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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 : AAFP Leader Voices | AAFP News Blog : 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

In Support of Buprenorphine Deregulation -- FPM

Aug 1, 2019 - Family physicians should join the fight to remove limits on prescribing buprenorphine for opioid use disorder.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2019/0700/p6.html

Vaccines for Preventing Influenza in Healthy Children, Healthy Adults, and Older Adults...

Aug 1, 2019 - Influenza vaccination reduces rates of laboratory-confirmed influenza and symptomatic influenza-like illness in healthy children, healthy adults, and older adults. There is no consistent evidence that influenza vaccination reduces school absenteeism in children, parental absenteeism ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0801/p143.html

Dapagliflozin in High-Risk Type 2 Diabetes Reduces Hospitalization for Heart Failure ...

Aug 1, 2019 - The only cardiovascular benefit to treatment with dapagliflozin was a reduction in the likelihood of hospitalization; 125 patients would need to be treated for 10 years to prevent one hospitalization.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0801/p184.html

Practice Pearls - Jul-Aug 2019 -- FPM

Aug 1, 2019 - Reduce time spent doing other physicians’ paperwork | Send preventive service reminders according to birth months | Help put patients at ease during visits | Identify patients’ unmet social needs to facilitate referrals

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/0700/p35.html

Residents Focus Discussions on Training, Patient Care

During this year's National Congress of Family Medicine Residents, participants adopted measures on various topics, including opioid use disorder treatment and support for residents whose programs close unexpectedly.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190731nc-rescongress.html

Medicare releases proposed rule on 2020 physician fee schedule

The Centers for Medicare and Medicaid Services has released its proposed physician fee schedule for 2020. Here are some of the highlights affecting family physicians.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_physician_payment_fee_schedule.html

Students, Residents Elect New Leaders for the Coming Year

Delegates to the National Congress of Family Medicine Residents and the National Congress of Student Members chose new leaders July 27 in Kansas City, Mo., to represent them in the coming year.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190727nc-elections.html

ACOG, AAP Update Guidance on Group B Strep in Infants

The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics recently coordinated to issue updated guidance on preventing and managing group B streptococcal infection in infants.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190724groupbstrep.html

Patients Facing Homelessness Need More Than Referrals

In this Fresh Perspectives blog post, Anita Ravi, M.D., M.P.H., M.S.H.P., explains why Refer to social work is not the natural conclusion of a physician's role in addressing social determinants of health among patients experiencing homelessness.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190723fp-homeless.html

Opioid Use Disorder Screening

Access the AAFP preventive service recommendation on screening for Unhealthy Drug Use.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/oud.html

Study Tests Protocol to Expand Use of Medical Translators

Recent research identified benefits and drawbacks to a protocol in which medical assistants arranged for language translation during the rooming process -- before the clinician ever entered the room.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190717translationstudy.html

Truth Initiative Smoking Imagery Study Sparks Change

Truth Initiative, which focuses on dissuading youth and young adults from using tobacco, has released a report indicating that depictions of tobacco use in youth-rated broadcast/cable and streaming content rose by more than 379% in one year.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190717tobaccoimages.html

Researchers Push Primary Care Teams to 'Power Up'

Researchers describe a new model that extends clinician visits to team visits by pairing each physician with highly trained nurses or medical assistants.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190716primarycareteams.html

Acupuncture for Pain - American Family Physician

Jul 15, 2019 - Acupuncture has been increasingly used as an integrative or complementary therapy for pain. It is well-tolerated with little risk of serious adverse effects. Traditional acupuncture and nontraditional techniques, such as electroacupuncture and dry needling, often result in reported pain...

American Family Physician : Article

https://www.aafp.org/afp/2019/0715/p89.html

Integrating Medical Acupuncture into Family Medicine Practice - Editorials - American ...

Jul 15, 2019 - Acupuncture is an evidence-based therapy to reduce pain that can meet patient demand for nonpharmacologic treatment. Now is the time to offer training in medical acupuncture to more family physicians.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0715/p76.html

In Healthy Older Adults, Low-Dose Aspirin Increases All-Cause and Cancer-Specific ...

Jul 15, 2019 - The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality, primarily ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p118a.html

Personal Experience Is Not Always Consistent with Published Evidence - Letters to the ...

Jul 15, 2019 - ...to add. For those who have been in medicine long enough to see evidence-based processes be proved wrong with follow-up studies, it is hard to jump on board a change that one's experience also has shown to be false. The good news is that medicine continues to grow and change, and...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0715/p73.html

Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...

Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p119.html

Semaglutide (Ozempic) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2019 - Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0715/p116.html

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes ...

Jul 15, 2019 - In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p120.html

We Can't Leave Health Care Policies to Chance

In this Leader Voices Blog post, AAFP President-elect Gary LeRoy, M.D., reflects on a recent visit to the New Jersey AFP's annual meeting and the need for quality measures that make sense.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190712lv-boardwalk.html

When It Comes to Hiring Faculty Physicians, Money Talks

Results of a survey of family medicine department chairs provide new insight into the factors associated with successfully filling vacancies for faculty physicians.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190711facultyhiring.html

Webinar Will Cover Best Practices for Tapering Opioids

The National Academy of Medicine will host a free webinar from 3 to 4:30 p.m. EDT on July 22 to discuss best practices and evidence standards on tapering patients off opioids. NAM plans to publish a discussion paper that builds on the webinar early next year.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190710opioidtaper.html

Learn to Conquer Your EHR System During 'Happy Hour'

A recent article in the July/August issue of Annals of Family Medicine describes how implementation of a peer-to-peer learning format has eased physician frustrations with their EHRs.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190710ehrhappyhour.html

New AAFP Initiative Addresses Rural Health Care Crisis

Rural America is suffering from a health care crisis, a product of inadequate funding, economic downturn and lack of an appropriate health care workforce. In response, the AAFP is launching an Academy-wide effort to improve health care in rural communities. In this Leader Voices Blog ...

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190709lv-ruralhealthmatters.html

USPSTF Recommends Screening Older Men Who Smoked for AAA

On June 18, the U.S. Preventive Services Task Force posted a draft recommendation statement on screening for abdominal aortic aneurysm in asymptomatic patients. Men ages 65-75 who smoke or used to smoke benefit most from screening; the task force recommends one-time screening with ...

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190708uspstf-aaascreen.html

Fight for Improved Maternal Health Depends on FPs

The United States has the worst maternal mortality rate in the industrialized world. Jessica Taylor Goldstein, M.D., urges FPs to join her in a march to better outcomes.

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20190703guestedmaternal.html

Revised Poverty Line Could Endanger Millions, AAFP Warns

The AAFP has urged the Trump administration to reconsider a proposed recalibration of the federal poverty line that could greatly reduce the number of patients able to qualify for Medicaid and other safety-net programs.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190702revpovertyline.html

Preventing Spontaneous Abortion with Progestin Therapy - Medicine by the Numbers - ...

Jul 1, 2019 - The use of progestin therapy in women with recurrent pregnancy loss appears to reduce the incidence of spontaneous abortion, preterm labor, and stillbirth, and increase the rate of live birth. However, due to issues with the studies the authors were hesitant to give progestin their full...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0701/od1.html

Polypharmacy: Evaluating Risks and Deprescribing - American Family Physician

Jul 1, 2019 - Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. There are several risk factors that can lead to polypharmacy. Patient-related factors include having multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0701/p32.html

Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...

Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0701/p49.html

Medication Management for Chronic Heart Failure with Preserved Ejection Fraction - ...

Jul 1, 2019 - Mineralocorticoid receptor antagonists reduce hospitalizations for patients with HFpEF. Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers have not been shown to change the morbidity or mortality in patients with HFpEF.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0701/p17.html

Study Compares USPSTF, Other Lung Cancer Screening Guidance

A research letter published June 4 in Annals of Internal Medicine discussed a study that analyzed how new risk thresholds could identify more current/former smokers eligible for lung cancer screening.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190629lungcastudy.html

AAFP Backs Breastfeeding, Lactation for Medical Trainees

The AAFP has updated its policy supporting breastfeeding and lactation accommodations for medical trainees, which other medical organizations plan to use as model policy for their members.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190626breastfeedpolicy.html

Now's the Time: Speak Out to Support Primary Care

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights two primary care issues being debated by Congress and explains how you can help them advance.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190625itt-hcbills.html

Obesity Education in Family Medicine Clerkships Falls Short

New research on obesity education in family medicine clerkships shows gaps that may leave future family physicians inadequately prepared to treat patients with this condition.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190625obesityeduc.html

Data in (Direct) Primary Care: Striking the Right Balance

In this Fresh Perspectives blog post, Allison Edwards, M.D., writes that the health care system has done a poor job of measuring quality overall, but says that direct primary care can start over with a blank slate.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190624fp-dpcmeasures.html

Do Residents' Skills Match Medicare Patients' Needs?

New research suggests that family medicine residents' training does not align with the most common procedures that Medicare patients need.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190620proceduretraining.html

My Message to Students: Why Family Medicine Matters

Marking the sixth anniversary of his graduation from residency, Kurt Bravata, M.D., reflects on what he wishes every first-year medical student knew about family medicine.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190619fpwhyfm.html

AAFP Delegation Stands Up for Residency Teaching Faculty

AAFP delegates supported physicians-in-training during this year's AMA House of Delegates annual meeting as they sought to ensure that their instructors can devote adequate time to teaching duties.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190619ama-educ.html

Diabetic Kidney Disease: Diagnosis, Treatment, and Prevention - American Family Physician

Jun 15, 2019 - Globally, approximately 20% of the 400 million individuals with diabetes mellitus have diabetic kidney disease (DKD). DKD is associated with higher cardiovascular and all-cause morbidity and mortality, so timely diagnosis and treatment are critical. Screening for early DKD is best done ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0615/p751.html

Plantar Fasciitis - American Family Physician

Jun 15, 2019 - Plantar fasciitis is a common problem that one in 10 people will experience in their lifetime. Plantar fasciopathy is an appropriate descriptor because the condition is not inflammatory. Risk factors include limited ankle dorsiflexion, increased body mass index, and standing for ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0615/p744.html

Depression Following Acute Coronary Syndrome Events: Screening and Treatment Guidelines...

Jun 15, 2019 - ...CRAIG W. ROBBINS, MD, MPH, FAAFP, Kaiser Permanente School of Medicine, Pasadena, California JAMES J. STEVERMER, MD, MSPH, FAAFP, University of Missouri Health Care, Columbia, Missouri ROBERT T. CHOW, MD, MBA, MACP, University of Maryland Medical Center Midtown Campus, Baltimore,...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0615/od2.html

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...

Jun 15, 2019 - The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0615/od1.html

Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting - ...

Jun 15, 2019 - When is it safe to treat a patient with community-acquired pneumonia a an outpatient?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0615/p768.html

Use of More Specific Terminology May Assist in Better Diagnosis of Abdominal Wall ...

Jun 15, 2019 - ...Based on this premise, the Family Medicine Education Consortium's Interventions to Minimize Preterm and Low Birthweight Infants through Continuous Quality Improvement Techniques Network (www.fmec.net/implicit) developed a proactive approach to interconception care. As a quality...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0615/p731.html

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...

Jun 15, 2019 - A 20-year-old male with a history of exercise-induced asthma presents to your office for his yearly physical. He is a student at the local university and is on the university fencing team. When asked about his classwork, he expresses that college is going okay but can be stressful ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0615/p771.html

H. pylori Screening Before Initiation of Long-term NSAIDs - FPIN's Clinical Inquiries -...

Jun 15, 2019 - Physicians should perform laboratory screening for and eradicate H. pylori before initiating long-term NSAID therapy in NSAID-naive patients to reduce the risk of peptic ulcer disease.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0615/p783.html

Ensuring Primary Care Access in States with an Aging Family Physician Workforce - ...

Jun 15, 2019 - In many states, at least 40% of family physicians are older than 55. Therefore, policymakers should support broad training models that produce enough primary care physicians to meet state population needs.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0615/p743.html

JAMA Research: Elderly Deaths From Falls Increase

Death rates from falls for older adults in the United States have significantly increased in the past 16 years, but an exercise program might help.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190612elderlyfalls.html

60-Second Survey Gives Insight Into Unmet Social Needs

Researchers found that a brief survey administered to patients helped identify obstacles to maintaining good health.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190612minutesurvey.html

Focusing on Single Issue Guarantees Inaction on Others

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that disagreement on a single issue shouldn't prevent collaboration on others.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190611itt-singleissue.html

Going the Extra Mile for Transgender Patients

When Izzy Lowell, M.D., M.B.A., realized how great the need was for transgender care in her region, she created a five-state practice to fill the void.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190610fdf-lowell.html

AMA Opioid Task Force Outlines Road Map to End Epidemic

The AMA Opioid Task Force, to which the AAFP belongs, released recommendations on May 30 that call on policymakers to eliminate barriers to treatment for opioid use disorder.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190605amaopioidtf.html

Academy Lauds Bills Aimed at Curbing Teen Smoking, Vaping

The AAFP is voicing support for several recent bills addressing the U.S. epidemic of youth tobacco and nicotine use.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190605tobacco21.html

Study: Talking About Medication Costs Yields Rewards

Researchers found that a 60-minute training intervention with physician practices helped increase the frequency of cost-of-medication conversations with patients, which, in turn, enabled clinicians to identify those for whom cost was a specific barrier.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190605costconversations.html

FP Reflects on Service on Front Lines of Family Medicine

During a 22-year stint in the Army, including more than a decade serving as a White House physician, Col. Kevin O'Connor, D.O., has found himself continually searching for ways to better serve his patients, whether it's in a classroom, at a hospital or in a war zone.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190603fdf-oconnor.html

Antibiotic Prophylaxis in Patients with COPD - Medicine by the Numbers - American ...

Jun 1, 2019 - This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0601/od1.html

Adolescent Substance Use and Misuse: Recognition and Management - American Family ...

Jun 1, 2019 - Adolescent use of illicit substances imposes an enormous burden on individuals, families, and communities. The types of illicit substances adolescents are using have changed drastically over the past decade with decreases in alcohol use (including binge alcohol use) offset by increases ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p689.html

Caregiver Care - American Family Physician

Jun 1, 2019 - Eighty percent of adults requiring long-term care currently live at home in the community, and unpaid family caregivers provide 90% of their care. Family caregivers serve as a critical extension of the U.S. health care system, and the demand for family caregivers is expected to increase...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p699.html

Coding & Documentation - May-Jun 2019 -- FPM

Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0500/p31.html

Seven Habits for Reducing Work After Clinic -- FPM

Jun 1, 2019 - Imagine shutting your office door at the end of the day and not having any work that you need to take home. These shifts in practice can help you reclaim your time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p10.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jun 1, 2019 - Low-molecular-weight heparin (LMWH), vitamin K antagonists, and direct oral anticoagulants, when used to prevent recurrent VTE, have a similar impact on all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0601/p676.html

Transitional Care Management: Practical Processes for Your Practice -- FPM

Jun 1, 2019 - Helping patients safely bridge the gap from acute care to ambulatory care is good for patients and practices too.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p27.html

Benefits and Harms for Low-Dose Aspirin in Patients with Diabetes Mellitus - POEMs - ...

Jun 1, 2019 - The 7,740 patients who took low-dose aspirin experienced 51 fewer vascular deaths, nonfatal myocardial infarctions, or nonfatal ischemic strokes; 29 fewer transient ischemic attacks; and 44 fewer revascularizations than patients who took placebo over a mean of 7.4 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p718.html

Practice Pearls - May-Jun 2019 -- FPM

Jun 1, 2019 - Create annual visit plans for your patients | Use your EHR to close care gaps | Use passwords to practice mindfulness

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/0500/p32.html

Sharp Rise Seen in Teen Self-Poisoning Suicide Attempts

Rates of attempted suicide by self-poisoning among U.S. adolescents and young adults have more than doubled in the past decade. Among girls and young women, rates nearly tripled during that period.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190529self-poison.html

Research Highlights the Enigma of Primary Care Spending

A recent analysis of overall health care spending on Medicare beneficiaries found that spending on primary care accounted for just a small percentage of total fee-for-service expenditures.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190529pcspendstudy.html

Taking Aim at the High Deductibles That Drive Off Patients

A new coalition co-founded by the Academy aims to realign the incentives and design of health care, writes AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190528itt-consumersfirst.html

Lawmakers Need Guidance to Fix U.S. 'Wealth Care' Culture

The Family Medicine Advocacy Summit opened with detailed advice on how FPs can use stories and data to win greater support from legislators for primary care.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190528fmas-caseforpc.html

FP Delivers Best of Family Medicine Throughout Long Career

During his 65-year career as a family physician, Alexander D. "A.D." Brickler II, M.D., has cared for a remarkable number of Tallahassee families and delivered more than 30,000 babies. The recently retired 90-year-old also helped deliver racially integrated health care to his Florida city.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190520fdf-brickler.html

FPs Can Lead on Changes That Keep Patients Out of Hospitals

We know that social determinants of health can have immense effects on patients' health. In this Leader Voices Blog post, resident Michelle Byrne, M.D., M.P.H., asks family physicians to consider how they can address these factors.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190520lv-hospitalization.html

Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation - American...

May 15, 2019 - Many people with depression or anxiety turn to nonpharmacologic and nonconventional interventions, including exercise, yoga, meditation, tai chi, or qi gong. Meta-analyses and systematic reviews have shown that these interventions can improve symptoms of depression and anxiety ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0515/p620.html

Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI ...

May 15, 2019 - Among patients using oral anticoagulants alone, the risk of hospitalization for upper GI tract bleeding is highest with rivaroxaban (Xarelto) and lowest with apixaban (Eliquis).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od4.html

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults - ...

May 15, 2019 - A.F., a 32-year-old woman, presents for a health maintenance visit. It has been more than a year since she was last seen. She has no significant medical history and has never used tobacco, alcohol, or any other substances.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0515/p649.html

Academy Gives Senate Strong Prescription to Improve MACRA

In recent Senate testimony, the Academy recommended key fixes for the framework of the Medicare Access and CHIP Reauthorization Act, including reducing complexity.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190515macrasenate.html

Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved ...

May 15, 2019 - A simple clinical prediction rule using noninvasive data can identify patients at low, moderate, and high risk for HFPEF.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od3.html

CDC: Three in Five Pregnancy-related Deaths May Be Preventable

Sixty percent of pregnancy-related deaths in 2011-2015 for which timing was known were preventable, according to a new CDC Morbidity and Mortality Weekly Report.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190515maternaldeath.html

Survey, FP Expert Agree: Interest in Telehealth on the Rise

Recently published results of a physician survey on telehealth indicate that use of the technology has quadrupled since 2015 and is expected to continue to increase in the years to come.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190514telehealth.html

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