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A checklist for starting virtual visits -- FPM

The ability to see patients virtually can be useful, especially during outbreaks of infectious disease. Here’s how to get started.

Family Practice Management : Quick Tips : FPM Home

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

Learn more about electronic attachments for claims -- FPM

Electronic attachments can simplify and optimize revenue cycle management by reducing payment time cycles.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/electronic_attachments_webinar.html

Two reasons to provide Medicare annual wellness visits -- FPM

With less than 16 percent of eligible patients receiving a Medicare annual wellness visit, patients and practices are missing out on two key benefits.

Family Practice Management : Quick Tips : FPM Home

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

The Lady With Lavender Essential Oils Is the New Dr. Google

Natasha Bhuyan, M.D., writes in this Fresh Perspectives post that patients will be the casualties of the war on science if doctors don't speak out about misinformation and false claims.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200224fp-media.html

Physician autonomy: the missing ingredient for motivation at work -- FPM

Research suggests that professionals are primarily motivated by three things at work: purpose, mastery, and autonomy. But for most physicians, self-directing their work is a struggle because their organizations don’t make it easy. Here’s what groups should do.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/physician_autonomy1.html

CMS reiterates physicians’ central role in home health planning -- FPM

The agency's guidance comes as it implements a new home health payment system called the Patient-Driven Groupings Model.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/home_health_guidance.html

Unhealthy family dynamics in the exam room: how to respond -- FPM

When family members complicate a patient visit, consider these five questions to get to the root of the problem and respond appropriately.

Family Practice Management : Quick Tips : FPM Home

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

Seven best practices for doctors on social media -- FPM

Social media platforms such as Facebook and Twitter can be an effective means for professional and patient engagement, but to avoid pitfalls, make sure you follow these seven best practices.

Family Practice Management : Quick Tips : FPM Home

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

The 30 Year Lie: How Physician Payment Inequities Began

The discrepancies between payment levels and cost values for primary care compared to surgical procedures have been recognized for decades. AAFP Senior VP Shawn Martin examines the missteps that led us to this point in this In the Trenches post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200218itt-paymenthistory.html

Cerebral Palsy: An Overview - American Family Physician

Feb 15, 2020 - Cerebral palsy, which occurs in two to three out of 1,000 live births, has multiple etiologies resulting in brain injury that affects movement, posture, and balance. The movement disorders associated with cerebral palsy are categorized as spasticity, dyskinesia, ataxia, or mixed/other. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p213.html

Acute Lower Gastrointestinal Bleeding: Evaluation and Management - American Family ...

Feb 15, 2020 - Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p206.html

Coccidioidomycosis (Valley Fever) in Primary Care - American Family Physician

Feb 15, 2020 - Primary pulmonary coccidioidomycosis (valley fever) is caused by inhaling airborne spores of the fungus Coccidioides immitis or Coccidioides posadasii. Residing in or traveling to areas endemic for Coccidioides is required for the diagnosis; no person-to-person or zoonotic contagion ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p221.html

U.S. Policies and Their Effects on Immigrant Children’s Health - Editorials - American ...

Feb 15, 2020 - Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right to asylum, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0215/p202.html

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: ...

Feb 15, 2020 - The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk...

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

https://www.aafp.org/afp/2020/0215/p233.html

Diagnosis of Heart Failure with Reduced Ejection Fraction - Point-of-Care Guides - ...

Feb 15, 2020 - Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0215/p230.html

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer - ...

Feb 15, 2020 - A 31-year-old woman presents to your office for a well-woman examination. She is sexually active in a monogamous relationship and has never been pregnant. She tells you that her mother was diagnosed with tubal cancer at age 40 and that her sister, who is 42 years of age, was recently ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0215/p239.html

ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules - Practice ...

Feb 15, 2020 - The 2020 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0215/p251.html

An Anatomical Cause of Dysphagia - Photo Quiz - American Family Physician

Feb 15, 2020 - A man presented with worsening dysphagia, with sore throat, dyspnea, cough, heartburn, and wheezing.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0215/p241.html

Dupilumab (Dupixent) for Asthma - STEPS - American Family Physician

Feb 15, 2020 - Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0215/p244.html

Do Not Change Antidepressant Treatment Early Based on a Lack of Response - POEMs - ...

Feb 15, 2020 - Do not be in a hurry to change treatment in patients with severe depression who do not respond to treatment within the first two weeks. Early response to treatment predicts eventual response or remission, but a lack of early response does not predict treatment failure.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p250.html

No Benefit, Longer Hospital Stay with Treatment of Asymptomatic Bacteriuria - POEMs - ...

Feb 15, 2020 - Inappropriate treatment of asymptomatic bacteriuria is common in hospitalized patients. Older patients, those with dementia or acutely altered mental status, and those with abnormal urinalysis results are more likely to be treated with antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p248.html

Amenorrhea, Ingrown Toenails, Chronic Neck Pain, Infantile Hemangiomas, Fluoride ...

Feb 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0215/p205.html

Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...

Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p248a.html

Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis - POEMs ...

Feb 15, 2020 - Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p249.html

The Risk of Corticosteroids in Community-Acquired Pneumonia - Letters to the Editor - ...

Feb 15, 2020 - Advertisement << Previous article Next article >> Feb 15, 2020 Issue Letters to the Editor The Risk of Corticosteroids in Community-Acquired Pneumonia Am Fam Physician. 2020 Feb 15;101(4):197. To the Editor: A 71-year-old man with diabetes mellitus and osteoarthritis of the knee...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0215/p197.html

The 4Ms: Simplifying complex care decision making for older adults -- FPM

Medical training focuses on curing or treating as many of a patient's health problems as possible, but when providing complex care for older patients with multiple chronic diseases, it can be easy to lose focus on what outcomes matter most to the patient.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/4Ms_decision_making.html

What You Should Know About Valley Fever - American Family Physician

Feb 15, 2020 - Advertisement << Previous article Next article >> Feb 15, 2020 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/0215/p221-s1.html

Three tips for being present -- FPM

When demands and distractions intrude on your patient encounters, practice these three tips for being fully present.

Family Practice Management : Quick Tips : FPM Home

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

Advocacy, Social Determinants Must Be Part of Physician Training

Family medicine resident Kelly Thibert, D.O., M.P.H., writes in this Leader Voices Blog post that family physicians should not only be trained to screen patients for the social determinants of health, but should also know how to advocate for their patients.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200214lv-advocacytraining.html

Administrative Simplification -- FPM Topic Collection

Feb 13, 2020 - The documentation, paperwork, and quality reporting burden on physicians is immense. What can physicians do to reduce their administrative hassles, and what are organizations doing on their behalf? This FPM topic collection explores these issues. The documentation, paperwork, and ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=112

Why family physicians should not just be physicians -- FPM

Beware of physician roles that focus predominantly on outpatient visits and separate physicians from most organizational innovation and strategy, as well as the colleagues, staff, and communities they serve.

Family Practice Management : Quick Tips : FPM Home

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

A three-step guide to coding for multiple skin procedures in a single visit -- FPM

Follow these three steps to bill correctly, avoid denials, and make sure you’re not leaving revenue on the table when you perform skin biopsies and lesion removals.

Family Practice Management : Quick Tips : FPM Home

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

What a waiting room liaison can do for your office -- FPM

An existing staff member might be able to take on these duties to keep your waiting room clean and running smoothly.

Family Practice Management : Quick Tips : FPM Home

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

Medicare webinar on glucose supplies scheduled for Feb. 11 -- FPM

The webinar will include guidelines for coverage along with the information patients and suppliers need from physicians.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/glucose_supplies_webinar.html

A simple way to build trust with young patients -- FPM

Doing this one thing during a visit can get pediatric appointments off to a good start by showing kids you care about them and respect them.

Family Practice Management : Quick Tips : FPM Home

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

Patients Aren't Widgets; Care Shouldn't Be Volume-based

Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that treating patients like assembly line products -- and judging physicians by their productivity -- isn't good for anyone.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200205fp-widgets.html

It's Not Only OK to Be Vulnerable, It's Necessary

Medical student Margaret Miller writes in this Leader Voices Blog post that although allowing ourselves to be vulnerable is difficult, it opens doors to learning and opportunities.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200205lv-vulnerability.html

Here's How We're Battling Administrative Burden for You

According to surveys, administrative burden is the top concern of family physicians. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin offers an update on the Academy's work to reduce prior authorization and ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200204itt-adminburden.html

Clostridioides difficile Infection: Update on Management - American Family Physician

Feb 1, 2020 - Guidelines for the diagnosis and treatment of Clostridioides difficile infection have recently been updated. Risk factors include recent exposure to health care facilities or antibiotics, especially clindamycin. C. difficile infection is characterized by a wide range of symptoms, from ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0201/p168.html

Chronic Wounds: Evaluation and Management - American Family Physician

Feb 1, 2020 - Chronic wounds are those that do not progress through a normal, orderly, and timely sequence of repair. They are common and are often incorrectly treated. The morbidity and associated costs of chronic wounds highlight the need to implement wound prevention and treatment guidelines. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0201/p159.html

Menopause - American Family Physician

Feb 1, 2020 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59

Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ...

Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0201/p147.html

Breast Cancer Screening: ACP Releases Guidance Statements - Practice Guidelines - ...

Feb 1, 2020 - The American College of Physicians reviewed guidelines from other organizations and developed four statements to provide advice to clinicians about breast cancer screening for women who are at average risk.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0201/p184.html

Coding & Documentation - Jan-Feb 2020 -- FPM

Feb 1, 2020 - Vaping-related illness | Billing Qualified Medicare Beneficiaries | Electrocardiogram recorded by a Holter monitor | Lung function tests

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0100/p33.html

Shared Decision-Making for Administering PCV13 in Older Adults - Editorials - American ...

Feb 1, 2020 - In June 2019, the Advisory Committee on Immunization Practices approved a change from its age-based 13-valent pneumococcal conjugate vaccine recommendations to a shared clinical decision-making process.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0201/p134.html

The 2020 Medicare Documentation, Coding, and Payment Update -- FPM

Feb 1, 2020 - The Centers for Medicare and Medicaid Services is trying to make Medicare documentation less burdensome and planning more changes that should result in a pay raise for family physicians in the future.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p8.html

Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level ...

Feb 1, 2020 - Some of the top family physicians on social media share their best practices for building a following and avoiding common pitfalls.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p19.html

Treatments for Postmenopausal Hypoactive Sexual Desire Disorder - FPIN's Clinical ...

Feb 1, 2020 - Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0201/p182.html

OnabotulinumtoxinA for Prevention of Migraine in Adults - Cochrane for Clinicians - ...

Feb 1, 2020 - OnabotulinumtoxinA reduces the number of migraine days per month by two days compared with placebo in adults with chronic migraines.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0201/p144.html

Adverse Events of Pharmacologic Treatments of Major Depression in Older Adults - ...

Feb 1, 2020 - What are the adverse events of antidepressants prescribed to treat major depressive disorder in adults 65 years and older?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/0201/p179.html

Improving the Waiting Room Experience -- FPM

Feb 1, 2020 - Adding a touch of tech, a dose of education, and plenty of creature comforts to your waiting room can make it more palatable for patients.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p14.html

Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease - Medicine by ...

Feb 1, 2020 - Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0201/od1.html

Accuracy of Dermoscopy vs. Visual Inspection for Diagnosing Melanoma in Adults - ...

Feb 1, 2020 - The addition of dermoscopy to in-person visual inspection of skin lesions increases specificity and sensitivity in the detection of melanoma. In-person evaluation with dermoscopy is more accurate than image-based assessment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0201/p145.html

Physician Well-Being: Prioritizing Your Own Health Through a Personal Health ...

Feb 1, 2020 - You can’t take care of others optimally unless you first take care of yourself. Start today.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p27.html

Primary Care First: Practice Assessment Checklist -- FPM

Feb 1, 2020 - Starting in 2021, PCF will be open to primary care clinicians practicing in 26 participating states and regions. Use this checklist to assess your practice’s readiness to participate in PCF, including care delivery capabilities, data infrastructure, and potential financial impact.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p25.html

Why Family Physicians Should Not Just Be Family Physicians: Rethinking Roles in ...

Feb 1, 2020 - In some settings, the cause of burnout isn’t having too much work - it’s having the wrong type of work.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2020/0100/p5.html

Goal-Setting Theory for the New Year -- FPM

Feb 1, 2020 - Research points to four factors that will help make your goals more effective.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0100/p3.html

H. pylori, Heart Failure, Acupuncture, Injections for Tendinopathy, Hirsutism - AFP ...

Feb 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0201/p143.html

Practice Pearls - Jan-Feb 2020 -- FPM

Feb 1, 2020 - Navigate patients’ anxiety about pelvic exams | Ask older patients these questions to assess dementia risk | Tell patients up front how much time you have

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0100/p34.html

Listening to the Little Voice Inside -- FPM

Feb 1, 2020 - That nagging little voice can sometimes save you from a medical mistake, so don’t ignore it.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0100/p38.html

Thank You, FPM Peer Reviewers (2019) -- FPM

Feb 1, 2020 - We would like to thank the following peer reviewers for their valuable contributions to FPM during 2019.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0100/p4.html

Painful Lower Extremity Ulcerations with Hyperpigmentation - Photo Quiz - American ...

Feb 1, 2020 - Advertisement << Previous article Next article >> Feb 1, 2020 Issue Photo Quiz Painful Lower Extremity Ulcerations with Hyperpigmentation ERIK A KUMETZ, MD, 36th Medical Group, Andersen Air Force Base, Yigo, Guam NICHOLAS F. LOGEMANN, DO, Walter Reed National Medical Center,...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0201/p177.html

Five ways to stop making excuses and start practicing self-care -- FPM

You cannot effectively take care of others or sustain a career in medicine unless you take care of yourself. Here are five ways to start.

Family Practice Management : Quick Tips : FPM Home

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

Team documentation: who does what during the visit? -- FPM

Team documentation can boost physician efficiency, but which tasks should you delegate and which tasks should you keep?

Family Practice Management : Quick Tips : FPM Home

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

One thing every physician can do to help change health policy -- FPM

Physicians, who see firsthand the effects poor health policy can have on a community, can be a powerful voice to help bring about change. Here’s how.

Family Practice Management : Quick Tips : FPM Home

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

FPs Are Best Equipped to Tackle Adverse Childhood Experiences

More than 60% of adults report exposure to at least one adverse childhood event, which may affect their long-term physical and mental health. In this Leader Voices Blog post, Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., outlines steps his state is taking to address the issue.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200129lv-aces.html

Six ways to make your practice more efficient and your patients more satisfied -- FPM

Tips for making sure patient phone calls are returned, appointment scheduling is user-friendly, insurance changes have been logged, and more.

Family Practice Management : Quick Tips : FPM Home

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

Screening for childhood trauma history -- FPM

Several screening tools can help you identify patients whose health may be affected by adverse childhood experiences (ACEs).

Family Practice Management : Quick Tips : FPM Home

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

CMS testing diagnostic imaging referrals program in preparation for mandate -- FPM

The Appropriate Use Criteria program will require an extra step before ordering advanced imaging starting in 2021, unless it's repealed.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/AUC_test_phase.html

New codes for responding to portal messages -- FPM

The 2020 Medicare Physician Fee Schedule update includes new payment opportunities for addressing medical needs through an online patient portal.

Family Practice Management : Quick Tips : FPM Home

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

Lady Gaga, Primary Care for Mental Health Is Part of the Cure

Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that Lady Gaga's recent unfounded comments about mental health and primary care can be harmful to patients, pointing out why -- and how -- the AAFP supports mental health care in the primary care setting.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200122fp-mentalhealth.html

Burnout by Numbers

Recent surveys and studies paint a bleak landscape regarding physician burnout. AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin writes in this In The Trenches blog post that the continued shortcomings of electronic health records are the prime driver.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200121itt-ehr.html

Four things to focus on as you set new goals for the new year -- FPM

Four evidence-based factors can guide you to goals that are attainable and sustainable, but also challenging and meaningful.

Family Practice Management : Quick Tips : FPM Home

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

This app tracks licenses, certifications, and CME -- FPM

This free mobile app can keep track of your state licenses and certifications and send you alerts when they’re close to expiring.

Family Practice Management : Quick Tips : FPM Home

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

A template for referring seniors to community organizations -- FPM

Community partners can help geriatric patients stay healthy. Here’s a ready-made template for referring patients to services offered by organizations near you.

Family Practice Management : Quick Tips : FPM Home

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

Muscle Weakness in Adults: Evaluation and Differential Diagnosis - American Family ...

Jan 15, 2020 - Although the prevalence of muscle weakness in the general population is uncertain, it occurs in about 5% of U.S. adults 60 years and older. Determining the cause of muscle weakness can be challenging. True muscle weakness must first be differentiated from subjective fatigue or ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0115/p95.html

Functional Dyspepsia: Evaluation and Management - American Family Physician

Jan 15, 2020 - Functional dyspepsia is defined as at least one month of epigastric discomfort without evidence of organic disease found during an upper endoscopy, and it accounts for 70% of dyspepsia. Symptoms of functional dyspepsia include postprandial fullness, early satiety, and epigastric pain or...

American Family Physician : Article

https://www.aafp.org/afp/2020/0115/p84.html

Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care - American Family ...

Jan 15, 2020 - Short-term systemic corticosteroids, also known as steroids, are frequently prescribed for adults in the outpatient setting by primary care physicians. There is a lack of supporting evidence for most diagnoses for which steroids are prescribed, and there is evidence against steroid use ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0115/p89.html

Management of Atrial Fibrillation: Updated Guidance from the AHA, ACC, and HRS - ...

Jan 15, 2020 - This guideline on atrial fibrillation (AF) management from the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Rhythm Society (HRS) is an update of the 2014 version and is based on new evidence from clinical trials and the U.S. Food and Drug ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0115/p123.html

Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement -...

Jan 15, 2020 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

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

https://www.aafp.org/afp/2020/0115/p112.html

Revefenacin (Yupelri) for the Treatment of Chronic Obstructive Pulmonary Disease - ...

Jan 15, 2020 - Revefenacin is a once-daily nebulized alternative to metered dose long-acting muscarinic antagonists for patients with moderate to severe COPD. Given its expense, complicated administration process, and lack of evidence that it improves key patient-oriented outcomes, its use should be ...

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0115/p121.html

Pain Medications Before IUD Placement - FPIN's Help Desk Answers - American Family ...

Jan 15, 2020 - Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0115/p119.html

Screening for Hepatitis B Virus in Pregnant Women - Putting Prevention into Practice - ...

Jan 15, 2020 - A 33-year-old U.S.-born pregnant clinician comes to your office for a first prenatal visit. Her most recent menstrual period was six weeks ago, and she has been taking prenatal vitamins for the past eight weeks. She was pregnant once more than two years ago, and at the time she screened...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0115/p115.html

Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme...

Jan 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0115/p75.html

America Needs More Family Doctors: The 25x2030 Collaborative Aims to Get More Medical ...

Jan 15, 2020 - Advertisement << Previous article Next article >> Jan 15, 2020 Issue Editorials America Needs More Family Doctors: 25×2030 Collaborative Aims to Get More Medical Students into Family Medicine JACOB PRUNUSKE, MD, MSPH, Medical College of Wisconsin, Wausau, Wisconsin Am Fam Physician....

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0115/p82.html

Acute Heart Failure in a 39-Year-Old Man - Photo Quiz - American Family Physician

Jan 15, 2020 - Advertisement << Previous article Next article >> Jan 15, 2020 Issue Photo Quiz Acute Heart Failure in a 39-Year-Old Man DREW ASHBY, MD; FRANKLIN NIBLOCK, MD, MPH; KENNETH HERRING, MD; and LOGAN MIMS, MD, University of Colorado, Denver, Colorado Am Fam Physician. 2020 Jan...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0115/p117.html

Lung Cancer Screening Effective for Reducing Cancer Deaths - Letters to the Editor - ...

Jan 15, 2020 - Advertisement << Previous article Next article >> Jan 15, 2020 Issue Letters to the Editor Lung Cancer Screening Effective for Reducing Cancer Deaths Am Fam Physician. 2020 Jan 15;101(2):70-71. Original Article: Lung Cancer Screening: Pros and Cons [Lown Right Care] Issue Date: June...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0115/p70.html

Identify Patients Likely to Benefit from Lung Cancer Screening - Letters to the Editor ...

Jan 15, 2020 - Advertisement Jan 15, 2020 Issue Letters to the Editor Identify Patients Likely to Benefit from Lung Cancer Screening Am Fam Physician. 2020 Jan 15;101(2):69-70. Original Article: Lung Cancer Screening: Pros and Cons [Lown Right Care] Issue Date: June 15, 2019 Available at:...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0115/p69.html

Wanted: Bank information to pay APM bonuses -- FPM

The federal government has posted a list of clinicians it owes bonus money. Here's how to find out if you're on it, and how to claim your cash if you are.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/APM_banking_info.html

Beware Virulent Deer and Confounding EHR Notes

We asked our new physician bloggers about the worst EHR notes they have seen. They shared their experiences in this Fresh Perspectives blog post.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200113fp-ehrnotes.html

Try These Tips to Overcome Flu Vaccine Hesitancy

During what is shaping up to be a severe flu season, Margot Savoy, M.D., M.P.H., offers tips on vaccinating reluctant patients in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200109lv-fluvacc.html

Small Steps Are Key to Making Resolutions Stick

Most New Year's resolutions fail before February. For this Fresh Perspectives blog post, we asked our new physician bloggers how they help patients make lifestyle changes that last.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200107fp-keepresolutions.html

The Economics of Our Health Care System Are Horrifying

Millions of Americans are forgoing health care because of cost while others are accruing staggering debt to pay for care. AAFP Senior Vice President of Advocacy, Practice Management and Policy Shawn Martin examines a growing crisis in this In the Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200107itt-economics.html

Burnout prevention: get rid of stupid stuff in your practice -- FPM

Although burnout in health care is largely a system problem, individual physicians can take steps to lighten their burden. Here are five ideas to help you get started.

Family Practice Management : Quick Tips : FPM Home

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

The right way to respond to high-maintenance patients -- FPM

When patients are pushy, needy, or entitled, you may be tempted to give in to their demands or refer them away, but there’s a better way to respond.

Family Practice Management : Quick Tips : FPM Home

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

Four tips for writing visit notes suitable for your patients to see -- FPM

As transparency increases and more patients gain access to their health records, make sure your visit notes follow four best practices.

Family Practice Management : Quick Tips : FPM Home

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

Adolescent Idiopathic Scoliosis: Common Questions and Answers - American Family Physician

Jan 1, 2020 - Adolescent idiopathic scoliosis affects 1% to 3% of U.S. adolescents. It is defined by a lateral curvature of the spine (Cobb angle) of at least 10 degrees in the absence of underlying congenital or neuromuscular abnormalities. Adolescent idiopathic scoliosis may be detected via the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p19.html

Benign Anorectal Conditions: Evaluation and Management - American Family Physician

Jan 1, 2020 - Common anorectal conditions include hemorrhoids, perianal pruritus, anal fissures, functional rectal pain, perianal abscess, condyloma, rectal prolapse, and fecal incontinence. Although these are benign conditions, symptoms can be similar to those of cancer, so malignancy should be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p24.html

Lymphoma: Diagnosis and Treatment - American Family Physician

Jan 1, 2020 - Lymphoma is a group of malignant neoplasms of lymphocytes with more than 90 subtypes. It is traditionally classified broadly as non-Hodgkin or Hodgkin lymphoma. Approximately 82,000 new U.S. patients are diagnosed with lymphoma annually. Any tobacco use and obesity are major modifiable ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p34.html

Beers Criteria for Inappropriate Medication Use in Older Patients: An Update from the ...

Jan 1, 2020 - The 2019 American Geriatrics Society update of the Beers Criteria uses the five criteria outlined in 2015; these include medications that should typically be avoided in most older patients, medications that should be avoided in older patients with certain conditions, medications that ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0101/p56.html

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