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Animal Bites, Fall Risk, Croup, Scoliosis, Recurrent VTE, Postpartum Perineal Pain - ...

Jan 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/2019/0115/p80.html

White Lesions on the Hands and Lower Extremities - Photo Quiz - American Family Physician

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Photo Quiz White Lesions on the Hands and Lower Extremities ALEXANDER K.C. LEUNG, MBBS, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada BENJAMIN BARANKIN, MD, Toronto Dermatology Centre,...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0115/p125.html

Broadening the Female Athlete Triad: Relative Energy Deficiency in Sport - Letters to ...

Jan 15, 2019 - Advertisement Jan 15, 2019 Issue Letters to the Editor Broadening the Female Athlete Triad: Relative Energy Deficiency in Sport Am Fam Physician. 2019 Jan 15;99(2):76-77. Original Article: The Female Athlete Triad: Recommendations for Management [Editorial] Issue Date: April 15, 2018...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0115/p76.html

Corrections - Jan 15, 2019 - American Family Physician

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Corrections Am Fam Physician. 2019 Jan 15;99(2):77. Vitamin K Antagonists. The Practice Guideline, Newly Detected Atrial Fibrillation: AAFP Updates Guidelines on Pharmacologic Management (September 1, 2017, p. 332),...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0115/p77c.html

Top 20 POEMs Should Provide Better Context of Study Quality and Scope - Letters to the ...

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Letters to the Editor Top 20 POEMs Should Provide Better Context of Study Quality and Scope Am Fam Physician. 2019 Jan 15;99(2):75-76. Original Article: Top 20 Research Studies of 2017 for Primary Care Physicians...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0115/p74.html

Corrections - Jan 15, 2019 - American Family Physician

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Corrections Am Fam Physician. 2019 Jan 15;99(2):77. Incorrect CME Quiz Answer. The CME Quiz (July 1, 2018, p. 18) listed an incorrect answer choice for Quiz Question #4 in the Answers to This Issue's CME Quiz box on...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0115/p77a.html

Corrections - Jan 15, 2019 - American Family Physician

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Corrections Am Fam Physician. 2019 Jan 15;99(2):77. Article Title Change. The Photo Quiz, Eye Changes After Recent International Travel (December 15, 2017, p. 807), contained an error in the title. In the clinical...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0115/p77b.html

Beat the Clock: Why I Chose Direct Primary Care

Allison Edwards, M.D., writes in this Fresh Perspectives blog post that the limitations of the 12-minute patient visits she experienced as a resident inspired her to start her own direct primary care practice.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190115fp-whydpc.html

Patellofemoral Pain Syndrome - American Family Physician

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 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/2019/0115/p88-s1.html

Medicaid Expansion Could Be Key to Saving Rural Hospitals

Nearly 100 rural hospitals have closed since 2010, and almost 700 more are considered vulnerable. Tate Hinkle, M.D., writes in the Fresh Perspectives blog that Medicaid expansion could be the key to stopping the trend.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190109fp-ruralhospitals.html

Make Sure Policymakers Know We're Knights for Our Patients

John Cullen, M.D., writes in the Leader Voices Blog that physicians are more likely to be heard by payers and policymakers when health care discussions are framed in terms of patient care.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190109lv-knights.html

No Margin, No Mission: Better Physician Pay = Better Patient Care

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines six areas of focus where the Academy's advocacy work is aimed at improving payment for primary care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190108itt-betterpayment.html

Ring in the New Year by submitting your 2018 MIPS data -- FPM

CMS has officially opened the data submission period for MIPS eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/How_to_submit_2018_MIPS_data.html

How to structure the patient visit for better communication -- FPM

Patient visits tend to go better if you and your patient are on the same page. To accomplish this, try structuring your patient visits to start with a brief moment of collaborative agenda-setting.

Family Practice Management : Quick Tips : FPM Home

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

EHRs occupy 24 percent of doctors’ time, says survey -- FPM

Family physicians spend 51 hours in practice each week, with 24 percent of that time spent interacting with the electronic health record (EHR). What can physicians do to make their EHR work less frustrating?

Family Practice Management : Quick Tips : FPM Home

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

Physician Leaders Can't Wait for Squeaks to Turn Into Clunks

Gary LeRoy, M.D., writes in this Leader Voices Blog post that the AAFP must listen to its members' urgent concerns while also pursuing the long-term needs of family medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190102lv-listening.html

Four mistakes to avoid when talking with patients about risk -- FPM

Helping patients understand their risk of developing a certain disease or the risks associated with a screening test can be complicated. Don’t make these four mistakes.

Family Practice Management : Quick Tips : FPM Home

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

Migraine Headache Prophylaxis - American Family Physician

Jan 1, 2019 - Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0101/p17.html

Urine Drug Tests: Ordering and Interpreting Results - American Family Physician

Jan 1, 2019 - Urine drug testing is an essential component of monitoring patients who are receiving long-term opioid therapy, and it has been suggested for patients receiving long-term benzodiazepine or stimulant therapy. Family physicians should be familiar with the characteristics and capabilities ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0101/p33.html

Inborn Errors of Metabolism: From Preconception to Adulthood - American Family Physician

Jan 1, 2019 - Inborn errors of metabolism (IEM), although individually rare, occur in 1 out of every 1,500 births. The first opportunity to detect IEM occurs during preconception counseling, when pregnant women and couples considering future pregnancies can undergo carrier screening. For individuals ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0101/p25.html

Deprescribing Is an Essential Part of Good Prescribing - Editorials - American Family ...

Jan 1, 2019 - There are four important medication issues to discuss with patients as they get older. Find out more and learn the five steps to individualize deprescribing practices for each patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0101/p7.html

Deprescribing Benzodiazepine Receptor Agonists for Insomnia in Adults - Practice ...

Jan 1, 2019 - A multidisciplinary group of clinicians as part of the Deprescribing Guidelines in the Elderly project has developed evidence-based guidelines focused on deprescribing long-term Benzodiazepine receptor agonists (BZRAs) in patients taking them for insomnia, with the goal of helping ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0101/p57.html

Oral Contraceptives and Antiandrogens Most Effective for Hirsutism Pharmacotherapy - ...

Jan 1, 2019 - Combination oral contraceptive pills (OCPs) are an excellent treatment option for women desiring medical therapy for hirsutism. Based on this meta-analysis, an accompanying practice guideline recommends adding an antiandrogen, such as finasteride (Propecia), if there is an inadequate ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p55.html

NPH Insulin: Fewer Episodes of Severe Hypoglycemia Than Analogs and Less Than One-Half ...

Jan 1, 2019 - This study found that compared with expensive long-acting insulin analogs costing two to 10 times as much, NPH insulin results in a similar number of episodes of severe hypoglycemia (if not fewer) that result in emergency department visits and hospitalizations.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p53a.html

Effective Advocacy for Patients and Communities - Curbside Consultation - American ...

Jan 1, 2019 - Family physicians play diverse roles in society, often bridging individual and community perspectives. Family physicians' ethics require providing care to all persons regardless of their geographic, economic, political, racial, religious, or sexual orientation status.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0101/p44.html

Papular Lesions on Bilateral Elbows and Knees - Photo Quiz - American Family Physician

Jan 1, 2019 - A man presented with new-onset foot pain, as well as long-standing red-yellow lesions on his elbows and knees.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0101/p47.html

Antibiotic Prophylaxis for Severe Acute Pancreatitis - FPIN's Help Desk Answers - ...

Jan 1, 2019 - No, antibiotic prophylaxis does not decrease mortality in patients with severe acute pancreatitis, defined as pancreatitis associated with pancreatic necrosis.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0101/p49.html

Pharmacologic Interventions for Apathy in Patients with Alzheimer Disease - Cochrane ...

Jan 1, 2019 - Methylphenidate may improve apathy in select patients with AD (mean difference [MD] = –4.99 on the apathy evaluation scale; 95% confidence interval [CI], –9.55 to –0.43), although the clinical significance associated with these findings remains unclear and the evidence is considered low...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0101/p14.html

Nausea in Pregnancy, Knee Osteoarthritis, Hormone Replacement Therapy, Shingles - AFP ...

Jan 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/2019/0101/p10.html

LABA Plus Inhaled Corticosteroid Reduces Exacerbations, But Not Hospitalizations - ...

Jan 1, 2019 - Adding a LABA to an inhaled corticosteroid is safe but does not reduce the likelihood of a serious exacerbation requiring hospitalization. There is a small reduction in nonsevere asthma exacerbations, with one fewer exacerbation for every 53 patients treated for six months.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p53.html

Prophylactic Vaccination Against Human Papillomavirus to Prevent Cervical Cancer and ...

Jan 1, 2019 - HPV vaccination in women 15 to 26 years of age prevents the development of cervical intraepithelial neoplasia (CIN) 2 and CIN 3 in women regardless of previous HPV exposure (number needed to treat [NNT] = 39). No serious adverse effects are associated with administration of the HPV ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0101/p15.html

Liberal vs. Conservative Oxygen Therapy in the Acutely Ill - Medicine by the Numbers - ...

Jan 1, 2019 - This review compares liberal and conservative oxygen therapy in acutely ill adults and their effect on mortality (in-hospital, 30-day, and longest follow-up) and morbidity (disability at longest follow-up, risk of hospital-acquired pneumonia, any hospital-acquired infection, and length ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0101/od1.html

Lower Systolic BP During Antihypertensive Treatment Associated with More Deaths in ...

Jan 1, 2019 - In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with antihypertensive medications is associated with higher death rates and greater cognitive decline.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p54.html

Pulmonary Embolism Clinical Decision Tools Can Be Helpful During In-Flight Medical ...

Jan 1, 2019 - Advertisement << Previous article Next article >> Jan 1, 2019 Issue Letters to the Editor Pulmonary Embolism Clinical Decision Tools Can Be Helpful During In-Flight Medical Emergencies Am Fam Physician. 2019 Jan 1;99(1):5. Original Article: Ruling Out Pulmonary Embolism in the...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0101/p5.html

Correction - Corrections - American Family Physician

Jan 1, 2019 - Advertisement << Previous article Next article >> Jan 1, 2019 Issue Correction Am Fam Physician. 2019 Jan 1;99(1):5. Incorrect vaccine recommendations. The Medicine by the Numbers Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease (April 1, 2018, p. 463) included...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0101/p5a.html

Have We Failed to 'Promote the General Welfare' of People?

In this fourth installment of his master's in public health series in the Fresh Perspectives blog, Stewart Decker, M.D., discusses the social, or structural, issues that affect health.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181221fp-mph4.html

All I Want for Christmas Is a Better Health Care System

Leonard Reeves, M.D., is on our nice list. In this Leader Voices Blog post, he shares what's on his Christmas wish list for family physicians and their patients.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181219lv-christmaslist.html

New Medicare card lookup tool gets update -- FPM

Even if your Medicare patients haven't yet received their new ID cards, you can lookup their beneficiary identifier online.

Family Practice Management : Getting Paid : FPM Home

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

You Hate Your EHR? Help Develop Something Better

Instead of hoping someone will ask physicians about their technology needs, Lalita Abhyankar, M.D., M.H.S., writes in the Fresh Perspectives blog that doctors should seek out developers looking for new ideas.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181218fp-ehrs.html

High-deductible Plans Shouldn't Endanger Continuity of Care

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin addresses the need for continuity of care among patients with high-deductible health plans.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181218itt-hdhp.html

What a Barefoot Patient Taught Me About Health Equity

Resident Michelle Byrne, M.D., M.P.H., writes in this Leader Voices Blog post that she was drawn to family medicine by a desire to be trained by physicians who are committed to addressing social justice and health equity.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181218lv-choosingfm.html

The Adult Well-Male Examination - American Family Physician

Dec 15, 2018 - The adult well-male examination should provide evidence-based guidance toward the promotion of optimal health and well-being. The medical history should focus on tobacco and alcohol use, risk of human immunodeficiency virus and other sexually transmitted infections, and diet and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1215/p729.html

Counseling Patients in Primary Care: Evidence-Based Strategies - American Family Physician

Dec 15, 2018 - Family physicians spend substantial time counseling patients with psychiatric conditions, unhealthy behaviors, and medical adherence issues. Maintaining efficiency while providing counseling is a major challenge. There are several effective, structured counseling strategies developed ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1215/p719.html

School Absenteeism in Children and Adolescents - American Family Physician

Dec 15, 2018 - Frequent school absenteeism has immediate and long-term negative effects on academic performance, social functioning, high school and college graduation rates, adult income, health, and life expectancy. Previous research focused on distinguishing between truancy and anxiety-driven ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1215/p738.html

Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with...

Dec 15, 2018 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for peripheral artery disease (PAD) and cardiovascular disease (CVD) risk with the ankle-brachial index (ABI) in asymptomatic adults.

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

https://www.aafp.org/afp/2018/1215/od1.html

Why Are We So Slow to Adopt Some Evidence-Based Practices? - Editorials - American ...

Dec 15, 2018 - Physicians must accept that change is uncomfortable, recognizing the pain of giving up an old idea or practice as medical knowledge evolves around us. We need to remain flexible in our thinking if we are to meet our goal of doing our best when caring for every patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1215/p709.html

Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...

Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/1215/p751.html

Urticarial, Erythematous Papules in a Pregnant Woman - Photo Quiz - American Family ...

Dec 15, 2018 - A pregnant woman presented with a severely pruritic rash that began on her abdomen and spread to other areas including her chest, back, and bilateral arms, legs, hands, and feet.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1215/p749.html

Crohn's Disease: ACG Releases Updated Management Guidelines - Practice Guidelines - ...

Dec 15, 2018 - Options for managing Crohn’s disease continue to increase, as does the prevalence of the disease. The American College of Gastroenterology (ACG) has released an updated clinical practice guideline outlining features of the disease, as well as diagnosis and treatment options.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1215/p756.html

Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with...

Dec 15, 2018 - Advertisement << Previous article Next article >> Dec 15, 2018 Issue Putting Prevention into Practice An Evidence-Based Approach Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with the Ankle-Brachial Index JUSTIN MILLS, MD, MPH, U.S. Preventive...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/1215/p754.html

More Evidence Needed Regarding the Utility of Genetic Testing for Alzheimer Dementia - ...

Dec 15, 2018 - Advertisement << Previous article Next article >> Dec 15, 2018 Issue Letters to the Editor More Evidence Needed Regarding the Utility of Genetic Testing for Alzheimer Dementia Am Fam Physician. 2018 Dec 15;98(12):708. Original Article: Evaluation of Suspected Dementia Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1215/p708.html

AAFP News - Dec 15, 2018 - American Family Physician

Dec 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1215/p707.html

School Absences: What You Should Know - American Family Physician

Dec 15, 2018 - Advertisement << Previous article Next article >> Dec 15, 2018 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/2018/1215/p738-s1.html

Five ways to avoid problems with patient satisfaction scores -- FPM

Patient satisfaction scores are being used to grade physician performance and even dictate salary. Here are ways to make sure the scores are correctly generated and used.

Family Practice Management : Quick Tips : FPM Home

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

Coming soon: Medicare payment for virtual encounters -- FPM

Among the new codes going into effect in 2019 are several that reimburse physicians for various types of virtual encounters.

Family Practice Management : Quick Tips : FPM Home

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

No Need to Yield: Advocacy Is Our Lane

Some people think physicians should stay out of politics, but Tochi Iroku-Malize, M.D., M.P.H., M.B.A., writes in this Leader Voices Blog post that being an advocate is a role that physicians must embrace.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181212lv-advocacy.html

Help patients remember to get their flu shot -- FPM

Here's a method for helping your patients remember to get a flu shot in case they forget or don't know you have immunizations available.

Family Practice Management : Quick Tips : FPM Home

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

Why I Love Working in a Community Health Center

Luis Garcia, M.D., spoke with several colleagues who work in community health centers, as he does, about what makes these practices so rewarding for family physicians.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181211fp-chc.html

Johnston Memorial Hospital wins 2018 FPM Award for Practice Improvement -- FPM

The family medicine residency program and family physician-led hospitalist team at Johnston Memorial Hospital in Abingdon, Va., have won this year’s FPM Award for Practice Improvement.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/Johnston_Memorial_2018_Practice_Improvement.html

How to check if you are MIPS-eligible in 2018 -- FPM

CMS has taken a second look at whether physicians are eligible for MIPS in 2018. Find out if you have to report - and if your 2020 payments are at risk.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2018_MIPS_eligibility_status.html

Violence in the office: six questions to help you prepare -- FPM

To prepare for potential violent incidents, every practice should develop an Emergency Operations Plan that answers these questions.

Family Practice Management : Quick Tips : FPM Home

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

How to properly code for a pre-op examination -- FPM

Family physicians are often asked to preform pre-surgical evaluations for patients undergoing procedures. This requires selecting the correct codes.

Family Practice Management : Getting Paid : FPM Home

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

Two mobile apps to help patients lose weight -- FPM

To supplement your normal advice to patients about healthy eating and exercise, you can also recommend these two mobile apps to help patients gain more control.

Family Practice Management : Quick Tips : FPM Home

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

Teaching Health Centers Funding a Top Priority for 2019

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that securing funding for the teaching health center program will be a top priority for the Academy when the new Congress convenes.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181204itt-thcgme.html

Minorities Are Underrepresented in Clinical Trials

Ada Stewart, M.D., writes in this Leader Voices Blog post that an analysis of clinical drug trials found that certain minority groups are underrepresented, even when the medications being researched are intended to treat diseases that disproportionately affect them.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181204lv-clinicaltrials.html

Crohn's Disease: Diagnosis and Management - American Family Physician

Dec 1, 2018 - Crohn’s disease is a chronic inflammatory condition that affects the gastrointestinal tract. It can cause lesions from mouth to anus and may result in extraintestinal complications. The prevalence of Crohn’s disease is increasing in adults and children. Genetic predispositions to ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1201/p661.html

Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know - ...

Dec 1, 2018 - Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Transgender and gender-diverse persons may have gender dysphoria (i.e., distress related to this incongruence) and often face substantial health care disparities and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1201/p645.html

Dental Problems in Primary Care - American Family Physician

Dec 1, 2018 - Oral health directly affects overall health and quality of life. More Americans lack dental insurance than medical insurance. Patients with poor oral health are more likely to have respiratory and cardiovascular diseases, adverse pregnancy outcomes, and diabetes mellitus. Early ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1201/p654.html

Pruritic Rash on the Hands and Feet - Photo Quiz - American Family Physician

Dec 1, 2018 - A woman presents with a pruritic rash that is associated with peeling and cracking of the palmar and plantar surfaces of her hands and feet.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1201/p685.html

Six Mobile Apps to Make Prescribing Easier -- FPM

Dec 1, 2018 - These apps can help you more effectively make medication decisions on the go.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/1100/p11.html

Lung Cancer Screening Recommendations from the ACCP - Practice Guidelines - American ...

Dec 1, 2018 - The American College of Chest Physicians (ACCP) recently published recommendations for lung cancer screening based on key questions developed using the PICO (population, intervention, comparator, and outcome) format.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1201/p688.html

Preventing or Delaying Type 2 Diabetes Mellitus with Diet and Exercise - Cochrane for ...

Dec 1, 2018 - There is moderate-quality evidence that in patients with impaired glucose tolerance (IGT) defined by an abnormal 75-g two-hour glucose tolerance test, implementing changes in diet and adding physical activity together can prevent or delay the development of type 2 diabetes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1201/p643.html

Deep Venous Thrombosis: Home vs. Inpatient Treatment - Cochrane for Clinicians - ...

Dec 1, 2018 - Patients treated at home with low-molecular-weight heparin (LMWH) have lower rates of recurrent VTE than those treated in a hospital.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1201/p642.html

Incidental Findings Are Common with Chest CT and MRI of the Spine and Brain - POEMs - ...

Dec 1, 2018 - The risks of imaging, in addition to radiation exposure, include the identification of incidentalomas, which can lead to patient anxiety, further testing, and overtreatment. There is little research to guide what to do when they pop up on an imaging report (as the famous dodge clinical ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p682.html

Five Ways to Communicate Risks So That Patients Understand -- FPM

Dec 1, 2018 - When discussing a patient’s risk of developing a disease or the risks associated with a screening test, these simple techniques can ensure clarity.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/1100/p28.html

Early Invasive Management of Acute Coronary Syndromes - Medicine by the Numbers - ...

Dec 1, 2018 - Does early invasive management help patients with unstable angina or acute non–ST-segment elevation myocardial infarction (NSTEMI) in reducing occurence of death, myocardial infarction, angina symptoms, and rehospitalization at six- to 12-month follow-up? Find out.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1201/od1.html

Coding & Documentation - Nov-Dec 2018 -- FPM

Dec 1, 2018 - When the chief complaint is medication refill | 99221 for second hospital encounter? | Staph infection of a wound

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/1100/p32.html

Preparations for Treating Opioid Use Disorder in the Office -- FPM

Dec 1, 2018 - Use this guide to plan for offering medication-assisted treatment with buprenorphine.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/1100/p21.html

What Makes a Doctor Truly Great -- FPM

Dec 1, 2018 - This one skill separates the good from the great.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2018/1100/p40.html

The Responsibility of Family Physicians to Our Transgender Patients - Editorials - ...

Dec 1, 2018 - To mitigate the health disparities experienced by transgender persons, family physicians must use the resources available to take the lead in meeting the medical and social needs of these patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1201/p635.html

Mifepristone Pretreatment Improves Success Rate of Misoprostol for Early Pregnancy Loss...

Dec 1, 2018 - In women with early pregnancy loss between five and 12 weeks' gestation, pretreatment with 200 mcg of oral mifepristone before 800 mcg of vaginal misoprostol increases the likelihood of successful expulsion of the gestational sac.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p683a.html

How to Prepare for and Survive a Violent Patient Encounter -- FPM

Dec 1, 2018 - When the unthinkable happens, having a plan that you have practiced regularly can make all the difference.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/1100/p5.html

Direct Oral Anticoagulants Preferred Over Warfarin for Nonvalvular Atrial Fibrillation ...

Dec 1, 2018 - The balance of benefits and harms favors direct oral anticoagulants over warfarin (Coumadin) for patients with nonvalvular atrial fibrillation who require anticoagulation and are already taking low-dose aspirin.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p683.html

Practice Pearls - Nov-Dec 2018 -- FPM

Dec 1, 2018 - Know your RVUs | Set antibiotic expectations before a sore throat exam | Use a white board to track high-risk patients

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2018/1100/p34.html

Communicating Risks: Let's Talk Numeracy -- FPM

Dec 1, 2018 - Understanding numeracy will make your risk conversations with patients more effective.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2018/1100/p4.html

Practical Considerations of Caring for Patients Abroad During Short-term Medical Trips ...

Dec 1, 2018 - A 65-year-old woman presented on the second day of my week-long volunteer medical brigade to a migrant camp in Mexico. The patient had a blood pressure of 180/110 mm Hg and a heart rate of 78 beats per minute. Her presenting symptoms were itchy eyes and sneezing, which she reported were...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/1201/p673.html

Advance Care Planning Increases Execution of Advance Directives and Surrogate ...

Dec 1, 2018 - In this study, an intensive advance care planning intervention dramatically increased the completion of advance directives and the identification of surrogate decision makers.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p682a.html

Faith in Subtraction: Deprescribing in Older Patient Facilitates Needed Surgery - ...

Dec 1, 2018 - Having faith and an open mind, even in the face of major health problems, can go a long way in helping patients reach their goals.

American Family Physician : Close-ups

https://www.aafp.org/afp/2018/1201/p634.html

Evidence Supporting Niacin Therapy Is More Nuanced Than Article States - Letters to the...

Dec 1, 2018 - Advertisement << Previous article Next article >> Dec 1, 2018 Issue Letters to the Editor Evidence Supporting Niacin Therapy Is More Nuanced Than Article States Am Fam Physician. 2018 Dec 1;98(11):630-631. Original Article: Stable Coronary Artery Disease: Treatment Issue Date: March...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1201/p630.html

Does Niacin Have Cardiovascular Benefits in Patients with Dyslipidemia? - Letters to ...

Dec 1, 2018 - Advertisement Dec 1, 2018 Issue Letters to the Editor Does Niacin Have Cardiovascular Benefits in Patients with Dyslipidemia? Am Fam Physician. 2018 Dec 1;98(11):631-632. Original Article: Use of Niacin for Primary or Secondary Prevention of Cardiovascular or Cerebrovascular Events...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1201/p631.html

Wearable Devices for Weight Loss - FPIN's Help Desk Answers - American Family Physician

Dec 1, 2018 - Advertisement << Previous article Next article >> Dec 1, 2018 Issue FPIN's Help Desk Answers Wearable Devices for Weight Loss This is a corrected version of the article that appeared in print. KEVIN STEPHENS JR., MD, MBA, and ELISE MORRIS, MD, Georgetown University–Providence...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/1201/p670.html

AAFP News - Dec 1, 2018 - American Family Physician

Dec 1, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1201/p633.html

Crohn's Disease - American Family Physician

Dec 1, 2018 - Advertisement << Previous article Next article >> Dec 1, 2018 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/2018/1201/p661-s1.html

Common Dental Infections - American Family Physician

Dec 1, 2018 - Advertisement << Previous article Next article >> Dec 1, 2018 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/2018/1201/p654-s1.html

Helping compare Medicare costs and copayments gets easier -- FPM

The Centers for Medicare and Medicaid Services has launched a new online tool that allows consumers to compare Medicare payments and copayments for certain procedures that are performed in both hospital outpatient departments and ambulatory surgical centers.

Family Practice Management : Getting Paid : FPM Home

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

How to say no to inappropriate patient requests -- FPM

Saying no to these requests while preserving the patient relationship takes skill, but three tips can help.

Family Practice Management : Quick Tips : FPM Home

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

Focus on Decision-makers to Improve Public Health

Master of public health candidate Stewart Decker, M.D., shares his insights from a course on campaigning and community organizing.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181129fp-mph3.html

12 ways to work smarter, not harder in practice -- FPM

A primary care physician shares 12 strategies -- rooted in the principle of working smarter, not harder -- that transformed her practice.

Family Practice Management : Quick Tips : FPM Home

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

The difference between a good doctor and a great doctor -- FPM

Yes, clinical knowledge, procedural expertise, and bedside manner are important. But what one skill differentiates a good doctor from a truly great doctor?

Family Practice Management : Quick Tips : FPM Home

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

Help Patients Know Their HIV Status

An estimated 15 percent of Americans living with HIV infection are unaware of it. Ada Stewart, M.D., writes in this Leader Voices Blog post that World AIDS Day offers a reminder to help patients know their status.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181127lv-hivstatus.html

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