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In Defense of Family Medicine Certification

Craig Czarsty, M.D., former Board chair of the American Board of Family Medicine (ABFM), offers a rebuttal to criticism of the ABFM's initial board certification and continuing certification processes.

https://www.aafp.org/news/opinion/20180131guestedabfm.html

Should Family Physicians Screen for Testosterone Deficiency in Men? Yes: Screening for ...

Feb 15, 2015 - With the possible exception of patients with cardiovascular disease, testosterone replacement therapy remains a potentially beneficial option in improving health-related quality of life in men.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p220.html

A Rational Approach to the Treatment of Hypertension in Special Populations - American ...

Jul 1, 1999 - Hypertension in blacks is usually characterized by low renin, expanded volume and sensitivity to salt. Diuretics are the preferred initial therapy, but response to calcium channel antagonists is also good. The blood pressure response to monotherapy with beta blockers or ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p156.html

Compensation & Productivity -- FPM Topic Collection

Nov 11, 2020 - ...04/01/2020 Panel Size Is Just a Number: A Rubric for Opening and Closing Panels 05/01/2002 A Productivity Primer 12/01/2019 The Right-Sized Patient Panel: A Practical Way to Make Adjustments for Acuity and Complexity 06/01/2019 Seven Habits for Reducing Work After Clinic...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=119

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

Birth, Death, Hope and Money: Stories of Family Medicine

A diverse panel of five family physicians offered students and residents their perspectives on family medicine -- stories of triumphant hope and success -- during the 2018 National Conference of Family Medicine Residents and Medical Students.

https://www.aafp.org/news/education-professional-development/20180808nc-facesoffm.html

Screening for Autism Spectrum Disorder in Young Children: Recommendation Statement - ...

May 1, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for autism spectrum disorder (ASD) in young children for whom no concerns of ASD have been raised by their parents or a clinician.

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

https://www.aafp.org/afp/2016/0501/p774.html

AAFP Weighs in With Its 'Vision for the Future

The AAFP responded to a draft report by the American Board of Medical Specialties Vision for the Future Commission with recommendations to make continuing board certification work for family physicians.

https://www.aafp.org/news/education-professional-development/20190123visioncomments.html

Treatments for Postmenopausal Hypoactive Sexual Desire Disorder - FPIN's Clinical ... Restricted content. Login required.

Feb 1, 2020 - Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0201/p182.html

Naltrexone/Bupropion (Contrave) for Weight Loss - STEPS - American Family Physician

Apr 15, 2015 - Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2015/0415/p554.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

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.

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

Health Issues for Surfers - American Family Physician

Jun 15, 2005 - Surfers are prone to acute injuries as well as conditions resulting from chronic environmental exposure. Sprains, lacerations, strains, and fractures are the most common types of trauma. Injury from the rider's own surfboard may be the prevailing mechanism. Minor wound infections can be...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2313.html

Epstein-Barr Virus Infectious Mononucleosis - American Family Physician

Oct 1, 2004 - Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior cervical or auricular adenopathy, marked adenopathy, or inguinal adenopathy. An atypical lymphocytosis of at least 20 percent...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1279.html

Lifestyle Interventions to Reduce Cancer Risk and Improve Outcomes - American Family ...

Jun 1, 2008 - There are more than one half million cancer deaths in the United States each year, and one third of these deaths are attributed to suboptimal diet and physical activity practices. Maintaining a healthy weight, staying physically active throughout life, and consuming a healthy diet can ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1573.html

Update on Helicobacter pylori Treatment - American Family Physician

Feb 1, 2007 - One half of the world's population has Helicobacter pylori infection, with an estimated prevalence of 30 percent in North America. Although it is unclear whether eradication of H. pylori improves symptoms in patients with nonulcer dyspepsia, there is strong evidence that eradication of ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p351.html

Assessing Breast Cancer Risk in Women - American Family Physician

Dec 15, 2008 - Understanding modifiable and nonmodifiable factors that increase or decrease breast cancer risk allows family physicians to counsel women appropriately. Nonmodifiable factors associated with increased breast cancer risk include advanced age, female sex, family history of breast cancer, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1361.html

Screening for Atrial Fibrillation with Electrocardiography: Recommendation Statement - ...

Mar 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography.

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

https://www.aafp.org/afp/2019/0315/od1.html

Improving Quality by Doing Less: Overdiagnosis - Editorials - American Family Physician

Feb 1, 2015 - The second in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overdiagnosis occurs when a disease is diagnosed and treated, even though that disease never would have harmed the patient if left untreated.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0201/p162.html

A Team-Based Care Model That Improves Job Satisfaction -- FPM

Apr 1, 2018 - Expanding the role of medical assistants to better support providers can improve not only traditional outcomes but also job satisfaction.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p6.html

Caring for Patients with Job Insecurity Who Are Experiencing Chronic Work-Related Pain ...

Jul 15, 2016 - In addition to providing direct medical care, the physician can help this patient by obtaining an occupational history, formulating hypotheses about the cause of the pain and potential interventions, and establishing a therapeutic relationship.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0715/p145.html

Automated Ambulatory Blood Pressure Monitoring: Clinical Utility in the Family Practice...

Jun 1, 2003 - Although the percentage of patients who are treated for hypertension has increased, the percentage of those who demonstrate control of blood pressure has declined. As a result of this trend, clinicians may increasingly rely on ambulatory blood pressure monitoring to improve the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2343.html

Best Project Winners Named By Emerging Leader Institute

The AAFP Foundation recently announced the project award winners from the Family Medicine Leads Emerging Leadership Institute's fifth class.

https://www.aafp.org/news/education-professional-development/20200825emergingleaders.html

Lung Cancer: Diagnosis and Management - American Family Physician

Jan 1, 2007 - Lung cancer is the leading cause of cancer-related death in the United States, with an average five-year survival rate of 15 percent. Smoking remains the predominant risk factor for lung cancer. Lung cancers are categorized as small cell carcinoma or non-small cell carcinoma (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0101/p56.html

The Votes Were Cast. What Does It Mean for Family Medicine?

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin sets the stage for an analysis of the 2018 midterm elections and looks at Wall Street's growing interest in health care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181120itt-postelection.html

Early Diagnosis of Dementia - American Family Physician

Feb 15, 2001 - Until recently, the most significant issue facing a family physician regarding the diagnosis and treatment of dementia was ruling out delirium and potentially treatable etiologies. However, as more treatment options become available, it will become increasingly important to diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p703.html

'Moving the Needle' on Student Choice

Michelle Roett, M.D., M.P.H., is working on both local and national initiatives to expand the family medicine pipeline.

https://www.aafp.org/news/family-doc-focus/20181022fdf-roett.html

Osteopathic Schools Are Producing More Graduates, But Fewer Are Practicing in Primary ...

Jun 1, 2015 - The expansion of osteopathic medical schools was to be a boon for underserved areas in need of primary care service. However, the impact has thus far been diminished by the decrease in osteopathic graduates engaged in primary care practice. Policy makers and leaders should consider ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0601/p756.html

Diabetic Nephropathy: Common Questions - American Family Physician

Jul 1, 2005 - Diabetic nephropathy, or diabetic kidney disease, affects 20 to 30 percent of patients with diabetes. It is a common cause of kidney failure. Diabetic nephropathy presents in its earliest stage with low levels of albumin (microalbuminuria) in the urine. The most practical method of ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p96.html

Procalcitonin-Guided Antibiotic Therapy for Acute Respiratory Infections - FPIN's ...

Jul 1, 2016 - A procalcitonin-guided antibiotic therapy algorithm should be used to decrease antibiotic use in adults with acute respiratory infections. The use of a procalcitonin-guided therapy algorithm reduces antibiotic use by 3.47 days without increasing morbidity or mortality in adults with ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/0701/p53.html

Acupuncture Is Ineffective for Treatment of Low Back Pain - Letters to the Editor - ...

Dec 15, 2017 - ...to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1215/ol2.html

Opioid Abuse and Pain Management - Editorials - American Family Physician

Oct 1, 2012 - Chronic nonmalignant pain affects a significant number of Americans. Concurrent with the increased need for pain management is a considerable increase in the use of prescription pain relievers for nonmedical purposes. Nonmedical use of prescription pain relievers is now the second most ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/1001/p600.html

Diagnosis of Acute Coronary Syndrome - American Family Physician

Jul 1, 2005 - The term 'acute coronary syndrome' encompasses a range of thrombotic coronary artery diseases, including unstable angina and both ST-segment elevation and non-ST-segment elevation myocardial infarction. Diagnosis requires an electrocardiogram and a careful review for signs and symptoms ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p119.html

Nocturnal Enuresis - American Family Physician

Apr 1, 2003 - Nocturnal enuresis is a common problem that can be troubling for children and their families. Recent studies indicate that nocturnal enuresis is best regarded as a group of conditions with different etiologies. A genetic component is likely in many affected children. Research also ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0401/p1499.html

Reducing Tobacco Use in Adolescents - American Family Physician

Feb 15, 2008 - After steadily decreasing since the late 1990s, adolescent smoking rates have stabilized at levels well above national goals. Experts recommend screening for tobacco use and exposure at every patient visit, although evidence of improved outcomes in adolescents is lacking. Counseling ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0215/p483.html

Community Colleges Hold Key to Family Medicine Diversity

New research published in Annals of Family Medicine suggests that attending community college increases the odds that U.S. medical school graduates will choose family medicine.

https://www.aafp.org/news/education-professional-development/20180718commcollege.html

The Nature and Management of Labor Pain: Part I. Nonpharmacologic Pain Relief - ...

Sep 15, 2003 - Pain in labor is a nearly universal experience for childbearing women. A recent evidence-based symposium on the nature and management of labor pain brought together family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators to discuss a series of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1109.html

Delegates Act on Family Medicine Education Issues

Delegates discussed a wide variety of issues during the Reference Committee on Education hearing at the Congress of Delegates in New Orleans, including paid leave for new parents and CME changes meant to encourage precepting and meet other family medicine needs.

https://www.aafp.org/news/2018-congress-fmx/20181015cod-education.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 : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190625itt-hcbills.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 : In the Trenches : Blogs

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

Diagnosis and Management of the Adnexal Mass - American Family Physician

May 15, 1998 - Adnexal masses are frequently found in both symptomatic and asymptomatic women. In premenopausal women, physiologic follicular cysts and corpus luteum cysts are the most common adnexal masses, but the possibility of ectopic pregnancy must always be considered. Other masses in this age ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2471.html

Antidepressants and Antiepileptic Drugs for Chronic Non-Cancer Pain - American Family ...

Feb 1, 2005 - The development of newer classes of antidepressants and second-generation antiepileptic drugs has created unprecedented opportunities for the treatment of chronic pain. These drugs modulate pain transmission by interacting with specific neurotransmitters and ion channels. The actions of...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p483.html

Constipation in the Elderly - American Family Physician

Sep 15, 1998 - Constipation affects as many as 26 percent of elderly men and 34 percent of elderly women and is a problem that has been related to diminished perception of quality of life. Constipation may be the sign of a serious problem such as a mass lesion, the manifestation of a systemic disorder...

American Family Physician : Article

https://www.aafp.org/afp/1998/0915/p907.html

ACC/AHA Hypertension Guideline: What Is New? What Do We Do? - Editorials - American ...

Mar 15, 2018 - Choosing a threshold and target for treatment should be based on the science supporting CVD risk reduction, while considering the benefits and harms in individual patient circumstances and respecting patient choice.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0315/p372.html

Choosing Tap Water vs. Sterile Saline for Wound Irrigation - Letters to the Editor - ...

Jul 15, 2016 - ...Saline for Wound Irrigation [Medicine by the Numbers] Issue Date: August 1, 2015 Available online at: https://www.aafp.org/afp/2015/0801/od1.html Original Article: Tap Water vs. Sterile Saline for Wound Irrigation [Medicine by the Numbers] Issue Date: August 1, 2015...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0715/p83.html

Even an Occasional Cigarette Greatly Boosts Mortality Risk

A study recently published in the American Journal of Preventive Medicine found that compared with people who never smoked, lifelong nondaily smokers had a 72 percent higher overall mortality risk, as well as increased mortality risks from a number of specific conditions, such as...

https://www.aafp.org/news/health-of-the-public/20181121nondailysmkrs.html

Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ...

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

The Benefits of Using Care Coordinators in Primary Care: A Case Study -- FPM

Dec 1, 2013 - Care coordinators can boost quality and revenue by reducing no-shows, improving adherence, and enhancing preventive and chronic care.

Family Practice Management : Articles

https://www.aafp.org/fpm/2013/1100/p18.html

Treatment of Panic Disorder - American Family Physician

Feb 15, 2005 - Panic disorder with or without agoraphobia occurs commonly in patients in primary care settings. This article assesses multiple evidence-based reviews of effective treatments for panic disorder. Antidepressant medications successfully reduce the severity of panic symptoms and eliminate ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0215/p733.html

Physical Activity Counseling - American Family Physician

Apr 15, 2008 - Every year in the United States, at least 250,000 deaths are attributed to lack of physical activity. Because of the health benefits of physical activity, national guidelines recommend participation in 30 minutes of accumulated moderate-intensity physical activity such as walking fast ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1129.html

Emergency Contraception - American Family Physician

Aug 15, 2004 - Women can use emergency contraception to prevent pregnancy after known or suspected failure of birth control or after unprotected intercourse. Many patients do not ask for emergency contraception because they do not know of its availability. Emergency contraception has been an off-label...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p707.html

Common Hyperpigmentation Disorders in Adults: Part II. Melanoma, Seborrheic Keratoses, ...

Nov 15, 2003 - Nevi, or moles, are localized nevocytic tumors. The American Cancer Society's ABCD rules are useful for differentiating a benign nevus from malignant melanoma. While acanthosis nigricans may signal an underlying malignancy (e.g., gastrointestinal tumor), it more often is associated with...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1963.html

Atypical Presentations of Gastroesophageal Reflux Disease - American Family Physician

Aug 15, 2008 - Gastroesophageal reflux disease typically manifests as heartburn and regurgitation, but it may also present with atypical or extraesophageal symptoms, including asthma, chronic cough, laryngitis, hoarseness, chronic sore throat, dental erosions, and noncardiac chest pain. Diagnosing ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p483.html

Gastric Cancer: Diagnosis and Treatment Options - American Family Physician

Mar 1, 2004 - Although the overall incidence of gastric cancer has steadily declined in the United States, it is estimated that more than 12,000 persons died from gastric cancer in 2003. The incidence of distal stomach tumors has greatly declined, but reported cases of proximal gastric carcinomas, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1133.html

Cognitive Therapy for Depression - American Family Physician

Jan 1, 2006 - Cognitive therapy is a treatment process that enables patients to correct false self-beliefs that can lead to negative moods and behaviors. The fundamental assumption is that a thought precedes a mood; therefore, learning to substitute healthy thoughts for negative thoughts will improve...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p83.html

Evaluation of Dysuria in Adults - American Family Physician

Apr 15, 2002 - Dysuria, defined as pain, burning, or discomfort on urination, is more common in women than in men. Although urinary tract infection is the most frequent cause of dysuria, empiric treatment with antibiotics is not always appropriate. Dysuria occurs more often in younger women, probably ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1589.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 : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

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

Off-Label Applications for SSRIs - American Family Physician

Aug 1, 2003 - Selective serotonin reuptake inhibitors (SSRIs) are widely used because of their safety, tolerability, and demonstrated efficacy across a broad range of clinical conditions. Medical literature supports the use of SSRIs for the treatment of many conditions outside of the indications ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p498.html

Practice Transformation: Taking the Direct Primary Care Route -- FPM

Jun 1, 2014 - This practice cured its insurance headaches by switching to a cash-only payment model and charging annual retainer fees.

Family Practice Management : Articles

https://www.aafp.org/fpm/2014/0500/p10.html

Cutaneous Leishmaniasis Recognition and Treatment - American Family Physician

Mar 15, 2004 - Cutaneous leishmaniasis is a parasitic disease occurring throughout the Americas from Texas to Argentina, and in the Old World, particularly the Middle East and North Africa. It is spread by the female sandfly. The condition is diagnosed every year in travelers, immigrants, and military...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1455.html

Deprescribing Is an Essential Part of Good Prescribing - Editorials - American Family ...

Jan 1, 2019 - There are four important medication issues to discuss with patients as they get older. Find out more and learn the five steps to individualize deprescribing practices for each patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0101/p7.html

Selecting POEMs Studies from the Larger Body of Evidence - Letters to the Editor - ...

Nov 1, 2017 - ...applaud the main intent of this article: using current evidence to critically assess testing and treatments for common conditions in family medicine. I am a fan of the daily POEMs (patient-oriented evidence that matters) series, and I regularly distribute them to my residents. I...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1101/p565.html

Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of Life - ...

Jan 15, 2002 - About one half of patients who have essential hypertension have obstructive sleep apnea, and about one half of patients who have obstructive sleep apnea have essential hypertension. A growing body of evidence suggests that obstructive sleep apnea is a major contributing factor in the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p229.html

Prophylactic Antibiotics for the Prevention of COPD Exacerbation - Cochrane for ...

Jun 1, 2014 - Continuous prophylactic antibiotic therapy significantly decreases COPD exacerbations for up to three years. However, it does not decrease mortality, and it puts the patient at risk of antibiotic-resistant colonization and infection.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0601/p870.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

Management of Seizures and Epilepsy - American Family Physician

Apr 1, 1998 - While the evaluation and treatment of patients with seizures or epilepsy is often challenging, modern therapy provides many patients with complete seizure control. After a first seizure, evaluation should focus on excluding an underlying neurologic or medical condition, assessing the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1589.html

Managing the Patient with Hard-to-Control Hypertension - American Family Physician

Mar 1, 1998 - Less than 25 percent of patients with hypertension in the United States have their blood pressure under control, mainly because of inadequate or inappropriate therapy and noncompliance. Approximately one half of these treatment failures are related to factors such as cost and adverse ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0301/p1007.html

Childhood and Adolescent Depression - American Family Physician

Jan 1, 2007 - Major depression affects 3 to 5 percent of children and adolescents. Depression negatively impacts growth and development, school performance, and peer or family relationships and may lead to suicide. Biomedical and psychosocial risk factors include a family history of depression, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0101/p73.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.

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

High-Dose vs. Standard-Dose Heparin for VTE Prophylaxis in Obese Patients - FPIN's Help...

Jun 1, 2018 - In most patients weighing more than 220 lb (100 kg), high-dose heparin prophylaxis (7,500 units subcutaneously three times per day) does not further reduce the risk of VTE compared with standard-dose heparin (5,000 units subcutaneously two or three times per day).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0601/od2.html

FPs Make a Difference Volunteering in 'The Big Easy'

Community service opportunities drew 220 family physicians and their families Oct. 9 during the Family Medicine Experience in New Orleans.

https://www.aafp.org/news/2018-congress-fmx/20181010fmx-volunteer.html

Written Action Plans for Self-Management of COPD Exacerbations - Cochrane for ...

Mar 1, 2018 - Written self-management plans, especially those that include guidance on smoking cessation, increase health-related quality of life in patients with COPD. They also decrease the need for respiratory-related hospital admissions among patients with high or low baseline risk.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0301/p310.html

The 2001 Bethesda System Terminology - American Family Physician

Nov 15, 2003 - The 2001 Bethesda System for reporting cervical or vaginal cytologic diagnoses is an incremental change in the uniform terminology introduced in 1988 and revised in 1991. The 2001 Bethesda System includes specific statements about specimen adequacy, general categorization, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1992.html

Cytomegalovirus - American Family Physician

Feb 1, 2003 - Cytomegalovirus (CMV) is a prevalent viral pathogen. The majority of persons with acute CMV will experience an inapparent infection. Primary CMV infection will cause up to 7 percent of cases of mononucleosis syndrome and will manifest symptoms almost indistinguishable from those of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p519.html

Erythema Multiforme - American Family Physician

Dec 1, 2006 - Erythema multiforme is a skin condition considered to be a hypersensitivity reaction to infections or drugs. It consists of a polymorphous eruption of macules, papules, and characteristic

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1883.html

Vaccinations in Pregnancy - American Family Physician

Jul 15, 2003 - Adult immunization rates have fallen short of national goals partly because of misconceptions about the safety and benefits of current vaccines. The danger of these misconceptions is magnified during pregnancy, when concerned physicians are hesitant to administer vaccines and patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0715/p299.html

Back to Basics: Five Steps to Better Influenza Vaccination Rates -- FPM

Dec 1, 2017 - Getting more patients immunized against the flu does not require complicated strategies.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/1100/p30.html

Cranberry for Prevention of Urinary Tract Infections - American Family Physician

Dec 1, 2004 - Traditionally, cranberry has been used for the treatment and prophylaxis of urinary tract infections. Research suggests that its mechanism of action is preventing bacterial adherence to host cell surface membranes. Systematic reviews have concluded that no reliable evidence supports the...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2175.html

Seizure Disorders in the Elderly - American Family Physician

Jan 15, 2003 - Seizure disorders become increasingly common after the age of 60 years and can have a significant impact on functional status. The goal of antiepileptic drug therapy is to control seizures but preserve quality of life. If possible, seizure control should be achieved with one agent given...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p325.html

Dystocia in Nulliparous Women - American Family Physician

Jun 1, 2007 - Dystocia is common in nulliparous women and is responsible for more than 50 percent of primary cesarean deliveries. Because cesarean delivery rates continue to rise, physicians providing maternity care should be skilled in the diagnosis, management, and prevention of dystocia. If labor ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0601/p1671.html

Certification, CME, Residency Issues Top Delegates' Agenda

Delegates to the 2019 Congress of Delegates addressed a number of education-related issues, including the pros and cons of the American Board of Family Medicine's Family Medicine Certification Longitudinal Assessment.

https://www.aafp.org/news/2019-congress-fmx/20191002cod-education.html

Medications for COPD: A Review of Effectiveness - American Family Physician

Oct 15, 2007 - Chronic obstructive pulmonary disease (COPD) is a common problem among patients presenting to primary care. This condition has multiple individual and combined treatment regimens. The goals of treatment are to improve quality of life, exercise tolerance, sleep quality, and survival; and...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1141.html

The Home Visit - American Family Physician

Oct 1, 1999 - With the advent of effective home health programs, an increasing proportion of medical care is being delivered in patients' homes. Since the time before World War II, direct physician involvement in home health care has been minimal. However, patient preferences and key changes in the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1481.html

The CDC’s STEADI Initiative: Promoting Older Adult Health and Independence Through Fall...

Aug 15, 2017 - ...influenza season, there were an estimated 8.3 million cases of influenza among persons 65 years and older,2 which is about one-fourth of the number of falls that occurred in the older population in 2014. When not fatal, falls often result in brain injury, hip fracture, and loss of...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0815/p220.html

Pneumonia in Older Residents of Long-Term Care Facilities - American Family Physician

Oct 15, 2004 - Compared with community-dwelling persons, residents in long-term care facilities have more functional disabilities and underlying medical illnesses and are at increased risk of acquiring infectious diseases. Pneumonia is the leading cause of morbidity and mortality in this group. Risk ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1015/p1495.html

How to Prepare for and Survive a Violent Patient Encounter -- FPM

Dec 1, 2018 - When the unthinkable happens, having a plan that you have practiced regularly can make all the difference.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/1100/p5.html

Poliovirus Vaccine Options - American Family Physician

Jan 1, 1999 - As a result of the success of immunization, indigenous wild poliomyelitis has disappeared from the United States. Of 142 confirmed cases of paralytic poliomyelitis reported in the United States from 1980 to 1996, 134 were classified as vaccine-associated paralytic poliomyelitis (VAPP). ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p113.html

Workforce Tactic Team Sets Stage to Increase Ranks of FPs

A recent article in Family Medicine sums up the outcomes of three years of work by the Family Medicine for America's Health Workforce Education and Development Tactic Team.

https://www.aafp.org/news/education-professional-development/20190304fmahworkforce.html

Treating Acute Bronchiolitis Associated with RSV - American Family Physician

Jan 15, 2004 - Treatment for infants with bronchiolitis caused by respiratory syncytial virus (RSV) includes supplemental oxygen, nasal suctioning, fluids to prevent dehydration, and other supportive therapies. High-risk children who should be hospitalized include those younger than three months and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0115/p325.html

The Expanding Scope of Medical Travel - Editorials - American Family Physician

Oct 15, 2011 - The face of medical travel is changing. In recent years, medical travel has expanded to include middle-class patients seeking more affordable care. In 2007, approximately 750,000 Americans traveled to other countries for medical care; this number is predicted to exceed 1.6 million in 2012.

American Family Physician : Editorials

https://www.aafp.org/afp/2011/1015/p863.html

Evaluating the Child with Purpura - American Family Physician

Aug 1, 2001 - Purpura is the result of hemorrhage into the skin or mucosal membrane. It may represent a relatively benign condition or herald the presence of a serious underlying disorder. Purpura may be secondary to thrombocytopenia, platelet dysfunction, coagulation factor deficiency or vascular ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p419.html

Malaria Prevention in Travelers - American Family Physician

May 1, 1999 - The prevention of malaria in travelers is becoming a more challenging clinical and public health problem because of the global development of drug-resistant Plasmodium strains of malaria and the increasing popularity of travel to exotic locales. Travelers can reduce their risk of ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2523.html

Appropriate Use of Antibiotics for URIs in Children: Part I. Otitis Media and Acute ...

Oct 1, 1998 - Five conditions--otitis media, acute sinusitis, cough, pharyngitis and the common cold--account for most of the outpatient use of antibiotics in the United States. The first part of this two-part article presents guidelines that encourage physicians to make an appropriate distinction ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1113.html

Medicine by the Numbers

...November 1, 2015 ◆ Volume 92, Number 9 www.aafp.org/afp American Family Physician 772A ➤ Effectiveness of Selective Serotonin Reuptake Inhibitors for Irritable Bowel Syndrome THAD WILKINS, MD; EDWARD AGABIN, MD; and LINDSAY BLAKE, MLIS Details for This Review Study Population:...

American Family Physician

https://www.aafp.org/afp/2015/1101/afp20151101od1.pdf

Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American... Restricted content. Login required.

May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630a.html

Prevention of Recurrent Ischemic Stroke - American Family Physician

Aug 1, 2007 - Recurrent ischemic stroke and transient ischemic attack are common problems in primary care, with stroke survivors averaging 10 outpatient visits per year. Risk factors such as hypertension, diabetes, and hypercholesterolemia should be evaluated during each office visit. Attention ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p382.html

Diagnosis of Stable Ischemic Heart Disease: Recommendations from the ACP - Practice ...

Oct 1, 2013 - The American College of Physicians (ACP), in collaboration with the American College of Cardiology Foundation, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons, has developed a guideline...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1001/p469.html

Evaluation of Acute Headaches in Adults - American Family Physician

Feb 15, 2001 - Classifying headaches as primary (migraine, tension-type or cluster) or secondary can facilitate evaluation and management A detailed headache history helps to distinguish among the primary headache disorders.

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p685.html

Study Shows Antibiotic Prescribing Lowest in Medical Offices

Research recently published online in JAMA Internal Medicine found that clinicians in medical offices wrote the fewest antibiotic prescriptions per total number of visits compared with those in other clinical settings.

https://www.aafp.org/news/health-of-the-public/20180802antibxprescribe.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

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