For New Intern, the Future Is Challenging -- and Bright

In this Leader Voices Blog post, recent medical school graduate Chandler Stisher, M.D., shares the challenges of transitioning from student to intern as well as his excitement for what lies ahead.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190904lv-newintern.html

Social Media Influencers or FPs: Who Do Patients Trust?

Michael Richardson, M.D., writes in this Fresh Perspectives blog post that physicians can overcome the spate of false and misleading health reports that consumers find on social media by emphasizing the doctor-patient relationship.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190903fp-socialmedia.html

Not All Clinicians Are Trained Equally

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin explains why family physicians and nurse practitioners are not interchangeable.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190903itt-differences.html

Treatment of the Common Cold - American Family Physician

Sep 1, 2019 - Acute upper respiratory tract infections are extremely common in adults and children, but only a few safe and effective treatments are available. Patients typically present with nasal congestion, rhinorrhea, sore throat, cough, general malaise, and/or low-grade fever. Informing patients...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p281.html

Venous Ulcers: Diagnosis and Treatment - American Family Physician

Sep 1, 2019 - Venous ulcers are the most common type of chronic lower extremity ulcers, affecting 1% to 3% of the U.S. population. Venous hypertension as a result of venous reflux (incompetence) or obstruction is thought to be the primary underlying mechanism for venous ulcer formation. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p298.html

Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...

Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p279.html

Use of Amphetamines for Attention Deficit/Hyperactivity Disorder in Adults - Cochrane ...

Sep 1, 2019 - Amphetamines provide a clinician-rated 30% or greater reduction in ADHD symptoms when compared with placebo (number needed to treat = 5).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p278.html

Gabapentin for Treatment of Radicular Low Back Pain - FPIN's Clinical Inquiries - ...

Sep 1, 2019 - Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0901/p309.html

CDC Underscores Need to Boost HPV Vaccination Coverage

A pair of Morbidity and Mortality Weekly Reports the CDC recently released clearly demonstrate that the need to improve HPV vaccination coverage remains substantial.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190829hpvvacc.html

New AAFP Policy Pushes Payers to Accept Supplemental Data

The AAFP has created a new policy to press payers to accept all performance data physicians want to submit so they do not lose out on value-based payments.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190829supplementaldata.html

Academy Praises Bill Lowering Direct Primary Care Barrier

The Academy recently applauded legislation that would revise the federal tax code to allow health savings account funds to be applied to direct primary care fees.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190826pceact.html

Moving Practice Has Been Good for Me, Staff, Patients

What's a family doc to do when rents skyrocket in a tight real estate market? Erica Swegler, M.D., writes that she turned her problem into an opportunity to improve her practice.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190826lv-moving.html

2020 Medicare Physician Fee Schedule: What You Need to Know

The proposed 2020 Medicare physician fee schedule is 1,704 pages long. In a much shorter In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights the key points family physicians should know.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190820itt-2020mpfs.html

Boost Naloxone Prescribing to Halt Opioid Overdose Deaths

A report on nationwide naloxone dispensing practices found that the ratio of naloxone prescriptions to high-dose opioid prescriptions is surprisingly low and that significant differences exist between dispensing rates in rural versus metropolitan areas.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190820naloxoneprescript.html

Bouncing Back From Burnout in Residency

When family medicine resident Michelle Byrne, M.D., M.P.H., experienced symptoms of burnout, she acted quickly to overcome it. Read more in this Leader Voices Blog post.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190820lv-residburnout.html

New Research Examines FPs' Prediabetes Knowledge, Practices

Researchers found that family physicians and other clinicians are highly skilled in screening for and managing prediabetes but are less aware of the National Diabetes Prevention Program and similar patient resources.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190816prediabetesstudy.html

Omega-3 Fatty Acids and Cardiovascular Disease Prevention - Medicine by the Numbers - ...

Aug 15, 2019 - High-quality evidence suggests that long-chain omega-3 polyunsaturated fatty acids do not prevent mortality (all-cause or cardiovascular) or cardiovascular disease events when used as primary or secondary prevention. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0815/p209.html

Health Maintenance in School-Aged Children: Part I. History, Physical Examination, ...

Aug 15, 2019 - The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. During the visit, the physician should address patient and parent/caregiver concerns and ask about ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p213.html

Electronic Cigarettes: Common Questions and Answers - American Family Physician

Aug 15, 2019 - Electronic cigarettes (e-cigarettes) are popular devices designed to heat a liquid solution, often containing nicotine, that generates an inhaled aerosol, or vapor. e-Cigarettes have been marketed as healthier alternatives to traditional cigarettes. Thus, most adult users are current or...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p227.html

Thessaly vs. McMurray Test for Diagnosis of Meniscal Injuries - Letters to the Editor -...

Aug 15, 2019 - ...Abell BE, Gibson TW. The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clin J Sport Med. 2009;19(1):9–12. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue,...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0815/p200.html

Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...

Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0815/p202.html

Cognitive Behavior Therapy for Postpartum Depression - FPIN's Help Desk Answers - ...

Aug 15, 2019 - In women with postpartum depression, the addition of CBT reduces depressive symptoms more effectively than usual care alone (medication and other therapies), with a medium effect size at the end of the intervention and a residual small effect size six months later.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0815/p244.html

AAFP Sustains Fight to Reduce Administrative Complexity for Family Medicine

AAFP Sustains Fight to Reduce Administrative Burden for Family Medicine

AAFP News : Media Center

https://www.aafp.org/news/media-center/kits/aafp-sustains-fight-to-reduce-administrative-burden-for-family-medicine.html

Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...

Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0815/p246.html

New Data From AAFP Reveals Increased Complexity of Family Physician Visits

AAFP Reveals Increased Complexity of Family Physician Visits

AAFP News : Media Center

https://www.aafp.org/news/media-center/kits/complexity-of-care-of-family-physician-visit.html

Report Examines Benefits of Investing in Primary Care

A new study breaks down states' primary care spending patterns and what they mean for select patient outcomes.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190815statespending.html

Video Visits Tested in Homebound Geriatric Patients

Researchers from New York and California developed a test pilot to assess the feasibility of video visits for homebound elderly patients.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190814videovisitresearch.html

New MIGs Focus on Intimate Partner Violence, EMR Optimization

The Academy's Board of Directors has given the thumbs up to two new AAFP member interest groups: the EMR Optimization and Intimate Partner Violence MIGs. That brings the total number of MIGs to 20.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20190809ipv-emrmigs.html

We Must Find Common Ground to Reduce Gun Violence

Six of the nation's largest physician organizations -- including the AAFP -- and the American Public Health Association are calling for policies to reduce firearm injuries and deaths. In this Leader Voices Blog post, AAFP President John Cullen, M.D., cites a 2017 survey that outlined ...

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190808lv-gunviolence.html

Letter Urges Protection of Access to Military Health Care

The AAFP and other medical groups recently called on House and Senate leaders to protect military medical staffing levels from a harmful proposed budget cut.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190807dodcuts.html

AAFP, Medical and Public Health Organizations Call for Fast-tracking Policies To ...

AAFP, Medical and Public Health Organizations Call for Fast-tracking Policies To Prevent Firearm-related Injury and Death

AAFP News : Media Center

https://www.aafp.org/news/media-center/more-releases/aafp-medical-and-public-health-organizations-call-for-fast-tracking-policies-to-prevent-firearm-related-injury-and-death.html

AAFP Recruiting for Alcohol SBI Office Champions Project

The AAFP seeks to recruit as many as 25 family medicine practices to participate in its new Alcohol Screening and Brief Intervention Office Champions Project. The deadline to apply for the project is Aug. 31.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190806alcoholsbiproject.html

Value of Physical Exam Is Far More Than Meets the Eye

A new study documents family physicians' experiences and perceptions of the physical examination, which they reported can have both objective and subjective benefits in caring for patients.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190805physexamstudy.html

Academy Takes First Look at Proposed Rule for 2020 MPFS

As the AAFP begins formulating detailed comments to CMS on its proposed 2020 Medicare physician fee schedule, several key elements already stand out. An initial summary the Academy has developed highlights those points.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190802mpfssummary.html

Flexible Sigmoidoscopy or Fecal Occult Blood Testing for Colorectal Cancer Screening in...

Aug 1, 2019 - This meta-analysis provides high-quality evidence that flexible sigmoidoscopy and fecal occult blood testing both reduce the risk of death from colorectal cancer. The study did not provide a clear answer regarding a superior screening modality, so the decision to choose one test over ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0801/od1.html

Hirsutism in Women - American Family Physician

Aug 1, 2019 - Hirsutism is the excessive growth of terminal hair in a typical male pattern in a female. It is often a sign of excessive androgen levels. Although many conditions can lead to hirsutism, polycystic ovary syndrome and idiopathic hyperandrogenism account for more than 85% of cases. Less ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p168.html

Management of Chronic Tendon Injuries - American Family Physician

Aug 1, 2019 - Chronic tendon injuries are common athletic and occupational injuries that account for many physician visits. Tendons have a complex biology that provides a unique combination of strength, flexibility, and elasticity but also predisposes them to injury. The term tendinopathy is ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p147.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - Discussing with patients the pros and cons of medications for borderline glucose values could distract us from more important topics such as lifestyle changes, smoking cessation, and blood pressure control. Time is the most valuable resource in a physician-patient partnership, and there...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p136.html

Skin-to-Skin Contact for Improved Duration of Breastfeeding - FPIN's Help Desk Answers ...

Aug 1, 2019 - Skin-to-skin-contact in the immediate postnatal period should be recommended to all mothers because it is associated with a higher likelihood of exclusive breastfeeding at hospital discharge and for up to six months afterward (number needed to treat [NNT] = 5 to 8).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0801/od2.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p134.html

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