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Study Examines Certain Physicians' Readiness to Treat OUD

According to a study published in the August/September issue of Annals of Family Medicine, few early-career family physicians report being adequately trained to provide buprenorphine treatment for opioid use disorder, and even fewer say they provide it in their practices.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20181003buprenorphine.html

Solo FP Finds Fulfillment Serving Rural Patients, Community

Solo family physician Scott Anzalone, M.D., knows the joys and frustrations of practicing in a rural community where it's not unheard of for a patient to stop by his house to have a laceration sewn up.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20181003ruralanzalone.html

Surgeon General Releases Updated Opioids Report

U.S. Surgeon General Jerome Adams, M.D., recently released Facing Addiction in America: The Surgeon General's Spotlight on Opioids, which recaps the latest data on the opioid epidemic.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20181002opioidsspotlight.html

Hormone Therapy for Primary Prevention of Cardiovascular Disease in Postmenopausal ...

Oct 1, 2018 - No benefit was observed in postmenopausal women receiving hormone therapy for primary prevention of cardiovascular disease. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1001/od1.html

The Case for Medical Chaperones -- FPM

Oct 1, 2018 - It's time for more discussion about how best to incorporate chaperones in primary care.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2018/0900/p6.html

Four Evidence-Based Communication Strategies to Enhance Patient Care -- FPM

Oct 1, 2018 - These communication skills will increase patient engagement and satisfaction without slowing you down.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0900/p13.html

How to Excel at Access -- and Why It Matters -- FPM

Oct 1, 2018 - Patients do better and cost less when they have ready access to primary care, but could your practice be thinking about access all wrong?

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0900/p27.html

Six Mobile Apps to Get Patients Started Exercising -- FPM

Oct 1, 2018 - Patients have many reasons for not being active. These apps can help push past some of those obstacles.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/0900/oa1.html

Therapist-Guided, Internet-Delivered Cognitive Behavior Therapy for Anxiety - FPIN's ...

Oct 1, 2018 - Therapist-guided, Internet-delivered CBT can be used as an effective treatment for anxiety in adults and is similar in effectiveness to face-to-face CBT.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/1001/p459.html

Survey Finds One in Three U.S. Teens Texts While Driving

New research has found that more than one in three U.S. teenagers sends a text message or reads email on their cellphone while driving, and that the prevalence of such risky behaviors increases with age.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180928textndrive.html

It's Time to Rethink Who Should Be Eligible to Lead ACOs

CMS recently published a proposed rule for accountable care organizations (ACOs). In his latest In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin has a recommendation for CMS: Require that all ACOs be led by physicians.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180925itt-acos.html

Why I'm Building a Solo Practice -- Again

More than 30 years into practice, Erica Swegler, M.D., explains in this Leader Voices Blog post why she decided to buck current employment trends and go back to her roots as a solo family physician.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180925lv-solopractice.html

AAFP Joins Opposition to Sweeping 'Public Charge' Change

The AAFP and four other physician organizations warned that a proposed change to the so-called public charge rule would endanger patients and their communities, and increase costs to the health system and taxpayers.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180924publicchargerule.html

New Federal Rule Recognizes FP Role in Treating Diabetes

A long-sought rule change means family physicians can certify that commercial drivers who use insulin are able to stay behind the wheel.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180924cdlinsulin.html

Four tips for better medication adherence

These tips can help your patients improve their medication adherence.

Family Practice Management : FPM

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

Researchers Test EHR Tools That Document Social Determinants

New research published in Annals of Family Medicine analyzes use of an electronic health record-based tool for documenting social determinants of health in three community health centers.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20180919ehrsdoh.html

Best Project Winners Named in Emerging Leader Institute

The winning projects from the third class of the Family Medicine Leads Emerging Leader Institute focused on the mental health of veterans, home births and high-quality care for the LGBTQ+ community.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20180918emergingleaders.html

Breastfeeding: Common Questions and Answers - American Family Physician

Sep 15, 2018 - All major health organizations recommend breastfeeding as the optimal source of infant nutrition, with exclusive breastfeeding recommended for the first six months of life. After six months, complementary foods may be introduced. Most organizations recommend breastfeeding for at least ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0915/p368.html

Evidence-Based Medicine: Common Misconceptions, Barriers, and Practical Solutions - ...

Sep 15, 2018 - EBM is the integration of the best available evidence with clinical expertise and the individual patient's values, preferences, and unique circumstances. Despite the success of this approach, misconceptions and barriers remain.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0915/p343.html

AAFP News - Sep 15, 2018 - American Family Physician

Sep 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0915/p338.html

AAFP Supports 'ACT for Better Diagnosis' Initiative

As a member of the Coalition to Improve Diagnosis, the AAFP is supporting the ACT for Better Diagnosis initiative, which aims to improve the diagnostic process by calling on organizations to identify and spread practical steps to better ensure diagnoses are accurate, communicated and ...

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180914actbetterdx.html

Intensive Blood Pressure Control: Too Close for Comfort?

New research suggests that in older patients with hypertension, aggressively treating blood pressure levels may significantly increase the risk of falls and fainting.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180912htntxfalls.html

A Hiring Manager's Perspective on the Art of Interviewing

Are you looking for a job or preparing for residency interviews? Hiring manager Natasha Bhuyan, M.D., tells you what she's looking for when she's interviewing candidates.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180910fp-interviewer.html

Why Does Equal Pay for Equal Work Still Elude Us?

The compensation gap between male and female physicians is widening. AAFP President Michael Munger, M.D., writes that this inequity is inexcusable and must end.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180907lv-genderpaygap.html

AAFP Digs In, Gives CMS Comprehensive Comments on MPFS

The AAFP sent a 92-page letter to CMS with recommendations on how to improve the proposed 2019 Medicare physician fee schedule so it better supports family medicine.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180906mpfscomments.html

CDC Releases Guidance for 2018-19 Influenza Season

On Aug. 24, the CDC released a Morbidity and Mortality Weekly Report summarizing recommendations from the Advisory Committee on Immunization Practices for the 2018-19 influenza season.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180906seasonalflurecs.html

Letting Life Take You by Surprise Can Stave Off Burnout

Physicians have the highest suicide rate in the nation. Kurt Bravata, M.D., ponders the need to recharge our batteries and reinforce the things that drew us into health care.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180905fp-engage.html

Chewing Gum for Reducing Post-Cesarean Section Ileus - Medicine by the Numbers - ...

Sep 1, 2018 - Although the current body of literature suggests a need for higher-quality, more robust research, the simplicity, frugality, and safety of chewing gum makes it a viable option to offer women undergoing cesarean section.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0901/od2.html

Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...

Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p275.html

Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease - ...

Sep 1, 2018 - Achieving a target BP of 135/85 mm Hg or less does not decrease the risk of total cardiovascular events vs. treating to a target of 140 to 160/90 to 100 mm Hg. Further, treating to the lower BP target does not improve total mortality, cardiovascular mortality, or serious adverse effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p276.html

Case Report: Successful Maternal and Fetal Outcomes After Uterine Rupture - Letters to ...

Sep 1, 2018 - ...hospital, family physicians take obstetric calls alongside obstetricians, midwives, anesthesiologists, and teams of obstetric and family medicine residents. We present a case that demonstrates how this collaborative, multidisciplinary model provides effective care in obstetric...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0901/p272.html

Effect of Dietary Changes on IBS Symptoms - FPIN's Help Desk Answers - American Family ...

Sep 1, 2018 - A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FOD-MAPs) decreases IBS symptoms and improves quality of life compared with usual diet.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0901/od1.html

Counseling Helps Prevent Perinatal Depression in High-risk Women

The U.S. Preventive Services Task Force recommends clinicians provide or refer pregnant and postpartum women at increased risk for perinatal depression to counseling interventions.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180831uspstfperidep.html

Study: Obesity at Young Age Increases Cancer Risk Later

Recently published research suggests that young individuals who are obese run a higher-than-average risk of developing cancer later in life.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180831obesitycancer.html

U.S. Resident Physicians Express Frustration, Fulfillment

A 2018 Medscape survey measures how happy U.S. resident physicians are in their jobs and with their lifestyles.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20180830ressurvey.html

Survey: Community Health Centers Need Many More FPs

The title of a new report from the Robert Graham Center sums up the situation for the community health centers that serve many low-income communities: "High Demand, Low Supply."

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20180829chcvacancies.html

CDC: 2017 HPV Vaccination Rate Up 5.2 Points Over 2016

A new Morbidity and Mortality Weekly Report says more U.S. adolescents are now up to date on HPV vaccination. Other research indicates that HPV vaccination does not lead to risky adolescent sexual behaviors.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180829mmwrhpv.html

New Texas Medical School Set to Emphasize Primary Care

Administrators of the University of Houston College of Medicine want to open in 2020 to start training primary care physicians for Texas with free tuition for the inaugural class.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20180828txmedschool.html

Putting My Broad-scope Training to the Test

Tate Hinkle, M.D., and his primary care colleagues tested the limits of their broad-scope training when a wave of subspecialists left their small, rural community.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180827fp-subspecialists.html

Petition Demands Stop to Big Tobacco's Social Media Deception

Teens use social media heavily -- and so do tobacco companies that want to reach U.S. kids, says a petition that the AAFP joined to ask the Federal Trade Commission to take action.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180827tobaccopetition.html

Women's Health Council Asks for FP Survey Participants

The Council on Patient Safety in Women's Health Care is asking family physicians to complete its quick survey to inform new resources for its patient safety bundles.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180827womenshealth.html

Considering a Virtual Group for 2019 MIPS Participation?

Register now for an Aug. 27 webinar that details how to participate in CMS' 2019 Merit-based Incentive Payment System as part of a virtual group.

AAFP News : MACRA Ready

https://www.aafp.org/news/macra-ready/20180822virtualgroups.html

Fighting for a Fee Schedule That Works for You, Your Patients

The AAFP is working on a detailed response to the proposed 2019 Medicare physician fee schedule that steers CMS toward fixes that will help family physicians give patients the comprehensive, continuous care they expect.

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

https://www.aafp.org/news/opinion/20180821presmsg-mpfs.html

Number of Women With OUD in Labor/Delivery Quadruples

The number of pregnant women with opioid use disorder who presented at hospital labor/delivery departments quadrupled between 1999 and 2014.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180821oudlabor-delivery.html

Children Exposed to Zika in Utero Need Long-term Monitoring

About one in seven children 1 year of age or older who were born to women with Zika virus infection during pregnancy have one or more health problems possibly caused by in utero exposure to the virus.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180817mmwr-zika.html

Epistaxis: Outpatient Management - American Family Physician

Aug 15, 2018 - Epistaxis is a common emergency encountered by primary care physicians. Up to 60% of the general population experience epistaxis, and 6% seek medical attention for it. More than 90% of cases arise from the anterior nasal circulation, and most treatments can be easily performed in the ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p240.html

Bone Cancer: Diagnosis and Treatment Principles - American Family Physician

Aug 15, 2018 - Primary bone cancers include osteosarcoma, Ewing sarcoma, and chondrosarcoma. They account for less than 1% of diagnosed cancers each year and are associated with significant morbidity and mortality. Timely diagnosis is challenging because of late patient presentation, nonspecific ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p205.html

Preoperative Assessment in Older Adults: A Comprehensive Approach - American Family ...

Aug 15, 2018 - Surgical outcomes are significantly influenced by patients’ overall health, function, and life expectancy. A comprehensive geriatric preoperative assessment of older adults requires expanding beyond an organ-based or disease-based assessment. At a preoperative visit, it is important to ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p214.html

Point-of-Care Ultrasonography in Family Medicine - Editorials - American Family Physician

Aug 15, 2018 - There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0815/p200.html

Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults - ...

Aug 15, 2018 - Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0815/p253.html

Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage - ...

Aug 15, 2018 - When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0815/p256.html

AAFP News - Aug 15, 2018 - American Family Physician

Aug 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0815/p198.html

Proposed Changes to QPP: What You Need to Know

In the second post of a two-part analysis, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines proposed changes to the MACRA Quality Payment Program.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180814itt_feeschedule2.html

AAFP's Opioid Survey Seeks Powerful Firsthand Testimony

The Academy is seeking member feedback regarding pain management and the opioid epidemic. Your response to a 10-minute survey will help support the AAFP's advocacy.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180813opioidsurvey.html

New Study Ties Obesity to Increased Risk of Flu Transmission

New research suggests that obesity in patients who contract influenza may prolong viral shedding time and increase the risk of spreading the virus to others.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180813flu-obesity.html

Students Focus on Protecting Vulnerable Patients, More Training

During the Aug. 4 business session of the 2018 National Congress of Student Members, delegates adopted multiple resolutions that addressed protecting the health and well-being of all people.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20180810nc-studentcongress.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.

AAFP News : CME

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

Residents Tackle Tough Issues to Ensure Good Patient Care

Residents attending the AAFP's 2018 National Congress of Family Medicine Residents wrote and discussed more than two dozen resolutions on issues ranging from electronic health records to women's health.

AAFP News : CME

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

Students, Residents Elect New Leaders

Delegates to the National Congress of Family Medicine Residents and the National Congress of Student Members chose new leaders Aug. 4 to represent them in the coming year.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20180804nc-elections.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.

AAFP News : Patient Care

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

Terbinafine for Onychomycosis - Medicine by the Numbers - American Family Physician

Aug 1, 2018 - Preliminary evidence indicates that combining terbinafine with an azole appears to be superior to terbinafine alone. Further study is necessary to compare combined treatment with terbinafine plus an azole vs. terbinafine alone.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0801/od1.html

Type 1 Diabetes: Management Strategies - American Family Physician

Aug 1, 2018 - There is considerable benefit of tight glucose control in patients with type 1 diabetes mellitus. Tight blood glucose control dramatically decreases the incidence of microvascular and macrovascular complications. Although glycemic goals should be individualized, most nonpregnant adults ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0801/p154.html

Diagnosis of Acute Coronary Syndrome - FPIN's Help Desk Answers - American Family ...

Aug 1, 2018 - The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of 13 and 6.8, ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0801/od2.html

Quality Measures: How to Get Them Right -- FPM

Aug 1, 2018 - Pay-for-performance programs have produced disappointing results. Fewer and more appropriate, evidence-based quality measures could help.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p23.html

Study Examines Role of Various Factors in Hearing Aid Use

A new study examines the socioeconomic factors that determine whether a person with hearing loss owns or uses hearing aids, while recent legislation aims to make it easier for people to afford these types of devices.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180801hearingaids.html

Academy Sends MACRA Concerns, QPP Advice to Congress

In a recent letter to Congress, the Academy expressed support for the overall goals of the Medicare Access and CHIP Reauthorization Act while outlining key strategies to improve its Quality Payment Program.

AAFP News : MACRA Ready

https://www.aafp.org/news/macra-ready/20180801macraltr.html

AAFP News - Aug 1, 2018 - American Family Physician

Aug 1, 2018 - ...A study recently published in PLOS Medicine shows that numerous states and large metropolitan centers have seen an uptick in the number of nonmedical exemptions granted for childhood vaccinations. In the past decade, the number of philosophical exemptions to vaccination has...

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0801/p140.html

Early Thoughts on the 2019 Fee Schedule

AAFP staff members are reviewing the 2019 Medicare physician fee schedule. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares some initial reactions based on the Academy's early evaluation of the proposal.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180731itt_feeschedule.html

How Small NYC Primary Care Practices Avoid Burnout Blues

Researchers recently found that health care professionals in small independent primary care practices in New York City reported much lower burnout rates than the national average.

AAFP News : Focus on Physician Well-being

https://www.aafp.org/news/focus-on-physician-well-being/20180731burnoutsmallpract.html

ENDS Not Effective as Tobacco Cessation Method, Says Study

According to a study recently published in PLOS ONE, users of electronic nicotine delivery systems (ENDS) who also smoke cigarettes are no more likely to quit smoking than are smokers who don't use ENDS.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180731endsstudy.html

AAFP Calls for Wide-ranging Approach to Lowering Drug Prices

The AAFP offered multiple suggestions, as well as some cautionary advice, in response to an HHS request for information on ways to lower drug prices.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180724hhsdrugsltr.html

Preparing Primary Care Residents for Geriatric Patients

Researchers at Yale University detail outcomes of a project that explored innovative ways to help primary care residents enhance their ability to care for geriatric patients.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20180723resgeriatric.html

AAFP Updates Its PSA Screening Recommendation

The AAFP has issued an updated clinical preventive service recommendation on prostate-specific antigen-based screening that differs from that of the U.S. Preventive Services Task Force in its level of specificity.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180720aafppsarec.html

Opportunities, Not Incentives, Drive PCPs to Do Better

In his final Fresh Perspectives blog post, Ryan Neuhofel, D.O., M.P.H., writes that policymakers should abandon the carrot-and-stick approach to payment schemes and give physicians time to provide better care.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180720fp-opportunity.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.

AAFP News : CME

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

It's Still the Prices, Stupid

High drug prices are driving dramatic increases in health care costs. In the latest In the Trenches blog post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin looks at how HHS and the AAFP are responding.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180717itt_drugs.html

Study Examines Physicians' Views on Routine SMBG

An Annals of Family Medicine study sought to determine why many physicians continue to recommend self-monitoring of blood glucose for some diabetic patients despite its cost and a lack of evidence that it is effective in improving patient outcomes.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180717annalssmbg.html

The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term ...

Jul 15, 2018 - Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0715/p117.html

Top POEMs of 2017 Consistent with the Principles of the Choosing Wisely Campaign - ...

Jul 15, 2018 - This article discusses the POEMs (patient-oriented evidence that matters) of 2017 judged to be most consistent with the principles of the Choosing Wisely campaign. A POEM is a synopsis of a research study that reports patient-oriented outcomes, such as improvement in symptoms, quality ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0715/p93.html

Stimulant and Designer Drug Use: Primary Care Management - American Family Physician

Jul 15, 2018 - Approximately 10% of the U.S. population 12 years and older reported using illicit substances in 2015. This article reviews the clinical effects and treatment of persons who use cocaine, methamphetamines, 3,4-methylenedioxymethamphetamine (MDMA), synthetic cannabinoids, and synthetic ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0715/p85.html

Behavioral Counseling to Prevent Skin Cancer - Putting Prevention into Practice - ...

Jul 15, 2018 - A 25-year-old Irish American woman presents for a wellness visit for herself and her two young children, a two-year-old boy and a seven-month-old girl. All three have fair skin, red hair, and freckles. She reports that she is looking forward to an upcoming family vacation to the ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0715/p105.html

AAFP News - Jul 15, 2018 - American Family Physician

Jul 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0715/p78.html

Prostate Cancer Screening

View the AAFP Choosing Wisely recommendation against screening for prostate cancer using a prostate-specific antigen (PSA) test or digital rectal exam.

Family Physician |AAFP Policies and Recommendations : Patient Care

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

MMWR Report: Fewer Youth Say They Use Tobacco Products

A new report from the CDC and FDA found that although fewer high school and middle school students overall used any tobacco product in 2017 compared to 2011, e-cigarettes remained the most commonly used tobacco product among those who did use such products.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180703tobaccosurvey.html

Why I'm Optimistic About the Future of Primary Care

In this Fresh Perspectives blog post, Natasha Bhuyan, M.D., shares lessons she has learned from the students and residents she trains, saying they give her hope for our future.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180702fp-trainees.html

Nebulized Hypertonic Saline for Bronchiolitis - Medicine by the Numbers - American ...

Jul 1, 2018 - Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0701/p23.html

Allergy Testing: Common Questions and Answers - American Family Physician

Jul 1, 2018 - An estimated 10% to 30% of the global population has an allergic disease. Clinical presentations of allergic diseases, respiratory infections, and autoimmune conditions have similar features. Allergy and immunologic testing can help clarify the diagnosis and guide treatment. Immediate ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0701/p34.html

Individual Behavioral Counseling for Smoking Cessation - Cochrane for Clinicians - ...

Jul 1, 2018 - Individual behavioral counseling conducted by a trained therapist provides some benefit when compared with brief counseling and support; however, this benefit is less pronounced in the context of pharmacotherapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0701/p21.html

Staples vs. Sutures After Cesarean Delivery - FPIN's Help Desk Answers - American ...

Jul 1, 2018 - Patients believe that staples and subcuticular sutures provide similar cosmetic outcomes after cesarean deliveries. However, the risk of wound complications (e.g., infection, separation, hematoma, seroma) is doubled with staples.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0701/p50.html

Study Suggests Link Between FP Scope of Practice, Burnout

New research published in Annals of Family Medicine suggests FPs with a broader scope of practice early in their careers may be less likely to feel burned out.

AAFP News : Focus on Physician Well-being

https://www.aafp.org/news/focus-on-physician-well-being/20180627burnout.html

AAFP Voices Support for FDA Tobacco Regulation

On June 20, the AAFP sent the FDA letters stating the Academy's position on three separate tobacco-related issues: the use of flavors in tobacco products, premium cigars and nicotine levels in cigarettes.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180626fdaletters.html

Expanding the Primary Care Pipeline in the Golden State

Jo Marie Reilly, M.D., M.P.H., developed an innovative program at the Keck School of Medicine at the University of Southern California to draw more medical students to primary care.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20180625fdf-reilly.html

Study Finds Disturbing Trends in Vaccination Exemptions

Results of a new study show that the number of nonmedical exemptions for childhood vaccinations has increased in two-thirds of the states that allow exemptions for philosophical, as well as religious, reasons.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180620vaccineexempts.html

AAFP Scores Win as CMS Activates Medicare ID Look-up Tool

The AAFP was successful in its recent efforts to persuade CMS to create a look-up tool for patients' Medicare Beneficiary Identifier numbers.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180619mbilookup.html

AAFP Survey Reveals DPC Trends

As we prepare for the annual Direct Primary Care Summit, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares the results of the AAFP's recent survey related to DPC.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180619ITT_DPC.html

Delaying Visa Approvals Would Harm Medical Training, Patients

As a new training year approaches, many international medical graduates are waiting for H1-B visa approvals. The AAFP and others have been pressing the administration to expedite the process.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180619lv-visaapproval.html

AAFP Joins Effort to Reverse Costly CPT Modifier 25 Decision

Dozens of professional medical organizations -- including the AAFP and the New Jersey AFP -- recently signed a letter urging two health insurance companies to reconsider an unfair coding policy.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20180618modfier25ltr.html

Antibiotics for Otitis Media in Children - Medicine by the Numbers - American Family ...

Jun 15, 2018 - This meta-analysis concludes that the risk of a prolonged course of antibiotics was twice as high for children younger than two years with bilateral acute otitis media than for children two years and older with unilateral acute otitis media, indicating that antibiotics might be ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0615/od3.html

Geriatric Assessment: An Office-Based Approach - American Family Physician

Jun 15, 2018 - Family physicians should be proficient in geriatric assessment because, as society ages, older adults will constitute an increasing proportion of patients. Geriatric assessment evaluates medical, social, and environmental factors that influence overall well-being, and addresses ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0615/p776.html

Localized Prostate Cancer: Treatment Options - American Family Physician

Jun 15, 2018 - In the United States, prostate cancer will be diagnosed in one out of seven men in his lifetime. Most cases are localized, and only one in 39 men will die from the disease. Prostate cancer is most often detected using serum prostate-specific antigen testing. The National Comprehensive ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0615/p798.html

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