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Medicine by the numbers

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Obstetric Lacerations: Prevention and Repair - American Family Physician Restricted content. Login required.

Jun 15, 2021 - Obstetric lacerations are a common complication of vaginal delivery. Lacerations can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved, with fourth-degree lacerations disrupting the anal sphincter and the ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0615/p745.html

Tobacco Abuse and Dependence - American Family Physician

Jun 15, 2021 - This collection features AFP content on tobacco abuse and dependence and related issues, including addiction, behavioral and drug therapies, lifestyle counseling, and smoking cessation. This collection features AFP content on tobacco abuse and dependence and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=28

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons: ...

Jun 15, 2021 - The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.

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

https://www.aafp.org/afp/2021/0615/od1.html

The Importance of Keeping Patients with Post-Acute Sequelae of SARS-CoV-2 Infection ...

Jun 15, 2021 - ...of persistent PASC symptoms may lead people to leave their jobs temporarily. The American College of Occupational and Environmental Medicine advises that prolonged absence from the workplace is detrimental to a person's mental, physical, and social well-being.4 A 2006 British...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0615/p710.html

Poor Physician-Patient Communication and Medical Error - Lown Right Care: Reducing ... Restricted content. Login required.

Jun 15, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2021/0615/p757.html

AFP 2021: Updates, New Fellow, Top 20 Articles, AFP Statistics, and Thanking Peer ...

Jun 15, 2021 - American Family Physician (AFP) continues its annual tradition of updating our readers on changes in the journal, welcoming new members to our editing team, highlighting the top 20 articles from the prior year, sharing print circulation and website statistics, and thanking our peer ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0615/p716.html

Predicting True Penicillin Allergy in Adults - Point-of-Care Guides - American Family ... Restricted content. Login required.

Jun 15, 2021 - In patients reporting a penicillin allergy, is it possible to determine the likelihood of true allergy without formal testing?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/0615/p760.html

Family Medicine Laid Foundation for Public Health Career

Education and training in family medicine and public health led Tony Kuo, M.D., M.S.H.S., to a key role in the nation’s largest county.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20210614fdf-kuo.html

AAFP Praises Legislation Addressing THCGME, Rural Workforce

In a pair of recent letters to federal lawmakers, the AAFP expressed support for legislation that would bolster the primary care workforce, particularly in rural areas.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210614thcgmebills.html

CDC Studies Compare Antibiotic Use Before, During Pandemic

Two CDC-funded studies appear to shed light on antibiotic prescribing trends seen during the COVID-19 pandemic, noting that although some short-term increases were seen among agents specifically investigated as potential COVID treatment options, overall antimicrobial prescribing was ...

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210610antibxstudies.html

Health IT Roundtable, White Paper Reflect AAFP Leadership

Following the AAFP’s participation, a recent roundtable and white paper offer detailed suggestions on improving health IT in the wake of COVID-19.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210610healthit.html

Congress Is Listening to Us About Rural Health Care

Two new bills in Congress reflect diligent advocacy by the Academy and its members, but more work remains.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20210608itt-rural.html

AAFP Lauds Senate Bill Targeting Medicaid Pay Parity

Following extensive Academy lobbying, a bill reintroduced in the Senate would restore Medicaid parity with Medicare payment.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210607parity.html

Oxytocin as First-line Uterotonic Therapy for Postpartum Hemorrhage - Medicine by the ... Restricted content. Login required.

Jun 1, 2021 - Oxytocin decreases the chances of a blood transfusion and has fewer adverse effects compared with misoprostol.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0601/p656.html

Out-of-Hospital Birth - American Family Physician Restricted content. Login required.

Jun 1, 2021 - Since the 1970s, most births in the United States have been planned to occur in a hospital. However, a small percentage of Americans choose to give birth outside of a hospital. The number of out-of-hospital births has increased, with one in every 61 U.S. births (1.64%) occurring out of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0601/p672.html

Polycythemia Vera: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Jun 1, 2021 - Polycythemia vera is one of three stem-cell–derived myeloid malignancies commonly known as myeloproliferative neoplasms. It is characterized by erythrocytosis, often with associated leukocytosis and thrombocytosis. It has a significant negative impact on overall mortality and morbidity ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0601/p680.html

These Four Telehealth Changes Should Stay, Even After the Pandemic -- FPM

Jun 1, 2021 - The national COVID-19 crisis has proven that telehealth can transform access to care, but only if we unshackle it from outdated and unnecessary regulations.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0500/p9.html

Ear and Hearing Disorders - American Family Physician

Jun 1, 2021 - This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis externa, otitis media, and tinnitus. This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=98

Now More Than Ever, Mental Health Care Needs Family Medicine -- FPM

Jun 1, 2021 - With the stress of the pandemic exacerbating patients’ health issues, primary care physicians have an unparalleled opportunity to address both their physical and their mental health needs.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0500/oa1.html

Using DaTscan to Diagnose Parkinson Disease - Letters to the Editor - American Family ...

Jun 1, 2021 - ...6. Fox SH, Katzenschlager R, Lim SY, et al.; Movement Disorder Society Evidence-Based Medicine Committee. International Parkinson and Movement Disorder Society evidence-based medicine review: update on treatments for the motor symptoms of Parkinson's disease [published correction...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0601/p647.html

Six Tips to Effectively Treat Opioid Use Disorder in Rural Areas -- FPM Restricted content. Login required.

Jun 1, 2021 - Overcome barriers to care by using telehealth, supporting home-based treatment, and partnering with local and state services.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0500/p23.html

Flash Continuous Glucose Monitoring (FreeStyle Libre 14-Day System) for Self-Management... Restricted content. Login required.

Jun 1, 2021 - The use of FreeStyle Libre increases time in euglycemic range and decreases hyperglycemic and hypoglycemic time and events in adults with type 1 diabetes.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0601/p688.html

Integrating Behavioral Health Into Primary Care -- FPM

Jun 1, 2021 - Integrating behavioral health improves patient outcomes and makes medical practice more satisfying. Here’s one way to do it.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/0500/p3.html

Demystifying Documentation and Billing for Osteopathic Manipulative Treatment -- FPM Restricted content. Login required.

Jun 1, 2021 - Osteopathic manipulative treatment is indicated for several common ailments, but documenting and coding it can be daunting for beginners. Here’s how it’s done.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0500/p18.html

Pessaries for Managing Pelvic Organ Prolapse in Women - Cochrane for Clinicians - ... Restricted content. Login required.

Jun 1, 2021 - Pessaries combined with pelvic floor muscle training (PFMT) probably improve pelvic organ prolapse symptoms in women and prolapse-specific quality of life compared with PFMT alone.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0601/p660.html

Continuous Glucose Monitoring Adds Little Benefit, Especially in Adults - POEMs - ... Restricted content. Login required.

Jun 1, 2021 - In patients who have diabetes mellitus who are treated with intensive insulin regimens, continuous glucose monitoring modestly decreases A1C in short-term, unmasked studies.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0601/p697.html

Latest FPM Supplement Examines Innovative Care Delivery

The latest installment in the FPM journal’s supplement series on value-based payment, 'Innovative Care Delivery: Behavioral Health Integration and Home-based Primary Care,' highlights these two alternative care solutions.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20210527innovcaredeliv.html

As COVID-19 Vaccinations Slow, FPs Begin Delivering More Doses

With more than half of Americans still unvaccinated against COVID-19, states are turning to family physicians to deliver more doses, answering a months-long advocacy push by the Academy.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210521statevacc.html

Webinar Reviews Monoclonal Antibodies to Treat COVID-19

On May 27, the AAFP and the HHS Office of the Assistant Secretary for Preparedness and Response will present a webinar on the use of monoclonal antibodies to treat COVID-19.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210520covidmab.html

Task Force Recommends Screening Adults for Hypertension

A new final recommendation statement from the U.S. Preventive Services Task Force recommends screening adults for high blood pressure in the clinic and confirming with measurement outside the clinic.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210520uspstfhypertension.html

Passion for Public Health, Epidemiology Led to CDC Fellowship

Thomas Golden, M.D., M.P.H., found an intersection of his interests in public health and epidemiology as a fellow in the CDC’s Epidemic Intelligence Service.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20210517fdf-golden.html

Leadership Conference Town Hall Covers Gamut of Key Issues

Discussion at the 2021 Annual Leadership Conference Town Hall touched on issues of importance to family physicians, including increasing payment, telemedicine, workforce and COVID-19.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210517townhall.html

Post-ICU Care in the Outpatient Setting - American Family Physician Restricted content. Login required.

May 15, 2021 - More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should...

American Family Physician : Article

https://www.aafp.org/afp/2021/0515/p590.html

Stroke and TIA - American Family Physician

May 15, 2021 - This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks. This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=24

Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List - Practice Guidelines ... Restricted content. Login required.

May 15, 2021 - The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0515/p633.html

Benefits of Avoiding Unnecessary Medical Care During the COVID-19 Pandemic - Editorials...

May 15, 2021 - How can avoiding unnecessary medical care during the COVID-19 pandemic benefit patients?

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0515/p584.html

Platelet-Rich Plasma Effective for Patients with Knee Osteoarthritis - Letters to the ...

May 15, 2021 - ...Editor's Note: Dr. Ebell is deputy editor for evidence-based medicine for AFP. Mark H. Ebell, MD, MS Athens, Ga. Email: ebell@uga.edu Roland Grad, MDCM, MSc, FCFP Montreal, Quebec Author disclosure: No relevant financial affiliations. References 1. Hróbjartsson A, Gøtzsche PC....

American Family Physician : Letter

https://www.aafp.org/afp/2021/0515/p580.html

Colchicine Reduces MI and Revascularization in Patients with Established Coronary ... Restricted content. Login required.

May 15, 2021 - Colchicine, 0.5 mg daily, significantly reduces the risk of myocardial infarction and ischemia-driven revascularization.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0515/p631a.html

COVID-19 Vaccine FAQs

The AAFP offers the latest COVID-19 vaccine information, from how they work to the differences between the vaccines, to help family physicians answer the most common patient questions.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/current-hot-topics/recent-outbreaks/covid-19/covid-19-vaccine/covid-19-vaccine-faqs.html

COVID-19 Vaccines: New Tools Help You Educate Patients

Family physicians can use several new resources from the AAFP to educate patients about COVID-19 vaccines, combat misinformation and increase vaccination levels. AAFP President Ada Stewart, M.D., writes in the new A Word From the President blog how these tools may help end the pandemic.

AAFP News : Blogs

https://www.aafp.org/news/blogs/wordfrompresident/entry/20210513wfp-covidvaccine.html

2021 NCCL Tackles Telehealth, Coercive Employment Practices

Family physicians from around the country weighed in on a wide range of issues important to family medicine during the 2021 National Conference of Constituency Leaders, including measures that addressed telehealth, restrictive employment practices and the role of family physicians in ...

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210512nccl-practenhance.html

Moving in the Right Direction on Menthol

A proposed federal ban on menthol and other cigarette flavors is a big win for AAFP advocacy — and essential to achieving health equity.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20210512itt-menthol.html

Latest AAFP Immunization Materials Keep FPs Up to Date

The AAFP recently mailed laminated, full-color copies of the latest Advisory Committee on Immunization Practices immunization schedules to members. The updated information is also available on the AAFP mobile app and the Shots Immunizations App.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210511immschedules.html

NCCL Delegates Take on Racism, Equity Issues

Delegates who participated in the AAFP’s virtual National Conference of Constituency Leaders adopted resolutions and substitute resolutions that urged the Academy to address racism and equity issues in health care and medical education.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210506nccl-education.html

Recognizing Asian American and Pacific Islander Heritage Month

The Office of Minority Health is holding a series of events this month to generate greater awareness of Asian American and Pacific Islander Heritage Month, and the AAFP has resources to help FPs address social determinants of health.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210506aapihmonth.html

Share Your Burden of Grief and Find Joy on the Other Side

Like so many physicians, Lalita Abhyankar, M.D., M.H.S., has experienced grief on an unprecedented scale this past year. In this Fresh Perspectives blog post, she shares how she has come to acknowledge her grief and use it to begin healing.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20210504fp-grieffollowup.html

The Preparticipation Physical Evaluation - American Family Physician Restricted content. Login required.

May 1, 2021 - The preparticipation physical evaluation (PPE) is a common reason for young athletes to see a primary care physician. An annual PPE is required by most state high school athletic associations for participation in school-based sports, although there is limited evidence to support its ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p539.html

Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years - ... Restricted content. Login required.

May 1, 2021 - A meta-analysis found that ibuprofen is more effective than acetaminophen in reducing fever and pain in children younger than two years, although further study is needed to evaluate combination therapy, dosing, and use in children younger than six months.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0501/od1.html

Urethritis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

May 1, 2021 - Urethritis refers to inflammation of the urethra and is classified as gonococcal (caused by Neisseria gonorrhoeae) or nongonococcal in origin (most commonly caused by Chlamydia trachomatis, Mycoplasma genitalium, or Trichomonas vaginalis). The most common signs and symptoms include ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p553.html

Seizure Disorders - American Family Physician

May 1, 2021 - This collection features AFP content on seizure disorders, including antiepileptic medications, epilepsy, febrile seizures, nonepileptic seizures, seizures in the elderly, and status epilepticus. This collection features AFP content on seizure disorders, including antiepileptic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=80

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