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Medicine by the numbers

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Abstracts

...Adult Medicine Board Review Cardiovascular Conditions Child and Adolescent Medicine Chronic Conditions Coronavirus (COVID-19) Emergency and Urgent Care Endocrinology Family Medicine Update Geriatric Medicine Global Health Health Equity Hospice and Palliative...

Events : Global Health Summit

https://www.aafp.org/events/global-health/abstracts.html

Measuring AAFP Efforts on Diversity, Equity and Inclusion

In this third and final part of her interview with AAFP News, Academy President Ada Stewart, M.D., touches on the organization’s achievements and ongoing efforts to promote diversity, equity and inclusion.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210304stewartqa3.html

Lose-Lose: Noncompete Agreements Hurt Doctors and Patients

Restrictive covenants, also known as noncompete agreements, represent a unique piece of contract architecture that exists in many business fields and may have merit in certain circumstances. When applied to medical practice, however, these agreements can be particularly harmful. Read ...

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20210303fp-noncompete.html

Blitzing for Family Medicine

The AAFP’s president and Board last week made an intensive lobbying push in a series of virtual advocacy meetings with congressional members and staff.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20210302itt-lobbying.html

Responses to common concerns about the new E/M guidelines -- FPM

As family physicians adjust to the new CPT guidelines for office/outpatient evaluation and management services, some common themes are beginning to emerge.

Family Practice Management : Getting Paid : FPM Home

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

Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA - ... Restricted content. Login required.

Mar 1, 2021 - After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0301/od1.html

Difficult-to-Treat and Severe Asthma: Management Strategies - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Asthma is a common chronic inflammatory disease in the United States. Up to 17% of asthma cases are classified as difficult to treat, and 3.7% of these are considered severe. Uncontrolled asthma is characterized by poor symptom control or frequent exacerbations. In difficult-to-treat ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0301/p286.html

Substance Abuse - American Family Physician

Mar 1, 2021 - ...03/01/2017 Buprenorphine Maintenance vs. Placebo for Opioid Dependence [Medicine by the Numbers] 01/01/2017 Alpha-adrenergic Agonists for the Management of Opioid Withdrawal [Medicine by the Numbers] 10/01/2016 Rural Opioid Use Disorder Treatment Depends on Family Physicians...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=27

An Osteopathic Approach to Neck Pain - Letters to the Editor - American Family Physician

Mar 1, 2021 - ...of related techniques used to manage somatic dysfunction (see https://www.aafp.org/afp/2019/0215/p248.html). The goals of applying manual medicine are to restore maximal, pain-free movement of the musculoskeletal system; enhance neuromuscular function; and improve biomechanical...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0301/p262.html

Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder -... Restricted content. Login required.

Mar 1, 2021 - Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0301/p272.html

Low-Dose Edoxaban Effective for Stroke Prevention in Older Patients with Atrial ... Restricted content. Login required.

Mar 1, 2021 - A lower dose of edoxaban is effective in decreasing stroke and systemic embolism in older patients with atrial fibrillation compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312a.html

New Toolkit Helps Members Address Chronic Pain

The AAFP has published a new Chronic Pain Toolkit, providing family physicians with the latest resources and information to help them effectively assess, diagnose and manage chronic pain.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210301cptoolkit.html

Uncertainty and Hope: A COVID-19 Update From Rural America

As vaccination rolls out and health care teams continue banding together in videoconferences and other collaboration, Jen Brull, M.D., sees a light at the end of the tunnel.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20210225lv-ruralcovid.html

CDC Updates Immunization Schedules for 2021

The CDC’s Advisory Committee on Immunization Practices, together with the AAFP and several other medical organizations, released the 2021 immunization schedules for children, adolescents and adults.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210224immschedules.html

Behavioral Health Collaborative Seeks FPs for Study

The Behavioral Health Integration Collaborative is recruiting primary care clinicians to participate in a study on the effectiveness of the Collaborative’s existing resources.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20210223bhistudy.html

AAFP Hosts Film, Town Hall Highlighting Equity, Advocacy

Academy members have exclusive access to watch the award-winning documentary Power to Heal, which will be the subject of a Virtual Town Hall on health equity on March 10.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210222powertoheal.html

It’s Time to Double Down on Payment Parity

The COVID-19 pandemic underscores the urgent need for Medicaid primary care payment to be at least equal to the Medicare rate. Parity is also how we ensure a more robust pipeline.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20210217itt-parity.html

Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults - ... Restricted content. Login required.

Feb 15, 2021 - Patients who received intravenous magnesium sulfate for acute asthma exacerbation in the emergency department had decreased hospital admissions and no serious adverse effects.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0215/p245.html

Frailty: Evaluation and Management - American Family Physician Restricted content. Login required.

Feb 15, 2021 - Frailty, which is a geriatric syndrome that affects 5% to 17% of older adults, is a state of increased vulnerability across multiple health domains that leads to adverse health outcomes. Frail older adults are at increased risk of falls, disability, hospitalizations, and death. Frailty ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0215/p219.html

Bipolar Disorders: Evaluation and Treatment - American Family Physician Restricted content. Login required.

Feb 15, 2021 - Bipolar disorders are common, recurrent mental health conditions of variable severity that are difficult to diagnose. Affected individuals have higher rates of other mental health disorders, substance use disorders, and comorbid chronic medical illnesses. New diagnostic criteria and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0215/p227.html

Asthma - American Family Physician

Feb 15, 2021 - This collection features AFP content on asthma and related issues, including allergens, beta agonists, chronic cough, exercise-induced bronchoconstriction, inhalers, and wheezing. This collection features AFP content on asthma and related issues, including allergens, beta agonists, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=3

Performance-Enhancing Drug Use in Recreational Athletes - Editorials - American Family ...

Feb 15, 2021 - Family physicians may be surprised to learn the number of their patients who use performance-enhancing drugs, either deliberately to improve athletic performance or unknowingly through contaminated dietary supplements.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0215/p203.html

Compression Reduces Recurrent Cellulitis in Patients with Chronic Leg Edema - POEMs - ... Restricted content. Login required.

Feb 15, 2021 - Adding compression to patient education reduces the likelihood of recurrent cellulitis in patients with chronic leg edema.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p247.html

Starfield Summit Is First Step in Revising Residency

The AAFP and other family medicine organizations have offered substantial input to the Accreditation Council for Graduate Medical Education regarding revisions to the specialty’s residency program requirements.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20210215starfield.html

Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone - POEMs -... Restricted content. Login required.

Feb 15, 2021 - For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p249.html

AAFP Highlights Primary Care in Rescue Package Needs

The AAFP called on Congress to bolster primary care as legislators write the bills for the American Rescue Plan.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210215arpletter.html

Striving for Diversity and Equality in Family Medicine

In recognition of Black History Month, the AAFP spotlights its own efforts to promote equality, diversity and inclusion in family medicine.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210210aafpblackhistory.html

National Conference Attendees

...We are glad you’re joining us for AAFP National Conference for Family Medicine Residents and Medical Students! The virtual platform is open. In preparation for the event we encourage you to check out the platform in advance and complete the following activities: Access the...

Events

https://www.aafp.org/events/national-conference1/attendees.html

AAFP Publishes Opioid Use Disorder Treatment Manual

The Academy has published a new practice manual on the treatment of opioid use disorder that brings together many of the Academy’s resources on the topic in one convenient tool.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210209oudmanual.html

Study: Primary Care Is Optimal Vaccine Delivery Channel

Primary care physicians provide the majority of vaccinations in the United States and can lead the push for COVID-19 immunization, says a new study.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20210209pcvaccines.html

Resident Has Passion for Health Justice

Whether it’s addressing the need for a mentoring program or filling a gap in curriculum, family medicine resident Robert Rock, M.D., has a knack for solving problems himself.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20210208fdf-rock.html

Honoring Black Americans’ Contributions to Medicine

The Academy is celebrating Black History Month by recognizing the accomplishments of Black Americans and spotlighting some of the ways they have advanced the science and art of healing in the United States.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210205bhmtimeline.html

Understanding the Supplemental Offer and Acceptance Program

If you didn't match, there's still an opportunity to match to a residency program through the Supplemental Offer and Acceptance Program (SOAP).

Students and Residents : Medical Students

https://www.aafp.org/students-residents/medical-students/become-a-resident/match/understanding-the-supplemental-offer-and-acceptance-program.html

Targeted Cancer Therapies - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Targeted cancer therapies involve chemotherapeutic agents that attack, directly or indirectly, a specific genetic biomarker found in a given cancer. Targeted oncology includes monoclonal antibodies, small molecule inhibitors, antibody-drug conjugates, and immunotherapy. For example, the...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p155.html

Telemedicine Management of Musculoskeletal Issues - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Telemedicine can provide patients with cost-effective, quality care. The coronavirus disease 2019 pandemic has highlighted the need for alternative methods of delivering health care. Family physicians can benefit from using a standardized approach to evaluate and diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p147.html

Coding Level 4 Office Visits Using the New E/M Guidelines -- FPM Restricted content. Login required.

Feb 1, 2021 - Determining whether the visit you’ve just finished should be coded as a level 4 could be as simple as asking yourself three questions.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p27.html

Exercise vs. No Exercise for the Occurrence, Severity, and Duration of Acute ... Restricted content. Login required.

Feb 1, 2021 - For adults, regular exercise may reduce the overall severity of acute respiratory tract infections and the number of days with symptoms, but there is no evidence that exercise reduces the overall occurrence or duration of these infections.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0201/p144.html

E/M Changes for 2021: The Beginning, Not the End -- FPM

Feb 1, 2021 - The E/M coding revisions aren’t perfect, but they represent a huge step forward in reducing physicians’ documentation burden, audit risk, and complexity of code selection.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0100/p8.html

Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type ... Restricted content. Login required.

Feb 1, 2021 - In adults with suspected cognitive impairment, what is the utility of brief cognitive testing in detecting clinical Alzheimer-type dementia and distinguishing it from mild cognitive impairment or normal cognition?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0201/p183.html

Employment and Contract Considerations for Family Physicians in the Era of COVID-19 -- FPM Restricted content. Login required.

Feb 1, 2021 - Family physicians may encounter unfamiliar employment challenges in the short-term, but long-term job prospects remain promising.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p11.html

Widening Disease Definitions: What Can Physicians Do? - Editorials - American Family ...

Feb 1, 2021 - Disease definitions are often broadened over time to include milder and earlier cases. A strong driver for such definitional changes is the belief that they will benefit patients by preventing more severe disease or future complications.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0201/p138.html

The 2021 Medicare Payment and CPT Coding Update -- FPM Restricted content. Login required.

Feb 1, 2021 - This year’s changes bode well for family physicians, with an expected increase in Medicare allowed charges.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/oa1.html

"Quick, Grab the Naloxone": Overdose Preparedness for Ambulatory Clinics -- FPM Restricted content. Login required.

Feb 1, 2021 - With opioid overdoses rising, practices should consider stocking this safe rescue drug alongside other emergency devices and medications.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p17.html

Virtual Residency Interviews: Questions and Answers

Virtual interviews are likely to remain a normal part of the Match process. Learn about the four major types of virtual interviews, and how to prepare for them.

Students and Residents : Medical Students

https://www.aafp.org/students-residents/medical-students/become-a-resident/applying-to-residency/prepare-for-residency-interviews/virtual-residency-interviews--questions-and-answers.html

Sponsors End USMLE Step 2 Clinical Skills Exam

The Federation of State Medical Boards and National Board of Medical Examiners announced Jan. 26 that they were discontinuing the United States Medical Licensing Examination Step 2 Clinical Skills exam rather than revamping it.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20210129usmlestep2.html

HealthLandscape Introduces Vaccination Deficit Explorer

HealthLandscape’s new Vaccination Deficit Explorer tool can be used by family physicians to develop targeted efforts to increase COVID-19 vaccination rates in their communities.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210128vaccmap.html

Offer Interventions to Help Patients Quit Tobacco Products

On Jan. 19, the U.S. Preventive Services Task Force published a final recommendation statement, final evidence review and final evidence summary on interventions for tobacco smoking cessation in adults, including individuals who are pregnant.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210128uspstftobacco.html

Students Optimistic About Future of Family Medicine

After a chaotic 2020, we asked four AAFP student leaders what they are excited about regarding the future of family medicine. Here is what they shared.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20210127fmfuture.html

Tips From the Virtual Interview Trail

Virtual residency interviews may remain part of the Match process beyond the pandemic. Fourth-year student Cynthia Ciccotelli offers future applicants her insights.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20210127lv-virtualinterview.html

AAFP Sees Harms to Team-based Care in VA Interim Final Rule

The AAFP and other medical societies this month urged the Department of Veterans Affairs to rescind an interim final rule that would decrease the standard of care for U.S. veterans.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210127vascope.html

AAFP Fields New Resource on Coding, Documentation Changes

Members are invited to review the latest addition to the AAFP’s collection of information, resources and tools regarding new office visit evaluation and management coding and documentation guidance that took effect on Jan. 1: the 2021 Office Visit E/M Guidelines Module.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20210127e-mcodeguidelines.html

No Shortcuts for Med Student Leader

Garrett Kneese planned to finish a combined bachelor of science and doctor of medicine program in seven years, but valuable detours extended that plan and led to a leadership role addressing social determinants of health.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20210125fdf-kneese.html

Report Finds Fewer American Youths Use Tobacco Products

A new report from the CDC and FDA has found that while use of several types of tobacco products declined between 2019 and 2020, about one in six middle school and high school students still use tobacco products.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210121youthtobacco.html

AAFP Lays Out Health Policy Aims to 117th Congress

In a Jan. 8 letter, the AAFP outlined its legislative priorities to the 117th Congress, including ensuring health care access, strengthening the primary care workforce, promoting health equity, increasing primary care payment and preserving telehealth expansion.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210121congressletter.html

Sponsorship and Advertising Opportunities

Learn more about how to network with the more than 4,000 family physician attendees at 2021 AAFP Family Medicine Experience (FMX) Conference, September 28-October 2.

Events : FMX 2021

https://www.aafp.org/events/fmx/sponsorship.html

FMX Exhibitor FAQs

Learn more about exhibit opportunities at FMX, the AAFP's largest family medicine conference.

Events : FMX 2021

https://www.aafp.org/events/fmx/exhibitors/resources/faqs.html

Labor Dystocia in Nulliparous Women - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dystocia (abnormally slow or protracted labor) accounts for 25% to 55% of primary cesarean deliveries. The latent phase of labor begins with onset of regular, painful contractions and continues until 6 cm of cervical dilation. Current recommendations are to avoid admission to labor and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p90.html

Newborn Circumcision Techniques and Medical Ethics - Letters to the Editor - American ...

Jan 15, 2021 - ...are virtually always treatable and are relatively uncommon in boys regardless of circumcision status. The cited report suggests that the number of circumcisions needed to prevent one (likely treatable) UTI is approximately 100. Penile cancer is one of the rarest malignancies for...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p69.html

Antepartum Perineal Massage for Intrapartum Lacerations - FPIN's Help Desk Answers - ... Restricted content. Login required.

Jan 15, 2021 - Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0115/p115.html

Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of ... Restricted content. Login required.

Jan 15, 2021 - Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0115/p117.html

Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No ... Restricted content. Login required.

Jan 15, 2021 - Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od2.html

Compensation & Productivity -- FPM Topic Collection

Jan 13, 2021 - ...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

Waking Up in 2021

As a new year begins, AAFP Board chair Gary LeRoy, M.D., outlines the Academy’s priorities for 2021.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20210112lv-2021.html

Town Hall to Explore COVID-19’s Impact on Physicians

The AAFP will hold a special Virtual Town Hall from 7-8 p.m. CT on Jan. 13 to focus on how the pandemic is affecting family physicians’ mental health and well-being.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20210112covidtownhall.html

Automating Prior Authorization Just First Step, AAFP Says

The AAFP told CMS that a proposed rule mandating automated responses to prior authorization requests would not do enough to reduce administrative complexity.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210112priorauth.html

Mentor Shares His Passion for Learning

Emmanuel Kenta-Bibi, M.D., M.P.H., M.S.M.Ed., M.B.A., came to the United States to continue his training. Three degrees later, he’s a mentor and state leader.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20210111fdf-kentabibi.html

Academy Objects to Proposed Rewiring of ACA Enrollment

The AAFP has objected to a proposed federal regulation that would allow states to opt out of the ACA’s individual market exchange.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210107exchangeoptout.html

AAFP to Develop Value-based Payment Model for Primary Care

Noting that family physicians are foundational to the success of value-based care in United States, the AAFP Board of Directors has approved and funded a special project to empower Academy members to partner with payers to help improve quality and control total costs of care.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20210107vision2025.html

Screen At-risk Individuals for Hepatitis B Virus Infection

The U.S. Preventive Services Task Force recently posted a final recommendation statement, final evidence review and evidence summary on screening for hepatitis B virus infection in adolescents and adults.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210107uspstfhepb.html

Practical lessons learned from administering COVID vaccine in a small office setting --...

Administering the COVID vaccine takes more effort than doing flu shots. Here are 13 lessons to help you prepare.

Family Practice Management : Quick Tips : FPM Home

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

Effectiveness of Alarm Therapy in the Treatment of Nocturnal Enuresis in Children - ... Restricted content. Login required.

Jan 1, 2021 - This review concluded that alarm therapy appears to be effective for treating nocturnal enuresis in children, but it is uncertain if it is more effective than other interventions.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0101/od1.html

Diagnostic Imaging: Appropriate and Safe Use - American Family Physician Restricted content. Login required.

Jan 1, 2021 - The use of diagnostic radiography has doubled in the past two decades. Image Gently (children) and Image Wisely (adults) are multidisciplinary initiatives that seek to reduce radiation exposure by eliminating unnecessary procedures and offering best practices. Patients with an estimated...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p42.html

Breast Cancer Screening: Common Questions and Answers - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Breast cancer is the most common nonskin cancer in women and accounts for 30% of all new cancers in the United States. The highest incidence of breast cancer is in women 70 to 74 years of age. Numerous risk factors are associated with the development of breast cancer. A risk assessment ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p33.html

Treatment of Distal DVT - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Vitamin K antagonists reduce the recurrence of DVT and VTE (number needed to treat [NNT] = 17; 95% CI, 13 to 48) but not pulmonary embolism (PE) compared with no anticoagulation or placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p18.html

Beware of the Differing Definitions for the False-Positive Rate - Letters to the Editor...

Jan 1, 2021 - ...rates in antibody testing in their Letter to the Editor. We agree that testing in low-prevalence populations will result in a large number of false-positive test results. Because multiple definitions of the false-positive rate exist, it is important to state which definition is...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0101/p7.html

CT Colonography for Colorectal Cancer Screening - Diagnostic Tests: What Physicians ... Restricted content. Login required.

Jan 1, 2021 - Computed tomography colonography performs well for colorectal cancer screening. Long-term studies are needed to demonstrate its impact on patient morbidity and mortality, as well as to determine the risks, benefits, and costs.

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

https://www.aafp.org/afp/2021/0101/p55.html

Medications for Treatment-Resistant Depression in Adults - Cochrane for Clinicians - ... Restricted content. Login required.

Jan 1, 2021 - In patients with treatment-resistant depression, augmenting therapy with atypical antipsychotics can be effective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p16.html

Electronic Cigarettes for Smoking Cessation - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Jan 1, 2021 - e-Cigarettes with nicotine can be used to encourage smoking cessation, but continued use after cessation may be a risk factor for relapse.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0101/p53.html

New Pandemic Stimulus Brings Wins, Concerns for AAFP

Legislation that Congress passed on Dec. 21 brought wins regarding several important issues that the AAFP has advocated on, but also some disappointment.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20201223fundingbill.html

USPSTF: Offer Interventions for Healthy Weight in Pregnancy

On Dec. 8, the U.S. Preventive Services Task Force posted a draft recommendation statement and draft evidence review on behavioral counseling interventions to promote healthy weight and weight gain during pregnancy.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201222pregnancyweight.html

Program Directors: Virtual Interviews Better Than Expected

The pandemic forced the unprecedented step of moving all Match interviews online. In this QandA, four family medicine residency program directors share their insights regarding virtual interviews.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20201218matchqanda.html

Anorexia In the Time of COVID

Disordered eating has increased dramatically during the pandemic. Lalita Abhyankar, M.D., M.H.S., offers an example of virtual visits and team-based care that’s making a difference.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20201217fp-anorexia.html

Peripheral Neuropathy: Evaluation and Differential Diagnosis - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting symptoms and, if indicated, by results of electrodiagnostic studies for axonal and demyelinating disease. The prevalence of peripheral ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p732.html

Acute Chest Pain in Adults: Outpatient Evaluation - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation is based on determining whether the patient needs to be referred to a higher level of care to rule out acute coronary ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p721.html

Degenerative Cervical Myelopathy: Recognition and Management - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Degenerative cervical myelopathy encompasses a collection of pathologic conditions that result in progressive spinal cord dysfunction secondary to cord compression. Patients are typically male (3: 1 male-to-female ratio), and the average age of presentation is 64 years. The exact ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p740.html

Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ... Restricted content. Login required.

Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1215/p756.html

CDC Approves Use of First COVID-19 Vaccine

The FDA and the CDC have officially approved the use of a COVID-19 vaccine in the United States, a decision that the AAFP supported after an expedited review.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201214covidvacc.html

The (Micro) Economics of Health

In the latest blog installment on his pursuit of a master’s degree in public health, Stewart Decker, M.D., explains how microeconomics affects the way patients and politicians take physicians’ advice.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20201210fp-mph6.html

AAFP Breaks Down 2021 MPFS Final Rule for Members

The Academy has released its summary of the 2021 Medicare physician fee schedule final rule for members, including details of evaluation and management coding improvements.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20201210mpfssummary.html

AAFP to Host Town Hall on COVID-19 Vaccines Dec. 16

The AAFP will host a Virtual Town Hall to provide members with the latest information on COVID-19 vaccines on Wednesday, Dec. 16.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201209vacctownhall.html

Commission on Membership and Member Services (CMMS)

Commission on Membership and Member Services (CMMS)

About AAFP : Meet our Leadership

https://www.aafp.org/about/meet-our-leadership/commissions/descriptions/commission-description-cmms.html

The AAFP and the Biden White House

Capping a tumultuous election year, the Academy has begun corresponding with President-elect Joe Biden’s transition team and plans to communicate extensively with the next White House.

Advocacy : Advocacy Campaigns

https://www.aafp.org/advocacy/act/biden.html

Preventing Cardiovascular Disease in At-risk Adults

On Nov. 24, the U.S. Preventive Services Task Force issued a final recommendation statement, evidence review and evidence summary on behavioral counseling interventions to promote a healthy lifestyle in adults with cardiovascular risk factors.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201203cvcounseling.html

Telemedicine II: What We’ve Learned So Far

This spring our new physician bloggers told us about their experiences with implementing telemedicine. Several months later, we asked for an update regarding their lessons learned.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20201203fp-telehealth.html

New AAFP Resources Walk FPs Through 2021 Coding Changes

A series of compelling vignettes and a comprehensive report in FPM offer family physicians an up-close look at coding and documentation changes taking effect next year.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20201202e-mchangesupdt.html

Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ... Restricted content. Login required.

Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1201/od2.html

Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely Campaign - ... Restricted content. Login required.

Dec 1, 2020 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2019 judged to be most consistent with the principles of Choosing Wisely, an international campaign to reduce unnecessary testing and treatments. We selected these POEMs through a crowdsourcing strategy of...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p673.html

Parkinson Disease - American Family Physician Restricted content. Login required.

Dec 1, 2020 - Parkinson disease is a progressive neurodegenerative disorder with significant morbidity and mortality. Most patients consult with their primary care physician about Parkinson disease symptoms before seeking care from a specialist. The diagnosis of Parkinson disease is clinical, and key...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p679.html

The 2021 Office Visit Coding Changes: Putting the Pieces Together -- FPM Restricted content. Login required.

Dec 1, 2020 - Simplified guidelines for coding and documenting evaluation and management office visits are coming next year. Learn how to apply the guidelines to some common visit types.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p6.html

Point-of-Care Ultrasound: A Practical Guide for Primary Care -- FPM Restricted content. Login required.

Dec 1, 2020 - Ultrasound has head-to-toe applications for primary care, and the newest machines are portable and affordable enough to fit into almost any practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p33.html

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