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Four Mobile Apps to Encourage Healthy Habits -- FPM

Feb 1, 2018 - Recommend these mobile apps to patients as a way to reinforce recommended lifestyle changes.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/0100/oa1.html

NCCL Session Descriptions

Get information on sessions for the NCCL track of the AAFP Leadership Conference.

Events : AAFP Leadership Conference

https://www.aafp.org/events/aclf-nccl/nccl/schedule/sessions-nccl.html

AAFP News - Feb 1, 2018 - American Family Physician

Feb 1, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0201/p152.html

Congress' Inaction Threatens Family Medicine Training

The future of the Teaching Health Center Graduate Medical Education program -- and more than 700 residency slots -- is unclear because Congress has failed to address long-term funding.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180129lv-thcgme.html

New AAFP Resources Aim to Help With Payment, Outcomes

Shawn Martin highlights two new free Academy resources -- one related to payment and one intended to improve patient care -- in the latest In The Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180123ITT_Resources.html

Colorectal Cancer Screening and Surveillance in Individuals at Increased Risk - ...

Jan 15, 2018 - Individuals at increased risk of developing colorectal cancer include those with a personal or family history of advanced adenomas or colorectal cancer, a personal history of inflammatory bowel disease, or genetic polyposis syndromes. In general, these persons should undergo more ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0115/p111.html

Thirty Years of AFP: Having Fun Painting the Fence - Editorials - American Family ...

Jan 15, 2018 - Read Dr. Siwek's summary of his 29 years as Editor of AFP.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0115/p83.html

AAFP News - Jan 15, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0115/p72.html

Primary Care Needs Congress' Attention Right Now

Representatives from the AAFP and five other organizations recently met with legislators about vital primary care programs jeopardized by lack of stable funding.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180112lv-hillvisits.html

Why Are We Eager to Save One, Reluctant to Help Many?

In Alaska, there is an expectation that motorists will help others during extreme conditions. In this Leader Voices Blog post, John Cullen, M.D., questions why the same expectation to help doesn't always apply in health care.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180109lv-sharedsociety.html

Being a Family Physician Requires 'Courageous' Commitment

Aroha? In this Leader Voices Blog post, Gary LeRoy, M.D., describes the courage and commitment needed to succeed in family medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180103lv-aroha.html

Stents for Stable Coronary Artery Disease - Medicine by the Numbers - American Family ...

Jan 1, 2018 - Most published trials fail to show a benefit from coronary stenting in patients with stable obstructive coronary artery disease. However, stent technology has evolved significantly in recent years, and it is possible that newer-generation drug-eluting stents may offer different results.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0101/od1.html

Type 2 Diabetes Mellitus: Outpatient Insulin Management - American Family Physician

Jan 1, 2018 - In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. The American Diabetes Association suggests the use of long-acting (basal) insulin to augment therapy with one or two oral agents or one ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0101/p29.html

Pityriasis Rosea: Diagnosis and Treatment - American Family Physician

Jan 1, 2018 - Pityriasis rosea is a common self-limiting rash that usually starts with a herald patch on the trunk and progresses along the Langer lines to a generalized rash over the trunk and limbs. The diagnosis is based on clinical and physical examination findings. The herald patch is an ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0101/p38.html

Effectiveness of Moisturizers in the Treatment of Patients with Eczema - Cochrane for ...

Jan 1, 2018 - Moisturizers decrease the rate of eczema flare-ups by 3.7 times vs. no treatment (number needed to treat [NNT] = 4), as well as the amount of topical corticosteroids used per eczema flare-up (9.3 g less). Adverse effects are minimal.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p18.html

Young Febrile Infants: Step-by-Step Evaluation - Point-of-Care Guides - American Family...

Jan 1, 2018 - A fever without an obvious source in an infant younger than three months is highly concerning. Although some infants have a potentially life-threatening invasive bacterial infection, such as meningitis, bacteremia, or sepsis, most have less serious conditions, such as a viral syndrome.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0101/p45.html

Dietary Interventions for Recurrent Abdominal Pain in Childhood - Cochrane for ...

Jan 1, 2018 - Probiotics relieve pain in children with recurrent abdominal pain in the short term (number needed to treat [NNT] = 8). There is no convincing evidence that fiber supplements improve pain in children with recurrent abdominal pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p19.html

Female Genital Mutilation or Cutting - Curbside Consultation - American Family Physician

Jan 1, 2018 - FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0101/p49.html

Intensive Blood Pressure Control in Older Patients Can Decrease Renal Function - POEMs ...

Jan 1, 2018 - In this post-hoc analysis of the previously published SPRINT trial, lowering the systolic blood pressure of patients who are at increased risk of cardiovascular events (average age = 66 years) will decrease their risk of cardiovascular disease but increase their likelihood of developing...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0101/p54.html

AAFP News - Jan 1, 2018 - American Family Physician

Jan 1, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0101/p4.html

Eight Questions for 2018: Yes, Single Payer Is One of Them

Despite opposition to socialized, single-payer health care, nearly 120 million Americans have health care coverage through government-supported programs. With that growing number in mind, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin poses eight ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20171219ITT_singlepayer.html

Palpitations: Evaluation in the Primary Care Setting - American Family Physician

Dec 15, 2017 - Palpitations are a common problem in the ambulatory primary care setting, and cardiac causes are the most concerning etiology. Psychiatric illness, adverse effects of prescription and over-the-counter medications, and substance use should also be considered. Distinguishing cardiac from ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1215/p784.html

Chronic Kidney Disease: Detection and Evaluation - American Family Physician

Dec 15, 2017 - Chronic kidney disease affects 47 million people in the United States and is associated with significant health care costs, morbidity, and mortality. Because this disease can silently progress to advanced stages, early detection is critical for initiating timely interventions. Multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1215/p776.html

Pigmentation Disorders: Diagnosis and Management - American Family Physician

Dec 15, 2017 - Pigmentation disorders are commonly diagnosed, evaluated, and treated in primary care practices. Typical hyperpigmentation disorders include postinflammatory hyperpigmentation, melasma, solar lentigines, ephelides (freckles), and café au lait macules. These conditions are generally ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1215/p797.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

Effects of Contraceptives on Weight Gain or Loss - Letters to the Editor - American ...

Dec 15, 2017 - ...indications, making generalizations about their effects difficult. Our characterization of these medications was taken from the Obesity Medicine Association's obesity algorithm, which has been updated recently to include potential weight gain with progestins.1 I agree that the cited...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1215/ol1.html

Hypnosis for Surgical Pain - FPIN's Help Desk Answers - American Family Physician

Dec 15, 2017 - Hypnosis provides small to moderate improvements in surgical pain and burn debridement pain in adults.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1215/od2.html

AAFP News - Dec 15, 2017 - American Family Physician

Dec 15, 2017 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/1215/p760.html

Rural or Urban FP, We Both Handle Gamut of Patient Issues

A rural family physician and her inner-city counterpart find that their scope of practice and the issues their patients face are more similar than they expected.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20171205fp-urbanrural.html

Value-based Payment? Survey Says …

The AAFP partnered with Humana to survey family physicians regarding their engagement with, and attitudes toward, value-based payment models. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin has the details in the latest In the Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20171205ITT_VBP.html

Primary Care Benefit Could Improve Outcomes, Lower Costs

The U.S. health care system focuses too much attention on caring for the sick rather than on preventing illness in the first place. Leonard Reeves, M.D., makes that case in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20171204lv-sickcare.html

Topical Capsaicin for Treatment of Chronic Neuropathic Pain in Adults - Medicine by the...

Dec 1, 2017 - Based on low-quality evidence, high-concentration capsaicin patches reduce neuropathic pain from herpes and human immunodeficiency virus infection by 30% to 50% compared with the low-concentration capsaicin control group.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/1201/od1.html

Mildly Elevated Liver Transaminase Levels: Causes and Evaluation - American Family ...

Dec 1, 2017 - Mild, asymptomatic elevations (less than five times the upper limit of normal) of alanine transaminase and aspartate transaminase levels are common in primary care. It is estimated that approximately 10% of the U.S. population has elevated transaminase levels. An approach based on the ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p709.html

Hoarseness in Adults - American Family Physician

Dec 1, 2017 - Hoarseness is a common presentation in primary care practices. Combined with other voice-related changes, it falls under the umbrella diagnosis of dysphonia. Hoarseness has a number of causes, ranging from simple inflammatory processes to less common psychiatric disorders to more ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p720.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

Potential Benefits of L-Carnitine as Dietary Supplement - Letters to the Editor - ...

Dec 1, 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/2017/1201/ol1.html

USPSTF Recommendations: New and Updated in 2016 - Editorials - American Family Physician

Dec 1, 2017 - In 2016, the USPSTF updated 14 previous recommendation statements and added a new recommendation on screening for autism spectrum disorder. Several updated recommendations are notable for having significant changes.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/1201/p697.html

Opting Out of Medicare: How to Get Out and Stay Out -- FPM

Dec 1, 2017 - Physicians can cut ties with Medicare and privately contract with Medicare beneficiaries, but doing it incorrectly can be costly.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/1100/p17.html

Change Is Hard: What Really Happens When You Try to Implement a New Care Model -- FPM

Dec 1, 2017 - Even with a laudable goal, such as reducing physicians’ administrative burdens, it can be difficult to implement change. These real-world lessons can help.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/1100/p10.html

Tax Bills Could Add to Health Care's Ills

Provisions in both the House and Senate tax bills could hold negative consequences for physicians and patients. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin has the details in the latest In the Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20171121ITT_taxes.html

Just the Facts: Can Patient Education Help in Obesity Crisis?

Physicians may feel like they're losing the battle against obesity. Can patient education reduce the problem?

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

https://www.aafp.org/news/blogs/leadervoices/entry/20171120lv-patiented.html

In Defense of Reproductive Health Care

Starting Jan. 1, employers can refuse to provide insurance coverage for contraception. Natalie Hinchcliffe, D.O., points out that partisan arguments about birth control overlook the fact that women use these medications for many other conditions.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20171117fp-contraception.html

Herpes Zoster and Postherpetic Neuralgia: Prevention and Management - American Family ...

Nov 15, 2017 - Herpes zoster, or shingles, is caused by reactivation of varicella zoster virus, which causes chickenpox. There are an estimated 1 million cases in the Unites States annually, with an individual lifetime risk of 30%. Patients with conditions that decrease cell-mediated immunity are 20 ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1115/p656.html

Glucose Management in Hospitalized Patients - American Family Physician

Nov 15, 2017 - Glucose management in hospitalized patients poses challenges to physicians, including identifying blood glucose targets, judicious use of oral diabetes mellitus medications, and implementing appropriate insulin regimens. Uncontrolled blood glucose levels can lead to deleterious effects ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1115/p648.html

Statins in Persons at Low Risk of Cardiovascular Disease - Medicine by the Numbers - ...

Nov 1, 2017 - Despite the small reductions in nonfatal heart attacks and strokes, statins were not associated with a reduction in serious illness overall.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/1101/od1.html

Heart Failure with Preserved Ejection Fraction: Diagnosis and Management - American ...

Nov 1, 2017 - Heart failure with preserved ejection fraction, also referred to as diastolic heart failure, causes almost one-half of the 5 million cases of heart failure in the United States. It is more common among older patients and women, and results from abnormalities of active ventricular ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1101/p582.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

Risk of Preterm Birth with Vaginal Progesterone in Twin Pregnancies - FPIN's Help Desk ...

Nov 1, 2017 - Women with twin pregnancies should not routinely receive vaginal progesterone because it does not reduce the risk of preterm birth. Vaginal progesterone should be administered to reduce adverse neonatal outcomes in women with twin pregnancies and a short cervix (25 mm or less).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1101/od3.html

AHRQ's Tools for Better Practice: Helping Family Physicians Manage Today's Challenges -...

Nov 1, 2017 - The AHRQ invests in innovative primary care research to generate new knowledge, synthesize existing evidence that is applicable to the primary care setting, and create tools for improving primary care practice. They would like your feedback on the tools included in this article.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/1101/p569.html

AAFP News - Nov 1, 2017 - American Family Physician

Nov 1, 2017 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/1101/p562.html

Viral Response to #MeToo Shines Light on Need for Change

In light of the #MeToo phenomenon, we asked our new physician bloggers to share their perspectives on the pervasive nature of sexual harassment and assault in our society.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20171019fp-metoo.html

Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders - American Family Physician

Oct 15, 2017 - Fetal alcohol syndrome (FAS) and fetal alcohol spectrum disorders (FASD) result from intrauterine exposure to alcohol and are the most common nonheritable causes of intellectual disability. The percentage of women who drink or binge drink during pregnancy has increased since 2012. FAS ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1015/p515.html

Bladder Cancer: Diagnosis and Treatment - American Family Physician

Oct 15, 2017 - Bladder cancer is the sixth most prevalent malignancy in the United States and causes more than 16,000 deaths annually. The most common clinical presentation is asymptomatic hematuria, which should prompt evaluation with cystoscopy, renal function testing, and upper urinary tract ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1015/p507.html

Social Media Use and Mood Disorders: When Is It Time to Unplug? - Curbside Consultation...

Oct 15, 2017 - Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an invaluable resource for fulfilling the basic human need for social connection. However, rather than enhancing well-being by ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/1015/p537.html

Newer Oral Hypoglycemics Do Not Increase or Decrease Mortality - POEMs - American ...

Oct 15, 2017 - This seems like a strange question considering that the goal is to decrease mortality with drug therapy. Nevertheless, this study showed that the new kids on the diabetes block—exenatide (Byetta), dulaglutide (Trulicity), sitagliptin (Januvia), saxagliptin (Onglyza), and others—do not ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/1015/od2.html

AAFP News - Oct 15, 2017 - American Family Physician

Oct 15, 2017 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/1015/p489.html

Reviewing a Strange, Historic Week in Washington

The Patient Protection and Affordable Care Act survived yet another repeal effort, and an HHS secretary was ousted. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin examines the strange final week of September (and relates how you can help with ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/ITT_20171010.html

Testosterone Therapy: Review of Clinical Applications - American Family Physician

Oct 1, 2017 - Testosterone therapy is increasingly common in the United States, and many of these prescriptions are written by primary care physicians. There is conflicting evidence on the benefit of male testosterone therapy for age-related declines in testosterone. Physicians should not measure ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1001/p441.html

Prolonged Dual Antiplatelet Therapy After MI Reduces Major Adverse Cardiac Events - ...

Oct 1, 2017 - In patients who are stable one year post-MI, prolonged use of dual antiplatelet therapy may be an effective treatment to decrease major cardiac events and cardiovascular mortality.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/1001/od1.html

Recurrent Ischemic Stroke: Strategies for Prevention - American Family Physician

Oct 1, 2017 - Recurrent strokes make up almost 25% of the nearly 800,000 strokes that occur annually in the United States. Risk factors for ischemic stroke include hypertension, diabetes mellitus, hyperlipidemia, sleep apnea, and obesity. Lifestyle modifications, including tobacco cessation, ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1001/p436.html

Laxatives for the Management of Childhood Constipation - Cochrane for Clinicians - ...

Oct 1, 2017 - Polyethylene glycol (PEG) is superior to placebo (mean difference [MD] = 2.61 more stools per week; 95% confidence interval [CI], 1.15 to 4.08), lactulose (MD = 0.70; 95% CI, 0.10 to 1.31), and milk of magnesia (MD = 0.69; 95% CI, 0.48 to 0.89) at increasing the number of bowel ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/1001/p433.html

Finding the Bright Spots in Value-Based Care -- FPM

Oct 1, 2017 - Taking one small step at a time, primary care practices can lead the way as the health care system begins to reward value.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p21.html

Technology Tools and Trends for Better Patient Care: Beyond the EHR -- FPM

Oct 1, 2017 - From remote monitoring of chronic diseases to virtual assistants in the exam room, technology will improve practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p28.html

How to Talk to Reluctant Patients About the Flu Shot -- FPM

Oct 1, 2017 - This three-step framework can help you address patients' concerns about influenza immunization.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p6.html

Assessing Bleeding Risk in Patients Taking Anticoagulants - Point-of-Care Guides - ...

Oct 1, 2017 - Family physicians are often faced with the dilemma of balancing the benefit of stroke prevention with the risk of major bleeding when deciding on anticoagulation treatment in patients with atrial fibrillation. Over the past 10 years, several decision support tools have been developed ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/1001/p465.html

Making Sense of MACRA: A Guide for the Employed Physician -- FPM

Oct 1, 2017 - Use this checklist to ensure your administrator is capturing your data properly, which will help optimize revenue for you and your practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p17.html

Reducing Frustration and Increasing Fulfillment: Reframing -- FPM

Oct 1, 2017 - To better handle challenging patients or situations, try modifying the way you view them.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p12.html

Evaluating Physician Employment Contracts: How Do Your Benefits Measure Up? -- FPM

Oct 1, 2017 - From signing bonuses to relocation and continuing education allowances, your employment contract needs to provide more than a competitive salary.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p9.html

Treatments for Nocturnal Leg Cramps - FPIN's Help Desk Answers - American Family Physician

Oct 1, 2017 - Calcium channel blockers or B vitamins may lead to short-term improvement in nocturnal leg cramps. Stretching has mixed results. Quinine is effective but is no longer recommended, and it is not approved for treatment of leg cramps because of potential toxicity.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1001/od3.html

Up in Smoke: Western Fires Pose Public Health Hazard

Melissa Hemphill, M.D., writes that the wildfires scorching the Pacific Northwest are a public health hazard, and the threat is getting worse each year.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20170929fp-fires.html

Here We Go Again: GOP Attempting ACA Repeal

The Patient Protection and Affordable Care Act survived four Senate votes regarding repeal and replacement in July, but Senate Republicans are set to try again this week. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin examines what's at stake.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/ITT_20170926.html

How a Bill Becomes a Wall

Through words and drawings, Anita Ravi, M.D., illustrates how the Graham-Cassidy bill currently under consideration in the Senate could make health care worse.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20170925fp-grahamcassidy.html

Rural Practice Stretches Our Skills, Supports Our Families

Only 3 percent of final-year residents are interested in practicing in small towns. AAFP President-elect John Cullen, M.D., of Valdez, Alaska, makes the case for why they should.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170925lv-ruralmedicine.html

Hair Loss: Common Causes and Treatment - American Family Physician

Sep 15, 2017 - Hair loss is often distressing and can have a significant effect on the patient’s quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Nonscarring alopecias can be readily ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0915/p371.html

Vitamin B12 Deficiency: Recognition and Management - American Family Physician

Sep 15, 2017 - Vitamin B12 deficiency is a common cause of megaloblastic anemia, various neuropsychiatric symptoms, and other clinical manifestations. Screening average-risk adults for vitamin B12 deficiency is not recommended. Screening may be warranted in patients with one or more risk factors, such...

American Family Physician : Article

https://www.aafp.org/afp/2017/0915/p384.html

How Family Physicians Can Combat the Opioid Epidemic - Editorials - American Family ...

Sep 15, 2017 - Family physicians must commit to responsible prescribing of opioid medications. The decision to initiate opioid therapy should be a careful and deliberate one, especially in patients who are at risk of addiction.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0915/p357.html

Glycopyrrolate (Seebri Neohaler) for Maintenance Therapy in Patients with COPD - STEPS ...

Sep 15, 2017 - Glycopyrrolate is a safe option for maintenance treatment to prevent moderate to severe exacerbations in patients with moderate to severe COPD, with only mild and rare adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0915/p395.html

Screening for Syphilis Infection in Nonpregnant Adults and Adolescents - Putting ...

Sep 15, 2017 - R.J. is a 27-year-old man who presents for a well-patient visit. He always keeps his appointments and likes to make sure he is healthy. R.J. has started a new relationship and asks if he should be screened for syphilis.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0915/p393.html

AAFP News - Sep 15, 2017 - American Family Physician

Sep 15, 2017 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0915/p356.html

What Should We Tell Parents About Concussions, Contact Sports?

Despite an abundance of research regarding head injuries, counseling parents and young athletes about the risks of contact sports is complicated.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20170913fp-concussions.html

Varenicline for Smoking Cessation - Medicine by the Numbers - American Family Physician

Sep 1, 2017 - Do the benefits outweigh the harms of using varenicline (Chantix) for smoking cessation? Read more to find out.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0901/od1.html

Aseptic and Bacterial Meningitis: Evaluation, Treatment, and Prevention - American ...

Sep 1, 2017 - The etiologies of meningitis range in severity from benign and self-limited to life-threatening with potentially severe morbidity. Bacterial meningitis is a medical emergency that requires prompt recognition and treatment. Mortality remains high despite the introduction of vaccinations ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0901/p314.html

Vitamin D for the Management of Asthma - Cochrane for Clinicians - American Family ...

Sep 1, 2017 - Despite the authors' caution that further data are needed to clarify the role of vitamin D in care, this Cochrane review found that its use reduces the average number of asthma exacerbations requiring corticosteroid treatment from 0.44 to 0.28 per person per year.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0901/p290.html

Differences Between the AAFP Atrial Fibrillation Guideline and the AHA/ACC/HRS ...

Sep 1, 2017 - The AAFP updated its guideline on pharmacologic management of newly detected atrial fibrillation, which differs in part from the AHA/ACC/HRS guideline. It specifically highlights two questions commonly faced by family physicians, and is based on updated data from the Agency for ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0901/p284.html

AAFP News - Sep 1, 2017 - American Family Physician

Sep 1, 2017 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0901/p282.html

Congress Faces Tight Deadlines on Critical Issues

A handful of critical health care programs will run out of funding if Congress fails to act by the end of September.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20170829itt-deadlines.html

Protecting Yourself From Threat of Malpractice Suits

Now that the Senate appears unlikely to take up a tort reform bill passed by the House, Javette Orgain, M.D., M.P.H., highlights information physicians should know to reduce their risks.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170818lv-liability.html

Top POEMs of 2016 Consistent with the Principles of the Choosing Wisely Campaign - ...

Aug 15, 2017 - A challenge in the Choosing Wisely campaign is to identify low-value clinical actions supported by high-quality evidence. We applied a method based on crowdsourcing the Daily POEM (patient-oriented evidence that matters) to identify low-value clinical actions from research studies ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0815/p234.html

Preventing Falls in Older Persons - American Family Physician

Aug 15, 2017 - The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend exercise or ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0815/p240.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

The ACA Survived. Now What?

The Patient Protection and Affordable Care Act recently survived four Senate votes regarding repeal and replacement of the health care law. In the latest In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin reflects on how we ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20170815itt-aca.html

Drop in Number of FPs Who Deliver Babies May Create Rural Crisis

A projected shortage of obstetricians and a declining percentage of family physicians who provide maternity care could create a crisis for women in underserved areas.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170815lv-ruralob.html

Dexamethasone May Reduce Sore Throat Symptoms in Adults at 48 Hours - POEMs - American ...

Aug 15, 2017 - A single dose of oral dexamethasone is no more effective than placebo in resolving acute sore throat symptoms at 24 hours in adults who do not receive immediate antibiotic therapy. However, among a multitude of exploratory secondary outcomes, the authors found that, compared with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0815/p260a.html

Health Care Is a Right That Must Extend to Everyone

Gary LeRoy, M.D., writes that health care must be seen as a basic human right that is necessary for the preservation of dignity, social worth, health and even life.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170808lv-healthcareright.html

Probiotics for Gastrointestinal Conditions: A Summary of the Evidence - American Family...

Aug 1, 2017 - Probiotics contain microorganisms, most of which are bacteria similar to the beneficial bacteria that occur naturally in the human gut. Probiotics have been widely studied in a variety of gastrointestinal diseases. The most-studied species include Lactobacillus, Bifidobacterium, and ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0801/p170.html

Antipsychotics for Fibromyalgia in Adults - Medicine by the Numbers - American Family ...

Aug 1, 2017 - Quetiapine may be considered for a limited period (less than 12 weeks) to improve pain, sleep, and depression in fibromyalgia, while considering the potential for weight gain.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0801/od1.html

Pelvic Organ Prolapse - American Family Physician

Aug 1, 2017 - Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). Prevalence increases with age. The cause of prolapse is multifactorial but is ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0801/p179.html

Which Quality Measures Should You Report? -- FPM

Aug 1, 2017 - Here’s how to select the measures that will maximize your success under Medicare’s new Quality Payment Program.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0700/p5.html

Which Probiotics Should I Take? A Practical Guide for Family Physicians - Editorials - ...

Aug 1, 2017 - Find out what requirements should be met to know that you are offering your patients the highest quality probiotics to help prevent and treat disease.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0801/p156.html

Building Capacity to Care for Refugees -- FPM

Aug 1, 2017 - So you want to incorporate refugee health into your practice. Now what?

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0700/p21.html

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