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Medicine by the numbers

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The Older Driver - Curbside Consultation - American Family Physician Restricted content. Login required.

May 15, 2020 - Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0515/p625.html

Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American... Restricted content. Login required.

May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630a.html

Behavioral Health and Tobacco Cessation

Participate in the Office Champions Tobacco Cessation Behavioral Health project.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/care-resources/tobacco-and-nicotine/office-champions/behavioral-health-tobacco-cessation.html

A Needed Role Model and Advocate for Family Medicine

Family physician Andrea Anderson, M.D., has helped her specialty take root at a school that had lacked a family medicine presence.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20200511fdf-anderson.html

AAFP Gives Administration Formula for Saving Primary Care

In a pair of recent letters, the AAFP again called on the administration and Congress to direct relief -- and more visionary policy -- to primary care.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20200511sustainpractices.html

MMWR: COVID-19 Has Provoked Drop in Childhood Immunizations

A new CDC Morbidity and Mortality Weekly Report Early Release indicates that the COVID-19 pandemic is adversely affecting childhood immunizations in the United States.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20200508covidvax.html

FMIG Network Program of Excellence Award

Learn about the FMIG Network Program of Excellence Award, which recognizes groups for their efforts to stimulate interest in family medicine.

Membership : Member Benefits

https://www.aafp.org/membership/benefits/awards/student-resident-awards/fmig.html

Let's Learn From Pandemic so All May 'Live Long and Prosper'

Gary LeRoy, M.D., examines parallels between the current health crisis and the 1918 flu pandemic and writes in this Leader Voices Blog post that we must learn from history this time.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200506lv-covidhistory.html

AAFP Award for Excellence in Graduate Medical Education

Learn about the AAFP Award for Excellence in Graduate Medical Education, recognizing leadership, civic involvement and exemplary patient care.

Membership : Member Benefits

https://www.aafp.org/membership/benefits/awards/student-resident-awards/gme.html

AAFP National Dues Payment Policy

AAFP National Dues Payment Policy

Membership : Join the AAFP

https://www.aafp.org/membership/join/dues.html

From 'Unnecessary' to Indispensable

Hima Ekanadham, M.D., and her family physician colleagues -- once deemed unnecessary by their institution -- are playing vital roles at the epicenter of the COVID-19 pandemic.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20200504fdf-ekanadham.html

Holding People Sacred in Time of Loss

MaryAnn Dakkak, M.D., M.S.P.H., writes in this Fresh Perspectives blog post that she is praying for dying patients and crying with her nurses in the midst of the COVID-19 pandemic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200504fp-covidsacred.html

Tranexamic Acid for Postpartum Hemorrhage - Medicine by the Numbers - American Family ... Restricted content. Login required.

May 1, 2020 - Postpartum hemorrhage is the most common cause of maternal death worldwide. Tranexamic acid is an antifibrinolytic agent that has shown to decrease bleeding in surgical patients and all-cause death in trauma patients. Does early administration of tranexamic acid reduce the rate of death...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0501/od2.html

Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

May 1, 2020 - Lithium is more effective at inducing a reduction of at least 50% on the validated Young Mania Rating Scale compared with placebo (number needed to treat [NNT] = 6; 95% CI, 5 to 8; six studies; n = 1,707).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p528.html

Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ... Restricted content. Login required.

May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/0501/p557.html

Antidepressants Plus Benzodiazepines for Adults with Major Depression - Cochrane for ... Restricted content. Login required.

May 1, 2020 - A combination of tricyclic antidepressants and benzodiazepines is more effective for major depression in adults than tricyclic antidepressants alone in the first four weeks of treatment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p527.html

AAFP Immunization Materials Help Keep FPs Informed

The Academy recently mailed laminated, full-color copies of the 2020 adult, childhood/adolescent and catch-up immunization schedules developed by the ACIP to all active members.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20200501immschedules.html

COVID-19: Lessons Learned So Far

In his latest In the Trenches blog post, AAFP Senior VP for Advocacy, Practice Advancement and Policy Shawn Martin offers three key observations on family medicine and the pandemic.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200428itt-covidlessons.html

Block Grant Plan Would Hurt Medicaid Patients, AAFP Warns

A CMS proposal to allow Medicaid block grants would reduce access to care and strain the U.S. health care system, the Academy recently cautioned the agency.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20200203medicaidblockgrant.html

Research Examines Economics of HPV Vaccination

An economic analysis found that expanding HPV vaccination coverage to all adults through age 45 would produce slight health benefits but be less cost-effective than the vaccination strategy previously in place.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20200205hpvanalysis.html

Global Group Warns COVID-19 May Hinder Measles Vaccination

The global Measles and Rubella Initiative has estimated that the COVID-19 pandemic could postpone or suspend dozens of measles immunization programs worldwide, potentially leaving millions of children at increased risk.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20200424measles-covid.html

COVID-19 Shows What Is Truly Valuable in Health Care

The financial burden that the COVID-19 pandemic has put on family physicians must be addressed as a threat to the very foundation of the U.S. health care system, Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., writes in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200423lv-familymedicinevalue.html

The Immeasurable, Cascading Effects of Primary Care

Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that family physicians in outpatient settings are playing a vital role during the pandemic by keeping patients out of hospitals.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200422fp-covidprimarycare.html

AAFP Delivers Strong Advice to Reduce Maternal Morbidity

The AAFP recently sent a detailed response to a Senate Finance Committee request for information on how to improve the nation's maternal morbidity and mortality rates.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20200420maternalrfi.html

Family Physician, Husband Play Key Role in PPE Solution

Family physician Laurie Hommema, M.D., and her husband helped implement a solution to the dire need for N95 masks in her heath system, and it is now being deployed to dozens of other sites.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20200420fdf-hommema.html

Is That Antibiotic Prescription Really Necessary?

A review of prescription data for more than 19 million Americans that was recently published in The BMJ indicates that nearly one-quarter of all antibiotic prescriptions may have been prescribed inappropriately.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190214antibxscriptstudy.html

When Quarantining at Home Puts Families at Risk

MaryAnn Dakkak, M.D., M.S.P.H., writes in this Fresh Perspectives post that quarantining at home is not a safe option for patients with COVID-19 who live in close quarters, and the approach is putting minority communities at risk.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200420fp-coviddisparities.html

New AAFP Foundation COVID-19 Relief Fund Aims to Help FPs

The AAFP Foundation this week announced the establishment of a COVID-19 relief fund to provide assistance to family physicians, their practices and patients.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20200416fdtnrelieffund.html

Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness... Restricted content. Login required.

Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0415/p505.html

Galcanezumab (Emgality) for Migraine and Cluster Headaches - STEPS - American Family ... Restricted content. Login required.

Apr 15, 2020 - In otherwise healthy adults with severe and frequent migraine or cluster headaches, galcanezumab may provide a modest reduction in debilitating headache frequency in the short term.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0415/p502.html

Ketorolac vs. Morphine for Pain Relief After Fractures - FPIN's Help Desk Answers - ... Restricted content. Login required.

Apr 15, 2020 - Parenteral ketorolac is as effective as parenteral morphine for short-term pain relief in patients with long bone fractures, and it results in fewer adverse effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0415/p495.html

Screening for Asymptomatic Bacteriuria in Adults - Putting Prevention into Practice - ... Restricted content. Login required.

Apr 15, 2020 - A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0415/p493.html

Unease During Pandemic Offers a Lesson in Understanding

Stewart Decker, M.D., writes in this Fresh Perspectives blog post that when physicians treat patients with anxiety after the COVID-19 crisis is over, they should remember how they felt during the pandemic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200415fp-covidanxiety.html

Carpe Diem: It's Time to Fix Our Broken Health Care System

AAFP Senior VP for Advocacy, Practice Advancement and Policy Shawn Martin writes in this In the Trenches blog post that the current health crisis presents an opportunity to drastically improve the U.S. health care system.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200414itt-fixsystem.html

Privacy Policy

AAFP's website collects various data types to provide information to the company for use while protecting the privacy of its members and customers.

About AAFP : About AAFP.org

https://www.aafp.org/about/this-site/privacy.html

New AAFP Policy Protects Medical Learners During Pandemic

The AAFP has issued a new policy intended to support and protect medical learners during the COVID-19 pandemic and similar types of public health crises.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20200409medlearnerpolicy.html

NYSAFP: Ban Tobacco/Vaping Products During COVID-19 Pandemic

The AAFP is supporting family physicians' efforts to help patients quit using tobacco because tobacco users with COVID-19 are 14 times more likely to have disease progression.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20200407nysafptobaccoban.html

New Physician Membership

Become an Active member of the AAFP and enjoy all the benefits of being part of the premier family medicine association.

Membership : Join the AAFP

https://www.aafp.org/membership/join/active/new-physician.html

Benzodiazepines for Panic Disorder in Adults - Medicine by the Numbers - American ... Restricted content. Login required.

Apr 1, 2020 - Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0401/od1.html

Sepsis: Diagnosis and Management - American Family Physician Restricted content. Login required.

Apr 1, 2020 - Guidelines published in 2016 provide a revised definition of sepsis: life-threatening organ dysfunction caused by a dysregulated host response to infection. The guidelines define septic shock as sepsis with circulatory, cellular, and metabolic dysfunction that is associated with a ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p409.html

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

Apr 1, 2020 - Most frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. Repeated headaches can induce central sensitization and transformation to chronic headaches that are intractable, are difficult to treat, and cause significant ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p419.html

Cutaneous Cryosurgery for Common Skin Conditions - American Family Physician Restricted content. Login required.

Apr 1, 2020 - Cryosurgery is the application of freezing temperatures to achieve the destruction of tissue. Cutaneous cryosurgery has become a commonly performed outpatient procedure because of the combination of its safety, effectiveness, low cost, ease of use, lack of need for injectable ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p399.html

Anxiety Disorders - American Family Physician

Apr 1, 2020 - ...04/01/2020 Benzodiazepines for Panic Disorder in Adults [Medicine by the Numbers] 05/15/2019 Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation 05/01/2019 Psychological and Pharmacologic Treatments for Adults with PTSD [Implementing AHRQ Effective...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=85

Panel Size Is Just a Number: A Rubric for Opening and Closing Panels -- FPM

Apr 1, 2020 - Deciding whether primary care doctors have the capacity to take on more patients requires accounting for things like productivity, as well as panel size.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p7.html

Caring for Me Is Caring for You: The Power of Self-Care and Personal Transformation -- FPM

Apr 1, 2020 - Want to see change in your team, your organization, or beyond? Start by filling your own tank.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p17.html

Is This Some Kind of Joke? Understanding and Using Humor in the Clinical Setting -- FPM

Apr 1, 2020 - The wrong joke at the wrong time can shatter the doctor-patient relationship, but humor used wisely has health benefits and strengthens bonds in stressful situations.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p11.html

Permissions

Advanced Learning Support in Obstetrics (ALSO) publications and other material are copyrighted by the AAFP and all rights are reserved. The AAFP may grant permission to use or reprint copyrighted material.

CME : Programs

https://www.aafp.org/cme/programs/also/permissions.html

Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly ... Restricted content. Login required.

Apr 1, 2020 - This study found a significant reduction in mortality and morbidity among patients who took their once-daily anti-hypertensive medications at bedtime instead of in the morning. No significant difference occurred in compliance rates between bedtime and morning ingestion times. Individual...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0401/p434a.html

ALSO Armed Forces

AAFP's Advanced Learning Support in Obstetrics (ALSO) is an approved option for the Department of Defense-mandated training for staff involved in the provision of military maternity care and meets all requirements of the program.

CME : Programs

https://www.aafp.org/cme/programs/also/armed-forces.html

CMS Heeds AAFP's Call to Dramatically Expand Telehealth

Following intense AAFP lobbying, CMS on March 30 announced substantial measures to increase telehealth flexibility as FPs fight COVID-19.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20200401cmstelehealth.html

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