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Medicine by the numbers

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Delegates Reject Changes to Congress Procedures

Delegates to the AAFP Congress of Delegates rejected a resolution that would have limited the number and scope of resolutions brought before the Congress.

AAFP News : News From 2020 COD and FMX

https://www.aafp.org/news/2020-congress-fmx/20201014cod-orgfin.html

New Academy President Says No to Status Quo

New AAFP President Ada Stewart, M.D., told virtual FMX attendees that it was time for family medicine to take its rightful place as the foundation of a high-quality health care system.

AAFP News : News From 2020 COD and FMX

https://www.aafp.org/news/2020-congress-fmx/20201014stewartspeech.html

Fighting the Nuclear Defense

On the eve of what should be rebalanced Medicare reimbursement, we’re working to keep your much-needed raise.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20201013itt-mpfs.html

Duke Resident Is Eager to Lead

Duke resident Clay Cooper, M.D., M.B.A., is one of this year’s recipients of the AAFP Award for Excellence in Graduate Medical Education. Find out why in this Family Doc Focus.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20201012fdf-cooper.html

AAFP-PT Adds COVID-19 Tests to Its Repertoire for 2021

Proficiency testing in physicians’ office labs is particularly critical in the era of COVID-19, when testing for the disease has taken a central role in tracking and curbing the pandemic. AAFP-PT now offers three distinct SARS-CoV2 proficiency tests to help meet that need.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20201012aafp-pt-covid.html

COVID-19 Vaccine

Conflicting information on the new COVID-19 vaccine is causing concern for family physicians. The AAFP has created a COVID-19 vaccine hub for members to follow the latest developments, prepare their practices and talk with patients.

Family Physician : Patient Care

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

Emergency and Urgent Care Online CME Course | AAFP

Refine your emergency care skills on topics that include assessment of acutely ill elderly patients, acute pain management, and more. Earn 32.75 CME credits.

CME : All CME Products

https://www.aafp.org/cme/all/emergency/self-study.html

Antibiotic Prophylaxis for Operative Vaginal Delivery - Medicine by the Numbers - ... Restricted content. Login required.

Oct 1, 2020 - Current guidelines from the World Health Organization do not recommend routine antibiotic prophylaxis for operative vaginal birth because of insufficient evidence of effectiveness.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1001/od2.html

Would Medicare for All Be the Most Beneficial Health Care System for Family Physicians ...

Oct 1, 2020 - We must use the lessons of the coronavirus disease 2019 (COVID-19) pandemic to better prepare for the next one and address the shortcomings in our health care system.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2020/1001/p389.html

Countdown to the E/M Coding Changes -- FPM

Oct 1, 2020 - The biggest changes in coding since 1997 will take effect Jan. 1, 2021. It is time to prepare for them now.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p29.html

Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and ...

Oct 1, 2020 - Pretending we have it together and can do it all on our own is the fastest way to professional isolation and burnout. Fortunately, there’s a better way.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p20.html

Emotional Intelligence: Five Ways to Have Better Interactions and Improve Your Work ...

Oct 1, 2020 - These simple tools can help you respond effectively when you feel emotionally hijacked by difficult people or circumstances.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p9.html

Building an Outdoor Urgent Care Clinic During a Pandemic: One Clinic's Experience -- FPM

Oct 1, 2020 - When an infectious disease outbreak strikes, an outdoor clinic can reduce the risk of transmission and conserve personal protective equipment.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p14.html

Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1001/od1.html

Flu Shots and COVID-19: Gratitude During the Pandemic

Tochi Iroku-Malize, M.D., M.P.H., M.B.A., shares her experience from a flu shot clinic, writing in the Leader Voices blog that patients may be more interested in the influenza vaccine this fall because of the COVID-19 pandemic.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20201001lv-flu.html

Roundtable Shows How to Square Off for Family Medicine

The Academy's all-virtual State Legislative Conference kicked off with a strong session recognizing big wins from three chapters -- and showing how these victories can be reproduced elsewhere.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20201001itt-slcroundtable.html

AAFP Announces New Innovation Lab Collaboration

The AAFP Innovation Lab is seeking a dozen or so Academy members to evaluate a novel AI-driven point-of-care platform for primary care dubbed Navina.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20200925navina.html

CDC Maps Show Obesity Prevalence Increasing in U.S.

New data maps from the CDC indicate that the prevalence of obesity in American adults increased between 2017 and 2019, which can put many individuals at increased risk of COVID-19-related complications.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20200924obesitymaps.html

Making the Most of Opportunities to Teach and Lead

Santina Wheat, M.D., M.P.H., A.A.H.I.V.S., teaches her family medicine residents that it's possible, and important, to be both a physician and an advocate.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20200921fdf-wheat.html

AAFP, Others Call for Five-year Health Extender Funding

In a Sept. 11 letter to congressional leaders, the AAFP and 16 other organizations urged Congress to reauthorize funding for the THCGME program and other health extenders.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20200921programfunding.html

Treating Older Patients in the Pandemic Age

Tina Shenouda, M.D., M.B.A., explains how a senior-focused primary care practice faces the challenges of the COVID-19 pandemic in the FPs on the Front Lines blog.

AAFP News : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200918fl-geriatrics.html

Academy Tools Keep You Up to Date on E/M Coding Changes

AAFP members can now pre-order evaluation and management coding reference cards to prepare for E/M coding and documentation guideline changes coming in 2021.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20200917e-mcodeupdates.html

Management of Hypertriglyceridemia: Common Questions and Answers - American Family ... Restricted content. Login required.

Sep 15, 2020 - Hypertriglyceridemia, defined as fasting serum triglyceride levels of 150 mg per dL or higher, is associated with increased risk of cardiovascular disease. Severely elevated triglyceride levels (500 mg per dL or higher) increase the risk of pancreatitis. Common risk factors for ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p347.html

Anaphylaxis: Recognition and Management - American Family Physician Restricted content. Login required.

Sep 15, 2020 - Anaphylaxis is a life-threatening systemic reaction, normally occurring within one to two hours of exposure to an allergen. The incidence of anaphylaxis in the United States is 2.1 per 1,000 person-years. Most anaphylactic reactions occur outside the hospital setting. Urticaria, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p355.html

Basal Cell and Cutaneous Squamous Cell Carcinomas: Diagnosis and Treatment - American ... Restricted content. Login required.

Sep 15, 2020 - Keratinocyte carcinoma, traditionally referred to as nonmelanoma skin cancer, includes basal cell and cutaneous squamous cell carcinoma and is the most common skin cancer malignancy found in humans. The U.S. Preventive Services Task Force recommends counseling about minimizing exposure ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p339.html

Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much ... Restricted content. Login required.

Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p375a.html

Diverticulitis: Predicting Which Patients with Acute Abdominal Pain Have the Disease - ... Restricted content. Login required.

Sep 15, 2020 - Is it possible to determine which patients with acute abdominal pain are likely to have diverticulitis and therefore do not require imaging?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0915/p371.html

Fecal Microbiota Transplant Effective for Irritable Bowel Syndrome - POEMs - American ... Restricted content. Login required.

Sep 15, 2020 - This is the largest and best study to date of fecal microbiota transplant for irritable bowel syndrome —with impressive results.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p377.html

Screening for Hepatitis C Virus Infection in Adolescents and Adults - Putting ... Restricted content. Login required.

Sep 15, 2020 - M.S. is a 20-year-old man who presents for a preemployment physical examination. He states that he is single, has two or three drinks per month on social occasions, does not smoke, is sexually active, and does not use illicit drugs.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0915/p367.html

Film Shows How Private Practice Is Coping With COVID-19

When Bryce McNabb wanted to tell a story about how private practices are coping with the pandemic, he didn't have to look far. His father, James McNabb, M.D., is the focal point of "Plague on the Practice."

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20200914fdf-mcnabb.html

Do No (Financial) Harm

In this Fresh Perspectives blog post, Anita Ravi, M.D., M.P.H., M.S.H.P., examines why understanding and addressing patients' financial health is as important as caring for their physical and mental health.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200911fp-financialhealth.html

Expand, Don’t Reduce, COVID-19 Testing, AAFP and Others Tell HHS

In a Sept. 3 letter, the AAFP and 234 other organizations called on HHS to reverse a recent change to COVID-19 testing guidelines.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20200910testingletter.html

Preparing for Flu Season During Pandemic

Natasha Bhuyan, M.D., examines the coming challenges of a flu season overlapping a pandemic in this Fresh Perspectives blog post.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200910fp-flu.html

Five keys to a happy career in medicine -- FPM

Doctors who need to make money at the expense of work boundaries and professional satisfaction are rarely happy. But prudent management of personal finances leads to a more satisfying career.

Family Practice Management : Quick Tips : FPM Home

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

Survey Links Recent Tobacco Use With Higher COVID Risk

Results of a survey of more than 4,300 adolescents and young adults found strong associations between use of inhaled tobacco products and increased risk of contracting COVID-19.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20200903tobaccocovid.html

Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0901/od2.html

Thyroid Nodules: Advances in Evaluation and Management - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Thyroid nodules can be detected by ultrasonography in up to 68% of the general population. They are typically benign and are often discovered incidentally. The primary goal of thyroid nodule evaluation is to determine whether it is malignant. After thyroid ultrasonography has been ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p298.html

Urinary Tract Infections in Young Children and Infants: Common Questions and Answers - ... Restricted content. Login required.

Sep 1, 2020 - Urinary tract infections (UTIs) are common in children and are associated with significant short- and long-term morbidity. They have a high recurrence rate and are associated with anatomic and functional abnormalities. The decision to test for UTI is based on risk factors and the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p278.html

Pneumonia - American Family Physician

Sep 1, 2020 - This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care. This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=22

Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of ... Restricted content. Login required.

Sep 1, 2020 - Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor ...

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

https://www.aafp.org/afp/2020/0901/p269.html

Health Equity in Preventive Services: The Role of Primary Care - Editorials - American ...

Sep 1, 2020 - Groups that are least likely to receive preventive screening or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0901/p264.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

Misoprostol Dosing for First-Trimester Abortion - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Sep 1, 2020 - Vaginal, oral, and sublingual misoprostol in single doses of 600 to 800 mcg are equally effective for promoting completed abortion in patients with an incomplete first-trimester spontaneous abortion.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0901/od1.html

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

Congress Got a Shot of FP Expertise to Boost Immunizations

AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Stephanie Quinn talks about the AAFP's role in writing a new House bill to boost vaccine confidence, in part by recognizing the importance of the physician-patient relationship.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200901itt-vaccinebill.html

AAFP Urges Congress to Preserve Military Medical Workforce

The AAFP and other medical groups recently asked House and Senate leaders to delay a planned decrease in military medical staffing levels.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20200901militarycuts.html

2021 E/M Payment Boost Intact, Academy Reports

An AAFP summary of CMS' proposed 2021 Medicare Physician Fee Schedule confirms that the increase in payment to family physicians announced last year is still set to begin in 2021.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20200827mpfs.html

CARES Act Provider Relief Fund

Information for family physicians on the CARES Act, also known as the Provider Relief Fund, and how to apply for relief funding during the COVID-19 pandemic.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/current-hot-topics/recent-outbreaks/covid-19/covid-19-financial-relief/cares-act-provider-relief-fund.html

COVID-19: Clinical Resources and Patient Education

The AAFP is watching for clinical resources that can help you provide patient care throughout the pandemic.

Family Physician : Patient Care

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

Help Kids Catch Up After Delays in Care

As schools begin to reopen, Margot Savoy, M.D., M.P.H., offers tips on how to catch kids up on vaccines after potential delays in preventive care from the COVID-19 pandemic.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20200826lv-backtoschool.html

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