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Medicine by the numbers

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New Report Details 2011-2016 Fentanyl Overdose Death Rates

A new CDC report on drug overdose deaths involving fentanyl found skyrocketing rates of mortality related to the drug virtually across the board -- regardless of gender, geographic region and racial/ethnic background.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190327cdcfentanyl.html

Identifying Priorities Is First Step to Better Outcomes

Researchers recently designed and tested a waiting room Visit Planner tool that aims to help patients identify and voice their top priorities for the visit before seeing their physician.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190327visitplanner.html

New Edition of Severe Pediatric TBI Guidelines Published

The Brain Trauma Foundation has published an updated edition of guidelines for the management of severe traumatic brain injury in children that contains more than 20 recommendations that cover monitoring, treatment thresholds and treatments for these patients.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190326kidstbi.html

Survey Shows Support for Tighter E-cigarette Regulation

A recent survey shows that a majority of adults are unsure how much nicotine is in e-cigarettes -- but still favor increased federal enforcement against use by minors.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190320ecigsurvey.html

Report: FM Residency Diversity Can Be Fast-tracked

A family physician co-author of a recent study outlined key interventions that helped one residency program quickly increase diversity despite a largely unchanged pipeline.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190319residentdiversity.html

Study: One in Six U.S. Children Has a Mental Illness

Survey results indicate that as many as one in six U.S. children between the ages of 6 and 17 has a treatable mental health disorder such as depression, anxiety or attention-deficit/hyperactivity disorder.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190318childmentalillness.html

Primary Care of Breast Cancer Survivors - American Family Physician

Mar 15, 2019 - With declining mortality rates, the number of breast cancer survivors is increasing. Ongoing care after breast cancer treatment is often provided by primary care physicians. This care includes surveillance for cancer recurrence with a history and physical examination every three to six ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0315/p370.html

Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment - American Family ...

Mar 15, 2019 - Lower extremity peripheral artery disease (PAD) affects 12% to 20% of Americans 60 years and older. The most significant risk factors for PAD are hyperlipidemia, hypertension, diabetes mellitus, chronic kidney disease, and smoking; the presence of three or more factors confers a 10-fold...

American Family Physician : Article

https://www.aafp.org/afp/2019/0315/p362.html

Right Care for Children: Top Five Do's and Don'ts - American Family Physician

Mar 15, 2019 - Underuse and overuse of medical interventions, failure to use interventions known to be effective, and provision of tests or interventions in which benefits do not exceed harms are types of low-value care. The Lown Institute’s Right Care Alliance Children’s Health Council identified ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0315/p376.html

It’s a Match: Family Medicine Celebrates a Decade of Growth in the Specialty

It’s a Match: Family Medicine Celebrates a Decade of Growth in the Specialty

AAFP News : Media Center

https://www.aafp.org/news/media-center/more-releases/match-2019.html

2019 NRMP Match Marks Decade of Growth for Family Medicine

The 2019 Match numbers mark a decade of year-over-year growth for family medicine, with a total of 3,848 medical students and graduates matching into the specialty -- 313 more than in 2018.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190315matchday.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Coaching Patients About Successful Blood Pressure Management - Lown Right Care: ...

Mar 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2019/0315/p357.html

Screening for Atrial Fibrillation with Electrocardiography: Recommendation Statement - ...

Mar 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography.

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

https://www.aafp.org/afp/2019/0315/od1.html

Researchers Calculate Medical School Production of FPs

An article published in the March issue of Family Medicine identifies factors that contribute to allopathic and osteopathic institutions' output of family physicians over time.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190315fmproduction.html

Lorcaserin Is Safe, But Only Modestly Effective for Weight Loss - POEMs - American ...

Mar 15, 2019 - Lorcaserin, 10 mg twice daily, helps some patients lose 10% or more of their body weight (number needed to treat [NNT] = 10) and appears to be safe in terms of cardiovascular events.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od4.html

Is Physician Burnout on the Decline?

Results of a survey of more than 5,900 U.S. physicians found that for many specialties, including family medicine, burnout incidence has decreased in recent years and satisfaction with work-life balance has increased.

AAFP News : Focus on Physician Well-being

https://www.aafp.org/news/focus-on-physician-well-being/20190313burnoutdown.html

Your Patient Bucks Parents on Vaccine Request. Now What?

With a growing number of measles cases being reported, some children of vaccine-resistant parents are seeking immunizations. Julie Graves, M.D., M.P.H., Ph.D., looks at the challenges and opportunities the situation presents.

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

https://www.aafp.org/news/opinion/20190313guested-vaccines.html

Arizona FPs Tackle Threat to Expand Vaccine Exemptions

Arizona legislators recently introduced three bills that would expand vaccine exemptions and create new challenges for health care professionals who administer vaccines.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190312vaccexempt.html

ACIP Updates Japanese Encephalitis, Anthrax Vaccine Guidance

During the Feb. 27-28 meeting of the CDC's Advisory Committee on Immunization Practices, the group voted to update recommendations for the Japanese encephalitis vaccine, along with guidance on pre-exposure prophylaxis anthrax vaccination.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190306acipmtg.html

USPSTF: Screen At-risk Women for BRCA-related Cancer

The U.S. Preventive Services Task Force recently posted for comment a draft recommendation statement and draft evidence review on risk assessment, genetic counseling and genetic testing for BRCA-related cancer in women.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190306uspstf-brcatest.html

What Drives Medical Students to Choose Family Medicine?

Results of focus group sessions with medical students at allopathic schools across the United States show that the decision to specialize in family medicine is influenced by several factors.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190305studentchoice.html

Workforce Tactic Team Sets Stage to Increase Ranks of FPs

A recent article in Family Medicine sums up the outcomes of three years of work by the Family Medicine for America's Health Workforce Education and Development Tactic Team.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190304fmahworkforce.html

Metformin for Improving Maternal and Infant Outcomes in Pregnant Women Who Are Obese - ...

Mar 1, 2019 - This meta-analysis showed no clear benefit for metformin in reducing the risk of large for gestational age infants. Additionally, there was no difference in important secondary outcomes such as gestational diabetes, hypertensive disease in pregnancy, shoulder dystocia, advanced perineal...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0301/od1.html

Hepatitis B: Screening, Prevention, Diagnosis, and Treatment - American Family Physician

Mar 1, 2019 - Hepatitis B virus (HBV) is a partly double-stranded DNA virus that causes acute and chronic liver infection. Screening for hepatitis B is recommended in pregnant women at their first prenatal visit and in adolescents and adults at high risk of chronic infection. Hepatitis B vaccination ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0301/p314.html

AAFP Endorses AAO-HNS Tonsillectomy in Children Guideline

The AAFP has endorsed an updated guideline on tonsillectomy in children that was developed by the American Academy of Otolaryngology-Head and Neck Surgery. The guideline was published Feb. 5 in Otolaryngology-Head and Neck Surgery.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190227aao-hnstonsillectomygdln.html

What Factors Hook Medical Students on Family Medicine?

In 2015, the AAFP conducted a national survey of all graduating AAFP student members to learn what influenced their specialty choices.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/2019026choicesurvey.html

FDA Warns of Increased Lymphoma Risk From Breast Implants

On Feb. 6, the FDA issued an update on the number of cases of breast implant-associated anaplastic large cell lymphoma, reporting that as of Sept. 30, 2018, the agency had received a total of 660 case reports globally since 2010.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190225breastimplants.html

Understanding Patient Empanelment, Weighting

A new study describes how a Wisconsin medical school health system created a framework for weighting patient panels.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190222empanelment.html

Study: FPs Who Learn Acupuncture Prescribe Fewer Opioids

A recently published survey of family physicians found that those who received training in acupuncture prescribed fewer opioids to patients with chronic noncancer pain than those without acupuncture training.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190221acupuncture-opioids.html

Family Medicine Tops the List in Osteopathic Match

Thirty-four percent of matches made during this year's final American Osteopathic Association Intern/Resident Registration Program Match were to family medicine residency programs.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190220aoamatch.html

Research Shows Nation's Opioid Epidemic Is Far From Over

A mathematical model that charted recent trends in opioid misuse and projected future usage patterns suggests that opioid deaths will continue to increase for the next few years before eventually leveling off.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190220opioidprojections.html

2018-2019 Influenza Vaccine Is Effective, Says CDC

On Feb. 15, the CDC released a pair of Morbidity and Mortality Weekly Reports that offer interim information on the 2018-2019 influenza season and address this season's flu vaccine effectiveness.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190220fluvaccine.html

Type 2 Diabetes Therapies: A STEPS Approach - American Family Physician

Feb 15, 2019 - A concise way to evaluate pharmacotherapy options for type 2 diabetes mellitus is to use the five patient-oriented STEPS criteria: safety, tolerability, efficacy, price, and simplicity. The first-line treatment option, metformin, is safe and fairly well-tolerated, has excellent ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p237.html

Manipulative Therapies: What Works - American Family Physician

Feb 15, 2019 - Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p248.html

Screening for Cervical Cancer: Recommendation Statement - U.S. Preventive Services Task...

Feb 15, 2019 - The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus ...

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

https://www.aafp.org/afp/2019/0215/od1.html

AAFP Applauds GME Senate Bill Aimed at Rural Shortages

The AAFP has signaled its strong support for the Rural Physician Workforce Production Act of 2019, saying it would alleviate physician shortages in rural communities.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190214ruralworkforceact.html

Bolster Policy on Tobacco, ENDS, Secondhand Smoke, Says AAFP

In a Feb. 6 letter to the CDC Office on Smoking and Health, the AAFP reminded the Trump administration about evidence-based strategies that can help reduce tobacco use.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190212tobaccoletter.html

People in the News/Awards -- January/February

A number of AAFP members have recently received various honors or recognition.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20190211people-janfeb.html

Recommendations Aim to Shape Health Funding, Drug Pricing

The AAFP and five peer physician organizations recently offered federal lawmakers detailed recommendations for public health program funding and prescription drug pricing.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190211fundingpriorities.html

CDC, AAFP Release 2019 Immunization Schedules

The CDC and its Advisory Committee on Immunization Practices, together with the AAFP and other medical professional organizations, have released the 2019 adult and childhood immunization schedules.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190211immunskeds.html

Massachusetts Group Calls Physician Burnout Public Health Crisis

Four health care groups recently published a report that labels physician burnout a full-blown public health crisis and suggests steps that can be taken to reach short-, medium- and long-term solutions.

AAFP News : Focus on Physician Well-being

https://www.aafp.org/news/focus-on-physician-well-being/20190208burnoutcrisis.html

Fighting for Family Medicine for the Next 50 Years

The AAFP is marking the 50th anniversary of family medicine with a focus on the future, redoubling work to ensure that FPs have the resources they need to continue giving patients the highest-quality health care.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20190207familymedat50.html

FP at Epicenter of Measles Outbreak Shares Lessons

The family physician in charge of controlling the measles outbreak in Clark County, Washington, discusses his efforts to battle the disease and highlights opportunities for fellow FPs.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190205washmeasles.html

Senate Weighs Crucial Teaching Health Center Legislation

Following testimony from the AAFP, the Senate introduced legislation to renew Teaching Health Center Graduate Medical Education program funding for five years.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20190204thcgmebill.html

Dyspnea Due to Acute Heart Failure Syndrome - Medicine by the Numbers - American Family...

Feb 1, 2019 - This review concluded that the individual components of the clinical history and physical examination, electrocardiography, and chest radiography are not useful independently for confirming or excluding the diagnosis of acute heart failure syndrome in patients presenting to the ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0201/od1.html

Gastroenteritis in Children - American Family Physician

Feb 1, 2019 - Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. In the United States, acute gastroenteritis accounts for 1.5 million office visits, 200,000 hospitalizations, and 300 deaths in children each year. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p159.html

First Trimester Bleeding: Evaluation and Management - American Family Physician

Feb 1, 2019 - Approximately one-fourth of pregnant women will experience bleeding in the first trimester. The differential diagnosis includes threatened abortion, early pregnancy loss, and ectopic pregnancy. Pain and heavy bleeding are associated with an increased risk of early pregnancy loss. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p166.html

Increased Quantity but Not Proportion: U.S. Medical Schools and Family Medicine Entry ...

Feb 1, 2019 - Expansion in the number of American medical schools since 2005 led to an absolute increase in graduates matching into family medicine (FM) residency programs from 2008 to 2018. Proportionally, however, FM training has become increasingly reliant on osteopathic physicians and U.S. ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0201/p153.html

Point-of-Care Ultrasonography: An Effective Tool When Used Appropriately - Letters to ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p143.html

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