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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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Lesions on the Roof of the Mouth - Photo Quiz - American Family Physician

Mar 1, 2019 - Advertisement << Previous article Next article >> Mar 1, 2019 Issue Photo Quiz Lesions on the Roof of the Mouth SINDHUJA TEKUMALLA, MBBS; ANURADHA BISHNOI, MD; and KESHAVAMURTHY VINAY, MD, DNB, MNAMS, MRCP (SCE), Postgraduate Institute of Medical Education and Research, Chandigarh,...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0301/p327.html

Preparing for Serious Illness: A Model for Better Conversations over the Continuum of ...

Mar 1, 2019 - How can we ensure that our seriously ill patients routinely get the right care without relying on individual sacrifice and luck?

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0301/p281.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

Myocardial Infarction: Expert Consensus Group Provides Updated Definition - Practice ...

Mar 1, 2019 - An expert consensus group of the European Society of Cardiology, American College of Cardiology Foundation, American Heart Association, and World Heart Federation has provided an updated universal definition of myocardial infarction.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0301/p334.html

Management of Uterine Fibroids - Implementing AHRQ Effective Health Care Reviews - ...

Mar 1, 2019 - What are the comparative effectiveness and harms of treatments for uterine fibroids, and what is the risk of finding unexpected leiomyosarcoma in women with fibroids?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0301/p330.html

Smectite for Acute Infectious Diarrhea in Children - Cochrane for Clinicians - American...

Mar 1, 2019 - When compared with placebo, smectite decreases the duration of diarrhea by about a day, with a mean difference of 24.4 fewer hours of diarrhea (95% confidence interval [CI], 17.9 to 30.9 hours). Smectite also decreases stool output by 11.4 g per kg (95% CI, 0.8 to 22 g per kg).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0301/p294.html

To Prepare Patients Better: Reimagining Advance Care Planning - Editorials - American ...

Mar 1, 2019 - Forty-five million Americans live with one or more serious illnesses, many of which are life-limiting and marked by functional decline. Family physicians play a pivotal role in the care of these patients through their deep, longitudinal relationships.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0301/p278.html

Hemorrhoids, Tremor, C. difficile Infection, Migraine, Vitamin D Screening - AFP ...

Mar 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/2019/0301/p285.html

Metformin for Improving Maternal and Infant Outcomes in Pregnant Women Who Are Obese - ...

Mar 1, 2019 - This meta-analysis showed no clear benefit for metformin in reducing the risk of large for gestational age infants. Additionally, there was no difference in important secondary outcomes such as gestational diabetes, hypertensive disease in pregnancy, shoulder dystocia, advanced perineal...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0301/od1.html

CMS finds errors in MIPS payment adjustments -- FPM

The Centers for Medicare and Medicaid Services says it is working to fix errors in how this year's MIPS payment adjustments were applied to some physicians.

Family Practice Management : Getting Paid : FPM Home

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

Two ways to address difficult emotions in the exam room -- FPM

When patients display negative emotions in the exam room, such as anger or frustration, asking them about their feelings can feel risky. Using these two strategies can help you better address patients’ difficult emotions and protect the healing process.

Family Practice Management : Quick Tips : FPM Home

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

Gas, Bloating, and Belching - American Family Physician

Mar 1, 2019 - Advertisement << Previous article Next article >> Mar 1, 2019 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/0301/p301-s1.html

Hepatitis B - American Family Physician

Mar 1, 2019 - Advertisement << Previous article Next article >> Mar 1, 2019 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/0301/p314-s1.html

Ten steps to better practice efficiency -- FPM

Proven techniques borrowed from the manufacturing industry could help your practice operate more efficiently. Here are 10 steps to help eliminate bottlenecks in your workflow and save time.

Family Practice Management : Quick Tips : FPM Home

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

How to properly code for a Pap smear -- FPM

Screening for cervical cancer is often included in the physical exam portion of a preventive medicine service. Follow this advice to see when you can bill separately for a Pap smear.

Family Practice Management : Getting Paid : FPM Home

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

The accurate valuation of office visits: one thing you can do -- FPM

The relative value of office-based E/M codes is being reviewed. To help inform that review, family physicians can take this one critical step.

Family Practice Management : Getting Paid : FPM Home

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

Finding the Right Mentor Is Worth the Quest

Mentors, regardless of specialty, can have a profound effect on students. AAFP President-elect Gary LeRoy, M.D., writes in this Leader Voices Blog post that a surgeon helped start him on his way to a career in medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190225lv-mentoring.html

New reports look at family medicine office visit billing -- FPM

Here's what to do with that Medicare comparative billing report you may have received analyzing how you bill family medicine office visits.

Family Practice Management : Getting Paid : FPM Home

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

Two simple ways to improve patient satisfaction with visit length -- FPM

How do you prevent the patient complaint My doctor didn’t spend enough time with me, especially if you can’t increase visit length? Research points to two techniques that can help patients feel more satisfied with the amount of time you spend with them.

Family Practice Management : Quick Tips : FPM Home

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

Take Note of Growing Demand for Subscription Services

Consumer Reports recently advised consumers that direct primary care could save them money and improve their care. Allison Edwards, M.D., makes the case for the subscription model 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/20190222fp-subscriptioncare.html

Three myths about HIPAA -- FPM

Although HIPAA has existed for more than 20 years, many organizations still struggle to interpret the law correctly. When their interpretations are too strict, it can make physician and staff jobs harder than they need to be. Here are three common myths about HIPAA.

Family Practice Management : Quick Tips : FPM Home

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

Shift Health System's Focus From Profit to Prevention

Leonard Reeves, M.D., writes in this Leader Voices Blog post that a single-payer system reserved for primary care would put the focus on keeping people healthy rather than on treating illness.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190221lv-change.html

Bipartisan Work on Crucial Issues Deserves Support

Congress is showing signs of bipartisan agreement on three health care issues. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update on prescription drug pricing, physician workforce training and insurance reform.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190219itt-bipartisan.html

Let's Take a Public Health Approach to Climate Change

Nearly 80 percent of Americans believe climate change is happening. M.P.H. candidate Stewart Decker, M.D., offers a public health approach to convincing the rest and addressing the problem.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190218fp-climate.html

Better Health Care for Veterans Requires Better Payment

Ada Stewart, M.D., who cares for active-duty soldiers and veterans as a U.S. Army Reserve physician, as well as in her civilian practice, writes about the urgent need for payment and workforce reform in the nation's veterans health care system.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190218lv-veterans.html

Type 2 Diabetes Therapies: A STEPS Approach - American Family Physician

Feb 15, 2019 - A concise way to evaluate pharmacotherapy options for type 2 diabetes mellitus is to use the five patient-oriented STEPS criteria: safety, tolerability, efficacy, price, and simplicity. The first-line treatment option, metformin, is safe and fairly well-tolerated, has excellent ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p237.html

Acute Hand Infections - American Family Physician

Feb 15, 2019 - Acute hand infections are often caused by puncture wounds and are generally classified into superficial or deep infections. Superficial infections occur in the skin and subcutaneous tissues, whereas deep infections can involve the tendon sheaths, adjacent anatomic compartments, deep ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p228.html

Manipulative Therapies: What Works - American Family Physician

Feb 15, 2019 - Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p248.html

Screening for Cervical Cancer: Recommendation Statement - U.S. Preventive Services Task...

Feb 15, 2019 - The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus ...

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

https://www.aafp.org/afp/2019/0215/od1.html

Additional Rheumatologic Tests Critical in Patients with Systemic Sclerosis - Letters ...

Feb 15, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0215/p221.html

Screening for Cervical Cancer - Putting Prevention into Practice - American Family ...

Feb 15, 2019 - P.J., a 48-year-old woman, presents to your office for a well-woman examination. She has been married for eight years, has no history of sexually transmitted diseases, and has nothing remarkable in her medical history.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0215/p253.html

Metformin for Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis - ...

Feb 15, 2019 - Metformin does not seem to be an effective treatment for nonalcoholic steatohepatitis. There are no studies evaluating whether metformin improves long-term patient-oriented outcomes such as progression from NAFLD to nonalcoholic steatohepatitis, cirrhosis, hepatocellular carcinoma, or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0215/p262.html

Osteopathic Manipulative Treatment: A Primary Care Approach - Editorials - American ...

Feb 15, 2019 - Osteopathic manipulative treatment is a valuable modality that has the potential to decrease cost and improve pain/function in patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0215/p214.html

Abaloparatide (Tymlos) for Osteoporosis - STEPS - American Family Physician

Feb 15, 2019 - Abaloparatide is a safe and effective medication used to reduce the likelihood of vertebral and nonvertebral fractures in women at high risk. However, it is expensive and requires daily injections. It has not been evaluated for its effect on decreasing hip fractures.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0215/p260.html

Otalgia, Preeclampsia, Latent Tuberculosis, Pityriasis Rosea, Extremity Pain - AFP ...

Feb 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/2019/0215/p226.html

ACIP Approves 2019 Adult and Childhood/Adolescent Immunization Schedules - Practice ...

Feb 15, 2019 - The 2019 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0215/p264.html

Growth on the Abdomen - Photo Quiz - American Family Physician

Feb 15, 2019 - Advertisement << Previous article Next article >> Feb 15, 2019 Issue Photo Quiz Growth on the Abdomen DARIN KENNEDY, MD, FAAFP, and RHONNIE SONG, MD, Atrium Health, Charlotte, North Carolina Am Fam Physician. 2019 Feb 15;99(4):255-256. A 36-year-old man presented with a growth on his...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0215/p255.html

Time to check your 2019 MIPS eligibility status -- FPM

If you are unclear whether the Merit-based Incentive Payment System applies to you in 2019, use this tool to check your eligibility.

Family Practice Management : Getting Paid : FPM Home

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

A checklist for better dementia care plans -- FPM

Physicians may not be able to control many facets of dementia care, but this checklist can help you tackle the cognitive, functional, and behavioral losses that most matter to patients and their families.

Family Practice Management : Quick Tips : FPM Home

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

Hand Infections - American Family Physician

Feb 15, 2019 - Advertisement << Previous article Next article >> Feb 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/2019/0215/p228-s1.html

Why did that idea flop? -- FPM

Are you committing one of three key mistakes that can prevent sustainable change from taking hold in your practice?

Family Practice Management : Quick Tips : FPM Home

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

How to find joy in medicine, one day at a time -- FPM

A Grand Rapids, Mich., physician discusses what her team does every day to remember why they're in medicine.

Family Practice Management : Quick Tips : FPM Home

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

Are Your Patients Wasting Money on Supplements?

According to the latest Fresh Perspectives blog post, a recent survey found that nearly 90 percent of adults take vitamins or supplements, but less than 25 percent of respondents had a confirmed nutrient deficiency.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190213fp-supplements.html

High-maintenance patients: protecting yourself and your practice -- FPM

Every physician has a patient or two (or more) who make frequent and unreasonable demands for treatment, tests, or referrals, treat staff poorly, and drain the physician’s time and energy. Rather than allow these patients’ bad behavior to affect yours, follow this simple advice.

Family Practice Management : Quick Tips : FPM Home

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

How to avoid payment denials on two common diagnostic tests -- FPM

The Centers for Medicare and Medicaid Services is advising physician practices on how to avoid billing errors for two common diagnostic tests.

Family Practice Management : Getting Paid : FPM Home

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

Three tips for better risk-adjustment coding -- FPM

Your payment is increasingly tied to the severity of your patients’ conditions. These three guidelines will help you make sure you’re using the codes that best reflect their level of risk.

Family Practice Management : Quick Tips : FPM Home

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

How to calculate the value of team documentation -- FPM

Having a medical assistant or nurse handle the paperwork related to patient visits can help you be more efficient and increase revenue. Here’s how to calculate the value.

Family Practice Management : Getting Paid : FPM Home

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

Can Design Thinking Improve Health Care for Patients, Physicians?

Design thinking requires decision-makers to empathize with, and test potential solutions with, users and stakeholders. Lalita Abhyankar, M.D., M.H.S., shares insights from a crash course on the process.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190205fp-designthinking.html

Window of Opportunity Opening to Revalue E/M Codes

Codes for evaluation and management services have not had a comprehensive review by CMS in more than a decade. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that it's time to correct that oversight.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190205itt-emcodes.html

True Mentors Help Students Find Where They Belong

Medical student Chandler Stisher writes that family medicine mentors should show students how the specialty aligns with their interests.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190204lv-mentors.html

First Trimester Bleeding: Evaluation and Management - American Family Physician

Feb 1, 2019 - Approximately one-fourth of pregnant women will experience bleeding in the first trimester. The differential diagnosis includes threatened abortion, early pregnancy loss, and ectopic pregnancy. Pain and heavy bleeding are associated with an increased risk of early pregnancy loss. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p166.html

Gastroenteritis in Children - American Family Physician

Feb 1, 2019 - Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. In the United States, acute gastroenteritis accounts for 1.5 million office visits, 200,000 hospitalizations, and 300 deaths in children each year. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p159.html

Renal Cell Carcinoma: Diagnosis and Management - American Family Physician

Feb 1, 2019 - Kidney cancer is one of the 10 most common cancers in the United States with 90% being attributed to renal cell carcinoma. Men, especially black men, are more likely to be affected than women. Renal masses, either cystic or solid, are best detected with contrast-enhanced, triple-phase ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p179.html

Antibiotic Prophylaxis for UTIs in Patients with Neurogenic Bladder - FPIN's Help Desk ...

Feb 1, 2019 - Daily antibiotic prophylaxis should not be used in patients with acute and nonacute spinal cord injuries.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0201/p186.html

Urinary Incontinence: Screening Recommendation from the WPSI - Practice Guidelines - ...

Feb 1, 2019 - Urinary incontinence adversely affects health, quality of life, and function for most women at some point in their lives. However, it is underreported because of embarrassment, stigma, or acceptance as normal. Early intervention may reduce progression, improve quality of life, and limit...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0201/p194.html

Tools for Better Dementia Care -- FPM

Feb 1, 2019 - Quality measures and clinical tools can bring focus and clarity to caring for patients with cognitive impairment and supporting their caregivers.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p11.html

Registered Dietitian Nutritionists Should Be Included in Patient Health Care Teams - ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p142.html

Chronic Sinusitis: Saline Irrigation Helps Somewhat; Steroid Does Not Add More Benefit ...

Feb 1, 2019 - This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188.html

Using Empowered CMAs and Nursing Staff to Improve Team-based Care -- FPM

Feb 1, 2019 - Highly trained workers can perform more visit-related tasks, boosting care quality and reducing physician burnout.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p17.html

The 2019 Medicare Documentation, Coding, and Payment Update -- FPM

Feb 1, 2019 - This year’s changes include some welcome documentation relief, new codes for portal and telephone encounters, and much more.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p23.html

Dyspnea Due to Acute Heart Failure Syndrome - Medicine by the Numbers - American Family...

Feb 1, 2019 - This review concluded that the individual components of the clinical history and physical examination, electrocardiography, and chest radiography are not useful independently for confirming or excluding the diagnosis of acute heart failure syndrome in patients presenting to the ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0201/od1.html

Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor ...

Feb 1, 2019 - This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA because this is when the greatest benefit occurs. Harms were spread fairly evenly throughout the study period.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188a.html

Protecting Adolescent Patient Privacy: Four Key Questions -- FPM

Feb 1, 2019 - When an adolescent patient requests confidential services, here’s what you need to know about their rights and your responsibilities.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p7.html

Group Prenatal Care to Reduce Preterm Labor and Improve Outcomes - Letters to the ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p141.html

Point-of-Care Ultrasonography: An Effective Tool When Used Appropriately - Letters to ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p143.html

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