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Let's Get Drug Pricing Under Control

Allison Edwards, M.D., writes in this Fresh Perspectives blog post that it's high time we find a fix for the drug pricing system that we've grown too accustomed to.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181126fp-drugprices.html

What to do when your patient brings a list -- FPM

Following these five steps can help bring a patient's long list of items under control and create a useful agenda for the encounter.

Family Practice Management : Quick Tips : FPM Home

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

How to obtain a waiver to treat opioid use disorder with buprenorphine -- FPM

Here are the five steps to securing a waiver to administer buprenorphine from the Substance Abuse and Mental Health Services Administration.

Family Practice Management : Quick Tips : FPM Home

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

Protect Transgender and Intersex Patients

In this Fresh Perspectives blog post, Natalie Hinchcliffe, D.O., describes the many factors that contribute to gender identity, and she calls for physicians to take a stand in support of their transgender and intersex patients.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181120fp-transgender.html

The Votes Were Cast. What Does It Mean for Family Medicine?

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin sets the stage for an analysis of the 2018 midterm elections and looks at Wall Street's growing interest in health care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181120itt-postelection.html

Bustling Clerkship Shows Family Medicine Is Never Boring

Chandler Stisher saw the excitement of family medicine for himself in his first third-year clerkship. He writes that the primary care physician shortage could be eased if more students were exposed to the full potential of family medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181120lv-clerkship.html

Difficult patient visits: five questions to help you manage them more effectively -- FPM

An estimated 15 percent of patient encounters are considered difficult by physicians. But these challenging visits can be professionally rewarding if you take the right approach.

Family Practice Management : Quick Tips : FPM Home

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

Conduct Disorder: Recognition and Management - American Family Physician

Nov 15, 2018 - Conduct disorder is a psychiatric syndrome that most commonly occurs in childhood and adolescence. It is characterized by symptoms of aggression toward people or animals, destruction of property, deceitfulness or theft, and serious violations of rules. Risk factors include male sex, ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1115/p584.html

Braces and Splints for Common Musculoskeletal Conditions - American Family Physician

Nov 15, 2018 - Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1115/p570.html

Care of Incarcerated Patients - American Family Physician

Nov 15, 2018 - The United States has the highest incarceration rate of any nation in the world. Approximately 870 of every 100,000 U.S. citizens are currently in jails or prisons. U.S. inmates are disproportionately young males, racial and ethnic minorities, and persons of low socioeconomic status. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1115/p577.html

Screening for Osteoporosis to Prevent Fractures: Recommendation Statement - U.S. ...

Nov 15, 2018 - The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.

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

https://www.aafp.org/afp/2018/1115/od1.html

Posterior Earlobe Mass - Photo Quiz - American Family Physician

Nov 15, 2018 - A man presented with a painless mass behind his earlobe that had been gradually enlarging for one year.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1115/p603.html

Screening for Osteoporosis to Prevent Fractures - Putting Prevention into Practice - ...

Nov 15, 2018 - A 57-year-old postmenopausal woman comes to your clinic for a wellness visit. She has no significant medical problems. She broke her left forearm as a child by falling out of a tree but has had no other fractures. She currently smokes one pack of cigarettes per day, rarely drinks one ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/1115/p593.html

Overuse of Cardiac Testing - Lown Right Care: Reducing Overuse and Underuse - American ...

Nov 15, 2018 - This is the first of a new collaboration between AFP and the Lown Institute. This new feature 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/2018/1115/p561.html

Breast Cancer Screening with MRI: More False-Positives, More Biopsies - POEMs - ...

Nov 15, 2018 - Screening with MRI is not for everyone. Women who undergo breast cancer screening with MRI are much more likely to be referred for biopsy— that will ultimately be negative—than if they have screening mammography alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1115/od5.html

Estrogen No Better Than Vaginal Lubricant for Postmenopausal Vaginal Symptoms - POEMs -...

Nov 15, 2018 - It is time to rethink the idea that vaginal atrophy caused by diminished estrogen is the cause of vaginal symptoms associated with menopause. Vaginal estradiol is no more effective than a non-prescription vaginal lubricant or placebo lubricant in the treatment of women with painful ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1115/od3.html

Glecaprevir/Pibrentasvir (Mavyret) for the Treatment of Chronic Hepatitis C - STEPS - ...

Nov 15, 2018 - Glecaprevir/pibrentasvir is an effective treatment for any of six genotypes of HCV infection and has few adverse effects. It can be used to treat more genotypes over a shorter duration (eight weeks for patients without cirrhosis) and is substantially less expensive than other available ...

American Family Physician : STEPS

https://www.aafp.org/afp/2018/1115/p601.html

Dysphonia (Hoarseness): AAO-HNSF Releases Updated Clinical Guideline for Treatment - ...

Nov 15, 2018 - To improve the quality of care for patients of all ages with dysphonia, the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) updated guidelines to reduce inappropriate variations in care, produce optimal health outcomes, and minimize harm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1115/p606.html

As-Needed Use of Budesonide Plus Formoterol As Good As Daily Use of Steroid - POEMs - ...

Nov 15, 2018 - As-needed use of budesonide/formoterol is as effective as the daily use of maintenance budesonide plus as-needed terbutaline at preventing severe exacerbations, and results in a much lower cumulative steroid dose.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1115/od4.html

Acupuncture Effective for Chronic Pain Conditions - POEMs - American Family Physician

Nov 15, 2018 - Acupuncture, with its meridians, chi, and other concepts that do not seem to line up with anything physiologic, is vexing to most of us who trained in Western medicine. However, this meta-analysis, based on data from almost 21,000 patients, found it to be more effective than no ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1115/od2.html

Introducing Lown Right Care: Reducing Overuse and Underuse - Editorials - American ...

Nov 15, 2018 - AFP launches a new feature as a result of a collaboration with the Lown Institute. This new feature will promote a vision for delivering health care that is true to the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1115/p560.html

How to boost your efficiency with team rooming -- FPM

Team rooming can improve practice efficiency by reversing some traditional roles in the exam room.

Family Practice Management : Quick Tips : FPM Home

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

Four prescribing apps to improve your medication decisions -- FPM

Many physicians are turning to mobile prescription applications for help making medication decisions at the point of care, but which ones are worth considering? Here are four apps that topped our list.

Family Practice Management : Quick Tips : FPM Home

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

AAFP News - Nov 15, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1115/p558.html

Final rule on the 2019 Medicare Physician Fee Schedule delays major changes to E/M ...

The Centers for Medicare and Medicaid Services finalized its much anticipated Final Rule for the 2019 Physician Fee Schedule, which includes simplifications to E/M coding and documentation but delays other major changes.

Family Practice Management : Getting Paid : FPM Home

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

FPs and Vasectomies: Help Your Patients Make a 'Snip' Decision

Vasectomy is a quick, easy procedure that can be performed in the primary care setting. AAFP President John Cullen, M.D., questions why more men aren't willing to take that step.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181113lv-vasectomy.html

FMX Community Service Impact

See the impact AAFP members and other attendees had at the 2018 FMX community service event in New Orleans.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18/impact.html

Physicians Deserve to Be Safe at Work. Are We?

The murders of multiple physicians prompted Margaux Lazarin, D.O., M.P.H., to ponder what physicians, their employers and legislators can do to make health care settings safer. Read more 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/20181112fp-safety.html

More is not always better for diagnosis coding -- FPM

Some physicians question whether they should report diagnoses beyond those addressed at a patient visit to ensure the best possible HCC score (and thus the best possible risk adjustment).

Family Practice Management : Getting Paid : FPM Home

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

Seventh wave of new Medicare cards hits the mail -- FPM

CMS has begun mailing new Medicare ID cards to recipients living in the Wave 7 states and territories of Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Puerto Rico, Tennessee, and the Virgin Islands.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Medicare_cards_wave_7.html

Embrace Change and Tech to Shape Our Future

In this Leader Voices Blog post, AAFP President-elect Gary LeRoy, M.D., ponders the future of family medicine, including the Academy's new informatics technology initiative.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181107lv-change.html

2018 FMX Photos

See photos of all the fun at the 2018 AAFP FMX.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18/photos.html

State Legislative Conference Offers Insight Into 2019's Top Issues

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers highlights from the Academy's annual State Legislative Conference.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181106itt-elections.html

Should We Talk Politics With Patients?

As this year's contentious midterm campaigns draw to a close, Chris Baumert, M.D., ponders how physicians should handle patients' political questions.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181105fp-politics.html

CMS releases final rule on 2019 Medicare physician fee schedule -- FPM

On Nov. 1, the Centers for Medicare and Medicaid Services released the final rule of the 2019 Medicare physician fee schedule. Here are the highlights.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_releases_final_rule_2019.html

Save time, start preparing for 2018 MIPS reporting -- FPM

The 2018 Merit-based Incentive Payment System (MIPS) reporting period is approaching fast. Here's how to be ready to submit your information when it comes.

Family Practice Management : Getting Paid : FPM Home

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

Knee Pain in Adults and Adolescents: The Initial Evaluation - American Family Physician

Nov 1, 2018 - Knee pain affects approximately 25% of adults, and its prevalence has increased almost 65% over the past 20 years, accounting for nearly 4 million primary care visits annually. Initial evaluation should emphasize excluding urgent causes while considering the need for referral. Key ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1101/p576.html

The Pregnant Patient: Managing Common Acute Medical Problems - American Family Physician

Nov 1, 2018 - Women often see their primary care physicians for common acute conditions during pregnancy. These conditions may be caused by pregnancy (obstetric problems) or worsened by pregnancy (obstetrically aggravated problems), or they may require special consideration during pregnancy because ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1101/p595.html

Type 2 Diabetes Mellitus in Children - American Family Physician

Nov 1, 2018 - The prevalence of type 2 diabetes mellitus in children and adolescents has increased worldwide over the past three decades. This increase has coincided with the obesity epidemic, and minority groups are disproportionately affected. The American Diabetes Association recommends screening ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1101/p590.html

Type 2 Diabetes Mellitus: ACP Releases Updated Guidance Statement on A1C Targets for ...

Nov 1, 2018 - This guidance statement from the American College of Physicians (ACP) aims to help physicians achieve appropriate A1C targets via medication for nonpregnant patients with type 2 diabetes based on a review of six health care organization guidelines.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1101/p613.html

Treatment of Knee Osteoarthritis - Implementing AHRQ Effective Health Care Reviews - ...

Nov 1, 2018 - What are the clinical effectiveness and harms of cell-based therapies, oral glucosamine and/or chondroitin, physical treatment interventions, weight loss, and home-based and self-management therapies for knee osteoarthritis?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2018/1101/p603.html

Epidural Analgesia and Risk of Cesarean Delivery - FPIN's Help Desk Answers - American ...

Nov 1, 2018 - There is no difference in the risk of cesarean delivery in women who receive epidural analgesia before 4 to 5 cm cervical dilation compared with later dilation.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/1101/od2.html

Preventing Gun Violence: The Role of Family Physicians - Editorials - American Family ...

Nov 1, 2018 - As reviewed here, the available evidence on gun violence prevention provides some options to consider incorporating into family physicians' practices.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1101/p560.html

Effectiveness of Intrapartum Antibiotics for Meconium-Stained Amniotic Fluid - Medicine...

Nov 1, 2018 - This review concluded that there is insufficient evidence to recommend prophylactic intrapartum antibiotics in laboring women with meconium-stained amniotic fluid because of the lack of difference in rates of neonatal sepsis between the antibiotic and placebo groups.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1101/od1.html

Culture-Specific Asthma Education Programs for Minority Groups - Cochrane for ...

Nov 1, 2018 - In children from minority groups, culture-specific asthma education programs (CAEPs) reduce the number of severe asthma exacerbations requiring hospitalization and improve asthma control as measured by the Childhood Asthma Control Test but not the Asthma Control Questionnaire. CAEPs ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1101/p572.html

Abrupt Rash with Painful, Nonpruritic Purpura on the Lower Extremities - Photo Quiz - ...

Nov 1, 2018 - Advertisement << Previous article Next article >> Nov 1, 2018 Issue Photo Quiz Abrupt Rash with Painful, Nonpruritic Purpura on the Lower Extremities EFREN F. WU, MD, FAAFP, and PETER M. ZHANG, MD, MPH, University of California, Riverside, Family Medicine Residency, Palm Springs,...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1101/p607.html

AAFP News - Nov 1, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1101/p559.html

What Do Women Think? If You Only Knew …

Tochi Iroku-Malize, M.D., M.P.H., M.B.A., ponders how the workplace might improve if men better understood a woman's perspective.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181031lv-women.html

How to code a screening test vs. a monitoring test (and why it matters) -- FPM

At annual exams, patients often expect that any tests ordered will be considered preventive and covered 100 percent by their insurer. To avoid confusion, make sure you follow this ICD-10 rule.

Family Practice Management : Getting Paid : FPM Home

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

Seven essential skills for leading up -- FPM

Leading up is essential to garnering the resources and support physicians need to do their jobs well. Seven skills can help.

Family Practice Management : Quick Tips : FPM Home

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

Finding clinical information quickly at the point of care: four tips and shortcuts -- FPM

How can you efficiently search for clinical information during a patient visit? These tips can help.

Family Practice Management : Quick Tips : FPM Home

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

Why We Need More Physician Entrepreneurs

In an era of increasing physician employment, Allison Edwards, M.D., explains why she chose to open her own practice and why she thinks others should, too.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181030fp-entrepreneurs.html

FPM at 25: Our favorite articles and covers from the last 25 years -- FPM

For the last 25 years, FPM has published practical, authoritative, peer-reviewed articles devoted to better practice, healthier patients, and a rewarding career. To mark this milestone, we’ve picked 25 of our favorite articles from the archives.

Family Practice Management : Quick Tips : FPM Home

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

Chaperoned exams: How to get the conversation started -- FPM

If your practice doesn’t have clear policies and procedures regarding chaperoned exams, or if they aren’t consistently followed, it may be time to revisit this important subject.

Family Practice Management : Quick Tips : FPM Home

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

CMS offers help for identifying 2019 MIPS payment adjustments -- FPM

These codes will help physicians understand which Medicare payments in 2019 are affected by their MIPS scores.

Family Practice Management : Getting Paid : FPM Home

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

What does your exam room's appearance say about you? -- FPM

Patients probably spend the most time during a visit in the exam room. Are they receiving a good experience there?

Family Practice Management : Quick Tips : FPM Home

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

Four screening codes you should be using -- FPM

Use these CPT codes to get reimbursed for performing and reporting recommended screening and assessments.

Family Practice Management : Quick Tips : FPM Home

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

A Look Ahead to Election Day and a Look Back at FMX

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers his thoughts on the upcoming election and his top five highlights from the recent Family Medicine Experience.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181023itt-fmxtop5.html

Millennials Don't Have PCPs; Here's Why They Should

Nearly half of 18- to 29-year-olds say they don't have a primary care physician. Natasha Bhuyan, M.D., makes the case for why they should.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181022fp-millennials.html

Health Has No Zip Code T-Shirt

Buy the Health Has No Zip Code t-shirt that sold out during the 2018 FMX in New Orleans.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18/t-shirt.html

Improve preventive care by reducing missed and canceled appointments: four tips -- FPM

Practices can take these steps to improve the rate of successful appointments, which avoids lost revenue and missed opportunities to help patients manage their health.

Family Practice Management : Quick Tips : FPM Home

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

We Shouldn't Have to Struggle to Put Patients First

U.S. hospital care costs exceeded $1 trillion last year. In this Leader Voices Blog post, Leonard Reeves, M.D. -- a bargain newborn in 1954 at $43.45 -- says the industrial approach to medicine must change.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181019lv-patientsfirst.html

CMS looks for feedback on new MIPS cost measures -- FPM

CMS is testing several new cost measures that could later be added to the cost category of the Merit-based Incentive Payment System and is looking for help.

Family Practice Management : Getting Paid : FPM Home

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

A simple communication technique to increase patient satisfaction and empowerment -- FPM

Quickly obtaining a patient's psychosocial information can improve the physician's connection with the patient. The BATHE technique can help.

Family Practice Management : Quick Tips : FPM Home

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

Five ways to partner with urgent care centers -- FPM

As more patients turn to urgent care, physicians will need to find ways to make their relationship with urgent care centers more productive. Here's how.

Family Practice Management : Quick Tips : FPM Home

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

A Workforce Without Women? Good Luck, Chuck

Kimberly Becher, M.D., responds to recent statements by politicians who questioned women's place in the workforce. Spoiler alert: She's not amused.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181016fp-nowomen.html

Depression: Screening and Diagnosis - American Family Physician

Oct 15, 2018 - Depression affects an estimated 8% of persons in the United States and accounts for more than $210 billion in health care costs annually. The U.S. Preventive Services Task Force (USPSTF) and American Academy of Family Physicians recommend screening for depression in the general adult ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p508.html

High Blood Pressure in Children and Adolescents - American Family Physician

Oct 15, 2018 - High blood pressure in children and adolescents is a growing health problem that is often overlooked. Children should be screened for elevated blood pressure annually beginning at three years of age or at every visit if risk factors are present. In children younger than 13 years, ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p486.html

Urinary Retention in Adults: Evaluation and Initial Management - American Family Physician

Oct 15, 2018 - Urinary retention is the acute or chronic inability to voluntarily pass an adequate amount of urine. The condition predominantly affects men. The most common causes are obstructive in nature, with benign prostatic hyperplasia accounting for 53% of cases. Infectious, inflammatory, ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p496.html

Cerumen Impaction: Diagnosis and Management - American Family Physician

Oct 15, 2018 - Cerumen production is a normal and protective process for the ear canal. However, cerumen should be removed when it causes symptoms (e.g., hearing loss, itching, pain, tinnitus) or prevents assessment of the external auditory canal, the tympanic membrane, or audiovestibular system. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p525.html

Morning vs. Evening Administration of Levothyroxine - FPIN's Clinical Inquiries - ...

Oct 15, 2018 - The effectiveness of levothyroxine for reducing TSH levels is most dependent on the timing of meals in relation to drug administration. There is conflicting evidence. In two studies, levothyroxine taken at least two hours after eating in the evening maintained or improved TSH levels ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2018/1015/p532.html

Newborn with a Hyperextended Knee - Photo Quiz - American Family Physician

Oct 15, 2018 - The initial examination of an infant was notable for passive hyperextension at right knee but otherwise full range of motion.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1015/p535.html

Recombinant Zoster Vaccine (Shingrix) for the Prevention of Shingles - STEPS - American...

Oct 15, 2018 - Recombinant zoster vaccine is a relatively new shingles vaccine that has been shown to have greater effectiveness and protection than the existing live vaccine. Local and systemic adverse effects may occur after administration, but have been shown to resolve within one to three days.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/1015/p539.html

Counseling Patients About Prostate Cancer Screening - Editorials - American Family ...

Oct 15, 2018 - The AAFP finds that the net benefit of population screening for prostate cancer is small at best, and it does not recommend routinely discussing PSA-based screening if the patient does not request it.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1015/p478.html

Long-Acting Muscarinic Antagonists plus Inhaled Steroids is Equal to Long-Acting ...

Oct 15, 2018 - Long-acting muscarinic antagonists added to inhaled corticosteroids are a superior treatment to placebo for improving asthma control in adults and children 12 years or older. Long-acting muscarinic antagonist add-on therapy is not superior to long-acting beta agonist (LABA) add-on therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od2.html

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

Oct 15, 2018 - A.E., a 57-year-old black man, comes to your office for an annual visit. He has a history of diabetes mellitus, has never smoked, and has no family history of prostate cancer. He is current with preventive services, including screening for colorectal cancer and counseling for a healthy ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/1015/p537.html

Five-Day Nitrofurantoin Superior to Single-Dose Fosfomycin for Women with Uncomplicated...

Oct 15, 2018 - A five-day course of nitrofurantoin is significantly more likely than single-dose fosfomycin to achieve both clinical and microbiologic resolution of uncomplicated lower UTI in otherwise healthy adult women.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od4.html

Ambulatory Blood Pressure Important for Decision-Making About Treatment - POEMs - ...

Oct 15, 2018 - This study supports the guidelines recommending that treatment decisions be based on ambulatory blood pressure measurements rather than in-office blood pressure results. The difference between the two measurements in this cohort was 19/11 mm Hg, which is enough to change the decision to...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od5.html

Influenza Vaccination Recommendations for 2018-2019: Updates from ACIP - Practice ...

Oct 15, 2018 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2018–2019 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1015/p541.html

Cannabinoids Somewhat Helpful for Nausea, Maybe Helpful for Spasticity, Probably Not ...

Oct 15, 2018 - This umbrella review found a modest benefit of cannabinoids for the treatment of neuropathic pain; a greater benefit for the treatment of spasticity and nausea and vomiting; and substantial harms. The studies were extremely heterogeneous in terms of the comparators, dose, duration, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od3.html

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

Oct 15, 2018 - Advertisement << Previous article Next article >> Oct 15, 2018 Issue U.S. Preventive Services Task Force Screening for Prostate Cancer: Recommendation Statement Am Fam Physician. 2018 Oct 15;98(8):online. Related Putting Prevention into Practice: Screening for Prostate Cancer...

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

https://www.aafp.org/afp/2018/1015/od1.html

Genetic Factors Should Be Considered When Caring for Colorectal Cancer Survivors - ...

Oct 15, 2018 - Advertisement << Previous article Next article >> Oct 15, 2018 Issue Letters to the Editor The Presence of Bull's Eye Lesion Is Not Required to Diagnose Lyme Disease Am Fam Physician. 2018 Oct 15;98(8):474. Original Article: Clinical Diagnosis of Lyme Disease Frequently Misses the...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1015/p474.html

Genetic Factors Should Be Considered When Caring for Colorectal Cancer Survivors - ...

Oct 15, 2018 - Advertisement << Previous article Next article >> Oct 15, 2018 Issue Letters to the Editor Genetic Factors Should Be Considered When Caring for Colorectal Cancer Survivors Am Fam Physician. 2018 Oct 15;98(8):474-475. Original Article: Care of the Colorectal Cancer Survivor Issue...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1015/p474a.html

Time to form virtual groups for the MIPS 2019 performance year -- FPM

Follow these instructions to create or join a virtual group to better comply with the 2019 Merit-based Incentive Payment System.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/virtual_groups_MIPS_2019.html

AAFP News - Oct 15, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1015/p476.html

Three qualities of a patient satisfaction survey that's helpful, not harmful -- FPM

Patient satisfaction surveys have become commonplace, but if they aren’t conducted properly, they can do more harm than good. Look for these three qualities in your next survey.

Family Practice Management : Quick Tips : FPM Home

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

2019 FPOY William E. Cooke, MD

FPOY William E. Cooke, MD, at FMX

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18/fpoy-speech.html

Reducing Administrative Burden

Hear AAFP Senior Vice Presidents Clif Knight and Shawn Martin discuss how the Academy is working to simplify administrative processes for family physicians.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18/burden.html

How to get your staff or colleagues to make a change -- FPM

Even when the status quo is no longer working, it can be difficult to change. These seven strategies can help your group move toward needed change.

Family Practice Management : Quick Tips : FPM Home

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

Family Physician of the Year: William E. Cooke, MD

Meet William E. Cooke, MD, of Austin, Indiana, and learn how he addressed the community’s opioid crisis and the worst HIV outbreak to ever hit rural America.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18/cooke.html

AAFP President John S. Cullen, MD, FAAFP at FMX

Hear Dr. Cullen's thoughts on the future of family medicine and his personal goals as president.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18/cullen-onsite.html

AAFP President John S. Cullen, MD, FAAFP

Introducing the AAFP’s new President John S. Cullen, MD, FAAFP. For more than 20 years, Cullen has practiced family medicine in Valdez, Alaska, a rural community of 4,000 people.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18/cullen.html

FPs Are Answer to Rural Maternity Care Crisis

Many rural communities are losing access to maternity care. AAFP President John Cullen, M.D., writes in the Leader Voices Blog that his rural Alaska community offers proof that family physicians can fill that void.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181010lv-obdeserts.html

When it’s time to leave: six ways to say goodbye well -- FPM

When you have to say goodbye to a job, organization, or relationship you have invested so much of your life, energy, and self into, such endings need to be handled with care. Here’s how.

Family Practice Management : Quick Tips : FPM Home

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

Reclaiming Family Medicine's Broad Scope Benefits Everyone

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that the debate about family medicine scope of practice shouldn't focus just on midlevel providers, but also on subspecialists.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181009itt-scope.html

Advocating for Our Patients in the #MeToo Era

In words and drawings, Anita Ravi, M.D., M.P.H., M.S.H.P., counters misconceptions regarding sexual violence with truths that she has learned from a clinical practice devoted to helping survivors.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181009fp-sexualassault.html

2018 FMX Highlights

2018 FMX Highlights

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/about/past-future/highlights18.html

We're Making Progress on the Issues That Matter to FPs

As his term comes to an end, Michael Munger, M.D., reflects in this Leader Voices Blog post on his year as AAFP president and ponders the challenges that remain for family medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181008lv-mungerfinale.html

New MBI to appear on remittance advices -- FPM

As part of the ongoing switch to the new Medicare Beneficiary Identifier, the Centers for Medicare and Medicaid Services is including the new MBI number on all Medicare remittances.

Family Practice Management : Getting Paid : FPM Home

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

Two quick questions to assess patients' readiness for change -- FPM

Do your patients need to make better health decisions? Use these questions to determine how ready they are to change.

Family Practice Management : Quick Tips : FPM Home

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

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