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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 But medical information is always changing, and some information given here may be out of date.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

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

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

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

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

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

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

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

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

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

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 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

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

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

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

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

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

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

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

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

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

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

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

2019 AAFP/CompHealth Physician Happiness Survey -- Physician Health First

According to a 2019 AAFP/CompHealth Physician Happiness Survey, physicians are generally happy despite key issues that may lead to burnout.

Membership : Member Benefits

https://www.aafp.org/membership/benefits/physician-health-first/phf/physician-happiness-survey.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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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