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Office-Based Strategies to Combat Antimicrobial Resistance -- FPM Restricted content. Login required.

Dec 1, 2021 - The goal is not simply to avoid antibiotics but to use them in a judicious manner. Here are 10 steps family physicians, practices, and leaders can take.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/1100/p15.html

Comparison of Treatment Regimens for Helicobacter pylori Infection - Medicine by the ... Restricted content. Login required.

Sep 1, 2021 - A network meta-analysis found that vonoprazan-based triple therapy and reverse hybrid therapy demonstrated the highest overall cure rates and SUCRA values; however, among Western countries, levofloxacin-based triple therapy had the highest cure rate and SUCRA value. Standard triple ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0900/od1.html

Five Days of Antibiotic Therapy Is Comparable with 10 Days in Children with ... Restricted content. Login required.

Nov 1, 2021 - In a limited study, children with community-acquired pneumonia who were treated with five days of high-dose amoxicillin had cure rates comparable with those who were treated for 10 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od3.html

Anticonvulsants, SNRIs, and Rubefacients Are Best Initial Choices for Chronic Pain ... Restricted content. Login required.

Nov 1, 2021 - Given the balance of benefits and harms, there is moderately good evidence for anticonvulsants (pregabalin [Lyrica] and gabapentin [Neurontin] were similarly effective and well tolerated) and serotonin-norepinephrine reuptake inhibitors (SNRIs; with duloxetine [Cymbalta] and venlafaxine...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od6.html

Life After Residency: Exploring Practice Options in Family Medicine -- FPM Restricted content. Login required.

Oct 1, 2021 - Your options are limitless, so start your job search with a clear understanding of your personal and professional interests.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0900/p30.html

Special Considerations in Interpreting Liver Function Tests - American Family Physician

Apr 15, 1999 - A number of pitfalls can be encountered in the interpretation of common blood liver function tests. These tests can be normal in patients with chronic hepatitis or cirrhosis. The normal range for aminotransferase levels is slightly higher in males, nonwhites and obese persons. Severe ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2223.html

Some Nonpharmacologic Treatments May Decrease Migraine Frequency in Children and ... Restricted content. Login required.

Dec 1, 2021 - Active nonpharmacologic treatments such as biofeedback, relaxation techniques, and general or specific psychological support (e.g., cognitive behavior therapy) may be a good place to start when trying to decrease migraine frequency in children and adolescents. The research is positive, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od3.html

Tympanometry - American Family Physician

Nov 1, 2004 - Tympanometry provides useful quantitative information about the presence of fluid in the middle ear, mobility of the middle ear system, and ear canal volume. Its use has been recommended in conjunction with more qualitative information (e.g., history, appearance, and mobility of the ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1713.html

Using Race with Caution in the ASCVD Calculator - Curbside Consultation - American ... Restricted content. Login required.

Sep 1, 2021 - The use of race in clinical decision-making is a source of controversy in U.S. modern medicine. Definitions of race are inconsistent throughout the medical literature and in medical education, and most experts in biology and social sciences agree that race has a limited biologic basis ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0900/p292.html

Ultrasonography Is Accurate for Diagnosing Upper Extremity Fractures in Children - ... Restricted content. Login required.

Dec 1, 2021 - Diagnostic ultrasonography is highly accurate for diagnosing most upper extremity fractures but slightly less accurate for fractures involving the elbow. Clinicians should not use ultrasonography alone to rule in elbow fractures in children.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od4.html

Nonsteroidal Anti-Inflammatory Drug Injections for Trigger Finger - Medicine by the ... Restricted content. Login required.

Nov 1, 2021 - Learn more about nonsteroidal anti-inflammatory drug injections for trigger finger.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1100/od2.html

Third Pfizer Vaccine Dose Significantly Increases Protection Against Mild and Severe ... Restricted content. Login required.

Dec 1, 2021 - A third booster dose of the Pfizer-BioNTech mRNA vaccine against COVID-19 provides a large increase in protection for people 60 years and older against mild and severe infection. The protection against mild infection could help reduce community spread and reduce the incidence of long ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od2.html

A Practical Guide to Physician Disability Insurance -- FPM Restricted content. Login required.

Oct 1, 2021 - Insurance policies can keep you financially whole if a disability reduces your earning potential, but it’s important to choose the right combination of coverage

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0900/p10.html

Antibiotic Stewardship Throughout the Primary Care Visit: Opportunities for Office ... Restricted content. Login required.

Dec 1, 2021 - Engaging office staff will make your practice’s antibiotic stewardship efforts more effective.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/1100/p10.html

How to Respond to Unreasonable Patient Expectations -- FPM Restricted content. Login required.

Dec 1, 2021 - Sometimes, what the patient wants isn’t what the patient needs.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2021/1100/p36.html

Family Physicians Continue to Offer the Most Comprehensive Care - Graham Center Policy ...

Dec 1, 2021 - Comprehensiveness of care is one of the cardinal attributes of high-performing primary care. Evidence has shown that more comprehensive care, as measured by the number of services offered, is associated with lower costs and a reduction in hospitalizations. Comprehensiveness of care may ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2021/1200/p560.html

Practice Pearls - Nov-Dec 2021 -- FPM Restricted content. Login required.

Dec 1, 2021 - Sort patients by risk using these three methods | Focus on these four areas for value-based care success | Partner with substance use disorder treatment programs

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2021/1100/p33.html

Put Your Clinical Data to Work With a Registry -- FPM Restricted content. Login required.

Dec 1, 2021 - Unlike most EHRs, registries can make patient data accessible and actionable, leading to better outcomes and easier quality reporting.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/1100/p21.html

Left Atrial Appendage Occlusion During Cardiac Surgery for Another Reason Reduces the ... Restricted content. Login required.

Dec 1, 2021 - Surgical closure of the left atrial appendage during cardiac surgery for another reason safely reduces the risk of ischemic stroke. Because the risk of stroke in the first 30 days after any cardiac surgery is approximately 2% and the absolute reduction in the risk of stroke with the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od5.html

Diary of a Family Physician - Dec 01, 2021 - American Family Physician

Dec 1, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/1200/p644.html

Parasitic Infections: Do Not Neglect Strongyloidiasis - Editorials - American Family ...

Sep 1, 2021 - Although the intestinal roundworm Strongyloides stercoralis is not on the Centers for Disease Control and Prevention's list of neglected parasitic infections, it deserves increased awareness. There are an estimated 30 million to 100 million infections from S. stercoralis worldwide and a...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0900/p224.html

Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List - Practice Guidelines ... Restricted content. Login required.

May 15, 2021 - The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0515/p633.html

Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with... Restricted content. Login required.

Oct 1, 2021 - A 36-year-old patient, L.B., with a history of hypertension presents for a wellness visit. The patient's mother had a stroke at 65 years of age and the patient's older brother recently had a heart attack. L.B. has an estimated 10-year cardiovascular risk of 6%, and L.B.'s body mass ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1000/p411.html

Glycemic Control in Hospitalized Patients Not in Intensive Care: Beyond Sliding-Scale ...

May 1, 2010 - Glycemic control in hospitalized patients who are not in intensive care remains unsatisfactory. Despite persistent expert recommendations urging its abandonment, the use of sliding-scale insulin remains pervasive in U.S. hospitals. Evidence for the effectiveness of sliding-scale insulin...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1130.html

Screening for Colorectal Cancer - Putting Prevention into Practice - American Family ... Restricted content. Login required.

Sep 1, 2021 - A 47-year-old patient presents for a routine physical examination. The patient does not have a history of colorectal cancer, inflammatory bowel disease, or adenomatous polyps or a family history of colorectal cancer. The patient's body mass index is 29 kg per m2, and the A1C level at ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0900/p295.html

Tirbanibulin (Klisyri) for the Treatment of Actinic Keratosis - STEPS - American Family... Restricted content. Login required.

Nov 1, 2021 - The cost and effectiveness profile of tirbanibulin make it a last-line option compared with current first-line therapies such as fluorouracil and imiquimod, which are less expensive and have a higher clearance rate of AK lesions. Further trials comparing the effectiveness of ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/1100/p519.html

Basal Cell Carcinoma: Comparison of Surgical and Nonsurgical Interventions - Cochrane ... Restricted content. Login required.

Nov 1, 2021 - The recurrence rate after surgical management of BCC by standard surgical excision or Mohs micrographic surgery is very low. Recurrence after management with imiquimod (Aldara) is also low and may result in more favorable cosmetic outcomes. Other nonsurgical options may have acceptably ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p459.html

Medications for Smoking Cessation: Guidelines from the American Thoracic Society - ... Restricted content. Login required.

Mar 15, 2021 - The American Thoracic Society (ATS) published guidelines for medication initiation in tobacco-dependent adults based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0315/p380.html

Practical Ways to Manage Your EHR Inbox -- FPM Restricted content. Login required.

Aug 1, 2021 - These 10 tips can help reduce your workload during and after clinic, so you can focus on what matters most.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p27.html

Combatting COVID-19 Information Overload -- FPM

Dec 1, 2021 - In the digital age, patients sometimes have the same access to the latest information as family physicians. But they still need us to filter it for them.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/1100/p5.html

Hyperpigmentation of the Hands, Feet, and Tongue - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 1, 2021 - A patient presented with a painless, non-pruritic rash involving his palms, soles, and tongue after undergoing chemotherapy.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0900/p301.html

Applying a Clinical Prediction Rule to Distinguish Lower Extremity Cellulitis from Its ... Restricted content. Login required.

Sep 1, 2021 - How can the clinician best determine whether a patient with lower leg erythema has cellulitis?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/0900/p309.html

Climate Change and the Local Environment: Communicating with Your Patients about Health... Restricted content. Login required.

Nov 1, 2021 - This case provides an example of how climate change and the environment can have significant impacts on the health of our patients. It also illustrates the complex interaction of local, regional, and global environmental harms. The wide scope of environmental threats to human health ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/1100/p526.html

Find Your Side Gig: Extra Income Opportunities for Family Physicians -- FPM Restricted content. Login required.

Oct 1, 2021 - Traditional offerings still abound, but advances in technology have also opened up new possibilities.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0900/p25.html

Nausea and Vomiting in Pregnancy - American Family Physician

Jul 1, 2003 - Nausea and vomiting of pregnancy, commonly known as 'morning sickness,' affects approximately 80 percent of pregnant women. Although several theories have been proposed, the exact cause remains unclear. Recent research has implicated Helicobacter pylori as one possible cause. Nausea and...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p121.html

The 2021 Medicare Payment and CPT Coding Update -- FPM

Feb 1, 2021 - This year’s changes bode well for family physicians, with an expected increase in Medicare allowed charges.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/oa1.html

The Risk of Progression from Prediabetes to Diabetes in Older Adults Is Low - POEMs - ... Restricted content. Login required.

Sep 1, 2021 - Older patients generally will not progress to diabetes; they will either, over an average of 6.5 years, stay at the prediabetic levels or revert to normal levels. If a patient makes it to their mid-70s without a diagnosis of diabetes, it is unlikely to occur.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od3.html

Iron Deficiency Anemia - American Family Physician

Mar 1, 2007 - The prevalence of iron deficiency anemia is 2 percent in adult men, 9 to 12 percent in non-Hispanic white women, and nearly 20 percent in black and Mexican-American women. Nine percent of patients older than 65 years with iron deficiency anemia have a gastrointestinal cancer when ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p671.html

Treating Onychomycosis - American Family Physician

Feb 15, 2001 - Onychomycosis accounts for one third of fungal skin infections. Because only about one half of nail dystrophies are caused by fungus, the diagnosis should be confirmed by potassium hydroxide preparation, culture or histology before treatment is started. Newer, more effective antifungal ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p663.html

Should Allele Testing Be Done Before Prescribing Allopurinol to Prevent Severe ... Restricted content. Login required.

Nov 1, 2021 - Moderate evidence supports allele testing for HLA-B*58:01 before initiating allopurinol to decrease the incidence of SCARs in higher risk populations. Patient populations who are not at increased risk should not be screened.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1100/p513.html

Dual Antiplatelet Therapy Is Superior to Aspirin in Preventing Short-Term Recurrent ... Restricted content. Login required.

Nov 1, 2021 - If the authors have found all the relevant studies, administering dual antiplatelet therapy within 24 hours of a mild to moderate stroke or TIA is more effective than aspirin at decreasing recurrent stroke over the subsequent 90 days. There is a low overall risk of major bleeding, but ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od5.html

Aptima Assay for Detection of Mycoplasma genitalium Infection - Diagnostic Tests: What ... Restricted content. Login required.

Nov 1, 2021 - The Aptima M. genitalium assay is highly sensitive and specific. The Centers for Disease Control and Prevention recommends the use of NAAT testing for M. genitalium infection in men with recurrent nongonococcal urethritis, in women with recurrent cervicitis, and possibly in women with ...

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

https://www.aafp.org/afp/2021/1100/p517.html

Interpretation of the Electronic Fetal Heart Rate During Labor - American Family Physician

May 1, 1999 - Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention. Since ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2487.html

Evaluation of the Patient with Muscle Weakness - American Family Physician

Apr 1, 2005 - Muscle weakness is a common complaint among patients presenting to family physicians. Diagnosis begins with a patient history distinguishing weakness from fatigue or asthenia, separate conditions with different etiologies that can coexist with, or be confused for, weakness. The pattern ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1327.html

Melatonin to Treat Insomnia in Older Adults - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Sep 1, 2021 - Melatonin preparations reduce sleep-onset latency, increase total sleep time, and slightly improve sleep efficiency. Prolonged-release melatonin reduces sleep-onset latency in older adults and has rates of adverse effects similar to those of placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0900/p297.html

Antibiotic Therapy Does Not Prevent Death or Acute Exacerbations in Adults with ... Restricted content. Login required.

Nov 1, 2021 - The study found an increased number of adverse events without any significant benefit from antimicrobial therapy compared with usual care alone for adults with IPF. The study was terminated earlier than planned because of futility and the possibility of significantly increased harm.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od4.html

Nerve Injury, Survivors of Sexual Assault, Obstructive Sleep Apnea, Bipolar Disorder, ... Restricted content. Login required.

Nov 1, 2021 - 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/2021/1100/p453.html

Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ...

Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1215/p782.html

AFP Photo Contest Winners! - Inside AFP - American Family Physician Restricted content. Login required.

Nov 1, 2021 - This summer we held the first American Family Physician photo competition, which was intended to encourage students and residents to share their stories through photographs about how they use the AFP journal.

American Family Physician : Inside AFP

https://www.aafp.org/afp/2021/1100/p442.html

Schizophrenia: Use of Antipsychotic Drugs for Maintenance Therapy - Cochrane for ... Restricted content. Login required.

Oct 1, 2021 - Compared with placebo, using antipsychotic drugs for maintenance therapy in patients with schizophrenia is associated with relapse prevention at seven to 12 months.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p355.html

Ectopic Pregnancy - American Family Physician

Feb 15, 2000 - Ectopic pregnancy occurs at a rate of 19.7 cases per 1,000 pregnancies in North America and is a leading cause of maternal mortality in the first trimester. Greater awareness of risk factors and improved technology (biochemical markers and ultrasonography) allow ectopic pregnancy to be ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1080.html

Interventions to Improve Use of CPAP Machines in Adults with Obstructive Sleep Apnea - ... Restricted content. Login required.

Oct 1, 2021 - Behavioral interventions increase CPAP use compared with usual care. These interventions also increase CPAP adherence, measured by participants using their machine four or more hours per night, from 371 to 501 per 1,000 patients.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p356.html

Treatment of Seborrheic Dermatitis - American Family Physician

May 1, 2000 - Seborrheic dermatitis is a chronic inflammatory disorder affecting areas of the head and trunk where sebaceous glands are most prominent. Lipophilic yeasts of the Malassezia genus, as well as genetic, environmental and general health factors, contribute to this disorder. Scalp seborrhea...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2703.html

Mirtazapine: A Newer Antidepressant - American Family Physician

Jan 1, 1999 - Mirtazapine is a newer antidepressant that exhibits both noradrenergic and serotonergic activity. It is at least as effective as the older antidepressants for treating mild to severe depression. Sedation is the most common side effect. Although agranulocytosis is the most serious side ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p159.html

Fecal Calprotectin for the Evaluation of Inflammatory Bowel Disease - Diagnostic Tests:... Restricted content. Login required.

Sep 1, 2021 - Fecal calprotectin measurement is an accurate, simple, cost-effective test that can aid in selecting which patients presenting with possible IBD can be safely observed in the primary care setting.

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

https://www.aafp.org/afp/2021/0900/p303.html

Once-Weekly Semaglutide Is an Effective Adjunct for Weight Loss in Adults without ... Restricted content. Login required.

Jul 1, 2021 - Once-weekly subcutaneous semaglutide used as an adjunct to intensive behavioral therapy significantly improves the likelihood that adults without diabetes who are overweight or obese will lose at least 5% of their baseline body weight compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p96.html

Does Light Therapy Decrease Depression in Older Adults? - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2021 - Light therapy appears to be mildly effective in treating depression in older adults, but ideal wavelength, intensity, and length of treatment are unknown.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1000/p417.html

Practice Pearls - Sep-Oct 2021 -- FPM

Oct 1, 2021 - Delegate more tasks to your team with clinic protocols | Answer these five questions before your next big career move | Bond with patients by asking about their passions

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2021/0900/p37.html

Coding & Documentation - Sep-Oct 2021 -- FPM Restricted content. Login required.

Oct 1, 2021 - New vs. established patients when covering for other physicians | Coding for weekend clinic services | Incident-to rules for Medicare Advantage plans | Correcting scribe documentation | Removing earwax using instrumentation

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/0900/p36.html

Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: ...

Jan 15, 2017 - The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are ...

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

https://www.aafp.org/afp/2017/0115/od1.html

Community Vision Screening in Older Adults - FPIN's Help Desk Answers - American Family... Restricted content. Login required.

Oct 1, 2021 - The available evidence does not support screening adults 65 years and older for visual impairment in the primary care setting.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/1000/p419.html

For Patients with Type 2 Diabetes Mellitus Who Are Taking a GLP-1 Receptor Agonist, an ... Restricted content. Login required.

Oct 1, 2021 - This propensity score–matched analysis (not funded by industry) concluded that an SGLT2 inhibitor is preferred over a sulfonylurea for patients with type 2 diabetes who are already taking a GLP-1 receptor agonist, with favorable effects on the likelihood of hospitalization for ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p424.html

Management of Herpes Zoster (Shingles) and Postherpetic Neuralgia - American Family ...

Apr 15, 2000 - Herpes zoster (commonly referred to as

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2437.html

FMLA Does Not Need to Be a Four-Letter Word -- FPM Restricted content. Login required.

Aug 1, 2021 - These tips can help you complete FMLA paperwork quickly and accurately.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p12.html

A Bonus, Not a Burden: How Medical Students Can Add Value to Your Practice -- FPM

Oct 1, 2021 - When done well, precepting is a win-win-win for physicians, medical students, and patients.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0900/oa1.html

Perioperative Cardiac Risk Reduction - American Family Physician

Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p239.html

Alcohol Withdrawal Syndrome - American Family Physician

Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1443.html

Poor Physician-Patient Communication and Medical Error - Lown Right Care: Reducing ... Restricted content. Login required.

Jun 15, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2021/0615/p757.html

How to Spot and Tactfully Handle Discrimination in the Health Care Setting -- FPM Restricted content. Login required.

Oct 1, 2021 - In the moment, it can be difficult to respond effectively, but practicing these four skills and tactics can help.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0900/p21.html

The View From the Top: Leadership Lessons From Family Physician Executives -- FPM Restricted content. Login required.

Oct 1, 2021 - Family physician leaders share their 10 keys to success.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0900/p6.html

Can Pioglitazone Prevent or Delay Type 2 Diabetes in Patients with Prediabetes? - ... Restricted content. Login required.

Aug 1, 2021 - Pioglitazone prevents or delays the incidence of type 2 diabetes in individuals with prediabetes when compared with placebo (absolute risk reduction [ARR] = 11.3%; 95% CI, 0.9% to 15.6%; number needed to treat [NNT] = 9) or no intervention (ARR = 13.3%; 95% CI, 11.6% to 14.9%; NNT = 7)....

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0800/p139.html

Screening for Ovarian Cancer with CA 125 and Ultrasound Algorithm Does Not Reduce ... Restricted content. Login required.

Oct 1, 2021 - Like the U.S. Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial, this large and long U.K. study found no reduction in ovarian cancer mortality with screening using ultrasonography or a multimodal CA 125–based screening strategy.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p422a.html

Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM

Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p19.html

Recurrent Venous Thromboembolism - American Family Physician

Feb 1, 2011 - A previous venous thromboembolism is the most important risk factor for predicting recurrence of the condition. Several studies have shown that routine testing for inherited thrombophilias is not helpful in predicting the risk of recurrence or altering treatment decisions, and therefore...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p293.html

Tips for Balancing Parenthood and Medicine -- FPM Restricted content. Login required.

Oct 1, 2021 - With limits and support, it can be done.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2021/0900/p40.html

Recalcitrant Annular Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Oct 1, 2021 - A patient presented with a pruritic, nonscaly, ring-like rash on the dorsa of both hands.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p415.html

Urinary Tract Infections in Adults - American Family Physician

Mar 1, 1999 - Urinary tract infections remain a significant cause of morbidity in all age groups. Recent studies have helped to better define the population groups at risk for these infections, as well as the most cost-effective management strategies. Initially, a urinary tract infection should be ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1225.html

Managing a Telephone Encounter: Five Tips for Effective Communication -- FPM

Jun 1, 2020 - Doctoring by phone is a skill I never thought I’d have to learn.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0500/p4.html

Slow-Growing Thumb Nodule - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 1, 2021 - A patient presented with a small, firm nodule on the volar aspect of the interphalangeal joint of the left thumb.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0201/p179.html

Single-Dose Oral Dexamethasone Decreases Sore Throat Pain - POEMs - American Family ...

Feb 15, 2018 - Sore throats are rarely fatal anymore, but there is really no such thing as just a sore throat. Whereas antibiotics have no analgesic activity, a single low dose of a corticosteroid such as oral dexamethasone—0.6 mg per kg for children at least five years of age and up to 10 mg for ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0215/od1.html

Growing Mass in an Adolescent - Photo Quiz - American Family Physician Restricted content. Login required.

Oct 1, 2021 - A patient presented with a polypoid, unpigmented mass on the top of the head that was raised and asymmetrical with slightly irregular borders.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p413.html

Depression, Cervical Myelopathy, Diagnostic Imaging, Eating Disorders, Vitamin K ... Restricted content. Login required.

Oct 1, 2021 - 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/2021/1000/p354.html

Toilet Training - American Family Physician

Nov 1, 2008 - Toilet training is a developmental task that impacts families with small children. All healthy children are eventually toilet trained, and most complete the task without medical intervention. Most research on toilet training is descriptive, although some is evidence based. In the United...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1059.html

Efficient Approach to the Evaluation of Syncope - Lown Right Care: Reducing Overuse and... Restricted content. Login required.

Sep 1, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2021/0900/p305.html

Pharmacologic Management of Agitation in Patients with Dementia - FPIN's Clinical ... Restricted content. Login required.

Jul 1, 2021 - Selective serotonin reuptake inhibitors and risperidone are moderately effective at decreasing agitation in all types of dementia. Olanzapine and risperidone reduce dementia-related agitation much longer than placebo. Dextromethorphan/quinidine may be effective at reducing agitation in ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0700/p91.html

Ultrasound Guidance for the Placement of Peripheral Intravenous Catheters - Medicine by... Restricted content. Login required.

Oct 1, 2021 - Learn more about ultrasound guidance for the placement of peripheral intravenous catheters.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1000/od2.html

Pelvic Floor Muscle Training to Prevent and Treat Urinary and Fecal Incontinence in ... Restricted content. Login required.

Sep 1, 2021 - Structured PFMT beginning early in pregnancy prevents the onset of urge incontinence later in pregnancy and in the postpartum period compared with no intervention. There is no evidence that PFMT improves urinary incontinence later in pregnancy or in the postpartum period in pregnant ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p234.html

Reducing Saturated Fat Intake to Decrease the Risk of Cardiovascular Disease - Cochrane... Restricted content. Login required.

Sep 1, 2021 - Reducing saturated fat in the diet for at least two years decreases the risk of combined cardiovascular events. However, there is little to no effect on cardiovascular mortality, all-cause mortality, or individual cardiovascular events.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p235.html

Treatment of Lateral Epicondylitis - American Family Physician

Sep 15, 2007 - Lateral epicondylitis is a common overuse syndrome of the extensor tendons of the forearm. It is sometimes called tennis elbow, although it can occur with many activities. The condition affects men and women equally and is more common in persons 40 years or older. Despite the prevalence...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p843.html

Canadian Syncope Risk Score: A Validated Risk Stratification Tool - Point-of-Care ... Restricted content. Login required.

Mar 15, 2021 - Which adults presenting to an emergency department with syncope should be hospitalized?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/0315/p375.html

Physician Employment Eclipses Practice Ownership: The Ongoing Trend and Its Effect on ...

Oct 1, 2021 - In 2016, for the first time, less than one-half of practicing physicians had an ownership stake in their own practices. The most recent American Medical Association Physician Practice Benchmark Survey reveals that this trend continues. More physicians are identifying as employees ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2021/1000/p351.html

No Difference in Cognitive Decline in Older Patients with Coronary Artery Disease ... Restricted content. Login required.

Oct 1, 2021 - The study found no significant difference in the rate of memory decline among older adults with CAD who are undergoing coronary revascularization with CABG or PCI.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p422.html

Diary of a Family Physician - Oct 01, 2021 - American Family Physician

Oct 1, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/1000/p421.html

Clinical Vignettes in Geriatric Depression - American Family Physician

Nov 15, 2011 - The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1149.html

Treatment of Edema - American Family Physician

Jun 1, 2005 - Edema is the result of an imbalance in the filtration system between the capillary and interstitial spaces. The kidneys play a key role in regulating extracellular fluid volume by adjusting sodium and water excretion. Major causes of edema include venous obstruction, increased capillary...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2111.html

Now More Than Ever, Mental Health Care Needs Family Medicine -- FPM

Jun 1, 2021 - With the stress of the pandemic exacerbating patients’ health issues, primary care physicians have an unparalleled opportunity to address both their physical and their mental health needs.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0500/oa1.html

Slow-Growing, Painless Periungual Nodule - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 1, 2021 - A patient presented with a painless, slow-growing lesion on her finger that had been present for several years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0900/p299.html

The Abnormal Fontanel - American Family Physician

Jun 15, 2003 - The diagnosis of an abnormal fontanel requires an understanding of the wide variation of normal. At birth, an infant has six fontanels. The anterior fontanel is the largest and most important for clinical evaluation. The average size of the anterior fontanel is 2.1 cm, and the median ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2547.html

Acute Sharp Flank Pain - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with stiffness and pain in his lower back and both thighs and an abnormal CT scan.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0800/p201.html

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

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