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Many Patients Hide Life-threatening Issues From Clinicians

New research indicates that many patients who experience an imminent threat such as suicidality, abuse or sexual assault routinely withhold this information from their clinicians.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190910withhholdinfo.html

Student Leader Found Intersection of Medicine, Social Justice

Medical student Julia Wang, a daughter of immigrants, is emerging as a champion for health equity and social justice.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190909fdf-wang.html

AAFP Scores Win on Payment to Support Rural Residencies

As of Oct. 1, Medicare will start picking up the tab for residents' training time at critical-access hospitals, a move that helps the AAFP's Rural Health Matters initiative.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190905ipps.html

For New Intern, the Future Is Challenging -- and Bright

In this Leader Voices Blog post, recent medical school graduate Chandler Stisher, M.D., shares the challenges of transitioning from student to intern as well as his excitement for what lies ahead.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190904lv-newintern.html

Social Media Influencers or FPs: Who Do Patients Trust?

Michael Richardson, M.D., writes in this Fresh Perspectives blog post that physicians can overcome the spate of false and misleading health reports that consumers find on social media by emphasizing the doctor-patient relationship.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190903fp-socialmedia.html

Not All Clinicians Are Trained Equally

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin explains why family physicians and nurse practitioners are not interchangeable.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190903itt-differences.html

Treatment of the Common Cold - American Family Physician

Sep 1, 2019 - Acute upper respiratory tract infections are extremely common in adults and children, but only a few safe and effective treatments are available. Patients typically present with nasal congestion, rhinorrhea, sore throat, cough, general malaise, and/or low-grade fever. Informing patients...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p281.html

Venous Ulcers: Diagnosis and Treatment - American Family Physician

Sep 1, 2019 - Venous ulcers are the most common type of chronic lower extremity ulcers, affecting 1% to 3% of the U.S. population. Venous hypertension as a result of venous reflux (incompetence) or obstruction is thought to be the primary underlying mechanism for venous ulcer formation. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p298.html

Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...

Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p279.html

Use of Amphetamines for Attention Deficit/Hyperactivity Disorder in Adults - Cochrane ...

Sep 1, 2019 - Amphetamines provide a clinician-rated 30% or greater reduction in ADHD symptoms when compared with placebo (number needed to treat = 5).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p278.html

Gabapentin for Treatment of Radicular Low Back Pain - FPIN's Clinical Inquiries - ...

Sep 1, 2019 - Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0901/p309.html

CDC Underscores Need to Boost HPV Vaccination Coverage

A pair of Morbidity and Mortality Weekly Reports the CDC recently released clearly demonstrate that the need to improve HPV vaccination coverage remains substantial.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190829hpvvacc.html

New AAFP Policy Pushes Payers to Accept Supplemental Data

The AAFP has created a new policy to press payers to accept all performance data physicians want to submit so they do not lose out on value-based payments.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190829supplementaldata.html

Academy Praises Bill Lowering Direct Primary Care Barrier

The Academy recently applauded legislation that would revise the federal tax code to allow health savings account funds to be applied to direct primary care fees.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190826pceact.html

Moving Practice Has Been Good for Me, Staff, Patients

What's a family doc to do when rents skyrocket in a tight real estate market? Erica Swegler, M.D., writes that she turned her problem into an opportunity to improve her practice.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190826lv-moving.html

Boost Naloxone Prescribing to Halt Opioid Overdose Deaths

A report on nationwide naloxone dispensing practices found that the ratio of naloxone prescriptions to high-dose opioid prescriptions is surprisingly low and that significant differences exist between dispensing rates in rural versus metropolitan areas.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190820naloxoneprescript.html

2020 Medicare Physician Fee Schedule: What You Need to Know

The proposed 2020 Medicare physician fee schedule is 1,704 pages long. In a much shorter In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights the key points family physicians should know.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190820itt-2020mpfs.html

Bouncing Back From Burnout in Residency

When family medicine resident Michelle Byrne, M.D., M.P.H., experienced symptoms of burnout, she acted quickly to overcome it. Read more in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190820lv-residburnout.html

New Research Examines FPs' Prediabetes Knowledge, Practices

Researchers found that family physicians and other clinicians are highly skilled in screening for and managing prediabetes but are less aware of the National Diabetes Prevention Program and similar patient resources.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190816prediabetesstudy.html

Omega-3 Fatty Acids and Cardiovascular Disease Prevention - Medicine by the Numbers - ...

Aug 15, 2019 - High-quality evidence suggests that long-chain omega-3 polyunsaturated fatty acids do not prevent mortality (all-cause or cardiovascular) or cardiovascular disease events when used as primary or secondary prevention. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0815/p209.html

Health Maintenance in School-Aged Children: Part I. History, Physical Examination, ...

Aug 15, 2019 - The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. During the visit, the physician should address patient and parent/caregiver concerns and ask about ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p213.html

Electronic Cigarettes: Common Questions and Answers - American Family Physician

Aug 15, 2019 - Electronic cigarettes (e-cigarettes) are popular devices designed to heat a liquid solution, often containing nicotine, that generates an inhaled aerosol, or vapor. e-Cigarettes have been marketed as healthier alternatives to traditional cigarettes. Thus, most adult users are current or...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p227.html

Thessaly vs. McMurray Test for Diagnosis of Meniscal Injuries - Letters to the Editor -...

Aug 15, 2019 - ...Abell BE, Gibson TW. The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clin J Sport Med. 2009;19(1):9–12. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue,...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0815/p200.html

Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...

Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0815/p202.html

Cognitive Behavior Therapy for Postpartum Depression - FPIN's Help Desk Answers - ...

Aug 15, 2019 - In women with postpartum depression, the addition of CBT reduces depressive symptoms more effectively than usual care alone (medication and other therapies), with a medium effect size at the end of the intervention and a residual small effect size six months later.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0815/p244.html

AAFP Sustains Fight to Reduce Administrative Complexity for Family Medicine

AAFP Sustains Fight to Reduce Administrative Burden for Family Medicine

AAFP News : Media Center

https://www.aafp.org/news/media-center/kits/aafp-sustains-fight-to-reduce-administrative-burden-for-family-medicine.html

Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...

Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0815/p246.html

New Data From AAFP Reveals Increased Complexity of Family Physician Visits

AAFP Reveals Increased Complexity of Family Physician Visits

AAFP News : Media Center

https://www.aafp.org/news/media-center/kits/complexity-of-care-of-family-physician-visit.html

Report Examines Benefits of Investing in Primary Care

A new study breaks down states' primary care spending patterns and what they mean for select patient outcomes.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190815statespending.html

Video Visits Tested in Homebound Geriatric Patients

Researchers from New York and California developed a test pilot to assess the feasibility of video visits for homebound elderly patients.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190814videovisitresearch.html

New MIGs Focus on Intimate Partner Violence, EMR Optimization

The Academy's Board of Directors has given the thumbs up to two new AAFP member interest groups: the EMR Optimization and Intimate Partner Violence MIGs. That brings the total number of MIGs to 20.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20190809ipv-emrmigs.html

We Must Find Common Ground to Reduce Gun Violence

Six of the nation's largest physician organizations -- including the AAFP -- and the American Public Health Association are calling for policies to reduce firearm injuries and deaths. In this Leader Voices Blog post, AAFP President John Cullen, M.D., cites a 2017 survey that outlined ...

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190808lv-gunviolence.html

Letter Urges Protection of Access to Military Health Care

The AAFP and other medical groups recently called on House and Senate leaders to protect military medical staffing levels from a harmful proposed budget cut.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190807dodcuts.html

AAFP, Medical and Public Health Organizations Call for Fast-tracking Policies To ...

AAFP, Medical and Public Health Organizations Call for Fast-tracking Policies To Prevent Firearm-related Injury and Death

AAFP News : Media Center

https://www.aafp.org/news/media-center/more-releases/aafp-medical-and-public-health-organizations-call-for-fast-tracking-policies-to-prevent-firearm-related-injury-and-death.html

AAFP Recruiting for Alcohol SBI Office Champions Project

The AAFP seeks to recruit as many as 25 family medicine practices to participate in its new Alcohol Screening and Brief Intervention Office Champions Project. The deadline to apply for the project is Aug. 31.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190806alcoholsbiproject.html

Value of Physical Exam Is Far More Than Meets the Eye

A new study documents family physicians' experiences and perceptions of the physical examination, which they reported can have both objective and subjective benefits in caring for patients.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190805physexamstudy.html

Academy Takes First Look at Proposed Rule for 2020 MPFS

As the AAFP begins formulating detailed comments to CMS on its proposed 2020 Medicare physician fee schedule, several key elements already stand out. An initial summary the Academy has developed highlights those points.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190802mpfssummary.html

Flexible Sigmoidoscopy or Fecal Occult Blood Testing for Colorectal Cancer Screening in...

Aug 1, 2019 - This meta-analysis provides high-quality evidence that flexible sigmoidoscopy and fecal occult blood testing both reduce the risk of death from colorectal cancer. The study did not provide a clear answer regarding a superior screening modality, so the decision to choose one test over ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0801/od1.html

Hirsutism in Women - American Family Physician

Aug 1, 2019 - Hirsutism is the excessive growth of terminal hair in a typical male pattern in a female. It is often a sign of excessive androgen levels. Although many conditions can lead to hirsutism, polycystic ovary syndrome and idiopathic hyperandrogenism account for more than 85% of cases. Less ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p168.html

Management of Chronic Tendon Injuries - American Family Physician

Aug 1, 2019 - Chronic tendon injuries are common athletic and occupational injuries that account for many physician visits. Tendons have a complex biology that provides a unique combination of strength, flexibility, and elasticity but also predisposes them to injury. The term tendinopathy is ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p147.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - Discussing with patients the pros and cons of medications for borderline glucose values could distract us from more important topics such as lifestyle changes, smoking cessation, and blood pressure control. Time is the most valuable resource in a physician-patient partnership, and there...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p136.html

Skin-to-Skin Contact for Improved Duration of Breastfeeding - FPIN's Help Desk Answers ...

Aug 1, 2019 - Skin-to-skin-contact in the immediate postnatal period should be recommended to all mothers because it is associated with a higher likelihood of exclusive breastfeeding at hospital discharge and for up to six months afterward (number needed to treat [NNT] = 5 to 8).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0801/od2.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p134.html

In Support of Buprenorphine Deregulation -- FPM

Aug 1, 2019 - Family physicians should join the fight to remove limits on prescribing buprenorphine for opioid use disorder.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2019/0700/p6.html

Vaccines for Preventing Influenza in Healthy Children, Healthy Adults, and Older Adults...

Aug 1, 2019 - Influenza vaccination reduces rates of laboratory-confirmed influenza and symptomatic influenza-like illness in healthy children, healthy adults, and older adults. There is no consistent evidence that influenza vaccination reduces school absenteeism in children, parental absenteeism ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0801/p143.html

Dapagliflozin in High-Risk Type 2 Diabetes Reduces Hospitalization for Heart Failure ...

Aug 1, 2019 - The only cardiovascular benefit to treatment with dapagliflozin was a reduction in the likelihood of hospitalization; 125 patients would need to be treated for 10 years to prevent one hospitalization.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0801/p184.html

Practice Pearls - Jul-Aug 2019 -- FPM

Aug 1, 2019 - Reduce time spent doing other physicians’ paperwork | Send preventive service reminders according to birth months | Help put patients at ease during visits | Identify patients’ unmet social needs to facilitate referrals

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/0700/p35.html

Residents Focus Discussions on Training, Patient Care

During this year's National Congress of Family Medicine Residents, participants adopted measures on various topics, including opioid use disorder treatment and support for residents whose programs close unexpectedly.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190731nc-rescongress.html

Medicare releases proposed rule on 2020 physician fee schedule

The Centers for Medicare and Medicaid Services has released its proposed physician fee schedule for 2020. Here are some of the highlights affecting family physicians.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_physician_payment_fee_schedule.html

Students, Residents Elect New Leaders for the Coming Year

Delegates to the National Congress of Family Medicine Residents and the National Congress of Student Members chose new leaders July 27 in Kansas City, Mo., to represent them in the coming year.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190727nc-elections.html

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