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Heart Failure Due to Reduced Ejection Fraction: Medical Management - American Family ...

Jan 1, 2017 - Heart failure is an increasingly common condition resulting in high rates of morbidity and mortality. For patients who have heart failure and reduced ejection fraction, randomized clinical trials demonstrate consistent mortality benefit from angiotensin-converting enzyme inhibitors, ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0101/p13.html

Extended-Release Bupropion for Preventing Seasonal Affective Disorder in Adults - ...

Jan 1, 2017 - When started in the fall, extended-release bupropion, 300 mg once daily, is effective in preventing recurrent symptoms in high-risk adults with a history of SAD (number needed to treat [NNT] = 5), as well as those at lower risk (NNT = 8). Headaches, nausea, and insomnia may limit ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0101/p10.html

Interventions to Facilitate Shared Decision Making to Address Antibiotic Use for Acute ...

Jan 1, 2017 - Interventions to facilitate shared decision making reduce the prescribing of antibiotics for acute respiratory tract infections in the short term (within six weeks of the consultation) without increasing return visits or decreasing patient satisfaction (number needed to treat [NNT] = 6).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0101/p11.html

Membrane Sweeping to Decrease Rates of Postdate Induction - FPIN's Help Desk Answers - ...

Jan 1, 2017 - In uncomplicated pregnancies, membrane sweeping at 38 to 40 weeks' gestation safely decreases the rate of postdate inductions. Membrane sweeping increases the incidence of spontaneous labor, especially in the subsequent seven days, and results in fewer pregnancies extending beyond 41 ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0101/p35.html

AAFP News - Jan 1, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0101/p4.html

Old Issues, New Year: A Look Back (and Ahead)

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin reflects on some key health care issues from 2016 and looks ahead to the new year.

AAFP News : In the Trenches : Blogs

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

A Pedunculated Mass on the Thigh - Photo Quiz - American Family Physician

Dec 15, 2016 - A woman presented with a lesion on her thigh that had gradually increased in size over the previous five years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2016/1215/p1003.html

AFP Online: We're on a Mission - Editorials - American Family Physician

Dec 15, 2016 - An overview of the many features and recent improvements of AFP Online.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/1215/p966.html

AAFP News - Dec 15, 2016 - American Family Physician

Dec 15, 2016 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2016/1215/p964.html

Time to Lift 16-Hour Limit on First-year Residents

The AAFP is supporting a proposal that would increase the number of consecutive hours first-year residents can work from 16 hours to 24 (plus the possibility of four additional hours for the completion of care of an individual patient).

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

https://www.aafp.org/news/blogs/leadervoices/entry/time_to_lift_16_hour.html

Aripiprazole vs. Placebo or Haloperidol for Schizophrenia - Medicine by the Numbers - ...

Dec 1, 2016 - Aripiprazole was shown to have one major benefit over placebo, but favorable outcomes with haloperidol throw its effectiveness into question. Are the differences merely anomalies?

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/1201/p877.html

Mini-Mental State Examination for the Detection of Dementia in Older Patients - ...

Dec 1, 2016 - When scores are adjusted based on a patient's education level, the MMSE may be useful to rule out a diagnosis of dementia in clinically unevaluated patients 65 years and older (sensitivity = 97%; specificity = 70%). Scores of less than 24 may also be useful to rule in dementia in ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/1201/p880.html

What Makes a Good CV? -- FPM

Dec 1, 2016 - Whether for your first job after residency or a career change, here are some keys to getting your curriculum vitae noticed by employers.

Family Practice Management : Employed Practice

https://www.aafp.org/fpm/2016/1100/p7.html

Patient Attribution: Why It Matters More Than Ever -- FPM

Dec 1, 2016 - How payers assign patients to you will affect how your practice is evaluated and paid for value in the future.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/1100/p25.html

Impact of Exercise-Based Cardiac Rehabilitation - Cochrane for Clinicians - American ...

Dec 1, 2016 - Exercise-based cardiac rehabilitation reduces cardiovascular mortality and hospitalization. There is no evidence that it reduces the rates of total mortality, myocardial infarctions, coronary artery bypass grafts, or percutaneous coronary interventions.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/1201/p881.html

Using Health Confidence to Improve Patient Outcomes -- FPM

Dec 1, 2016 - Tracking patient engagement is a key step to enhancing health and reducing costs.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/1100/p21.html

Practice Pearls - Nov-Dec 2016 -- FPM

Dec 1, 2016 - ...It is valuable to have a policy for handling these calls. In my practice, if the number on the call display looks odd, staff ask the patient their location. They encourage patients calling from another jurisdiction to seek care from a local provider, if possible. If a call is...

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2016/1100/p32.html

AAFP News - Dec 1, 2016 - American Family Physician

Dec 1, 2016 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2016/1201/p866.html

FPs Can Shape Social Determinants of Health Outside Clinic

Social factors can influence health more than medical advances. Stewart Decker, M.D., writes that family physicians have the perspective and influence needed to address social determinants of health beyond the exam room.

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

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

Doing My Part to Help Physician Workforce Reflect Diverse Population

When minority physicians treat patients of the same minority group, patient satisfaction often improves and care is more culturally proficient. Unfortunately, there is a dearth of minority doctors in our health care system.

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

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

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common, affecting at least 12 million U.S. men. The five-question International Index of Erectile Function allows rapid clinical assessment of ED. The ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p820.html

Pet-Related Infections - American Family Physician

Nov 15, 2016 - Physicians and veterinarians have many opportunities to partner in promoting the well-being of people and their pets, especially by addressing zoonotic diseases that may be transmitted between a pet and a human family member. Common cutaneous pet-acquired zoonoses are dermatophytosis ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p794.html

Evolocumab (Repatha) for the Treatment of Hyperlipidemia - STEPS - American Family ...

Nov 15, 2016 - Evolocumab is generally safe and effective at lowering serum LDL cholesterol levels for select patients who need marked cholesterol reduction and can tolerate injections. However, it remains unknown whether evolocumab prevents premature death from cardiovascular events.

American Family Physician : STEPS

https://www.aafp.org/afp/2016/1115/p843.html

How to Counsel Men About PSA Screening - Editorials - American Family Physician

Nov 15, 2016 - For family physicians to put PSA screening guidance into practice, they must elicit patients' preferences and provide accurate, understandable information about the benefits and harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/1115/p782.html

AAFP News - Nov 15, 2016 - American Family Physician

Nov 15, 2016 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2016/1115/p780.html

Girl Power: Moving Toward Balance in Physician Workforce

Women make up more than half of the U.S. population but only about one-third of the physician workforce. However, among the younger generation of physicians, more women are entering the pipeline. In fact, this year marked the largest increase in a decade in the number of women enrolling...

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

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

Valproate for Adult Migraine Prophylaxis - Medicine by the Numbers - American Family ...

Nov 1, 2016 - Evidence supports current guideline recommendations on the use of valproate medications to prevent migraine.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/1101/od1.html

Community-Acquired Pneumonia in Adults: Diagnosis and Management - American Family ...

Nov 1, 2016 - Community-acquired pneumonia is a leading cause of death. Risk factors include older age and medical comorbidities. Diagnosis is suggested by a history of cough, dyspnea, pleuritic pain, or acute functional or cognitive decline, with abnormal vital signs (e.g., fever, tachycardia) and ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1101/p698.html

Getting an Infant to Sleep: Graduated Extinction and Sleep Fading are Effective - POEMs...

Nov 1, 2016 - This study found that graduated extinction (increasing intervals between comforting the infant) and sleep fading (putting the child to bed progressively later until the parent finds the sweet spot) are both effective at decreasing sleep latency and the number of awakenings and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1101/p750.html

Topical Antifungals for Treatment of Onychomycosis - FPIN's Help Desk Answers - ...

Nov 1, 2016 - Topical antifungal agents are effective in treating onychomycosis, with a number needed to treat (NNT) of 7 to 17.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/1101/p734.html

Delta Incidents, Film Underscore Need for More Black Female Doctors

Two black female physicians recently said their offers to help ill passengers were rejected by flight crews because of race. Sadly, their stories aren't uncommon. AAFP Speaker Javette Orgain, M.D., M.P.H.; and Director Ada Stewart, M.D., write that black female physicians are doing ...

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

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

MACRA 101: What You Need to Know

On October 14, CMS released the final rule implementing the Medicare Access and CHIP Reauthorization Act. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin summarizes what family physicians need to know about MACRA.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/macra_101_what_you_need.html

Some tips on MIPS included in the final MACRA rule -- FPM

Some tips on MIPS included in the final MACRA rule

Family Practice Management : Getting Paid : FPM Home

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

Prescribing for Opioid Addiction Is My Responsibility

Federal law requires physicians to pass an eight-hour course and apply for a waiver to prescribe buprenorphine. Alan Schwartzstein, M.D., explains why he thinks it's a worthwhile investment.

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

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

The Mental Status Examination - American Family Physician

Oct 15, 2016 - The mental status examination includes general observations made during the clinical encounter, as well as specific testing based on the needs of the patient and physician. Multiple cognitive functions may be tested, including attention, executive functioning, gnosia, language, memory, ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1015/p635.html

The Pretravel Consultation - American Family Physician

Oct 15, 2016 - Key components of the pretravel consultation include intake questions regarding the traveler’s anticipated itinerary and medical history; immunizations; malaria prophylaxis; and personal protection measures against arthropod bites, traveler’s diarrhea, and injury. Most vaccinations that...

American Family Physician : Article

https://www.aafp.org/afp/2016/1015/p620.html

Intimate Partner Violence - American Family Physician

Oct 15, 2016 - Intimate partner violence (IPV) is a prevalent worldwide health problem, affecting women more commonly than men. IPV is underreported and underrecognized by health care professionals. Even when IPV is recognized, it remains an underaddressed issue. In addition to physical injury and ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1015/p646.html

ACE Inhibitors or ARBs to Prevent CKD in Patients with Microalbuminuria - FPIN's ...

Oct 15, 2016 - ACE inhibitors reduce the risk of progression to macroalbuminuria in normotensive patients with microalbuminuria and type 1 diabetes mellitus.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/1015/p652.html

Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI...

Oct 15, 2016 - Although there is risk with any current oral contraceptive combination, those that contain lower doses of estrogen, and levonorgestrel instead of desogestrel or gestodene, are associated with the least risk of ischemic stroke, myocardial infarction (MI), or pulmonary embolism (PE). ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1015/p663.html

Procalcitonin Guidance Safely Decreases Antibiotic Use in Critically Ill Patients - ...

Oct 15, 2016 - For patients in the intensive care unit (ICU) who receive antibiotics for presumed or proven bacterial infections, the use of procalcitonin levels to determine when to stop antibiotic therapy results in decreased duration and consumption of antibiotics without increasing mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1015/p663a.html

AAFP News - Oct 15, 2016 - American Family Physician

Oct 15, 2016 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2016/1015/p595.html

Unreasonable Drug Prices Force Patients to Skip Meds

AAFP officers are in Washington this week to address many issues of concern to primary care, including skyrocketing prescription drug prices.

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

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

Acute Bronchitis - American Family Physician

Oct 1, 2016 - Cough is the most common illness-related reason for ambulatory care visits in the United States. Acute bronchitis is a clinical diagnosis characterized by cough due to acute inflammation of the trachea and large airways without evidence of pneumonia. Pneumonia should be suspected in ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1001/p560.html

Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign - ...

Oct 1, 2016 - The authors applied a novel method to identify recent clinical studies that showed results consistent with the principles of the Choosing Wisely campaign. The method, based on crowdsourcing studies known as POEMs (patientoriented evidence that matters), involved analyzing POEM ratings ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1001/p566.html

Rivaroxaban vs. Warfarin for Anticoagulation in Patients with Atrial Fibrillation ...

Oct 1, 2016 - Studies showed that 433 patients needed to be treated with rivaroxaban to prevent one stroke and 629 patients needed to be treated with rivaroxaban to prevent one thromboembolic event. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/1001/od1.html

Rural Opioid Use Disorder Treatment Depends on Family Physicians - Graham Center Policy...

Oct 1, 2016 - The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1001/p546.html

Using Motivational Interviewing to Promote Healthy Weight -- FPM

Oct 1, 2016 - Encouraging patients to talk about their goals rather than their obstacles can lead to long-term change.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0900/p32.html

In Defense of Direct Primary Care -- FPM

Oct 1, 2016 - Direct primary care will continue to grow because it empowers price transparency, quality, and patient satisfaction.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2016/0900/p12.html

Coding & Documentation - Sep-Oct 2016 -- FPM

Oct 1, 2016 - ...Most of the changes were requested by medical specialty organizations to fill gaps in diagnosis reporting. Changes that will affect family medicine include new codes for hypertensive crisis or emergency, irritable bowel syndrome, chronic bladder pain, prediabetes, bacteriuria,...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0900/p40.html

Instant Messaging: A Simple Tool to Improve Teamwork and Wait Times -- FPM

Oct 1, 2016 - On-screen alerts can help a spread-out staff work together to keep patient care moving smoothly.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0900/p28.html

AAFP Advocacy on MACRA Implementation Paying Off

CMS recently announced a Pick Your Pace plan that would provide greater flexibility for physicians regarding the Medicare Access and CHIP Reauthorization Act. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that the options outlined by CMS ...

AAFP News : In the Trenches : Blogs

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

Survey shows troublesome practice environment could affect patient access -- FPM

Survey shows troublesome practice environment could affect patient access

Family Practice Management : Getting Paid : FPM Home

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

Medications for Chronic Asthma - American Family Physician

Sep 15, 2016 - Chronic asthma is a major health concern for children and adults worldwide. The goal of treatment is to prevent symptoms by reducing airway inflammation and hyperreactivity. Step-up therapy for symptom control involves initiation with low-dose treatment and increasing intensity at ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0915/p454.html

Diagnosis and Treatment of Atrial Fibrillation - American Family Physician

Sep 15, 2016 - Atrial fibrillation is a supraventricular arrhythmia that adversely affects cardiac function and increases the risk of stroke. It is the most common arrhythmia and a major source of morbidity and mortality; its prevalence increases with age. Pulse rate is sensitive, but not specific, ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0915/p442.html

Current Prostate Cancer Screening Guidelines May Lead to More Deaths from the Disease -...

Sep 15, 2016 - ...it is estimated that more than 1,200 more men will eventually die from prostate cancer because they have not been screened.2,3 Maybe that number is not high enough for researchers to be concerned, but it concerns me and my patients. I have no doubt that once deaths from prostate...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0915/p414.html

Clinical Diagnosis of Gout Without Joint Aspirate - Point-of-Care Guides - American ...

Sep 15, 2016 - Gout is ideally diagnosed through identification of characteristic negatively birefringent crystals under polarized light microscopy in fluid aspirated from end-organ deposits, typically from a joint. However, fewer than 10% of patients with gout see a rheumatologist, and most cases of ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2016/0915/p505.html

Hyperbaric Oxygen Therapy for Radiation Cystitis - Letters to the Editor - American ...

Sep 15, 2016 - ...or transfusion. Radiation cystitis is one of the most common diseases I treat as medical director of a hospital-based hyperbaric medicine facility. A retrospective review of 60 patients who received an average of 33 hyperbaric oxygen therapy (HBOT) treatments showed that 80% of...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0915/p418.html

Corrections - Sep 15, 2016 - American Family Physician

Sep 15, 2016 - ...The Medicine by the Numbers Tap Water vs. Sterile Saline for Wound Irrigation (August 1, 2015, online only) incorrectly calculated a number needed to treat statistic for decreasing wound infection with tap water. This error stemmed from the Medicine by the Numbers being...

American Family Physician : Corrections

https://www.aafp.org/afp/2016/0915/p419.html

AAFP News - Sep 15, 2016 - American Family Physician

Sep 15, 2016 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2016/0915/p420.html

Our Country Is Hungry for the Message of Family Medicine

After more than 200 days on the road, AAFP President Wanda Filer, M.D., M.B.A., reflects on a whirlwind of meetings with legislators, policymakers, payers, media and medical students.

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

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

Crunch Time for Congress: Key Health Issues Unresolved

As time runs out on the current Congress, the AAFP is closely monitoring legislation that would affect key health care programs and issues, including funding to address the Zika virus outbreak. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin explains.

AAFP News : In the Trenches : Blogs

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

What I Know Now, and What Lies Ahead

After six years of service on the AAFP Board of Directors, Robert Wergin, M.D., reflects on lessons learned and what the future might hold for family medicine.

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

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

Perioperative Beta Blockers - Medicine by the Numbers - American Family Physician

Sep 1, 2016 - Studies show that 1 in 72 patients had a nonfatal myocardial infarction prevents while harm end points included nonfatal stroke, hypotension, and bradycardia. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/0901/od1.html

Complementary/Integrative Therapies That Work: A Review of the Evidence - American ...

Sep 1, 2016 - Significant evidence supports the effectiveness and safety of several complementary or integrative treatment approaches to common primary care problems. Acupuncture is effective in the management of chronic low back pain. Mind-body interventions such as cognitive behavior therapy, yoga,...

American Family Physician : Article

https://www.aafp.org/afp/2016/0901/p369.html

Diagnosis and Treatment of Obstructive Sleep Apnea in Adults - American Family Physician

Sep 1, 2016 - Obstructive sleep apnea is a common disorder that causes patients to temporarily stop or decrease their breathing repeatedly during sleep. This results in fragmented, nonrestful sleep that can lead to symptoms such as morning headache and daytime sleepiness. Obstructive sleep apnea ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0901/p355.html

Family Medicine: An Underutilized Resource in Addressing the Opioid Epidemic? - Graham ...

Sep 1, 2016 - Opioid overdose rates have tripled since 2000, and although overprescribing of opioids by physicians is widely accepted as a causal factor, the physician's role in providing medication-assisted treatment for opioid use disorder is less appreciated. Despite a clear willingness to ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/0901/p350.html

Second-Generation H1-Antihistamines for Chronic Spontaneous Urticaria - Cochrane for ...

Sep 1, 2016 - There is good evidence that second-generation H1-antihistamines are helpful in the short- and intermediate-term suppression of urticaria. Cetirizine (Zyrtec) in a dosage of 10 mg daily is effective at completely suppressing symptoms of chronic spontaneous urticaria (number needed to ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0901/p352.html

Family Physicians Are Well Suited to Prescribe Isotretinoin - Editorials - American ...

Sep 1, 2016 - A few minutes (and a few clicks on the computer) can open up rewarding therapeutic opportunities when registering with iPledge to prescribe isotretinoin.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0901/p342.html

Flibanserin Ineffective for Hypoactive Sexual Desire Disorder in Women - POEMs - ...

Sep 1, 2016 - Flibanserin produces a minimal effect on sexual desire and minimally increases the number of satisfying sexual events in women (less than one-half an event per month increase). Many women will be unable to tolerate the adverse effects.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0901/p384a.html

CBT Effective in Adolescents with Depression Who Do Not Want Medication - POEMs - ...

Sep 1, 2016 - In adolescents who eschew drug treatment of major depression, short-term CBT is more effective than treatment as usual in inducing recovery, with a number needed to treat of 4 to 10. CBT also produced faster results.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0901/p384.html

AAFP News - Sep 1, 2016 - American Family Physician

Sep 1, 2016 - ...patients who receive behavioral health services, the number of patients who complete treatment, and the number of patients who discontinue buprenorphine. For more information, go to https://www.aafp.org/news/government-medicine/20160808matletter.html. Medical Groups Warn Lawmakers...

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2016/0901/p340.html

Academy Offering Tools for Chronic Care Management

When it comes to chronic care management, payers are undervaluing the service by nearly $12 per patient per month. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin details the findings of the Academy's new brief on chronic care management and ...

AAFP News : In the Trenches : Blogs

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

Family Physicians Can Cut Unnecessary Surgeries

Robust clinical trials demonstrate relevant outcomes of various surgeries. Does a surgery extend a patient's life? Does the surgery decrease a patient's pain? Does it improve the patient's quality of life? Answering these questions, along with weighing risks and other treatment options,...

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

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

AAFP Delivering on Maternity Care Training, Resources

In many rural communities, family physicians are the only maternity care providers. The AAFP provides training and support members need to play this vital role.

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

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

CPC+ Holds Plenty of Potential for FPs

The CMS Comprehensive Primary Care Plus program (CPC+) may bring great benefit to family physicians. AAFP Senior Vice President, Advocacy, Practice Advancement and Policy Shawn Martin writes that realizing that potential requires a high number of family physicians apply to the program ...

AAFP News : In the Trenches : Blogs

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

Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic ...

Aug 15, 2016 - Behavioral and psychological symptoms of dementia pose management challenges for caregivers and clinicians. Firstline nonpharmacologic treatments include eliminating physical and emotional stressors, modifying the patient’s environment, and establishing daily routines. Family members ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0815/p276.html

Pioglitazone After Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms ...

Aug 15, 2016 - In patients with a recent stroke or TIA and evidence of insulin resistance, pioglitazone reduces the likelihood of myocardial infarction (MI) or stroke (number needed to treat [NNT] = 36 over five years) but increases the risk of significant weight gain (number needed to treat to harm ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0815/p319.html

Increased Alignment in Preventive Services Recommendations for Children - Editorials - ...

Aug 15, 2016 - Increased alignment between preventive services recommendations from the two major physician specialty groups who care for children.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0815/p272.html

Swing and a Miss: Do Quality Measures Have Dubious Value?

With trends pointing to an emphasis on team-based care, Kyle Jones, M.D., questions the rationale for quality measures that focus on individual physicians.

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

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

AAFP News - Aug 15, 2016 - American Family Physician

Aug 15, 2016 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2016/0815/p269.html

FMX Offers Something for Every Family Physician

The AAFP Family Medicine Experience (FMX) offers physicians the ability to earn an entire year's worth of CME, a jam-packed expo hall, and abundant social and networking opportunities.

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

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

Fee Schedule Reflects CMS Efforts to Support Primary Care

The proposed rule for the 2017 Medicare physician fee schedule includes several updates to payment policies that would benefit family physicians. But CMS can-and should-do more to support primary care. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin...

AAFP News : In the Trenches : Blogs

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

Treating Painful Diabetic Peripheral Neuropathy: An Update - American Family Physician

Aug 1, 2016 - Painful diabetic peripheral neuropathy occurs in approximately 25% of patients with diabetes mellitus who are treated in the office setting and significantly affects quality of life. It typically causes burning pain, paresthesias, and numbness in a stocking-glove pattern that progresses...

American Family Physician : Article

https://www.aafp.org/afp/2016/0801/p227.html

Acupuncture for Frequent Tension-Type Headaches - Medicine by the Numbers - American ...

Aug 1, 2016 - Studies show an NNT of 3 to have at least a 50% reduction of headache frequency compared with routine care. Want to know more?

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/0801/od1.html

Vision Loss in Older Adults - American Family Physician

Aug 1, 2016 - Vision loss affects 37 million Americans older than 50 years and one in four who are older than 80 years. The U.S. Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in adults...

American Family Physician : Article

https://www.aafp.org/afp/2016/0801/p219.html

Home Care Gets a New Place in the Medical Neighborhood -- FPM

Aug 1, 2016 - Collaboration with home care providers allows family physicians to extend their influence over patient outcomes and health care costs.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0700/p18.html

Capsaicin for Nonallergic Rhinitis - Cochrane for Clinicians - American Family Physician

Aug 1, 2016 - Intranasal capsaicin is safe and effective for reducing symptoms of nonallergic rhinitis (number needed to treat = 4; 95% confidence interval [CI], 1 to 22). There is insufficient evidence to compare the effectiveness of capsaicin to other topical or systemic medications.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0801/p217.html

How to Document and Code Medicare Preventive Services -- FPM

Aug 1, 2016 - Think of this as your field guide to the rules surrounding Medicare preventive services.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0700/p9.html

Five Lessons for Working With a Scribe -- FPM

Aug 1, 2016 - Documentation personnel can free up physicians during visits to do what we do best.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0700/p23.html

Practice Pearls - Jul-Aug 2016 -- FPM

Aug 1, 2016 - ...the information down in the progress note. During follow-up visits, I refer to these notes and ask my patients about these events. A good number of patients are surprised and appreciate that I am paying attention to their lives, not just their health. Mohammed Basha, MD Gainesville,...

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2016/0700/p39.html

Singing the Praises of a Pharma-free Practice

Natasha Bhuyan, M.D., explains how and why her practice took steps to eliminate pharmaceutical industry influence in a bid to avoid bias in prescribing.

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

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

No Summer Break for AAFP Advocacy Efforts

Summer vacation? Hardly. The AAFP has been tracking and working on a number of important issues, including opioid abuse, mental health, the implementation of the Medicare Access and CHIP Reauthorization Act, and more. AAFP Senior Vice President for Advocacy, Practice Advancement and ...

AAFP News : In the Trenches : Blogs

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

Diagnosis and Treatment of Polycystic Ovary Syndrome - American Family Physician

Jul 15, 2016 - Polycystic ovary syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% of female patients. Although the pathophysiology of the syndrome is complex and there is no single defect from which it is known to result, it is ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0715/p106.html

Current Concepts in Adult Acute Rhinosinusitis - American Family Physician

Jul 15, 2016 - Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory care. Most cases of acute rhinosinusitis are caused by viral upper respiratory infections. A meta-analysis based on individual patient data found that common clinical signs and symptoms were ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0715/p97.html

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

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

American Family Physician : Curbside Consultation

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

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

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

American Family Physician : Letter

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

Liraglutide (Saxenda) for Weight Loss - STEPS - American Family Physician

Jul 15, 2016 - Liraglutide, combined with lifestyle counseling, produces a clinically significant and sustained weight loss that continues as long as it is used. Nausea and vomiting, however, are common adverse effects, and about one in 10 patients will discontinue treatment.

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0715/p161.html

Screening for Breast Cancer - Putting Prevention into Practice - American Family Physician

Jul 15, 2016 - S.O. is a 47-year-old woman who presents to your office for a well-woman visit. She is healthy, takes no medications, and has no health concerns. She has never been diagnosed with breast cancer, nor have any of her first-degree relatives. Her digital mammography two years ago was ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0715/p143.html

Making MACRA Manageable

The AAFP recently submitted an in-depth response to the proposed rule intended to guide implementation of the Medicare Access and CHIP Reauthorization Act (MACRA). AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines three key areas of the ...

AAFP News : In the Trenches : Blogs

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

Topical NSAIDs for Acute Musculoskeletal Pain in Adults - Medicine by the Numbers - ...

Jul 1, 2016 - Studies show that patients had improved pain control with diclofenac gel, ketoprofen gel, and ibuprofen gel with no increase in local or systemic adverse events. See why.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/0701/od1.html

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