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Medicine by the numbers

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Sponsorship and Advertising Opportunities

Learn more about how to network with the more than 4,000 family physician attendees at 2021 AAFP Family Medicine Experience (FMX) Conference, September 28-October 2.

Events : FMX 2021

https://www.aafp.org/events/fmx/sponsorship.html

FMX Exhibitor FAQs

Learn more about exhibit opportunities at FMX, the AAFP's largest family medicine conference.

Events : FMX 2021

https://www.aafp.org/events/fmx/exhibitors/resources/faqs.html

Labor Dystocia in Nulliparous Women - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dystocia (abnormally slow or protracted labor) accounts for 25% to 55% of primary cesarean deliveries. The latent phase of labor begins with onset of regular, painful contractions and continues until 6 cm of cervical dilation. Current recommendations are to avoid admission to labor and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p90.html

Newborn Circumcision Techniques and Medical Ethics - Letters to the Editor - American ...

Jan 15, 2021 - ...are virtually always treatable and are relatively uncommon in boys regardless of circumcision status. The cited report suggests that the number of circumcisions needed to prevent one (likely treatable) UTI is approximately 100. Penile cancer is one of the rarest malignancies for...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p69.html

Antepartum Perineal Massage for Intrapartum Lacerations - FPIN's Help Desk Answers - ... Restricted content. Login required.

Jan 15, 2021 - Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0115/p115.html

Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of ... Restricted content. Login required.

Jan 15, 2021 - Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0115/p117.html

Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No ... Restricted content. Login required.

Jan 15, 2021 - Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od2.html

Compensation & Productivity -- FPM Topic Collection

Jan 13, 2021 - ...04/01/2020 Panel Size Is Just a Number: A Rubric for Opening and Closing Panels 05/01/2002 A Productivity Primer 12/01/2019 The Right-Sized Patient Panel: A Practical Way to Make Adjustments for Acuity and Complexity 06/01/2019 Seven Habits for Reducing Work After Clinic...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=119

Town Hall to Explore COVID-19’s Impact on Physicians

The AAFP will hold a special Virtual Town Hall from 7-8 p.m. CT on Jan. 13 to focus on how the pandemic is affecting family physicians’ mental health and well-being.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20210112covidtownhall.html

Waking Up in 2021

As a new year begins, AAFP Board chair Gary LeRoy, M.D., outlines the Academy’s priorities for 2021.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20210112lv-2021.html

Automating Prior Authorization Just First Step, AAFP Says

The AAFP told CMS that a proposed rule mandating automated responses to prior authorization requests would not do enough to reduce administrative complexity.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210112priorauth.html

Mentor Shares His Passion for Learning

Emmanuel Kenta-Bibi, M.D., M.P.H., M.S.M.Ed., M.B.A., came to the United States to continue his training. Three degrees later, he’s a mentor and state leader.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20210111fdf-kentabibi.html

Academy Objects to Proposed Rewiring of ACA Enrollment

The AAFP has objected to a proposed federal regulation that would allow states to opt out of the ACA’s individual market exchange.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210107exchangeoptout.html

AAFP to Develop Value-based Payment Model for Primary Care

Noting that family physicians are foundational to the success of value-based care in United States, the AAFP Board of Directors has approved and funded a special project to empower Academy members to partner with payers to help improve quality and control total costs of care.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20210107vision2025.html

Screen At-risk Individuals for Hepatitis B Virus Infection

The U.S. Preventive Services Task Force recently posted a final recommendation statement, final evidence review and evidence summary on screening for hepatitis B virus infection in adolescents and adults.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210107uspstfhepb.html

Practical lessons learned from administering COVID vaccine in a small office setting --...

Administering the COVID vaccine takes more effort than doing flu shots. Here are 13 lessons to help you prepare.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/drive_in_covid_vaccine_clinic.html

Effectiveness of Alarm Therapy in the Treatment of Nocturnal Enuresis in Children - ... Restricted content. Login required.

Jan 1, 2021 - This review concluded that alarm therapy appears to be effective for treating nocturnal enuresis in children, but it is uncertain if it is more effective than other interventions.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0101/od1.html

Diagnostic Imaging: Appropriate and Safe Use - American Family Physician Restricted content. Login required.

Jan 1, 2021 - The use of diagnostic radiography has doubled in the past two decades. Image Gently (children) and Image Wisely (adults) are multidisciplinary initiatives that seek to reduce radiation exposure by eliminating unnecessary procedures and offering best practices. Patients with an estimated...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p42.html

Breast Cancer Screening: Common Questions and Answers - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Breast cancer is the most common nonskin cancer in women and accounts for 30% of all new cancers in the United States. The highest incidence of breast cancer is in women 70 to 74 years of age. Numerous risk factors are associated with the development of breast cancer. A risk assessment ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p33.html

Treatment of Distal DVT - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Vitamin K antagonists reduce the recurrence of DVT and VTE (number needed to treat [NNT] = 17; 95% CI, 13 to 48) but not pulmonary embolism (PE) compared with no anticoagulation or placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p18.html

Beware of the Differing Definitions for the False-Positive Rate - Letters to the Editor...

Jan 1, 2021 - ...rates in antibody testing in their Letter to the Editor. We agree that testing in low-prevalence populations will result in a large number of false-positive test results. Because multiple definitions of the false-positive rate exist, it is important to state which definition is...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0101/p7.html

CT Colonography for Colorectal Cancer Screening - Diagnostic Tests: What Physicians ... Restricted content. Login required.

Jan 1, 2021 - Computed tomography colonography performs well for colorectal cancer screening. Long-term studies are needed to demonstrate its impact on patient morbidity and mortality, as well as to determine the risks, benefits, and costs.

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

https://www.aafp.org/afp/2021/0101/p55.html

Medications for Treatment-Resistant Depression in Adults - Cochrane for Clinicians - ... Restricted content. Login required.

Jan 1, 2021 - In patients with treatment-resistant depression, augmenting therapy with atypical antipsychotics can be effective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p16.html

Electronic Cigarettes for Smoking Cessation - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Jan 1, 2021 - e-Cigarettes with nicotine can be used to encourage smoking cessation, but continued use after cessation may be a risk factor for relapse.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0101/p53.html

New Pandemic Stimulus Brings Wins, Concerns for AAFP

Legislation that Congress passed on Dec. 21 brought wins regarding several important issues that the AAFP has advocated on, but also some disappointment.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20201223fundingbill.html

USPSTF: Offer Interventions for Healthy Weight in Pregnancy

On Dec. 8, the U.S. Preventive Services Task Force posted a draft recommendation statement and draft evidence review on behavioral counseling interventions to promote healthy weight and weight gain during pregnancy.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201222pregnancyweight.html

Program Directors: Virtual Interviews Better Than Expected

The pandemic forced the unprecedented step of moving all Match interviews online. In this QandA, four family medicine residency program directors share their insights regarding virtual interviews.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20201218matchqanda.html

Peripheral Neuropathy: Evaluation and Differential Diagnosis - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting symptoms and, if indicated, by results of electrodiagnostic studies for axonal and demyelinating disease. The prevalence of peripheral ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p732.html

Acute Chest Pain in Adults: Outpatient Evaluation - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation is based on determining whether the patient needs to be referred to a higher level of care to rule out acute coronary ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p721.html

Degenerative Cervical Myelopathy: Recognition and Management - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Degenerative cervical myelopathy encompasses a collection of pathologic conditions that result in progressive spinal cord dysfunction secondary to cord compression. Patients are typically male (3: 1 male-to-female ratio), and the average age of presentation is 64 years. The exact ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p740.html

Headache - American Family Physician

Dec 15, 2020 - This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type headaches, and treatment of headaches. This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=10

Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ... Restricted content. Login required.

Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1215/p756.html

CDC Approves Use of First COVID-19 Vaccine

The FDA and the CDC have officially approved the use of a COVID-19 vaccine in the United States, a decision that the AAFP supported after an expedited review.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201214covidvacc.html

The (Micro) Economics of Health

In the latest blog installment on his pursuit of a master’s degree in public health, Stewart Decker, M.D., explains how microeconomics affects the way patients and politicians take physicians’ advice.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20201210fp-mph6.html

AAFP Breaks Down 2021 MPFS Final Rule for Members

The Academy has released its summary of the 2021 Medicare physician fee schedule final rule for members, including details of evaluation and management coding improvements.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20201210mpfssummary.html

AAFP to Host Town Hall on COVID-19 Vaccines Dec. 16

The AAFP will host a Virtual Town Hall to provide members with the latest information on COVID-19 vaccines on Wednesday, Dec. 16.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201209vacctownhall.html

Commission on Membership and Member Services (CMMS)

Commission on Membership and Member Services (CMMS)

About AAFP : Meet our Leadership

https://www.aafp.org/about/meet-our-leadership/commissions/descriptions/commission-description-cmms.html

The AAFP and the Biden White House

Capping a tumultuous election year, the Academy has begun corresponding with President-elect Joe Biden’s transition team and plans to communicate extensively with the next White House.

Advocacy : Advocacy Campaigns

https://www.aafp.org/advocacy/act/biden.html

Residency Leadership Summit

Learn more about the Residency Leadership Summit, formerly PDW and RPS.

Events : Residency Leadership Summit

https://www.aafp.org/events/residency-leadership-summit.html

Preventing Cardiovascular Disease in At-risk Adults

On Nov. 24, the U.S. Preventive Services Task Force issued a final recommendation statement, evidence review and evidence summary on behavioral counseling interventions to promote a healthy lifestyle in adults with cardiovascular risk factors.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201203cvcounseling.html

New AAFP Resources Walk FPs Through 2021 Coding Changes

A series of compelling vignettes and a comprehensive report in FPM offer family physicians an up-close look at coding and documentation changes taking effect next year.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20201202e-mchangesupdt.html

Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ... Restricted content. Login required.

Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1201/od2.html

Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely Campaign - ... Restricted content. Login required.

Dec 1, 2020 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2019 judged to be most consistent with the principles of Choosing Wisely, an international campaign to reduce unnecessary testing and treatments. We selected these POEMs through a crowdsourcing strategy of...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p673.html

Parkinson Disease - American Family Physician Restricted content. Login required.

Dec 1, 2020 - Parkinson disease is a progressive neurodegenerative disorder with significant morbidity and mortality. Most patients consult with their primary care physician about Parkinson disease symptoms before seeking care from a specialist. The diagnosis of Parkinson disease is clinical, and key...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p679.html

The 2021 Office Visit Coding Changes: Putting the Pieces Together -- FPM Restricted content. Login required.

Dec 1, 2020 - Simplified guidelines for coding and documenting evaluation and management office visits are coming next year. Learn how to apply the guidelines to some common visit types.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p6.html

Point-of-Care Ultrasound: A Practical Guide for Primary Care -- FPM Restricted content. Login required.

Dec 1, 2020 - Ultrasound has head-to-toe applications for primary care, and the newest machines are portable and affordable enough to fit into almost any practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p33.html

Incorporating Alcohol Screening and Brief Intervention Into Practice -- FPM

Dec 1, 2020 - Incorporating alcohol screening and brief intervention benefits your patients and family medicine practice. Follow these steps to reduce risky alcohol use by choosing a screening test, establishing a practice workflow, and appropriately coding and billing.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p41.html

What Can a Scribe Do for You? -- FPM Restricted content. Login required.

Dec 1, 2020 - Evidence suggests that documentation support provided by scribes can help relieve physician burnout and increase practice productivity.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p17.html

Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...

Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1201/p649.html

What Primary Care Physicians Want for Christmas -- FPM Restricted content. Login required.

Dec 1, 2020 - Dear Santa, all we want is some help to do our jobs.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/1100/p52.html

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