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Coding & Documentation - Jul-Aug 2017 -- FPM

Aug 1, 2017 - ...must also include evidence of a face-to-face encounter and medical necessity for the level of service rendered. CMS also notes that a large number of patient visits by a single physician on the same date may raise suspicion of gang visits and may require documentation to...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2017/0700/p37.html

AAFP Member Survey Provides Valuable Perspective

The AAFP's annual Practice Profile Survey provides tremendous insight that drives improvements in the Academy's advocacy, education and member services.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20170801ITT_Survey.html

AAFP News - Aug 1, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0801/p154.html

What are Probiotics? - American Family Physician

Aug 1, 2017 - ...in our gastrointestinal (GI) tract eat too. Sometimes, the numbers of good organisms can get low (for example, if you have diarrhea or if you take antibiotics). When this happens, taking probiotics may help increase the number of good organisms in your GI tract. Which GI conditions...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2017/0801/p170-s1.html

Bipartisan Teaching Health Center Bill Is Vital to Workforce

Without congressional action, the Teaching Health Center Graduate Medical Education program will expire Sept. 30. A newly introduced bill to extend funding has support from both sides of the aisle.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170725thcgmebill.html

I Bounced Back From Burnout by Setting Boundaries, Priorities

Late last year, Kimberly Becher, M.D., reached a point where she thought the only thing in life she was doing well was patient care. She had to make changes at work and home to fight off burnout.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20170724fpbounceback.html

Primary Care for Refugees: Challenges and Opportunities - American Family Physician

Jul 15, 2017 - Since 1975, more than 3 million refugees have settled in the United States, fleeing unrest, conflict, and persecution. Refugees represent diverse ethnic, cultural, religious, socioeconomic, and educational backgrounds. Despite this heterogeneity, there are commonalities in the refugee ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0715/p112.html

Epilepsy: Treatment Options - American Family Physician

Jul 15, 2017 - The occurrence of a single seizure does not always require initiation of antiepileptic drugs. Risk of recurrent seizures should guide their use. In adults, key risk factors for recurrence are two unprovoked seizures occurring more than 24 hours apart, epileptiform abnormalities on ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0715/p87.html

Refugee Mental Health: A Primary Care Approach - Editorials - American Family Physician

Jul 15, 2017 - A review of the refugee resettlement process and the clinical aspects of caring for patients who have experienced war, conflict, violence, and threats.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0715/p81.html

Niacin Does Not Decrease Mortality in Patients with Coronary Artery Disease or Low HDL ...

Jul 15, 2017 - We are now flush with data about the effects of niacin in patients with elevated cholesterol levels. Despite its ability to raise high-density lipoprotein (HDL) serum cholesterol levels, it does not add additional mortality or morbidity benefit to statin treatment. Patients with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0715/p129.html

Screening for Obstructive Sleep Apnea in Adults - Putting Prevention into Practice - ...

Jul 15, 2017 - R.K. is a 52-year-old white man who presents to your office for a preventive health visit. He is overweight and has a history of hypertension and hyperlipidemia, which are stable and well controlled with medication. One of his coworkers was recently diagnosed with obstructive sleep ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0715/p123.html

AAFP News - Jul 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0715/p80.html

Patients Trust Social Media, so Be Their Trusted Source

With more than 3 million followers and counting, Mikhail Varshavski, D.O., makes the case for using social media to reach patients with health messages.

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

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

What You Need to Know About the 2018 QPP Proposed Rule

CMS has released the 2018 Medicare Quality Payment Program (QPP) Proposed Rule, which recommends several changes to the Merit-based Incentive Payment System and Advanced Alternative Payment Model. You could read that 1,058-page document, or you could check out 10 bullet points in this ...

AAFP News : In the Trenches : Blogs

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

Insomnia: Pharmacologic Therapy - American Family Physician

Jul 1, 2017 - Insomnia accounts for more than 5.5 million visits to family physicians each year. Although behavioral interventions are the mainstay of treatment, pharmacologic therapy may be necessary for some patients. Understanding the risks and benefits of insomnia medications is critical. ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0701/p29.html

Tenofovir for Prevention of HIV Infection - Medicine by the Numbers - American Family ...

Jul 1, 2017 - The benefits are greater than the harm in using tenofovir for HIV prevention, but cost-effectiveness and personal preferences are critical.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0701/od1.html

Developmental Delay: When and How to Screen - American Family Physician

Jul 1, 2017 - An estimated 15% of children in the United States have at least one developmental delay, yet less than one-fifth of those children receive early intervention services before three years of age. Many barriers exist to implementing initial screening and referral, but screening tools can ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0701/p36.html

Acupuncture for Migraine Prevention - Cochrane for Clinicians - American Family Physician

Jul 1, 2017 - There is moderate-quality evidence that whole-body acupuncture is effective for migraine prevention. Compared with usual care, acupuncture is more effective at reducing headache frequency by at least 50% (number needed to treat [NNT] = 4).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0701/p23.html

AAFP News - Jul 1, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0701/p14.html

Primary Care Needs -- and Deserves -- More Research Dollars

More research is needed in primary care, but proposed federal budget cuts threaten to make evidence-based resources and guidelines even harder to come by.

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

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

Vaccine Adverse Events: Separating Myth from Reality - American Family Physician

Jun 15, 2017 - Vaccines are one of the most successful medical advances in modern times. Most vaccine-preventable illnesses are unfamiliar to modern parents. Because of this, parents are increasingly questioning the necessity of immunizing their children, especially because no vaccine is completely ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0615/p786.html

Corrections - Jun 15, 2017 - American Family Physician

Jun 15, 2017 - ...Incorrect Number. The Medicine by the Numbers, Valproate for Adult Migraine Prophylaxis (November 1, 2016, online only) incorrectly defined the Study Population inclusion criteria as Patients 16 years or older with episodes of migraine headache on at least 15 days of every month...

American Family Physician : Corrections

https://www.aafp.org/afp/2017/0615/p758b.html

AAFP News - Jun 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0615/p760.html

Sorry, You're Not Sick Enough: Approach to Hep C Defies Logic

Adequate screening and earlier treatment of hepatitis C infection would curb the spread of disease, ease suffering and reduce long-term health care costs.

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

https://www.aafp.org/news/blogs/leadervoices/entry/sorry_you_re_not_sick.html

Crackdown on Undocumented Immigrants Poses Broad Health Risks

Increased enforcement of immigration laws is affecting the health of undocumented immigrants and may have unintended consequences for others, too.

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

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

Things Are Heating Up Outside and On Capitol Hill

As the weather warms up, so could debate about health policy. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers updates on three important issues the Academy will be working on this summer.

AAFP News : In the Trenches : Blogs

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

Acute and Chronic Urticaria: Evaluation and Treatment - American Family Physician

Jun 1, 2017 - Urticaria commonly presents with intensely pruritic wheals, sometimes with edema of the subcutaneous or interstitial tissue. It has a lifetime prevalence of about 20%. Although often self-limited and benign, it can cause significant discomfort, continue for months to years, and ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0601/p717.html

Expanded Newborn Screening: Information and Resources for the Family Physician - ...

Jun 1, 2017 - Each year, 4 to 5 million newborns receive state-mandated screening. Although the Advisory Committee on Heritable Disorders in Newborns and Children has identified 34 core conditions that should be incorporated into screening programs, each state manages, funds, and maintains its own ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0601/p703.html

Efficacy of Direct-Acting Antivirals Compared with Older Agents for Hepatitis C - ...

Jun 1, 2017 - Although they help patients achieve sustained viralogic response, expensive direct-acting antivirals have yet to show that they can succeed in meeting top-priority treatment goals.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0601/od1.html

Lessons From the Road to EHR Usability -- FPM

Jun 1, 2017 - You may be able to get more out of your electronic health record by discovering the system's hidden tools.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0500/p21.html

Self-Monitoring and Self-Management of Oral Anticoagulation - Cochrane for Clinicians -...

Jun 1, 2017 - In patients taking warfarin (Coumadin) for anticoagulation, there is moderate-quality evidence that both self-monitoring (number needed to treat [NNT] = 100) and self-management (NNT = 53) reduce thromboembolic events, and that self-management reduces all-cause mortality (NNT = 67).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0601/p700.html

Using Alcohol Screening and Brief Intervention to Address Patients' Risky Drinking -- FPM

Jun 1, 2017 - Asking patients about their drinking habits is a straightforward way to boost health and revenue.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0500/p12.html

Preparing for Value-Based Payment: Five Essential Skills for Success -- FPM

Jun 1, 2017 - As physician payment increasingly becomes tied to value, these five habits can help you succeed.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0500/p25.html

It's Complicated: What We Wish Legislators Knew About Health Care

Health care truly is complicated. We asked our new physician bloggers what policymakers need to understand if they're going to help create a better system.

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

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

Laceration Repair: A Practical Approach - American Family Physician

May 15, 2017 - The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Many aspects of laceration repair have not changed over the years, but there is evidence to support some updates to standard management. Studies have been ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p628.html

Refractive Eye Surgery: Helping Patients Make Informed Decisions About LASIK - American...

May 15, 2017 - A variety of refractive surgery techniques, which reshape the corneal stroma using laser energy, have been marketed as simple and safe alternatives to glasses or contact lenses. Laser-assisted in-situ keratomileusis (LASIK) is the most common of these procedures. Although there are few ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p637.html

Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common ...

May 15, 2017 - Several medications have been used perioperatively in patients undergoing noncardiac surgery in an attempt to improve outcomes. Antiplatelet therapy for primary prevention of cardiovascular events should generally be discontinued seven to 10 days before surgery to avoid increasing the ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p645.html

Should Screening Techniques for Colorectal Cancer All Have an 'A' Recommendation? No: ...

May 15, 2017 - The AAFP will continue to evaluate different screening tests as more research becomes available, but currently can endorse only those options that have the strongest evidence that benefits exceed harms.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2017/0515/p618.html

AAFP News - May 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0515/p614.html

Patients on High-deductible Plans Need Primary Care Coverage

Patients with high-deductible health plans often avoid preventive care, leading to higher health care costs down the road. Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines an AAFP policy proposal that would provide such patients with access to ...

AAFP News : In the Trenches : Blogs

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

Oral NSAIDs for Perineal Pain in the Early Postpartum Period - Medicine by the Numbers ...

May 1, 2017 - Oral nonsteroidal anti-inflammatory drugs were able to adequately relieve perineal pain for many postpartum women at four hours and longer.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0501/od1.html

Top 20 Research Studies of 2016 for Primary Care Physicians - American Family Physician

May 1, 2017 - This article summarizes the top 20 original research studies and four practice guidelines of 2016, based on regular literature surveillance and as selected by members of the Canadian Medical Association. The studies, known as POEMs (patient-oriented evidence that matters), were rated ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p572.html

Recreational Waterborne Illnesses: Recognition, Treatment, and Prevention - American ...

May 1, 2017 - Illness after recreational water activities can be caused by a variety of agents, including bacteria, viruses, parasites, algae, and even chlorine gas. These illnesses are more common in summer. Waterborne illnesses are underreported because most recreational activity occurs in ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p554.html

Health Maintenance in Postmenopausal Women - American Family Physician

May 1, 2017 - Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a woman’s 10-year risk of atherosclerotic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p561.html

Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician

May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0501/p580.html

Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis - Cochrane ...

May 1, 2017 - There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction (number ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0501/p551.html

Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older: A Guideline ...

May 1, 2017 - A high standard must be met when guidelines recommend lifelong preventive medications, knowing that at best, a small minority of patients will benefit and that all are risking harm.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0501/p547.html

Finding Purple: Creating Nonpartisan Paths to Advance Primary Care

Lynne Lillie, M.D., writes that family physicians are uniquely positioned to find a path through polarized politics that can lead to a solution to our health care crisis.

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

https://www.aafp.org/news/blogs/leadervoices/entry/finding_purple_creating_nonpartisan_paths.html

Twins Multiply Challenges -- and Rewards -- of Breastfeeding

Beth Oller, M.D., shares her insights from one of the hardest things she's ever done: breastfeeding twins.

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

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

Peritonsillar Abscess - American Family Physician

Apr 15, 2017 - Peritonsillar abscess is the most common deep infection of the head and neck, occurring primarily in young adults. Diagnosis is usually made on the basis of clinical presentation and examination. Symptoms and findings generally include fever, sore throat, dysphagia, trismus, and a hot ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0415/p501.html

AAFP News - Apr 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0415/p478.html

Sorry, I'm Too Busy for Your Busy Work

Kimberly Becher, M.D., writes that physicians are spending too much time defending their inboxes against busy work from payers and pharmacies.

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

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

Vitamin E in Pregnancy - Medicine by the Numbers - American Family Physician

Apr 1, 2017 - Vitamin E supplementation in pregnant women does not show any benefit among the most patient-important outcomes.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0401/od1.html

Postpartum Hemorrhage: Prevention and Treatment - American Family Physician

Apr 1, 2017 - Postpartum hemorrhage is common and can occur in patients without risk factors for hemorrhage. Active management of the third stage of labor should be used routinely to reduce its incidence. Use of oxytocin after delivery of the anterior shoulder is the most important and effective ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0401/p442.html

What Is the Best Approach to Annual Wellness Visits for Seniors? -- FPM

Apr 1, 2017 - Maybe it is time to change the way I do things - yet again.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2017/0300/p3.html

Management of Chronic Pain and Opioid Misuse: A Position Paper from the AAFP - Practice...

Apr 1, 2017 - Overprescribing, misuse, diversion, and dependence on opioids have occurred as a result of external pressures, physician behavior, inadequate evidence, and pharmacologic development. Family physicians could play an important role in alleviating these problems; therefore, the American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0401/p458.html

Medicare Annual Wellness Visits: How to Get Patients and Physicians on Board -- FPM

Apr 1, 2017 - Patients are more likely to schedule a wellness visit if their physician recommends it, but that won't happen without staff support.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0300/p12.html

Managing Behavioral Health Issues in Primary Care: Six Five-Minute Tools -- FPM

Apr 1, 2017 - These practical strategies can help family physicians support patients with depression, anxiety, and other behavioral health issues.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0300/p30.html

What Can a PA or NP Do for Your Practice? -- FPM

Apr 1, 2017 - If your workload is no longer sustainable, it may be time to consider adding a certified physician assistant or nurse practitioner to your practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0300/p19.html

Improving Daily Practice With Four Medical Apps -- FPM

Apr 1, 2017 - These mobile apps can help physicians and patients with treatment recommendations, treatment adherence, and smoking cessation.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2017/0300/p27.html

Effects of Altered Dietary Salt Intake in Patients with Chronic Kidney Disease - ...

Apr 1, 2017 - Reducing salt intake lowers blood pressure and reduces proteinuria in patients with CKD, but there is no evidence to determine whether lowering salt consumption leads to clinically significant reductions in end-stage renal disease, cardiovascular events, or all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0401/p423.html

Placebo Plus Message of Benefit Decreases Chronic Low Back Pain - POEMs - American ...

Apr 1, 2017 - These investigators gave twice daily placebo to patients with chronic back pain and told them it was placebo. They also told them that placebos can have a pronounced effect (which is true). The addition of placebo to usual care improved patients' pain and disability scores over the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0401/p456.html

AAFP News - Apr 1, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0401/p416.html

Pick-Your-Pace Program Can Help FPs Prepare for 2018

This year marks the initial performance period of the Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Programs. Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights new resources available to help family physicians, and he ...

AAFP News : In the Trenches : Blogs

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

AHCA Won't Help Patients Who Need It Most

We asked our new physician bloggers how the American Health Care Act would affect their patients. Most said the legislation would hurt the poor, the elderly and the disabled.

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

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

End-of-Life Care: Managing Common Symptoms - American Family Physician

Mar 15, 2017 - Physicians should be proficient at managing symptoms as patients progress through the dying process. When possible, proactive regimens that prevent symptoms should be used, because it is generally easier to prevent than to treat an acute symptom. As swallowing function diminishes, ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0315/p356.html

Multiple Myeloma: Diagnosis and Treatment - American Family Physician

Mar 15, 2017 - Multiple myeloma accounts for 1.6% of all cancer cases and approximately 10% of hematologic malignancies in the United States. In 2015, an estimated 28,850 new cases of multiple myeloma were diagnosed in the United States, and the disease caused more than 11,000 deaths. Patients older ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0315/p373.html

Repeal and Replace? A Look at American Health Care Act

Efforts to repeal and replace the Patient Protection and Affordable Care Act advanced last week with the introduction of the American Health Care Act. Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin examines what would change under the proposal and what ...

AAFP News : In the Trenches : Blogs

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

Mastering the Art of Communication Takes Compassion

Whether delivering a difficult diagnosis or bridging actual language barriers, Kurt Bravata, M.D., writes that clear communication is critical to patient care.

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

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

Syncope: Evaluation and Differential Diagnosis - American Family Physician

Mar 1, 2017 - Syncope is an abrupt and transient loss of consciousness caused by cerebral hypoperfusion. It accounts for 1% to 1.5% of emergency department visits, resulting in high hospital admission rates and significant medical costs. Syncope is classified as neurally mediated, cardiac, and ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0301/p303.html

Buprenorphine Maintenance vs. Placebo for Opioid Dependence - Medicine by the Numbers -...

Mar 1, 2017 - Buprenorphine causes lower physical dependence, milder withdrawal symptoms, and is less likely to cause an overdose than methadone in the treatment of opioid dependence.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0301/od1.html

Preventive Health Care for Women Who Have Sex with Women - American Family Physician

Mar 1, 2017 - Despite recent shifts in societal attitudes toward same-sex relationships, women who have sex with women face a variety of barriers to optimal health, including a history of negatively perceived interactions in clinical settings that lead them to delay or avoid health care. Women who ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0301/p314.html

Management of Binge-Eating Disorder in Adults - Implementing AHRQ Effective Health Care...

Mar 1, 2017 - What are the benefits and harms of treatments for adults with binge-eating disorder?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2017/0301/p324.html

Proteinuria in Children: Evaluation and Differential Diagnosis - American Family Physician

Feb 15, 2017 - Although proteinuria is usually benign in the form of transient or orthostatic proteinuria, persistent proteinuria may be associated with more serious renal diseases. Proteinuria may be an independent risk factor for the progression of chronic kidney disease in children. Mechanisms of ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0215/p248.html

Rifaximin (Xifaxan) for Irritable Bowel Syndrome - STEPS - American Family Physician

Feb 15, 2017 - Rifaximin has good overall tolerability. A relatively short course of treatment results in sustained clinical benefit for at least 10 weeks, eliminating the need for continued therapy, with an NNT of 10. However, it is expensive and should be reserved for patients who cannot tolerate or...

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0215/p258.html

Steroids at 34 to 36 Weeks’ and Before Term Cesarean Decrease Respiratory Distress ...

Feb 15, 2017 - For women admitted for imminent premature delivery at 34 to 36 weeks of gestation, one or two doses of betamethasone or dexamethasone (8 to 12 mg) decrease the likelihood of neonatal respiratory distress syndrome and shorten lengths of stay in the intensive care unit.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0215/od2.html

Repairing ACA May be More Likely Than Full Repeal

Repealing and replacing the Patient Protection and Affordable Care Act has proven to be difficult for Congress and the new administration. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that repairing the health care law may be more likely.

AAFP News : In the Trenches : Blogs

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

Antiepileptic Drugs After First Unprovoked Seizure - Medicine by the Numbers - American...

Feb 1, 2017 - The decision to start an antiepileptic drug after a first unprovoked seizure has long been a clinically challenging one.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0201/od1.html

Acute Coronary Syndrome: Diagnostic Evaluation - American Family Physician

Feb 1, 2017 - Myocardial infarction (MI), a subset of acute coronary syndrome, is damage to the cardiac muscle as evidenced by elevated cardiac troponin levels in the setting of acute ischemia. Coronary artery disease is the leading cause of mortality in the United States. Chest pain is a common ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0201/p170.html

The State of Family Medicine: 2017 -- FPM

Feb 1, 2017 - With tremendous change taking place in health care, the mood among family physicians is anxious, but there are reasons to be hopeful.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0100/p26.html

Interventions for Preventing Falls Among Older Adults Living in the Community - ...

Feb 1, 2017 - Structured exercise programs and home safety interventions reduce both the rate and the risk of falling among community-dwelling adults 65 years and older, whereas multifactorial assessment and intervention programs reduce the rate of falls but not the risk of falling. Vitamin D ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0201/p152.html

Should We Fear the Unintended Consequences of MACRA? -- FPM

Feb 1, 2017 - MACRA's methods of controlling health care costs could have unexpected results.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2017/0100/p4.html

New Codes, New Payment Opportunities for 2017 -- FPM

Feb 1, 2017 - This year's changes include opportunities to get paid for some services that were previously not billable.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0100/p7.html

Making Sense of MACRA, Part 2: Value-Based Payment and Your Future -- FPM

Feb 1, 2017 - Your performance this year will affect your Medicare payment in 2019.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0100/p12.html

Corrections - Feb 1, 2017 - American Family Physician

Feb 1, 2017 - ...Incorrect wording. The Medicine by the Numbers Controlled Cord Traction During the Third Stage of Labor (March 1, 2016, [online only]) incorrectly stated that the Advanced Life Support in Obstetrics (ALSO) program did not support the use of controlled cord traction in the third...

American Family Physician : Corrections

https://www.aafp.org/afp/2017/0201/p142a.html

Practice Pearls - Jan-Feb 2017 -- FPM

Feb 1, 2017 - ...To significantly reduce the number of fax renewal requests I receive, when I get the first request, I check the patient's chart or speak with the patient to see if any other prescriptions are also running out. If so, I renew all of them at the same time, regardless of whether the...

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2017/0100/p36.html

Reducing Administrative Burden a Must

Administrative and regulatory burden is one of the top reasons independent practices close and is a leading cause of physician burnout. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines key issues, such as prior authorizations, the Academy is...

AAFP News : In the Trenches : Blogs

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

Holy Toledo! As Bad Ideas Go, Closing Residency Is a Whopper

Gary LeRoy, M.D., writes that one health care system's decision to shutter a family medicine residency program in his state doesn't make sense for the business or its community.

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

https://www.aafp.org/news/blogs/leadervoices/entry/holy_toledo_as_bad_ideas.html

Speak Out to Preserve Health Care Coverage

Donald Trump is set to become the 45th President of the United States and Congress is moving forward with efforts to repeal the Patient Protection and Affordable Care Act without firm plans for a replacement. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn...

AAFP News : In the Trenches : Blogs

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

Don't Throw Away Your Shot to Make the World Better

What can physicians learn from a Broadway musical? Gerry Tolbert, M.D., writes that Hamilton provides some important lessons about language and being willing to take a stand.

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

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

Uterine Fibroids: Diagnosis and Treatment - American Family Physician

Jan 15, 2017 - Uterine fibroids are common benign neoplasms, with a higher prevalence in older women and in those of African descent. Many are discovered incidentally on clinical examination or imaging in asymptomatic women. Fibroids can cause abnormal uterine bleeding, pelvic pressure, bowel ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0115/p100.html

Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults - American Family ...

Jan 15, 2017 - Guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) and the U.K. National Institute for Health and Care Excellence (NICE) indicate that lipid-lowering drugs have benefit for primary and secondary prevention of atherosclerotic cardiovascular disease ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0115/p78.html

Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: ...

Jan 15, 2017 - The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are ...

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

https://www.aafp.org/afp/2017/0115/od1.html

Giant Cell Arteritis: Biopsy After Corticosteroid Initiation - FPIN's Clinical ...

Jan 15, 2017 - Corticosteroid therapy in patients with suspected giant cell arteritis should not degrade the accuracy of temporal artery biopsy if the biopsy is performed within four weeks of corticosteroid initiation. Temporal artery biopsy can be performed up to four weeks after starting high-dose ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2017/0115/p116.html

Tamsulosin Beneficial for Passage of 5- to 10-mm Distal Ureteral Stones - POEMs - ...

Jan 15, 2017 - Tamsulosin promotes stone passage of distal ureteral stones that are 5 to 10 mm in size. You would need to treat five such patients to get one stone passage. Smaller stones tend to pass on their own at a rate of 86% in this study.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0115/p123a.html

AAFP News - Jan 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0115/p64.html

AAFP Urges Congress to Uphold Health Care Coverage Expansion

The number of uninsured Americans has fallen nearly 6 percent in recent years. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin examines how Congressional efforts could undermine that progress and outlines key insurance reforms the Academy intends to...

AAFP News : In the Trenches : Blogs

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

Direct Primary Care Is a Sensible Workforce Solution

John Bender, M.D., M.B.A., writes that contrary to misconceptions, the direct primary care model is an ideal strategy to ensure our nation has a robust family medicine physician workforce in the long run.

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

https://www.aafp.org/news/blogs/leadervoices/entry/direct_primary_care_is_a.html

Alpha-adrenergic Agonists for the Management of Opioid Withdrawal - Medicine by the ...

Jan 1, 2017 - Alpha-adrenergic agonists were more efficacious than placebo in the management of opioid withdrawal, but are best reserved as an alternative to methadone.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0101/od1.html

Esophageal Cancer - American Family Physician

Jan 1, 2017 - Esophageal cancer has a poor prognosis and high mortality rate, with an estimated 16,910 new cases and 15,910 deaths projected in 2016 in the United States. Squamous cell carcinoma and adenocarcinoma account for more than 95% of esophageal cancers. Squamous cell carcinoma is more common...

American Family Physician : Article

https://www.aafp.org/afp/2017/0101/p22.html

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