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The right (and wrong) way to make sure patients understand your instructions -- FPM

An estimated 50 percent of patients leave their medical visits without understanding what their physician told them. The teach-back technique can help.

Family Practice Management : Quick Tips : FPM Home

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

How to establish yourself as a physician leader -- FPM

Because of their medical authority, every physician is a leader in their organization to some extent. Those who expand their leadership potential tend to have four characteristics.

Family Practice Management : Quick Tips : FPM Home

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

FPs Steer the AAFP With Plenty of Ways to Influence Course

AAFP President John Cullen, M.D., explains how AAFP policy is set by members who represent a wide scope of opinions about the best ways to advance family medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190605lv-governance.html

Rural FPs Need More Support in Treating Mental Illness

Rural physicians and their patients face significant barriers when it comes to providing mental health care. In this Fresh Perspectives blog post, Tate Hinkle, M.D., suggests strategies to help overcome these problems.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190603fp-mentalhealth.html

Adolescent Substance Use and Misuse: Recognition and Management - American Family ...

Jun 1, 2019 - Adolescent use of illicit substances imposes an enormous burden on individuals, families, and communities. The types of illicit substances adolescents are using have changed drastically over the past decade with decreases in alcohol use (including binge alcohol use) offset by increases ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p689.html

Varicose Veins: Diagnosis and Treatment - American Family Physician

Jun 1, 2019 - Varicose veins are twisted, dilated veins most commonly located on the lower extremities. The exact pathophysiology is debated, but it involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. Risk factors include family history ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p682.html

Caregiver Care - American Family Physician

Jun 1, 2019 - Eighty percent of adults requiring long-term care currently live at home in the community, and unpaid family caregivers provide 90% of their care. Family caregivers serve as a critical extension of the U.S. health care system, and the demand for family caregivers is expected to increase...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p699.html

Prostate Disorders - American Family Physician

Jun 1, 2019 - This collection features content on prostates disorders and related issues, including benign prostatic hyperplasia, hematospermia, and prostatitis. This collection features content on prostates disorders and related issues, including benign prostatic hyperplasia, hematospermia, and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=97

A Bump on the Gum - Photo Quiz - American Family Physician

Jun 1, 2019 - A child presented with a painful, round, erythematous lesion on the gingiva of the left upper gum above the canine tooth.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0601/p713.html

Rethinking Aspirin for the Primary Prevention of Cardiovascular Disease - Editorials - ...

Jun 1, 2019 - Aspirin's routine use for primary prevention has been the subject of controversy because of questionable benefits and increased bleeding risk. Aspirin therapy may reduce the relative risk of a first heart attack or stroke, but this benefit could be outweighed by the risk of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0601/p670.html

Risk Stratification: A Two-Step Process for Identifying Your Sickest Patients -- FPM

Jun 1, 2019 - Assessing the health risk of your patients can yield improvements in efficiency and use of resources.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p21.html

Attention Deficit/Hyperactivity Disorder: Screening and Evaluation - FPIN's Help Desk ...

Jun 1, 2019 - The Conners Abbreviated Symptom Questionnaire has the best combination of positive and negative likelihood ratios.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0601/p712.html

Overview of New ACC/AHA Lipid Guidelines - POEMs - American Family Physician

Jun 1, 2019 - These updated guidelines, made without any input from primary care physicians who manage most patients with hyperlipidemia, are more complex than the 2013 guidelines and will likely lead to even more recommendations for statins, ezetimibe (Zetia), and PSK9 inhibitors.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p716.html

A Practical Approach to Reducing Patients' Prescription Costs -- FPM

Jun 1, 2019 - A single screening question and an arsenal of cost-reducing strategies can help you help your patients afford their medications.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p5.html

Seven Habits for Reducing Work After Clinic -- FPM

Jun 1, 2019 - Imagine shutting your office door at the end of the day and not having any work that you need to take home. These shifts in practice can help you reclaim your time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p10.html

Transitional Care Management: Practical Processes for Your Practice -- FPM

Jun 1, 2019 - Helping patients safely bridge the gap from acute care to ambulatory care is good for patients and practices too.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p27.html

Benefits and Harms for Low-Dose Aspirin in Patients with Diabetes Mellitus - POEMs - ...

Jun 1, 2019 - The 7,740 patients who took low-dose aspirin experienced 51 fewer vascular deaths, nonfatal myocardial infarctions, or nonfatal ischemic strokes; 29 fewer transient ischemic attacks; and 44 fewer revascularizations than patients who took placebo over a mean of 7.4 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p718.html

Cancer Screening: ACS Releases Annual Summary of Recommendations - Practice Guidelines ...

Jun 1, 2019 - The American Cancer Society (ACS) provides a summary of recommendations for cancer screening each year, including any updates and recent data, and advice for when recommendations cannot be made.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0601/p719.html

Alternative Interventions for Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Men -...

Jun 1, 2019 - In men with chronic pelvic pain and urinary dysfunction who have not responded to standard medical management, extracorporeal shock wave therapy reduces symptoms and increases quality of life. Acupuncture may also provide benefit to some patients.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0601/p677.html

Measles Vaccine, Acute Appendicitis, Screening for Heart Disease, Abdominal Pain, ...

Jun 1, 2019 - 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/2019/0601/p675.html

Coding & Documentation - May-Jun 2019 -- FPM

Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0500/p31.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jun 1, 2019 - Low-molecular-weight heparin (LMWH), vitamin K antagonists, and direct oral anticoagulants, when used to prevent recurrent VTE, have a similar impact on all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0601/p676.html

Antibiotic Prophylaxis in Patients with COPD - Medicine by the Numbers - American ...

Jun 1, 2019 - This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0601/od1.html

An Unhappily Married Patient - Curbside Consultation - American Family Physician

Jun 1, 2019 - Overall, marriage enhances health. Men gain greater health benefits from marriage than their wives. Conversely, wives are more negatively affected by a bad marriage than their husbands. In general, the health benefit of marriage is maximized in a good marriage but negated in a bad ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0601/p708.html

Improving Vaccination Rates for the 2018-2019 Influenza Season -- FPM

Jun 1, 2019 - This organizational supplement summarizes information and resources the American Academy of Family Physicians (AAFP) develops, utilizes, and disseminates to family physicians and their health care teams to increase influenza vaccination rates.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p17.html

A New Lexicon for Physicians: A Poem for Physicians Who Care -- FPM

Jun 1, 2019 - What if EHRs, MIPS, and MACRA all stood for something else--something truly meaningful?

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2019/0500/p36.html

Practice Pearls - May-Jun 2019 -- FPM

Jun 1, 2019 - Create annual visit plans for your patients | Use your EHR to close care gaps | Use passwords to practice mindfulness

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/0500/p32.html

My Kidney Donation: Unexpected Twists - Close-ups - American Family Physician

Jun 1, 2019 - An altruistic kidney donation and an unexpected nephrectomy.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/0601/p672.html

Aspirin, Eicosapentaenoic Acid, and Placebo Equally Effective in Preventing Colorectal ...

Jun 1, 2019 - After 12 months, neither aspirin nor EPA, alone or in combination, are any better than placebo at preventing colorectal adenomas in patients with high-risk neoplasia.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p717.html

Rethinking Roles: Your Colleagues' and Your Own -- FPM

Jun 1, 2019 - How can you foster teamwork when you aren’t the boss?

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0500/p4.html

Probiotic Ineffective for Treatment of Acute Gastroenteritis in Young Children - POEMs ...

Jun 1, 2019 - Advertisement << Previous article Next article >> Jun 1, 2019 Issue POEMs Patient-Oriented Evidence That Matters Probiotic Ineffective for Treatment of Acute Gastroenteritis in Young Children Am Fam Physician. 2019 Jun 1;99(11):717-718. Clinical Question Is the probiotic...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p717a.html

Preoperative Nutritional Optimization in Older Patients Reduces Complications - Letters...

Jun 1, 2019 - Advertisement << Previous article Next article >> Jun 1, 2019 Issue Letters to the Editor Preoperative Nutritional Optimization in Older Patients Reduces Complications Am Fam Physician. 2019 Jun 1;99(11):665-666. Original Article: Preoperative Assessment in Older Adults: A...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0601/p665.html

Medical Content Should Be Equitable and Inclusive of Diverse Populations - Letters to ...

Jun 1, 2019 - Advertisement Jun 1, 2019 Issue Letters to the Editor Medical Content Should Be Equitable and Inclusive of Diverse Populations Am Fam Physician. 2019 Jun 1;99(11):664-665. To the Editor: I am writing to bring your attention to the need for more racially inclusive language and...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0601/p664.html

Corrections - Jun 1, 2019 - American Family Physician

Jun 1, 2019 - Advertisement << Previous article Next article >> Jun 1, 2019 Issue Reader Services Corrections Am Fam Physician. 2019 Jun 1;99(11):666. Strength of evidence. The article, The Pregnant Patient: Managing Common Acute Medical Problems (November 1, 2018, p. 595), contained an error in...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0601/p666.html

Corrections - Jun 1, 2019 - American Family Physician

Jun 1, 2019 - Advertisement << Previous article Next article >> Jun 1, 2019 Issue Reader Services Corrections Am Fam Physician. 2019 Jun 1;99(11):666. Incorrect disease risk. The article, The Pregnant Patient: Managing Common Acute Medical Problems (November 1, 2018, p. 595), contained an error in...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0601/p666a.html

Caregiver Care - American Family Physician

Jun 1, 2019 - Advertisement << Previous article Next article >> Jun 1, 2019 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/2019/0601/p699-s1.html

Seven ways your medical assistant can help you provide patient-centered care -- FPM

Need new resources to provide better patient care? How about following these seven strategies to better use the medical assistants you already have?

Family Practice Management : Quick Tips : FPM Home

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

2019 News, Agendas, Resolutions, and Reports

Get access to the 2019 NCCL news, agendas, resolutions and reports.

Events : AAFP Leadership Conference

https://www.aafp.org/events/aclf-nccl/nccl/past-ncsc/2019.html

Transitional care management: four areas to improve -- FPM

Patients sometimes fall through the gaps when moving from an acute care environment to home. Improve these four areas to prevent that from happening.

Family Practice Management : Quick Tips : FPM Home

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

Weight of New 'M.D.' Carries Rewarding Responsibility

Newly graduated family physician Chandler Stisher, M.D., M.P.H., reflects on what the two new letters after his name mean for him, his patients and his community.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190529lv-graduation.html

How to encourage more appropriate quality measures -- FPM

Many quality measure do not help patients or are out of the physician's control. If facing such measures, here are two things physicians can do.

Family Practice Management : Quick Tips : FPM Home

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

Taking Aim at the High Deductibles That Drive Off Patients

A new coalition co-founded by the Academy aims to realign the incentives and design of health care, writes AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190528itt-consumersfirst.html

The first step to changing your practice culture -- FPM

If your practice's culture isn't inspiring you and your colleagues to do their best work, change it. Start by sitting down and answering this key question.

Family Practice Management : Quick Tips : FPM Home

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

How to create simple annual visit plans for your patients -- FPM

Family physicians often have to think through a patient's future care needs during a visit, which can hurt efficiency and allow things to go unaddressed. Creating annual visit plans with each patient may help.

Family Practice Management : Quick Tips : FPM Home

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

Five problems with clinic design -- FPM

The success of a clinic is often tied to how it is laid out and operated. If your practice has any of these five features, you could have a problem.

Family Practice Management : Quick Tips : FPM Home

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

FPs Can Lead on Changes That Keep Patients Out of Hospitals

We know that social determinants of health can have immense effects on patients' health. In this Leader Voices Blog post, resident Michelle Byrne, M.D., M.P.H., asks family physicians to consider how they can address these factors.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190520lv-hospitalization.html

Are your patients taking their medications? Seven questions to help you find out -- FPM

Asking your patients directly if they are taking their prescribed medication may not give you an accurate answer. Use these more specific questions to get a better feel for their adherence.

Family Practice Management : Quick Tips : FPM Home

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

Three practical ways to assign risk levels to your patients -- FPM

Determining who your sickest patients are ahead of time can help you more proactively manage them and make better use of limited resources. Here's how.

Family Practice Management : Quick Tips : FPM Home

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

Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation - American...

May 15, 2019 - Many people with depression or anxiety turn to nonpharmacologic and nonconventional interventions, including exercise, yoga, meditation, tai chi, or qi gong. Meta-analyses and systematic reviews have shown that these interventions can improve symptoms of depression and anxiety ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0515/p620.html

Apophysitis and Osteochondrosis: Common Causes of Pain in Growing Bones - American ...

May 15, 2019 - Apophysitis and osteochondrosis are common causes of pain in growing bones but have differing etiologies and required management. Apophysitis results from a traction injury to the cartilage and bony attachment of tendons in children and adolescents. Most often it is an overuse injury in...

American Family Physician : Article

https://www.aafp.org/afp/2019/0515/p610.html

Lice and Scabies: Treatment Update - American Family Physician

May 15, 2019 - Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed with visualization of live lice. Nits (lice eggs or egg casings) alone are not sufficient to diagnose a current infestation. A no-nit ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0515/p635.html

Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI ...

May 15, 2019 - Among patients using oral anticoagulants alone, the risk of hospitalization for upper GI tract bleeding is highest with rivaroxaban (Xarelto) and lowest with apixaban (Eliquis).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od4.html

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: ...

May 15, 2019 - The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services.

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

https://www.aafp.org/afp/2019/0515/od1.html

What Evidence Do We Need Before Recommending Routine Screening for Social Determinants ...

May 15, 2019 - Social determinants have a large effect on patients' health and well-being. Primary care clinicians need more evidence about their role in addressing social determinants of health, and community resources and public health support are needed to help patients with unmet social needs.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0515/p602.html

Unpleasant Foot Odor and Skin Changes - Photo Quiz - American Family Physician

May 15, 2019 - A woman presented with several months of increasingly problematic foot odor. Physical examination revealed small pits in the skin on her soles and a slight scale over the plantar surface of both feet.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0515/p651.html

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults - ...

May 15, 2019 - A.F., a 32-year-old woman, presents for a health maintenance visit. It has been more than a year since she was last seen. She has no significant medical history and has never used tobacco, alcohol, or any other substances.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0515/p649.html

Chronic Cough After Acute Viral Bronchiolitis: Suggestions from the ACCP - Practice ...

May 15, 2019 - To address the high prevalence of bronchiolitis, the effects of chronic cough on patients' quality of life, and adverse effects from inappropriate use of medications, an expert panel from the American College of Chest Physicians performed systematic reviews to develop several ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0515/p654.html

Glycopyrrolate (Lonhala Magnair) for Treatment of Chronic Obstructive Pulmonary Disease...

May 15, 2019 - Glycopyrrolate is a safe alternative to long-acting muscarinic antagonists delivered by metered-dose inhaler for patients with moderate to severe COPD.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0515/p643.html

FIT Has Similar Yield as Colonoscopy for Colorectal Cancer and Advanced Adenoma Over 10...

May 15, 2019 - Over a 10-year period, the rates of detection of colorectal cancer (CRC) and advanced adenomas using FIT are similar to those seen in studies of screening colonoscopy. This does not prove that FIT reduces morbidity and mortality due to CRC as effectively as colonoscopy.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od5.html

Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved ...

May 15, 2019 - A simple clinical prediction rule using noninvasive data can identify patients at low, moderate, and high risk for HFPEF.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od3.html

Limited Data: Deprescribing is Safe, But at the Risk of Symptom Recurrence - POEMs - ...

May 15, 2019 - The limited rigorous data on deprescribing suggest that many patients can safely stop unnecessary medication, but symptom relapse is significant.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od2.html

Postoperative Pain, Acute Stroke, Hormone Therapy, Diet to Improve Cardiovascular Risk,...

May 15, 2019 - 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/2019/0515/p606.html

How to legally provide free transportation to patients -- FPM

Federal rules allow physicians to provide free transportation to Medicare and Medicaid patients. But the rules are strict. Here's how to stay out of trouble.

Family Practice Management : Quick Tips : FPM Home

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

Lice and Scabies - American Family Physician

May 15, 2019 - Advertisement << Previous article Next article >> May 15, 2019 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/2019/0515/p635-s1.html

Care Management -- FPM Toolbox

May 14, 2019 - Download tools to help you manage patient care tasks, from agenda-setting to controlled substance refills.

Family Practice Management : FPM Toolbox : Care Management

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=2

Coding and Documentation -- FPM Toolbox

May 14, 2019 - Download tools to help you understand coding and documentation requirements for new and established patient visits.

Family Practice Management : FPM Toolbox : Coding and Documentation

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=6

Electronic Health Records -- FPM Toolbox

May 14, 2019 - Download tools to help you evaluate, select, and optimize your electronic health record system.

Family Practice Management : FPM Toolbox : Electronic Health Records

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=7

Disease Management: Diabetes -- FPM Toolbox

May 14, 2019 - Download encounter forms, patient agreements, and flow sheets to help you manage diabetes care.

Family Practice Management : FPM Toolbox : Disease Management: Diabetes

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=10

Health Startups: Revolutionary or Threat to Primary Care?

Startups based on health care algorithms are rapidly spreading. In this Fresh Perspectives blog post, Natasha Bhuyan, M.D., describes a model that allows family physicians to offer the convenience these companies tout while preserving the doctor-patient relationship.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190514fp-appbasedcare.html

Does Single Payer Have Friends in CBO Places?

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin finds no bogeyman in the Congressional Budget Office's report on single-payer health care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190514itt-singlepayer.html

New Primer Lays Out AAFP Approach to Health Care Reform

A new resource from the AAFP explains how the Academy will work to ensure that the voice of family medicine helps shape the future of health care in the United States.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190514lv-healthcareform.html

CMS clarifies documentation for teaching physicians' E/M services -- FPM

Physicians who bill for E/M services while teaching medical students may face some changes under newly clarified federal guidelines.

Family Practice Management : Getting Paid : FPM Home

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

Why Is Compassion So Important? Just Ask This Patient

Family physicians know all about giving their patients compassionate care. In this Leader Voices Blog post, Tochi Iroku-Malize, M.D., M.P.H., M.B.A., shares the story of what happened when an ER team missed the mark.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190507lv-ervisit.html

Your Patient Is Crying. What Do You Do?

What can you offer a crying patient besides a tissue? In this Fresh Perspectives blog post, Lalita Abhyankar, M.D., M.H.S., discusses why patients cry, why it sometimes helps and how to react.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190506fp-crying.html

States to lose ability to divert Medicaid payments -- FPM

The Centers for Medicare and Medicaid Services is eliminating a 2014 rule that allowed states to divert Medicaid payments to third parties.

Family Practice Management : Getting Paid : FPM Home

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

One way to increase physician autonomy and job satisfaction -- FPM

Physician autonomy is crucial to fostering job satisfaction and a culture of continuous quality improvement and creative problem solving. Unfortunately, physician autonomy is shrinking in many health care organizations. Here's one solution.

Family Practice Management : Quick Tips : FPM Home

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

Motivational interviewing: four steps to get started -- FPM

Motivational interviewing is a brief counseling technique that can be effective at helping patients overcome reluctance and make behavioral changes, such as losing weight or quitting smoking. The OARS acronym highlights four essential aspects.

Family Practice Management : Quick Tips : FPM Home

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

Clinically Relevant Drug-Drug Interactions in Primary Care - American Family Physician

May 1, 2019 - Drug interactions are common in the primary care setting and are usually predictable. Identifying the most important and clinically relevant drug interactions in primary care is essential to patient safety. Strategies for reducing the risk of drug-drug interactions include minimizing ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0501/p558.html

Interventional Radiology: Indications and Best Practices - American Family Physician

May 1, 2019 - Interventional radiology employs image-guided techniques to perform minimally invasive procedures for diagnosis and treatment. Interventional radiology is often used to place central venous catheters and subcutaneous ports, with some evidence of benefit over surgical placement. Arterial...

American Family Physician : Article

https://www.aafp.org/afp/2019/0501/p547.html

Top 20 Research Studies of 2018 for Primary Care Physicians - American Family Physician

May 1, 2019 - In 2018, through regular surveillance of more than 110 English-language research journals, 255 research studies met the criteria to become POEMs (patient-oriented evidence that matters). Using a validated tool, physician members of the Canadian Medical Association rated these POEMs for ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0501/p565.html

Cholesterol Management: ACC/AHA Updates Guideline - Practice Guidelines - American ...

May 1, 2019 - The American College of Cardiology/American Heart Association (ACC/AHA) task force on clinical practice guidelines has updated its 2013 cholesterol guideline.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0501/p589.html

Applying a Clinical Decision Rule for CAD in Primary Care to Select a Diagnostic Test ...

May 1, 2019 - Using the INTERCHEST chest pain decision rule to decide next steps when a patient presents to a primary care physician with chest pain.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0501/p584.html

Psychological and Pharmacologic Treatments for Adults with PTSD - Implementing AHRQ ...

May 1, 2019 - What are the benefits and harms of psychotherapies and pharmacologic agents for the treatment of adults with posttraumatic stress disorder (PTSD)?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0501/p577.html

New-Onset Full-Body Rash Following Sore Throat in a Child - Photo Quiz - American ...

May 1, 2019 - A five-year-old presented with numerous small erythematous plaques throughout her body but sparing the palms and soles. Treatment with topical antibiotic cream was unsuccessful.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0501/p575.html

Denosumab for Reducing Risk of Fractures in Postmenopausal Women - Medicine by the ...

May 1, 2019 - Denosumab appears to be effective in reducing the risk of vertebral and nonvertebral fractures in postmenopausal women with osteoporosis. Treatment with denosumab does not increase the risk of cancer or death but might increase the risk of infection. However, more studies are required.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0501/od1.html

Aromatase Inhibitors Such as Letrozole (Femara) vs. Clomiphene (Clomid) for Subfertile ...

May 1, 2019 - When treated with letrozole, subfertile women with PCOS who are trying to conceive have increased chances of pregnancy (number needed to treat [NNT] = 11) and live birth (NNT = 10) compared with those treated with clomiphene.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0501/p545.html

Risks of Elective Labor Induction vs. Expectant Management - FPIN's Help Desk Answers -...

May 1, 2019 - Elective labor induction at 39 weeks’ gestation leads to a mean 145-g (5.1-oz) lower birth weight compared with expectant management, but there is conflicting evidence about the effects on rates of cesarean delivery, perinatal mortality, operative vaginal birth, and admission to the ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0501/p587.html

Saline Irrigation for Allergic Rhinitis - Cochrane for Clinicians - American Family ...

May 1, 2019 - asal saline irrigation reduces the severity of allergy symptoms for up to eight weeks vs. no treatment. It is uncertain if adding nasal saline to pharmacologic treatment further improves symptoms over pharmacologic treatment alone.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0501/p544.html

AFP 2019: New Fellow, New Features, Top 20 Articles of 2018, and AFP Statistics - ...

May 1, 2019 - An overview of the past year and announcement of new features.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0501/p538.html

Vaginitis, Coronary Artery Disease, Hypertension in Children, COPD, Alzheimer Disease -...

May 1, 2019 - 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/2019/0501/p543.html

Four bad habits you need to break when it comes to email -- FPM

To reduce the intrusion of email into your daily work life, stop doing these four things.

Family Practice Management : Quick Tips : FPM Home

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

CMS Heeds AAFP Advice on New Payment Models

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin examines the Primary Cares Initiative that CMS launched last week.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190430itt-primarycares.html

It's Humbling to Be Reminded How Much There Is to Know

Margaux Lazarin, D.O., M.P.H., writes in this Fresh Perspectives blog post that a moment of self-doubt provided motivation for her to learn more and do better.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190430fp-keeplearning.html

CMS Primary Care Initiative provides new payment models -- FPM

The Primary Care Initiative announced by CMS will give family physicians new payment streams aimed at increasing value-based care.

Family Practice Management : Getting Paid : FPM Home

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

Three steps to coding for Medicare wellness visits -- FPM

The Medicare annual wellness visit and the initial preventive physical examination provide a number of benefits to patients and physicians. Follow these suggestions to get properly reimbursed.

Family Practice Management : Quick Tips : FPM Home

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

Eight things to do before you quit your job -- FPM

High demand and job dissatisfaction may have family physicians considering leaving their practice for a new one. These eight steps could make the transition easier.

Family Practice Management : Quick Tips : FPM Home

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

What standing orders can do for your practice -- FPM

Standing orders allow nurses, medical assistants, or other health care team members to perform certain clinical tasks, freeing the physician to focus on complex care. Here's how to make standing orders work for you.

Family Practice Management : Quick Tips : FPM Home

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

How Many Chances Should We Give Patients? It Depends

Patients trying to recover from substance use disorders face numerous obstacles. Kurt Bravata, M.D., examines how family physicians can help.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190422fp-secondchance.html

Four tools to help you identify patient medications that need to be deprescribed -- FPM

If your patient is taking multiple medications, some of which may have become unnecessary or harmful, use these four tools to begin the process of deprescribing.

Family Practice Management : Quick Tips : FPM Home

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

Cultural Humility Is Critical to Health Equity

Ada Stewart, M.D., writes that cultural competence is not the endpoint that physicians should be striving for in the care of diverse populations. Cultural humility is important, too.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190418lv-humility.html

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