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Medicine by the numbers

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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

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

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

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

ACOG, AAP Update Guidance on Group B Strep in Infants

The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics recently coordinated to issue updated guidance on preventing and managing group B streptococcal infection in infants.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190724groupbstrep.html

Opioid Use Disorder Screening

Access the AAFP preventive service recommendation on screening for Unhealthy Drug Use.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/oud.html

Study Tests Protocol to Expand Use of Medical Translators

Recent research identified benefits and drawbacks to a protocol in which medical assistants arranged for language translation during the rooming process -- before the clinician ever entered the room.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190717translationstudy.html

Truth Initiative Smoking Imagery Study Sparks Change

Truth Initiative, which focuses on dissuading youth and young adults from using tobacco, has released a report indicating that depictions of tobacco use in youth-rated broadcast/cable and streaming content rose by more than 379% in one year.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190717tobaccoimages.html

Researchers Push Primary Care Teams to 'Power Up'

Researchers describe a new model that extends clinician visits to team visits by pairing each physician with highly trained nurses or medical assistants.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190716primarycareteams.html

Acupuncture for Pain - American Family Physician

Jul 15, 2019 - Acupuncture has been increasingly used as an integrative or complementary therapy for pain. It is well-tolerated with little risk of serious adverse effects. Traditional acupuncture and nontraditional techniques, such as electroacupuncture and dry needling, often result in reported pain...

American Family Physician : Article

https://www.aafp.org/afp/2019/0715/p89.html

Integrating Medical Acupuncture into Family Medicine Practice - Editorials - American ...

Jul 15, 2019 - Acupuncture is an evidence-based therapy to reduce pain that can meet patient demand for nonpharmacologic treatment. Now is the time to offer training in medical acupuncture to more family physicians.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0715/p76.html

In Healthy Older Adults, Low-Dose Aspirin Increases All-Cause and Cancer-Specific ...

Jul 15, 2019 - The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality, primarily ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p118a.html

Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...

Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p119.html

Personal Experience Is Not Always Consistent with Published Evidence - Letters to the ...

Jul 15, 2019 - ...to add. For those who have been in medicine long enough to see evidence-based processes be proved wrong with follow-up studies, it is hard to jump on board a change that one's experience also has shown to be false. The good news is that medicine continues to grow and change, and...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0715/p73.html

Semaglutide (Ozempic) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2019 - Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0715/p116.html

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes ...

Jul 15, 2019 - In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p120.html

When It Comes to Hiring Faculty Physicians, Money Talks

Results of a survey of family medicine department chairs provide new insight into the factors associated with successfully filling vacancies for faculty physicians.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190711facultyhiring.html

Webinar Will Cover Best Practices for Tapering Opioids

The National Academy of Medicine will host a free webinar from 3 to 4:30 p.m. EDT on July 22 to discuss best practices and evidence standards on tapering patients off opioids. NAM plans to publish a discussion paper that builds on the webinar early next year.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190710opioidtaper.html

Learn to Conquer Your EHR System During 'Happy Hour'

A recent article in the July/August issue of Annals of Family Medicine describes how implementation of a peer-to-peer learning format has eased physician frustrations with their EHRs.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190710ehrhappyhour.html

USPSTF Recommends Screening Older Men Who Smoked for AAA

On June 18, the U.S. Preventive Services Task Force posted a draft recommendation statement on screening for abdominal aortic aneurysm in asymptomatic patients. Men ages 65-75 who smoke or used to smoke benefit most from screening; the task force recommends one-time screening with ...

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190708uspstf-aaascreen.html

Fight for Improved Maternal Health Depends on FPs

The United States has the worst maternal mortality rate in the industrialized world. Jessica Taylor Goldstein, M.D., urges FPs to join her in a march to better outcomes.

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20190703guestedmaternal.html

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