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Family physician pay goes up, satisfaction with pay goes down -- FPM

An annual survey of physician compensation shows a healthy gain for physicians. How do you compare?

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_compensation.html

Make Your Voice Heard; Take the Member Survey

The AAFP Member Satisfaction Survey plays a key role in directing Academy resources to meet family physicians' needs. AAFP President-elect Gary LeRoy, M.D., urges members to take advantage of this opportunity to make their voices heard.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190417lv-satisfaction.html

How to get support for your health policy goals -- FPM

Public officials can be a great resource for helping you achieve changes in local health policy. Here are four steps to get elected leaders on your side.

Family Practice Management : Quick Tips : FPM Home

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

Surveys: Physician Salaries Are Increasing, Burnout Persists

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes in the latest In the Trenches blog post that findings from a pair of Medscape surveys on compensation and burnout offer a mix of good and bad news.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190416itt-docsurveys.html

Kidney Stones: Treatment and Prevention - American Family Physician

Apr 15, 2019 - Kidney stones are a common disorder, with an annual incidence of eight cases per 1,000 adults. During an episode of renal colic, the first priority is to rule out conditions requiring immediate referral to an emergency department, then to alleviate pain, preferably with a nonsteroidal ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0415/p490.html

Common Breast Problems - American Family Physician

Apr 15, 2019 - Palpable breast masses, mastalgia, and nipple discharge are commonly encountered symptoms in outpatient practice, causing significant patient anxiety and precipitating medical consultation. The initial workup includes a detailed clinical history and physical examination. Women ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0415/p505.html

Heat-Related Illnesses - American Family Physician

Apr 15, 2019 - Heat-related illnesses comprise a spectrum of syndromes resulting from disruption of thermoregulation in people exposed to high environmental heat. Symptoms range from heat edema and exercise-associated muscle cramps to exercise-associated collapse, heat exhaustion, and life-threatening...

American Family Physician : Article

https://www.aafp.org/afp/2019/0415/p482.html

Breast Disorders - American Family Physician

Apr 15, 2019 - This collection features content on breast disorders and related issues, including breast cyst aspiration, breast masses, breast pain, galactorrhea, gynecomastia, and mastitis. This collection features content on breast disorders and related issues, including breast cyst aspiration, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=96

Screening for Syphilis In Pregnant Women: Recommendation Statement - U.S. Preventive ...

Apr 15, 2019 - The USPSTF recommends early screening for syphilis infection in all pregnant women.

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

https://www.aafp.org/afp/2019/0415/od2.html

Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality...

Apr 15, 2019 - The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions.

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

https://www.aafp.org/afp/2019/0415/od1.html

Child Passenger Safety: AAP Updates Best Practice Recommendations - Practice Guidelines...

Apr 15, 2019 - There has been an increase in scientific evidence supporting the use of child safety and booster seats. The American Academy of Pediatrics (AAP) has updated best practice recommendations on child passenger safety based on this evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0415/p525.html

Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation - FPIN's ...

Apr 15, 2019 - A limited number of trials that examined the risk of temporary interruption of anticoagulation before a variety of procedures did not find a reduction in the risk of stroke, but they did show an increased risk of bleeding events and venous thromboembolism (VTE) in patients who were ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0415/p519.html

Social Determinants of Health: Family Physicians’ Leadership Role - Editorials - ...

Apr 15, 2019 - Family physicians can be early adopters of SDOH tools and models for practice, and they can advocate for use of these tools across systems of care.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0415/p476.html

Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality...

Apr 15, 2019 - A.C., a 32-year-old woman, presents for her annual wellness visit. She recently had blood work completed that showed normal glucose and lipid levels. Her blood pressure is 124/76 mm Hg, weight is 221.8 lb (100.6 kg), height is 5 feet 6 inches (172 cm), and body mass index (BMI) is 34 kg...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0415/p515.html

Annular Skin Lesions on the Chest - Photo Quiz - American Family Physician

Apr 15, 2019 - A woman presented with multiple scaly plaques of varying size on her neck and chest.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0415/p517.html

Colorectal Cancer, Osteoporosis, Knee Osteoarthritis, Suspected Dementia, Pacifier Use ...

Apr 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/2019/0415/p478.html

You Don't Need a Title to Lead

As the AAFP's signature leadership development events approach, Alex Mroszczyk-McDonald, M.D., reflects on his own leadership path 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/20190415fp-leadership.html

Four ways to better care for patients with a history of childhood trauma -- FPM

When caring for patients with a history of childhood trauma, some simple shifts in your communication habits can signal to patients that your practice is a safe space for them and help avoid re-traumatization.

Family Practice Management : Quick Tips : FPM Home

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

Stop multitasking, and do this instead -- FPM

Constantly switching your focus from one task to another comes at a cost, decreasing your cognitive ability and productivity. What’s a better approach?

Family Practice Management : Quick Tips : FPM Home

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

Practices gain a second chance to review 2017 QPP results -- FPM

The Centers for Medicare and Medicaid Services is giving practices additional time to review 2017 Quality Payment Program performance data before making it available for public view.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2017_performance_data_review.html

How to handle negative reviews -- FPM

As patients increasingly use online reviews to express their opinions about their medical care and search for doctors, practices need to be paying attention to this information.

Family Practice Management : Quick Tips : FPM Home

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

Helping Others Just Might Help You, Too

Whether you call it physician burnout or moral injury, Tochi Iroku-Malize, M.D., M.P.H., M.B.A., writes in this Leader Voices Blog post that volunteering is one of her strategies for preventing the condition.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190408lv-volunteer.html

Objection! Can We Bring Order to Documentation and Billing?

Have you ever seen a lawyer documenting everything said during court? Neither has Allison Edwards, M.D., who ponders in this Fresh Perspectives blog post whether doctors could learn something about how attorneys document -- and bill for -- their work.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190405fp-billing.html

A new way to earn MIPS credit in 2019 -- FPM

A new study of how physicians collect and report quality measures to Medicare is looking for participants. Successful members will get MIPS credit.

Family Practice Management : Getting Paid : FPM Home

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

Five mobile apps to improve your personal and professional productivity -- FPM

Physicians have lots on their plate and limited time. These top-rated mobile apps will help you make the most of it.

Family Practice Management : Quick Tips : FPM Home

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

Three ways to get patients to use your portal -- FPM

If you want more of your patients to communicate with you through your online portal, follow these three strategies.

Family Practice Management : Quick Tips : FPM Home

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

What to say when antibiotics are unnecessary -- FPM

This Oregon-based physician discusses how she handles discussions with patients who demand antibiotics when they are not necessary or useful.

Family Practice Management : Quick Tips : FPM Home

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

EAT-Lancet Recommendations Have Value, but Are They Feasible?

A new report on diet and agriculture aims to improve the health of the earth and its human inhabitants. Lalita Abhyankar, M.D., M.H.S., lauds the commission's effort but questions the feasibility of its recommendations.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190402fp-eatlancet.html

Trump Administration Rolling the Dice on Health Care

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that the administration's recent decision to not defend the Patient Protection and Affordable Care Act is an interesting gamble ahead of the 2020 elections.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190402itt-acalawsuit.html

Abnormal Uterine Bleeding in Premenopausal Women - American Family Physician

Apr 1, 2019 - Abnormal uterine bleeding is a common symptom in women. The acronym PALM-COEIN facilitates classification, with PALM referring to structural etiologies (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia), and COEIN referring to nonstructural etiologies (coagulopathy, ovulatory ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0401/p435.html

Current Concepts in Concussion: Initial Evaluation and Management - American Family ...

Apr 1, 2019 - Mild traumatic brain injury, also known as concussion, is common in adults and youth and is a major health concern. Concussion is caused by direct or indirect external trauma to the head resulting in shear stress to brain tissue from rotational or angular forces. Concussion can affect a...

American Family Physician : Article

https://www.aafp.org/afp/2019/0401/p426.html

Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician

Apr 1, 2019 - A febrile seizure is a seizure occurring in a child six months to five years of age that is accompanied by a fever (100.4°F or greater) without central nervous system infection. Febrile seizures are classified as simple or complex. A complex seizure lasts 15 minutes or more, is ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0401/p445.html

Skin Deep: How to Properly Code for Biopsies and Lesion Removal -- FPM

Apr 1, 2019 - Learn about the new skin biopsy codes, and follow these tips to make sure you get full credit for the skin procedures you perform.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0300/p15.html

Medicare Wellness Visits: Reassessing Their Value to Your Patients and Your Practice --...

Apr 1, 2019 - Providing Medicare wellness visits can be challenging but can improve quality and practice revenue.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0300/p25.html

Palliative Care in Advanced Dementia - Curbside Consultation - American Family Physician

Apr 1, 2019 - What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0401/p456.html

Understanding the High Cost of Insulin: What Family Physicians Can Do to Help Our ...

Apr 1, 2019 - Through clinical and system-level interventions, family physicians can push back against the high cost of insulin and help patients with type 2 diabetes afford these essential medications.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0401/p416.html

Subcutaneous Nodules on the Chest, with Cough and Weight Loss - Photo Quiz - American ...

Apr 1, 2019 - A 60-year-old smoker presented with cough and hemoptysis. She had also developed several subcutaneous masses on her chest wall and left and right abdominal wall over the past several months.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0401/p451.html

Coding & Documentation - Mar-Apr 2019 -- FPM

Apr 1, 2019 - Coding for immunization counseling | How to report after-hours clinic services | Who is eligible for chronic care management?

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0300/p31.html

Pulse Oximetry Screening for Critical Congenital Heart Defects in Newborns - Cochrane ...

Apr 1, 2019 - Pulse oximetry is an accurate screening test for critical congenital heart defects in newborns. Pulse oximetry is simple to use, widely available, and has moderate sensitivity (76.3%) and good specificity (99.9%). However, the prevalence of critical congenital heart defects is low, and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p421.html

Mild TBI in Children: Guidance from the CDC for Diagnosis and Treatment - Practice ...

Apr 1, 2019 - Mild traumatic brain injury in children is a major problem in the United States. Based on a systematic literature review, the Centers for Disease Control and Prevention (CDC) released recommendations specific to children with Glasgow Coma Scale scores of 13 to 15.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0401/p462.html

Unlocking Clues to Current Health in Past History: Childhood Trauma and Healing -- FPM

Apr 1, 2019 - Adverse childhood events can have enduring effects on patients’ health, but these four steps can help promote healing.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0300/p5.html

HPV Vaccine for Prevention of High-Grade Precancerous Cervical Lesions - Medicine by ...

Apr 1, 2019 - Data suggest the benefits of HPV vaccination for reducing precancerous lesions outweigh the potential harms. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0401/od1.html

Will a Feeding Tube Help? Deciding for a Father at the End of Life - Close-ups - ...

Apr 1, 2019 - Making caring, difficult choices on behalf of loved ones at the end of life.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/0401/p420.html

Statins Ineffective for Primary Prevention of Cardiovascular Disease in Patients 75 ...

Apr 1, 2019 - In this retrospective study, statin treatment in patients 75 years or older without preexisting CVD did not change the likelihood of developing CVD or reduce any-cause mortality. However, patients 75 to 84 years of age with diabetes mellitus benefitted from treatment. These results ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p461.html

Aspirin’s Benefits and Harms Are Less Clear for Primary Prevention in Moderate-Risk ...

Apr 1, 2019 - In this study, after five years of treatment, patients at a moderate risk of heart disease who took low-dose aspirin did not show a decrease in coronary events and all-cause mortality and had slightly more gastrointestinal bleeding.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p459a.html

Five Mobile Apps to Help You Organize Your Work and Your Life -- FPM

Apr 1, 2019 - The demands on physicians’ time have never been greater. These apps can help you keep up.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2019/0300/p11.html

Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in ...

Apr 1, 2019 - Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p422.html

Maternal Pertussis Vaccination During Pregnancy - FPIN's Help Desk Answers - American ...

Apr 1, 2019 - Women should receive the Tdap vaccine during pregnancy regardless of previous immunization history. Infants whose mothers received prenatal immunization had 50% fewer cases of pertussis compared with those whose mothers received postpartum immunization.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0401/p454.html

No Reduction in Delirium with the Use of Haloperidol or Ziprasidone in Critically Ill ...

Apr 1, 2019 - For patients with acute respiratory failure or shock who develop delirium in the intensive care unit (ICU), the use of haloperidol or ziprasidone (Geodon) does not reduce the duration of delirium. This trial was powered to detect at least a two-day difference in the duration of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p460.html

Practical Strategies to Achieve Your Health Policy Goals -- FPM

Apr 1, 2019 - As a physician, you can have a powerful voice in bringing about change in your community. Here’s how to go about it.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0300/p20.html

Creating a Culture of Intrinsic Motivation -- FPM

Apr 1, 2019 - External motivators don’t work for long.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2019/0300/p36.html

Rediscovering the Secret of Quality -- FPM

Apr 1, 2019 - It’s probably not what you think.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0300/p4.html

Testicular Cancer, Onset of Labor, Respiratory Tract Infection, Thyroid Cancer, Running...

Apr 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/2019/0401/p424.html

Guideline, with No Evidence, Suggests Annual Screening for Urinary Incontinence in ...

Apr 1, 2019 - The goal of screening is to identify a disorder before it becomes symptomatic if early treatment has the potential for greater benefit than waiting until symptoms are reported. Despite the failure to meet this definition, this guideline suggests annual screening of women for urinary ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p459.html

Practice Pearls - Mar-Apr 2019 -- FPM

Apr 1, 2019 - Pave a trail for sedentary patients | Identify what matters to older patients | Reduce the time you spend on email

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/0300/p32.html

Alternate Nasal Packing Technique for Patients Experiencing Epistaxis - Letters to the ...

Apr 1, 2019 - Advertisement << Previous article Next article >> Apr 1, 2019 Issue Letters to the Editor Alternate Nasal Packing Technique for Patients Experiencing Epistaxis Am Fam Physician. 2019 Apr 1;99(7):408. Original Article: Epistaxis: Outpatient Management Issue Date: August 15, 2018 See...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0401/p408.html

High-deductible Plans Give 'Prevention' a New Meaning

Robert Raspa, M.D., writes in this Leader Voices Blog post that high-deductible plans are causing patients to delay needed care, which leads to more costly urgent care later.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190401lv-hdhp.html

Five signs of possible medication diversion in your practice -- FPM

The misuse by patients of prescription medications, especially controlled substances, is a major problem for primary care physicians. Look for these signs of potential medical diversion.

Family Practice Management : Quick Tips : FPM Home

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

Why being humble can make you a better leader -- FPM

Physician leaders do not necessarily need big, self-confident personalities to attract and inspire their teams. Here are some reasons why some humility can go a long way.

Family Practice Management : Quick Tips : FPM Home

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

Billing for multiple skin procedures: three steps -- FPM

If you perform more than one skin procedure for the same patient on the same day, follow these three special billing rules to get the correct payment.

Family Practice Management : Quick Tips : FPM Home

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

Few receive negative payment adjustment in first year of MIPS -- FPM

The vast majority of clinicians who were eligible for and participated in the Merit-based Incentive Payment System in 2017 will avoid a negative payment adjustment to their Medicare claims during the 2019 payment year.

Family Practice Management : Getting Paid : FPM Home

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

Not Tough Enough? What More Do You Want?

Leonard Reeves, M.D., offers a rebuttal to a speaker who questioned the toughness of physicians amid a burnout crisis.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190325lv-toughenough.html

Congress of Delegates

Learn all about this year's Congress of Delegates meeting during AAFP's Family Medicine Experience conference.

Events : Congress of Delegates

https://www.aafp.org/events/congress.html

How to attract more kid patients to your practice: four tips -- FPM

Having young patients on your schedule can add some fun and variety to your workday. To grow this patient population, consider these four tips.

Family Practice Management : Quick Tips : FPM Home

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

Three things to consider before you start screening for social determinants of health ...

Social needs can complicate a patient’s health issues, but before you add another screening, answer these three questions.

Family Practice Management : Quick Tips : FPM Home

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

The secret to motivation at work -- FPM

People who receive extrinsic rewards for doing their jobs learn and produce more slowly, but those with intrinsic motivation invest more deeply and progress farther. Three factors make all the difference.

Family Practice Management : Quick Tips : FPM Home

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

Are You Kidding Me? We Need More Primary Care Physicians

A recent commentary in The American Journal of Medicine suggests that primary care be left to nurse practitioners and physician assistants. In his latest In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin points out the ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190319itt-workforce.html

Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment - American Family ...

Mar 15, 2019 - Lower extremity peripheral artery disease (PAD) affects 12% to 20% of Americans 60 years and older. The most significant risk factors for PAD are hyperlipidemia, hypertension, diabetes mellitus, chronic kidney disease, and smoking; the presence of three or more factors confers a 10-fold...

American Family Physician : Article

https://www.aafp.org/afp/2019/0315/p362.html

Primary Care of Breast Cancer Survivors - American Family Physician

Mar 15, 2019 - With declining mortality rates, the number of breast cancer survivors is increasing. Ongoing care after breast cancer treatment is often provided by primary care physicians. This care includes surveillance for cancer recurrence with a history and physical examination every three to six ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0315/p370.html

Right Care for Children: Top Five Do's and Don'ts - American Family Physician

Mar 15, 2019 - Underuse and overuse of medical interventions, failure to use interventions known to be effective, and provision of tests or interventions in which benefits do not exceed harms are types of low-value care. The Lown Institute’s Right Care Alliance Children’s Health Council identified ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0315/p376.html

Peripheral Vascular Disease - American Family Physician

Mar 15, 2019 - Advertisement AFP BY TOPIC Peripheral Vascular Disease Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on peripheral vascular disease and related issues, including atherosclerosis, critical limb...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=82

Gabapentin and Pregabalin Not Effective for Low Back Pain with or Without Radiculopathy...

Mar 15, 2019 - The use of anticonvulsants like gabapentin (Neurontin) for painful conditions has increased greatly in recent years. This review finds good evidence that these drugs are not an effective treatment for low back pain with or without radiculopathy, and are associated with an increased risk...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od2.html

Tongue Ulcer in a Young Child - Photo Quiz - American Family Physician

Mar 15, 2019 - A six-year-old boy presented with a painful ulcer on his tongue after receiving treatment at a dermatology clinic for foot lesions earlier in the day.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0315/p385.html

HIV Prevention and Treatment with ART: International Antiviral Society Updates ...

Mar 15, 2019 - Antiretroviral therapy is the key to preventing and managing human immunodeficiency virus infection. Based on the availability of new medications and treatment options, the USA Panel of the International Antiviral Society has updated its 2016 recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0315/p395.html

Coaching Patients About Successful Blood Pressure Management - Lown Right Care: ...

Mar 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2019/0315/p357.html

Lofexidine (Lucemyra) for Treatment of Opioid Withdrawal Symptoms - STEPS - American ...

Mar 15, 2019 - Lofexidine has been shown to be as effective as clonidine at controlling some of the symptoms of withdrawal from opioid use. It may have a small additional benefit for maintaining abstinence in patients switched to buprenorphine or methadone for long-term maintenance.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0315/p392.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Screening for Atrial Fibrillation with Electrocardiography - Putting Prevention into ...

Mar 15, 2019 - M.T. is a 67-year-old woman who presents to your office requesting electrocardiography (ECG). Her brother was recently diagnosed with atrial fibrillation after screening with ECG, and she is concerned that she may have the same condition.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0315/p383.html

Increased Water Intake Decreases UTI Recurrence in Women - POEMs - American Family ...

Mar 15, 2019 - Drinking an additional 1.5 liters per day of water halved the recurrence of UTI in women with a history of at least three episodes per year.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od3.html

Screening for Atrial Fibrillation with Electrocardiography: Recommendation Statement - ...

Mar 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography.

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

https://www.aafp.org/afp/2019/0315/od1.html

Aspirin Plus a High-Dose PPI Prevents Death and Progression in Patients with Barrett ...

Mar 15, 2019 - In this study, patients with Barrett esophagus were less likely to die or develop esophageal cancer or high-grade dysplasia if they took high-dose esomeprazole (Nexium) alone or in combination with aspirin.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od5.html

Lorcaserin Is Safe, But Only Modestly Effective for Weight Loss - POEMs - American ...

Mar 15, 2019 - Lorcaserin, 10 mg twice daily, helps some patients lose 10% or more of their body weight (number needed to treat [NNT] = 10) and appears to be safe in terms of cardiovascular events.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od4.html

Osteoporosis, Childhood Bullying, Rheumatoid Arthritis, Diabetes Counseling, Inhaled ...

Mar 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/2019/0315/p356.html

Case Report: Efficient and Cost-Effective Diagnosis of Vaginitis - Letters to the ...

Mar 15, 2019 - Advertisement << Previous article Next article >> Mar 15, 2019 Issue Letters to the Editor Case Report: Efficient and Cost-Effective Diagnosis of Vaginitis Am Fam Physician. 2019 Mar 15;99(6):344. To the Editor: A 27-year-old woman presented with vaginal odor and increased discharge....

American Family Physician : Letter

https://www.aafp.org/afp/2019/0315/p344.html

We Matched! Now What?

Chandler Stisher was one of thousands of fourth-year medical students who matched to family medicine residency programs on Friday. In this Leader Voices Blog post, he shares some of the words that resonated most strongly with him as he approached Match Day.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190315lv-match.html

Three principles for improving patient satisfaction with service -- FPM

Practices can focus on improving these three areas to boost patient satisfaction with the quality of their care.

Family Practice Management : Quick Tips : FPM Home

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

Your State Legislature Is a Train Wreck? Don't Look Away

Kimberly Becher, M.D., writes in this Fresh Perspectives blog post that a day in her state capitol during a contentious legislative session rekindled her interest in health policy.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190314fp-stateadvocacy.html

How to get sedentary patients to exercise -- FPM

This Maryland-based practice created a special area trail guide to help patients get out of their house and get walking.

Family Practice Management : Quick Tips : FPM Home

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

Five mobile apps to encourage mindfulness -- FPM

Five mobile applications to help patients use mindfulness to treat depression, chronic pain, tobacco use disorder, and other problems.

Family Practice Management : Quick Tips : FPM Home

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

How Do You Deal With the Trauma? VT and Me

Anita Ravi, M.D., M.P.H., M.S.H.P., suffered vicarious trauma while repeatedly caring for patients who had experienced violence. In this Fresh Perspectives blog post, she writes about identifying it and seeking support.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190312fp-vicarioustrauma.html

Less than a month left to submit 2018 MIPS data -- FPM

Physicians eligible for the Merit-based Incentive Payment System in 2018 have only a few more weeks to report your quality measures.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/MIPS_2018_deadline.html

Spread the Word: Teaching Health Centers Deserve Support

Bills have been introduced in Congress that would authorize funding for the teaching health center program. Resident Michelle Byrne, M.D., M.P.H., makes the case for supporting the model, and tells others how they can help.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190307lv-thcgme.html

Our Maternal Mortality Rate Is Shameful

The United States is the only developed nation with a rapidly increasing maternal mortality rate. Natasha Bhuyan, M.D., examines what should be done about it.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190305fp-maternalmortality.html

Under Pressure: Health Care Needs Reform, Stable Markets

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update after legislators from both sides of the aisle introduced bills regarding health insurance.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190305itt-insurancereform.html

Curious About the ABFM Pilot? Here's My Experience So Far

Family physicians have long clamored for an alternative to the high-stakes continuing certification exam. In this Leader Voices Blog post, Tochi Iroku-Malize, M.D., M.P.H., M.B.A., offers her perspective on the Family Medicine Certification Longitudinal Assessment pilot.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190304lv-fmcla.html

Hepatitis B: Screening, Prevention, Diagnosis, and Treatment - American Family Physician

Mar 1, 2019 - Hepatitis B virus (HBV) is a partly double-stranded DNA virus that causes acute and chronic liver infection. Screening for hepatitis B is recommended in pregnant women at their first prenatal visit and in adolescents and adults at high risk of chronic infection. Hepatitis B vaccination ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0301/p314.html

Gas, Bloating, and Belching: Approach to Evaluation and Management - American Family ...

Mar 1, 2019 - Gas, bloating, and belching are associated with a variety of conditions but are most commonly caused by functional gastrointestinal disorders. These disorders are characterized by disordered motility and visceral hypersensitivity that are often worsened by psychological distress. An ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0301/p301.html

Adhesive Capsulitis: Diagnosis and Management - American Family Physician

Mar 1, 2019 - Adhesive capsulitis, also known as frozen shoulder, is a common shoulder condition characterized by pain and decreased range of motion, especially in external rotation. Adhesive capsulitis is predominantly an idiopathic condition and has an increased prevalence in patients with diabetes...

American Family Physician : Article

https://www.aafp.org/afp/2019/0301/p297.html

Pharmacologic Treatment of Borderline Personality Disorder - FPIN's Help Desk Answers -...

Mar 1, 2019 - There is no pharmacotherapy regimen that improves the overall symptoms of borderline personality disorder. When used for six months or less, antipsychotics can improve paranoia, dissociation, mood lability, anger, and global functioning.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0301/od2.html

Different Durations of Corticosteroid Therapy for COPD Exacerbations - Cochrane for ...

Mar 1, 2019 - Treatment of acute exacerbations of COPD with a shorter course of systemic corticosteroids (seven or fewer days) is likely to be as effective and safe as treating with longer courses (more than seven days).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0301/p295.html

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