Conduct Disorder: Recognition and Management - American Family Physician
Nov 15, 2018 - Conduct disorder is a psychiatric syndrome that most commonly occurs in childhood and adolescence. It is characterized by symptoms of aggression toward people or animals, destruction of property, deceitfulness or theft, and serious violations of rules. Risk factors include male sex, ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1115/p584.html
Care of Incarcerated Patients - American Family Physician
Nov 15, 2018 - The United States has the highest incarceration rate of any nation in the world. Approximately 870 of every 100,000 U.S. citizens are currently in jails or prisons. U.S. inmates are disproportionately young males, racial and ethnic minorities, and persons of low socioeconomic status. ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1115/p577.html
Screening for Osteoporosis to Prevent Fractures: Recommendation Statement - U.S. ...
Nov 15, 2018 - The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/1115/od1.html
Effectiveness of Intrapartum Antibiotics for Meconium-Stained Amniotic Fluid - Medicine...
Nov 1, 2018 - This review concluded that there is insufficient evidence to recommend prophylactic intrapartum antibiotics in laboring women with meconium-stained amniotic fluid because of the lack of difference in rates of neonatal sepsis between the antibiotic and placebo groups.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/1101/od1.html
The Pregnant Patient: Managing Common Acute Medical Problems - American Family Physician
Nov 1, 2018 - Women often see their primary care physicians for common acute conditions during pregnancy. These conditions may be caused by pregnancy (obstetric problems) or worsened by pregnancy (obstetrically aggravated problems), or they may require special consideration during pregnancy because ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1101/p595.html
Culture-Specific Asthma Education Programs for Minority Groups - Cochrane for ...
Nov 1, 2018 - In children from minority groups, culture-specific asthma education programs (CAEPs) reduce the number of severe asthma exacerbations requiring hospitalization and improve asthma control as measured by the Childhood Asthma Control Test but not the Asthma Control Questionnaire. CAEPs ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/1101/p572.html
Preventing Gun Violence: The Role of Family Physicians - Editorials - American Family ...
Nov 1, 2018 - As reviewed here, the available evidence on gun violence prevention provides some options to consider incorporating into family physicians' practices.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/1101/p560.html
Why We Need More Physician Entrepreneurs
In an era of increasing physician employment, Allison Edwards, M.D., explains why she chose to open her own practice and why she thinks others should, too.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20181030fp-entrepreneurs.html
Depression: Screening and Diagnosis - American Family Physician
Oct 15, 2018 - Depression affects an estimated 8% of persons in the United States and accounts for more than $210 billion in health care costs annually. The U.S. Preventive Services Task Force (USPSTF) and American Academy of Family Physicians recommend screening for depression in the general adult ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1015/p508.html
FPs Are Answer to Rural Maternity Care Crisis
Many rural communities are losing access to maternity care. AAFP President John Cullen, M.D., writes in the Leader Voices Blog that his rural Alaska community offers proof that family physicians can fill that void.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20181010lv-obdeserts.html
Reclaiming Family Medicine's Broad Scope Benefits Everyone
AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that the debate about family medicine scope of practice shouldn't focus just on midlevel providers, but also on subspecialists.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20181009itt-scope.html
Hormone Therapy for Primary Prevention of Cardiovascular Disease in Postmenopausal ...
Oct 1, 2018 - No benefit was observed in postmenopausal women receiving hormone therapy for primary prevention of cardiovascular disease. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/1001/od1.html
The Case for Medical Chaperones -- FPM
Oct 1, 2018 - It's time for more discussion about how best to incorporate chaperones in primary care.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2018/0900/p6.html
Four Evidence-Based Communication Strategies to Enhance Patient Care -- FPM
Oct 1, 2018 - These communication skills will increase patient engagement and satisfaction without slowing you down.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0900/p13.html
How to Excel at Access -- and Why It Matters -- FPM
Oct 1, 2018 - Patients do better and cost less when they have ready access to primary care, but could your practice be thinking about access all wrong?
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0900/p27.html
Six Mobile Apps to Get Patients Started Exercising -- FPM
Oct 1, 2018 - Patients have many reasons for not being active. These apps can help push past some of those obstacles.
Family Practice Management : SPPACES: App Reviews
https://www.aafp.org/fpm/2018/0900/oa1.html
Therapist-Guided, Internet-Delivered Cognitive Behavior Therapy for Anxiety - FPIN's ...
Oct 1, 2018 - Therapist-guided, Internet-delivered CBT can be used as an effective treatment for anxiety in adults and is similar in effectiveness to face-to-face CBT.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/1001/p459.html
It's Time to Rethink Who Should Be Eligible to Lead ACOs
CMS recently published a proposed rule for accountable care organizations (ACOs). In his latest In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin has a recommendation for CMS: Require that all ACOs be led by physicians.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20180925itt-acos.html
Why I'm Building a Solo Practice -- Again
More than 30 years into practice, Erica Swegler, M.D., explains in this Leader Voices Blog post why she decided to buck current employment trends and go back to her roots as a solo family physician.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20180925lv-solopractice.html
Four tips for better medication adherence -- FPM
These tips can help your patients improve their medication adherence.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/medication_adherence.html
Breastfeeding: Common Questions and Answers - American Family Physician
Sep 15, 2018 - All major health organizations recommend breastfeeding as the optimal source of infant nutrition, with exclusive breastfeeding recommended for the first six months of life. After six months, complementary foods may be introduced. Most organizations recommend breastfeeding for at least ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0915/p368.html
Evidence-Based Medicine: Common Misconceptions, Barriers, and Practical Solutions - ...
Sep 15, 2018 - EBM is the integration of the best available evidence with clinical expertise and the individual patient's values, preferences, and unique circumstances. Despite the success of this approach, misconceptions and barriers remain.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0915/p343.html
AAFP News - Sep 15, 2018 - American Family Physician
Sep 15, 2018 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2018/0915/p338.html
A Hiring Manager's Perspective on the Art of Interviewing
Are you looking for a job or preparing for residency interviews? Hiring manager Natasha Bhuyan, M.D., tells you what she's looking for when she's interviewing candidates.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20180910fp-interviewer.html
Why Does Equal Pay for Equal Work Still Elude Us?
The compensation gap between male and female physicians is widening. AAFP President Michael Munger, M.D., writes that this inequity is inexcusable and must end.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20180907lv-genderpaygap.html
Letting Life Take You by Surprise Can Stave Off Burnout
Physicians have the highest suicide rate in the nation. Kurt Bravata, M.D., ponders the need to recharge our batteries and reinforce the things that drew us into health care.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20180905fp-engage.html
Chewing Gum for Reducing Post-Cesarean Section Ileus - Medicine by the Numbers - ...
Sep 1, 2018 - Although the current body of literature suggests a need for higher-quality, more robust research, the simplicity, frugality, and safety of chewing gum makes it a viable option to offer women undergoing cesarean section.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0901/od2.html
Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...
Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0901/p275.html
Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease - ...
Sep 1, 2018 - Achieving a target BP of 135/85 mm Hg or less does not decrease the risk of total cardiovascular events vs. treating to a target of 140 to 160/90 to 100 mm Hg. Further, treating to the lower BP target does not improve total mortality, cardiovascular mortality, or serious adverse effects.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0901/p276.html
Case Report: Successful Maternal and Fetal Outcomes After Uterine Rupture - Letters to ...
Sep 1, 2018 - ...hospital, family physicians take obstetric calls alongside obstetricians, midwives, anesthesiologists, and teams of obstetric and family medicine residents. We present a case that demonstrates how this collaborative, multidisciplinary model provides effective care in obstetric...
American Family Physician : Letter
https://www.aafp.org/afp/2018/0901/p272.html
Effect of Dietary Changes on IBS Symptoms - FPIN's Help Desk Answers - American Family ...
Sep 1, 2018 - A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FOD-MAPs) decreases IBS symptoms and improves quality of life compared with usual diet.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0901/od1.html
Putting My Broad-scope Training to the Test
Tate Hinkle, M.D., and his primary care colleagues tested the limits of their broad-scope training when a wave of subspecialists left their small, rural community.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20180827fp-subspecialists.html
Preoperative Assessment in Older Adults: A Comprehensive Approach - American Family ...
Aug 15, 2018 - Surgical outcomes are significantly influenced by patients’ overall health, function, and life expectancy. A comprehensive geriatric preoperative assessment of older adults requires expanding beyond an organ-based or disease-based assessment. At a preoperative visit, it is important to ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0815/p214.html
Epistaxis: Outpatient Management - American Family Physician
Aug 15, 2018 - Epistaxis is a common emergency encountered by primary care physicians. Up to 60% of the general population experience epistaxis, and 6% seek medical attention for it. More than 90% of cases arise from the anterior nasal circulation, and most treatments can be easily performed in the ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0815/p240.html
Bone Cancer: Diagnosis and Treatment Principles - American Family Physician
Aug 15, 2018 - Primary bone cancers include osteosarcoma, Ewing sarcoma, and chondrosarcoma. They account for less than 1% of diagnosed cancers each year and are associated with significant morbidity and mortality. Timely diagnosis is challenging because of late patient presentation, nonspecific ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0815/p205.html
Point-of-Care Ultrasonography in Family Medicine - Editorials - American Family Physician
Aug 15, 2018 - There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0815/p200.html
Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults - ...
Aug 15, 2018 - Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/0815/p253.html
Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage - ...
Aug 15, 2018 - When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0815/p256.html
AAFP News - Aug 15, 2018 - American Family Physician
Aug 15, 2018 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2018/0815/p198.html
Proposed Changes to QPP: What You Need to Know
In the second post of a two-part analysis, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines proposed changes to the MACRA Quality Payment Program.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20180814itt_feeschedule2.html
Terbinafine for Onychomycosis - Medicine by the Numbers - American Family Physician
Aug 1, 2018 - Preliminary evidence indicates that combining terbinafine with an azole appears to be superior to terbinafine alone. Further study is necessary to compare combined treatment with terbinafine plus an azole vs. terbinafine alone.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0801/od1.html
Type 1 Diabetes: Management Strategies - American Family Physician
Aug 1, 2018 - There is considerable benefit of tight glucose control in patients with type 1 diabetes mellitus. Tight blood glucose control dramatically decreases the incidence of microvascular and macrovascular complications. Although glycemic goals should be individualized, most nonpregnant adults ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0801/p154.html
Diagnosis of Acute Coronary Syndrome - FPIN's Help Desk Answers - American Family ...
Aug 1, 2018 - The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of 13 and 6.8, ...
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0801/od2.html
Quality Measures: How to Get Them Right -- FPM
Aug 1, 2018 - Pay-for-performance programs have produced disappointing results. Fewer and more appropriate, evidence-based quality measures could help.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0700/p23.html
AAFP News - Aug 1, 2018 - American Family Physician
Aug 1, 2018 - ...A study recently published in PLOS Medicine shows that numerous states and large metropolitan centers have seen an uptick in the number of nonmedical exemptions granted for childhood vaccinations. In the past decade, the number of philosophical exemptions to vaccination has...
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2018/0801/p140.html
Early Thoughts on the 2019 Fee Schedule
AAFP staff members are reviewing the 2019 Medicare physician fee schedule. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares some initial reactions based on the Academy's early evaluation of the proposal.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20180731itt_feeschedule.html
Opportunities, Not Incentives, Drive PCPs to Do Better
In his final Fresh Perspectives blog post, Ryan Neuhofel, D.O., M.P.H., writes that policymakers should abandon the carrot-and-stick approach to payment schemes and give physicians time to provide better care.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20180720fp-opportunity.html
It's Still the Prices, Stupid
High drug prices are driving dramatic increases in health care costs. In the latest In the Trenches blog post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin looks at how HHS and the AAFP are responding.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20180717itt_drugs.html
The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term ...
Jul 15, 2018 - Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0715/p117.html
Top POEMs of 2017 Consistent with the Principles of the Choosing Wisely Campaign - ...
Jul 15, 2018 - This article discusses the POEMs (patient-oriented evidence that matters) of 2017 judged to be most consistent with the principles of the Choosing Wisely campaign. A POEM is a synopsis of a research study that reports patient-oriented outcomes, such as improvement in symptoms, quality ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0715/p93.html