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Chronic Nonallergic Rhinitis - American Family Physician

Aug 1, 2018 - Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear...

American Family Physician : Article

https://www.aafp.org/afp/2018/0801/p171.html

Type 1 Diabetes: Management Strategies - American Family Physician

Aug 1, 2018 - There is considerable benefit of tight glucose control in patients with type 1 diabetes mellitus. Tight blood glucose control dramatically decreases the incidence of microvascular and macrovascular complications. Although glycemic goals should be individualized, most nonpregnant adults ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0801/p154.html

99213 or 99214? Three Tips for Navigating the Coding Conundrum -- FPM

Aug 1, 2018 - Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p5.html

Teach-Back: A Simple Technique to Enhance Patients' Understanding -- FPM

Aug 1, 2018 - Half of patients leave their visit without understanding what their physician told them, but this simple technique can help.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p20.html

Treatment Duration for Etonogestrel Implant - FPIN's Help Desk Answers - American ...

Aug 1, 2018 - The etonogestrel subdermal implant is approved by the U.S. Food and Drug Administration for contraception for up to three years, but it seems to be effective for up to five years.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0801/od3.html

Food Insecurity: How You Can Help Your Patients - Editorials - American Family Physician

Aug 1, 2018 - Physicians can improve the health of patients who experience food insecurity by following the SEARCH (screen, educate, adjust, recognize, connect, help) mnemonic and by using the resources outlined in this article.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0801/p143.html

Four Mobile Apps for Pain Management -- FPM

Aug 1, 2018 - These apps can help you and your patients more effectively manage their acute and chronic pain.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/0700/oa1.html

Patient Inducements: The New Dos and Don'ts -- FPM

Aug 1, 2018 - The limits on giving free goods and services to Medicare and Medicaid patients are complex. Here’s how to avoid regulatory trouble.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p16.html

Diabetes: ADA Releases Revised Position Statement on Standards of Medical Care - ...

Aug 1, 2018 - Because the evidence regarding medical care for persons with diabetes mellitus continues to evolve, the American Diabetes Association (ADA) annually updates its standards. In addition, starting in 2018, the ADA will also periodically update its guidance online if warranted.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0801/p187.html

Coding & Documentation - Jul-Aug 2018 -- FPM

Aug 1, 2018 - Medicare billing for well-woman exams | Pediatric hearing screening | Road rash treatment | Peak flow testing | Student documentation

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0700/p31.html

The Role of Proton Pump Inhibitor Therapy in Patients with Functional Dyspepsia - ...

Aug 1, 2018 - There is moderate-quality evidence that PPIs are more effective than placebo at relieving overall symptoms in patients with functional dyspepsia (number needed to treat [NNT] = 11). Low-quality evidence suggests a small benefit of PPI therapy compared with prokinetics, and little to no ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0801/p152.html

Interventions for Treatment of Overweight and Obese Children - Cochrane for Clinicians ...

Aug 1, 2018 - Interventions that include combinations of diet, physical activity, and behavior changes may reduce weight, body mass index (BMI), and BMI z-score (equivalent to BMI-for-age percentile) in overweight and obese children six to 11 years of age.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0801/p151.html

Terbinafine for Onychomycosis - Medicine by the Numbers - American Family Physician

Aug 1, 2018 - Preliminary evidence indicates that combining terbinafine with an azole appears to be superior to terbinafine alone. Further study is necessary to compare combined treatment with terbinafine plus an azole vs. terbinafine alone.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0801/od1.html

A Persistent Lip Ulcer - Photo Quiz - American Family Physician

Aug 1, 2018 - A man with a history of HIV, chlamydia, and genital herpes presented with a painful lip ulcer.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0801/p185.html

Quality Measures: How to Get Them Right -- FPM

Aug 1, 2018 - Pay-for-performance programs have produced disappointing results. Fewer and more appropriate, evidence-based quality measures could help.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p23.html

Diagnosis of Acute Coronary Syndrome - FPIN's Help Desk Answers - American Family ...

Aug 1, 2018 - The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of 13 and 6.8, ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0801/od2.html

Can My Primary Care Doctor Treat My Cancer? - Close-ups - American Family Physician

Aug 1, 2018 - The primary care physician's role in cancer treatment.

American Family Physician : Close-ups

https://www.aafp.org/afp/2018/0801/p147.html

Five Ways to Cultivate Resilience -- FPM

Aug 1, 2018 - Resilience is a powerful weapon against burnout.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2018/0700/p38.html

How to Create a Culture of Well-Being in Your Practice -- FPM

Aug 1, 2018 - Every organization has a culture, either by default or by design. Why not cultivate one that helps people thrive?

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p11.html

High Demand, Low Supply: Health Centers and the Recruitment of Family Physicians - ...

Aug 1, 2018 - Expansion of the Health Centers Program has been associated with persistent workforce challenges for this critical component of the primary care safety net. In a national survey, 69% of health centers had a family physician (FP) vacancy. Those with FP vacancies reported spending an ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2018/0801/p146.html

Practice Pearls - Jul-Aug 2018 -- FPM

Aug 1, 2018 - Use a video game mouse to beat your EHR | Build a better meeting | Plan your huddles | Improve your EHR speed

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2018/0700/p32.html

Quality Measurement: A Long Way to Go -- FPM

Aug 1, 2018 - Physician quality shouldn't be subjective. But the current measurement methods need more work.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2018/0700/p4.html

Screening and Immunizations for Refugees to the United States - Letters to the Editor -...

Aug 1, 2018 - Advertisement << Previous article Next article >> Aug 1, 2018 Issue Letters to the Editor Screening and Immunizations for Refugees to the United States Am Fam Physician. 2018 Aug 1;98(3):141-142. Original Article: Primary Care for Refugees: Challenges and Opportunities Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0801/p141.html

The Many Potential Causes of Sudden Cardiac Death in Young Athletes - Letters to the ...

Aug 1, 2018 - Advertisement Aug 1, 2018 Issue Letters to the Editor Consider Atlanto-Occipital Joint Dysfunction as a Cause of Secondary Otalgia Am Fam Physician. 2018 Aug 1;98(3):142. Original Article: Ear Pain: Diagnosing Common and Uncommon Causes Issue Date: January 1, 2018 See additional...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0801/p142.html

The Many Potential Causes of Sudden Cardiac Death in Young Athletes - Letters to the ...

Aug 1, 2018 - Advertisement Aug 1, 2018 Issue Letters to the Editor The Many Potential Causes of Sudden Cardiac Death in Young Athletes Am Fam Physician. 2018 Aug 1;98(3):142. Original Article: Hypertrophic Cardiomyopathy: An Often Silent Disorder with Delayed Diagnosis [Close-ups] Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0801/p142a.html

Six ways to get the practice culture you’ve always wanted -- FPM

A practice’s culture develops in one of two ways: by design or by default. Here's how to create a culture in which people can thrive.

Family Practice Management : Quick Tips : FPM Home

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

What You Should Know About Type 1 Diabetes - American Family Physician

Aug 1, 2018 - Advertisement << Previous article Next article >> Aug 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/2018/0801/p154-s1.html

AAFP News - Aug 1, 2018 - American Family Physician

Aug 1, 2018 - Advertisement << Previous article Next article >> Aug 1, 2018 Issue AAFP News: AFP Edition Policy and Health Issues in the News Am Fam Physician. 2018 Aug 1;98(3):140. Study Finds Disturbing Trends in Vaccination Exemptions A study recently published in PLOS Medicine shows that...

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0801/p140.html

Early Thoughts on the 2019 Fee Schedule

AAFP staff members are reviewing the 2019 Medicare physician fee schedule. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares some initial reactions based on the Academy's early evaluation of the proposal.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180731itt_feeschedule.html

Five habits for a more vital practice -- FPM

Successful practices have some striking similarities. Consultant Betsy Nicoletti describes five distinguishing characteristics and advice for how to improve your practice’s performance.

Family Practice Management : Quick Tips : FPM Home

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

Medicare card rollout update -- FPM

The Centers for Medicare and Medicaid Services (CMS) has started mailing new Medicare cards to recipients living in states that represent the Wave 4 of the new card rollout that began this spring.

Family Practice Management : Getting Paid : FPM Home

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

ICD-10 coding for patients with hypertension and heart failure -- FPM

Here’s how to code for heart failure when it is not caused by your patient’s hypertension.

Family Practice Management : Quick Tips : FPM Home

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

Teach-back: A simple way to enhance patients' understanding -- FPM

Evidence shows that the teach-back technique benefits patient outcomes, but time constraints, fear that the patient will take offense, and a lack of training keep some physicians from using it. Here’s how to use teach-back quickly and sensitively.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/teach-back.html

Game Over? WHO Decision on Gaming Disorder Raises Questions

The World Health Organization recently recognized gaming disorder as being a mental health condition. In this Fresh Perspectives blog post, Luis Garcia, M.D., looks at what that could mean for family physicians and patients.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180727fp-gaming.html

Office Policy Samples -- FPM Toolbox

Jul 25, 2018 - Download sample office policies related to patient payment, patient dismissal, and more.

Family Practice Management : FPM Toolbox : Office Policy Samples

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=21

How to respond to mid-air medical emergencies -- FPM

There are laws designed to encourage physicians to help if a medical emergency develops on a commercial flight.

Family Practice Management : Quick Tips : FPM Home

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

Opportunities, Not Incentives, Drive PCPs to Do Better

In his final Fresh Perspectives blog post, Ryan Neuhofel, D.O., M.P.H., writes that policymakers should abandon the carrot-and-stick approach to payment schemes and give physicians time to provide better care.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180720fp-opportunity.html

A simple question for better scheduling -- FPM

This practice found a single question helped save staff and patients time when scheduling a same-day appointment.

Family Practice Management : Quick Tips : FPM Home

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

Drawings From Detention: Assisting Asylum Seekers

Anita Ravi, M.D., M.P.H., M.S.H.P., recently visited the nation's largest family detention center to help asylum seekers. She shares her experience in words and drawings in the Fresh Perspectives blog.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180717fp-asylum.html

It's Still the Prices, Stupid

High drug prices are driving dramatic increases in health care costs. In the latest In the Trenches blog post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin looks at how HHS and the AAFP are responding.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180717itt_drugs.html

Xanax Is Not the Answer to Xenophobia

Fear and anxiety are rampant in our society lately. Leonard Reeves, M.D., writes in this Leader Voices Blog post that people need to recognize the true motivation behind their fears and think rationally.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180716lv-fear.html

Delivering Bad or Life-Altering News - American Family Physician

Jul 15, 2018 - Delivering serious, bad, or life-altering news to a patient is one of the most difficult tasks physicians encounter. Broadly defined as information that may alter a patient’s view of his or her future, bad news may include information related to a chronic disease (e.g., diabetes ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0715/p99.html

Stimulant and Designer Drug Use: Primary Care Management - American Family Physician

Jul 15, 2018 - Approximately 10% of the U.S. population 12 years and older reported using illicit substances in 2015. This article reviews the clinical effects and treatment of persons who use cocaine, methamphetamines, 3,4-methylenedioxymethamphetamine (MDMA), synthetic cannabinoids, and synthetic ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0715/p85.html

Top POEMs of 2017 Consistent with the Principles of the Choosing Wisely Campaign - ...

Jul 15, 2018 - This article discusses the POEMs (patient-oriented evidence that matters) of 2017 judged to be most consistent with the principles of the Choosing Wisely campaign. A POEM is a synopsis of a research study that reports patient-oriented outcomes, such as improvement in symptoms, quality ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0715/p93.html

Lower Extremity Erythema - Photo Quiz - American Family Physician

Jul 15, 2018 - A man who lived a hermit lifestyle presented with an open eschar over the left medial malleolus.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0715/p107.html

Lifitegrast Ophthalmic Solution 5% (Xiidra) for Dry Eye Disease - STEPS - American ...

Jul 15, 2018 - Studies have shown that lifitegrast will reduce the symptoms of dry eye disease in some patients, although the benefit is borderline clinically significant. It is much more expensive than over-the-counter ointments, artificial tears, and lubricant eye drops.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0715/p119.html

Physical Therapy for Low Back Pain - FPIN's Clinical Inquiries - American Family Physician

Jul 15, 2018 - There is some evidence that early physical therapy may decrease posttreatment health care utilization for low back pain.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2018/0715/p115.html

Behavioral Counseling to Prevent Skin Cancer: Recommendation Statement - U.S. ...

Jul 15, 2018 - The USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to ultraviolet (UV) radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer.

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

https://www.aafp.org/afp/2018/0715/od1.html

The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term ...

Jul 15, 2018 - Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0715/p117.html

Counseling Parents and Adolescents About Marijuana - Editorials - American Family ...

Jul 15, 2018 - Physicians are increasingly likely to be asked by adolescents or their parents whether recreational marijuana use is safe. Although many adults view marijuana as benign, there are major concerns about its use in adolescents because all illicit drug use, including marijuana, may have ...

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0715/p80.html

Hepatitis B Virus Vaccination and Screening: Best Practices from the ACP and CDC - ...

Jul 15, 2018 - The American College of Physicians and Centers for Disease Control and Prevention highlights the consensus among these recommendations, with recent evidence, to develop a best practice advice statement for vaccination, screening, care, and treatment of patients at risk of or who ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0715/p121.html

Behavioral Counseling to Prevent Skin Cancer - Putting Prevention into Practice - ...

Jul 15, 2018 - A 25-year-old Irish American woman presents for a wellness visit for herself and her two young children, a two-year-old boy and a seven-month-old girl. All three have fair skin, red hair, and freckles. She reports that she is looking forward to an upcoming family vacation to the ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0715/p105.html

HEART Score for Predicting Adverse Outcomes in Patients with Chest Pain - Letters to ...

Jul 15, 2018 - Advertisement << Previous article Next article >> Jul 15, 2018 Issue Letters to the Editor HEART Score for Predicting Adverse Outcomes in Patients with Chest Pain Am Fam Physician. 2018 Jul 15;98(2):72-75. Original Article: Acute Coronary Syndrome: Diagnostic Evaluation Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0715/p72.html

AAFP News - Jul 15, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0715/p78.html

Club Drugs: What You Should Know - American Family Physician

Jul 15, 2018 - Advertisement << Previous article Next article >> Jul 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/2018/0715/p85-s1.html

Club Drugs: What You Should Know - American Family Physician

Jul 15, 2018 - Advertisement << Previous article Next article >> Jul 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/2018/0715/p85-s2.html

Marijuana: Talking Points for Parents and Teens - American Family Physician

Jul 15, 2018 - Advertisement << Previous article Next article >> Jul 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/2018/0715/p80-s1.html

CMS proposes simpler Medicare documentation guidelines in 2019 fee schedule -- FPM

The Centers for Medicare and Medicaid Services is looking to use its annual update of the Medicare physician fee schedule to address long-simmering complaints with how the program requires physicians and other clinicians to document evaluation and management visits.

Family Practice Management : Getting Paid : FPM Home

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

Evaluation and management (E/M) coding and documentation burden could lighten in 2019 ...

The Centers for Medicare and Medicaid Services' proposed rule for the Physician Fee Schedule for 2019 contains significant revisions to the coding, documentation, and payment of office visit evaluation and management services.

Family Practice Management : Getting Paid : FPM Home

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

Four ways to manage stress and prevent burnout as an employed physician -- FPM

Employed physicians face unique stresses in practice as they often lack autonomy and influence. Here are four ways to protect your well-being.

Family Practice Management : Quick Tips : FPM Home

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

Three tips to optimize care for refugee patients -- FPM

Family physicians are well positioned to care for refugee patients. Three tips can help.

Family Practice Management : Quick Tips : FPM Home

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

FPs See How Much Continuity of Care Matters

A recent analysis in BMJ found that continuity of care decreases mortality. John Meigs, M.D., shares a recent example of why that's the case.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180709lv-continuity.html

QPP feedback reports now available -- FPM

The Centers for Medicare and Medicaid Services has released feedback reports telling eligible physicians and practice groups how they did during the first full year of complying with the Quality Payment Program.

Family Practice Management : Getting Paid : FPM Home

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

Back to Work: Adjusting Bit by Bit

After taking a two-year break from daily practice to raise twins, Meshia Waleh, M.D., writes in the Fresh Perspectives blog that her next great adventure involves a new job in a new state.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180705fp-waleh.html

Robert Graham Center Is Vital Tool for Family Medicine

The Robert Graham Center recently published a report that offers a treasure trove of facts about family medicine. As the center marks its 19th year, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin looks at how it works to advance primary care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180703itt-rgc.html

Why I'm Optimistic About the Future of Primary Care

In this Fresh Perspectives blog post, Natasha Bhuyan, M.D., shares lessons she has learned from the students and residents she trains, saying they give her hope for our future.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180702fp-trainees.html

AMA House of Delegates Weighs In on Health Equity

In this Leader Voices Blog post, AAFP President Michael Munger, M.D., reports from the recent annual meeting of the AMA House of Delegates, which took several actions related to health equity.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180702amahod.html

Acute Appendicitis: Efficient Diagnosis and Management - American Family Physician

Jul 1, 2018 - Appendicitis is one of the most common causes of acute abdominal pain in adults and children, with a lifetime risk of 8.6% in males and 6.7% in females. It is the most common nonobstetric surgical emergency during pregnancy. Findings from the history, physical examination, and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0701/p25.html

Evaluating Medical Decision-Making Capacity in Practice - American Family Physician

Jul 1, 2018 - Medical decision-making capacity is the ability of a patient to understand the benefits and risks of, and the alternatives to, a proposed treatment or intervention (including no treatment). Capacity is the basis of informed consent. Patients have medical decision-making capacity if they...

American Family Physician : Article

https://www.aafp.org/afp/2018/0701/p40.html

Allergy Testing: Common Questions and Answers - American Family Physician

Jul 1, 2018 - An estimated 10% to 30% of the global population has an allergic disease. Clinical presentations of allergic diseases, respiratory infections, and autoimmune conditions have similar features. Allergy and immunologic testing can help clarify the diagnosis and guide treatment. Immediate ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0701/p34.html

Short Courses of Oral Corticosteroids: Lack of Benefit and Potential Harms for Common ...

Jul 1, 2018 - A short course of oral corticosteroids is appropriate for many patients with specific conditions. However, widespread use of corticosteroids in patients with non-pneumonia lower respiratory tract infection, nonsevere sore throat, or low back pain is inappropriate and not worth the risk ...

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0701/p12.html

The Doorknob Phenomenon in Clinical Practice - Curbside Consultation - American Family ...

Jul 1, 2018 - By definition, the doorknob phenomenon or doorknob statement occurs when patients wait until the last moment in the clinical encounter—often while the physician is grasping the doorknob to exit the examination room—to utter something that, not uncommonly, provides crucial information. ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0701/p52.html

Nebulized Hypertonic Saline for Bronchiolitis - Medicine by the Numbers - American ...

Jul 1, 2018 - Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0701/p23.html

Statins Effective for LDL 190 mg per dL or Higher, Regardless of Risk Level - POEMs - ...

Jul 1, 2018 - These results confirm that the use of statins for men with an LDL cholesterol level of at least 190 mg per dL, regardless of calculated risk, is associated with a clinically and statistically significant reduction in cardiovascular events and probably cardiovascular and all-cause ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0701/p54a.html

Bleeding with Anticoagulants: ACC Releases Expert Consensus Decision Pathway to Guide ...

Jul 1, 2018 - This Expert Consensus Decision Pathway from the American College of Cardiology (ACC) aims to provide physicians with decision-making assistance for managing bleeding events in patients taking anticoagulants.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0701/p57.html

Individual Behavioral Counseling for Smoking Cessation - Cochrane for Clinicians - ...

Jul 1, 2018 - Individual behavioral counseling conducted by a trained therapist provides some benefit when compared with brief counseling and support; however, this benefit is less pronounced in the context of pharmacotherapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0701/p21.html

Procalcitonin to Guide Antibiotic Therapy in Acute Respiratory Infections - Cochrane ...

Jul 1, 2018 - Procalcitonin-guided antibiotic therapy, when compared with routine treatments, results in decreased mortality in patients with acute respiratory infections (absolute risk reduction [ARR] = 1.4%; number needed to treat [NNT] = 71).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0701/p20.html

Short Courses of Antibiotics as Effective as Longer Courses for Outpatient Infections -...

Jul 1, 2018 - Just about every time someone asks, Can I get away with a shorter course of antibiotics, the answer is, Yes, you can. Shorter courses reduce cost and may reduce the likelihood of adverse events.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0701/p56.html

Asymptomatic Hyperpigmented Iris Lesion - Photo Quiz - American Family Physician

Jul 1, 2018 - A seven-year-old girl presented with an asymmetric, hyperpigmented lesion that was isolated to the iris of her left eye.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0701/p47.html

Effects of Prenatal Yoga on Labor Pain - FPIN's Help Desk Answers - American Family ...

Jul 1, 2018 - Participation in a prenatal yoga program may help reduce labor pain, but reported effects vary from modest to moderate.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0701/p49.html

Staples vs. Sutures After Cesarean Delivery - FPIN's Help Desk Answers - American ...

Jul 1, 2018 - Patients believe that staples and subcuticular sutures provide similar cosmetic outcomes after cesarean deliveries. However, the risk of wound complications (e.g., infection, separation, hematoma, seroma) is doubled with staples.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0701/p50.html

Surgery Equal to No Surgery for Patients with Subacromial Shoulder Pain - POEMs - ...

Jul 1, 2018 - In patients with subacromial shoulder pain of at least three months' duration who receive physical therapy, surgical decompression is no better than arthroscopy without decompression in improving pain or function, and neither is much better than no invasive intervention at all.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0701/p54.html

PCI Equal to Sham PCI for Exercise Tolerance in Patients with Stable Angina Plus Severe...

Jul 1, 2018 - In patients with stable angina and severe coronary artery disease (CAD), PCI plus optimal medical treatment does not improve exercise tolerance or angina more than sham PCI plus optimal medical treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0701/p55.html

Ketogenic Diet an Option for Treating Uncontrolled Epilepsy - Letters to the Editor - ...

Jul 1, 2018 - Advertisement << Previous article Next article >> Jul 1, 2018 Issue Letters to the Editor Ketogenic Diet an Option for Treating Uncontrolled Epilepsy Am Fam Physician. 2018 Jul 1;98(1):10-11. Original Article: Epilepsy: Treatment Options Issue Date: July 15, 2017 See additional...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0701/p10a.html

Ketogenic Diet an Option for Treating Uncontrolled Epilepsy - Letters to the Editor - ...

Jul 1, 2018 - Advertisement << Previous article Next article >> Jul 1, 2018 Issue Letters to the Editor Tips for Facilitating Lifestyle Changes in Low-Income Communities Am Fam Physician. 2018 Jul 1;98(1):10. Original Article: Diabetes Self-Management: Facilitating Lifestyle Change Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0701/p10.html

AAFP News - Jul 1, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0701/p8.html

QPP websites updated to streamline eligibility checks, review measures -- FPM

The Centers for Medicare and Medicaid Services has updated its Quality Payment Program participation tool and QPP website to make it easier to check eligibility and review quality measure data.

Family Practice Management : Getting Paid : FPM Home

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

A quick and simple technique for delivering negative feedback -- FPM

A feedback sandwich can help you to organize feedback in a way that makes it more effective and easier to deliver.

Family Practice Management : Quick Tips : FPM Home

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

Two ways to find meaning in medicine -- FPM

Mindful interactions can help you feel more effective and fulfilled. To practice mindfulness during patient visits, focus on cultivating connection and curiosity.

Family Practice Management : Quick Tips : FPM Home

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

Three tools for screening for social determinants of health -- FPM

These screening instruments can aid physicians in identifying social determinants of health in a primary care setting.

Family Practice Management : Quick Tips : FPM Home

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

Managing the Vacuum of Freedom After Residency

After being told what their next steps should be for years, graduating residents now get to choose their own path. Allison Edwards, M.D., writes in this Fresh Perspectives blog post that they shouldn't panic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180626fp-endtraining.html

Three documentation tips to reduce your malpractice risk -- FPM

Careful documentation can mean the difference between a guilty verdict in a medical malpractice case and the case being thrown out. It’s worth the trouble to ensure you do it right.

Family Practice Management : Quick Tips : FPM Home

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

Looking ahead to this year's new diagnosis codes -- FPM

It’s not too early to start preparing for the annual round of ICD-10 diagnosis coding changes effective for dates of service on or after Oct. 1.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/New_ICD10_Codes_Fall_2018.html

A quick reminder about flu shot billing -- FPM

A quick reminder: Medicare covers influenza immunizations as soon as new seasonal vaccines are received.

Family Practice Management : Quick Tips : FPM Home

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

AAFP, Others Drive Home Opioid Message on Capitol Hill

Leaders from the AAFP and five other physician organizations converged on Capitol Hill June 18 to advocate for solutions to the nation's opioid crisis. Michael Munger, M.D., gives more details in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180622lv-opioidvisits.html

Five steps for standing orders -- FPM

Whether you are writing a standing order from scratch or evaluating an existing one for use in your practice, be sure to address these issues.

Family Practice Management : Quick Tips : FPM Home

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

AAFP Survey Reveals DPC Trends

As we prepare for the annual Direct Primary Care Summit, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares the results of the AAFP's recent survey related to DPC.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180619ITT_DPC.html

Delaying Visa Approvals Would Harm Medical Training, Patients

As a new training year approaches, many international medical graduates are waiting for H1-B visa approvals. The AAFP and others have been pressing the administration to expedite the process.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180619lv-visaapproval.html

Geriatric Assessment: An Office-Based Approach - American Family Physician

Jun 15, 2018 - Family physicians should be proficient in geriatric assessment because, as society ages, older adults will constitute an increasing proportion of patients. Geriatric assessment evaluates medical, social, and environmental factors that influence overall well-being, and addresses ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0615/p776.html

Recurrent Abdominal Pain in Children - American Family Physician

Jun 15, 2018 - Recurrent abdominal pain (RAP) in children is defined as at least three episodes of pain that occur over at least three months and affect the child’s ability to perform normal activities. RAP is most often considered functional (nonorganic) abdominal pain, but an organic cause is found ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0615/p785.html

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