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Obesity in Pregnancy: Risks and Management - Editorials - American Family Physician

May 1, 2018 - As obesity becomes more common, it is important for all maternity care clinicians to understand the risks and associated management of obesity in pregnancy. Elevated prepregnancy weight increases the absolute risk of many adverse fetal and maternal outcomes.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0501/p559.html

Hyperpigmented Patches on the Dorsal Hands - Photo Quiz - American Family Physician

May 1, 2018 - A man with a history of HIV infection, diabetes, alcohol use disorder, and tobacco use disorder presented with skin lesions on his upper extremities and hyperpigmented patches on his face.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0501/p603.html

Omega-3 Fatty Acids and Cardiovascular Disease - Implementing AHRQ Effective Health ...

May 1, 2018 - What is the effect of omega-3 fatty acid supplementation on cardiovascular outcomes?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2018/0501/p562.html

Antiepileptic Drug Monotherapy for Epilepsy - Cochrane for Clinicians - American Family...

May 1, 2018 - In patients with partial-onset (focal) seizures, levetiracetam (Keppra), lamotrigine (Lamictal), and carbamazepine (Tegretol) were associated with the longest time to treatment withdrawal (i.e., the recommended patient-oriented outcome measure that balances tolerability with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0501/p572.html

Effectiveness of Pneumococcal Vaccines - FPIN's Help Desk Answers - American Family ...

May 1, 2018 - The 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax 23) decreases the relative risk of community-acquired pneumonia in adults by 13%. The risk is reduced by 28% in the population that includes adults older than 65 years, those with lung disease, and those living in a ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0501/od3.html

Gender-Dysphoric/Gender-Incongruent Persons: Treatment Recommendations from the ...

May 1, 2018 - Gender-dysphoric/gender-incongruent persons require a safe and effective hormone regimen. These recommendations are an update to the clinical practice guideline on endocrine treatment of transsexual persons published in 2009 by the Endocrine Society.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0501/p608.html

Effectiveness and Safety of Celecoxib for the Treatment of Rheumatoid Arthritis - ...

May 1, 2018 - Compared with placebo, celecoxib improves pain (number needed to treat [NNT] = 4) and clinical symptoms (NNT = 7), but it has no effect on physical function in patients with RA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0501/p573.html

One-Third of Patients with Anxiety Disorder Will Relapse When Antidepressant Treatment ...

May 1, 2018 - Discontinuing the antidepressant treatment in patients with anxiety disorders will cause a relapse in almost one-third of them. One in six patients previously treated successfully will also relapse despite continued treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0501/p605.html

Primary Closure of Animal Bites - FPIN's Help Desk Answers - American Family Physician

May 1, 2018 - Dog bites can have a primary closure at the time of injury. Primary closure of dog bites does not increase the rate of wound infections compared with nonclosure.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0501/od2.html

Clinical and Personal Utility of Genetic Risk Testing - Curbside Consultation - ...

May 1, 2018 - On April 6, 2017, the U.S. Food and Drug Administration (FDA) approved marketing of the 23andMe Personal Genome Service, the first direct-to-consumer genetic test. This test uses genomic DNA collected from mail-in saliva collection kits to provide information on a patient's genetic risk...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0501/p600.html

Pregabalin (Lyrica) for Acute Fibromyalgia Pain - Medicine by the Numbers - American ...

May 1, 2018 - Pregabalin (Lyrica) provides good pain relief to some patients with acute fibromyalgia pain but does not work for most persons. Learn more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0501/od1.html

Lumbar Fusion of Variable Value Based on Treating Diagnosis, with Significant ...

May 1, 2018 - Lumbar fusion for degenerative spinal disease appears to be most beneficial for patients undergoing the procedure for spondylolisthesis, but it is of little clear benefit for patients with other indications, such as spinal stenosis or chronic back pain.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0501/p605a.html

Single Question Is Useful for Identifying Acute Mountain Sickness in Travelers at High ...

May 1, 2018 - Three different diagnostic scoring tools have similar accuracy for identifying adults at risk of AMS. One tool, the clinical functional score, is the simplest to use and consists of asking a single question.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0501/p607.html

Exercise Alone and Various Combinations of Interventions Reduce the Risk of Injurious ...

May 1, 2018 - Exercise alone; exercise combined with vision assessment and treatment; exercise combined with vision assessment and treatment, and environmental assessment and modification; and clinic-level quality improvement strategies combined with multifactorial assessment and treatment, calcium ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0501/p606.html

EHR Market Needs Competition, Innovation

Back in 2004, the Bush administration predicted that electronic health records would help clinicians avoid medical mistakes, reduce costs and improve care within 10 years. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180501ITT_ehrs.html

What If Everyone Had a Family Physician?

Securing funding for vital primary care programs is a start, but Leonard Reeves, M.D., writes in this Leader Voices Blog post that the fight continues for the kind of physician workforce our country needs.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180501lv-whatif.html

AAFP News - May 1, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0501/p558.html

Croup: What You Should Know - American Family Physician

May 1, 2018 - Advertisement << Previous article Next article >> May 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/2018/0501/p575-s1.html

Acknowledging -- and Overcoming -- My Own Racial Bias

Lalita Abhyankar, M.D., M.H.S., is working on her own racial biases. In this Fresh Perspectives blog post, she questions why our medical institutions and training programs aren't doing the same.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180430fp-bias.html

Staffing -- FPM Toolbox

Apr 27, 2018 - Download tools to help you clarify staff responsibilities, provide feedback, and more.

Family Practice Management : FPM Toolbox : Staffing

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=28

A checklist of quality measures to help you succeed in value-based payment -- FPM

This checklist of quality measures can help you improve quality and succeed in value-based payment.

Family Practice Management : Quick Tips : FPM Home

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

Medicare looks to contract directly with physicians and suppliers -- FPM

The Centers for Medicare and Medicaid Services is investigating a new payment model that would directly contract with Medicare providers and suppliers.

Family Practice Management : Getting Paid : FPM Home

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

How to confront an impaired physician colleague -- FPM

When a physician is suffering from addiction, depression, or another impairment, here's how to confront or intervene.

Family Practice Management : Quick Tips : FPM Home

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

Six documentation tasks your team could be doing -- FPM

Team documentation has been shown to improve patient outcomes and physician satisfaction. Here are six documentation tasks you can delegate.

Family Practice Management : Quick Tips : FPM Home

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

In Face of Broken Health Care System, I Choose Happiness

Kimberly Becher, M.D., writes that the health care system presents physicians with repeated betrayals of purpose, but patient relationships -- and the right mindset -- can replenish our emotional drives.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180423fp-happiness.html

Advocacy, Like Sailing, Means Navigating Turbulent Seas

John Cullen, M.D., knows the ropes of sailing and advocacy. In this Leader Voices blog post, he says both require teamwork and persistence.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180420lv-sailing.html

How to know when to bill for both preventive and added services -- FPM

When a patient brings an additional complaint to a preventive visit, here's how to know whether it qualifies as a separate service and get paid for your work.

Family Practice Management : Getting Paid : FPM Home

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

Five steps to diffusing difficult emotions in the exam room -- FPM

Ignoring a patient’s negative emotions, such as rudeness, defensiveness, or anger, can hinder the healing process and complicate the doctor-patient relationship.

Family Practice Management : Quick Tips : FPM Home

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

Make your EHR more efficient -- FPM

In your frustration with your electronic health record system, don’t overlook ways to make it more efficient. These eight tips can help.

Family Practice Management : Quick Tips : FPM Home

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

Two Approaches to Making Your Point With Patients

Class is back in session as M.P.H. candidate Stewart Decker, M.D., shares his insights from a course on persuasive communication.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180417fp-mph.html

Protecting the Environment, Our Health

April 22 is Earth Day. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights the AAFP's nearly 50-year-old policy on climate change and pollution and outlines what the Academy is doing now to protect public health...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180417ITT_earthday.html

Make Our Voices Heard on Continuing Board Certification

AAFP President Michael Munger, M.D., provided comments at a recent hearing about continuing board certification. He urges family physicians to do the same in a survey from the American Board of Medical Specialties.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180417lv-abms.html

An efficient workflow for alcohol misuse screening -- FPM

Screening adult patients doesn’t have to be time-consuming, and the service is often billable, particularly when the results lead to a brief intervention.

Family Practice Management : Quick Tips : FPM Home

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

Planner Landing aafp -- Physician Health First

PWB planner landing

Membership : Member Benefits

https://www.aafp.org/membership/benefits/physician-health-first/planner/pwb-planner-landing.html

Poststreptococcal Illness: Recognition and Management - American Family Physician

Apr 15, 2018 - Group A beta-hemolytic streptococcus can cause several postinfectious, nonsuppurative immune- mediated diseases including acute rheumatic fever, poststreptococcal reactive arthritis, pediatric autoimmune neuropsychiatric disorders, and poststreptococcal glomerulonephritis. Except for ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0415/p517.html

Common Running Injuries: Evaluation and Management - American Family Physician

Apr 15, 2018 - Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0415/p510.html

Osteoarthritis: Rapid Evidence Review - American Family Physician

Apr 15, 2018 - Osteoarthritis (OA) should be suspected in patients with pain in the fingers, shoulders, hips, knees, or ankles, especially if they are older than 40 years. Patients older than 50 years who have joint pain, minimal morning stiffness, and functional impairment likely have OA. Radiography...

American Family Physician : Article

https://www.aafp.org/afp/2018/0415/p523.html

Clarification for Apixaban Dosing in Patients with Impaired Renal Function - Letters to...

Apr 15, 2018 - Advertisement << Previous article Next article >> Apr 15, 2018 Issue Letters to the Editor Clarification for Apixaban Dosing in Patients with Impaired Renal Function Am Fam Physician. 2018 Apr 15;97(8):496-497. Original Article: Deep Venous Thrombosis and Pulmonary Embolism: Current...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0415/p496.html

The Female Athlete Triad: Recommendations for Management - Editorials - American Family...

Apr 15, 2018 - Family physicians should be familiar with recommendations regarding the female athlete triad, because prevention and early intervention can significantly reduce morbidity from this disorder.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0415/p499.html

Geometric Rash on the Leg - Photo Quiz - American Family Physician

Apr 15, 2018 - A healthy 62-year-old woman presented with a pruritic rash on her ankle three days after applying a lidocaine patch.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0415/p531.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women and the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.

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

https://www.aafp.org/afp/2018/0415/od1.html

Antibiotic Prophylaxis for COPD Exacerbations - FPIN's Clinical Inquiries - American ...

Apr 15, 2018 - Prophylactic antibiotics may be used to reduce the overall rate of COPD exacerbations and delay their onset. However, the appropriate antibiotic regimen and target population are unclear.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2018/0415/p527.html

Edoxaban (Savaysa) for the Prevention of Thromboembolic Events - STEPS - American ...

Apr 15, 2018 - Edoxaban is an alternative to warfarin and other oral anticoagulants for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the treatment of deep venous thrombosis and pulmonary embolism.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0415/p529.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - D.M. is a 52-year-old woman who presents to your office for a well-woman visit. She has been menopausal since 50 years of age and has no significant medical or surgical history. She is up to date on her recommended screenings, with normal mammography and colonoscopy results, and has no ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0415/p541.html

Qvar for Treatment of Chronic Asthma - Medicine by the Numbers - American Family Physician

Apr 15, 2018 - Learn the results of a Cochrane review which studied the effectiveness of Qvar in two sets of patients with chronic asthma: those receiving oral corticosteroids and those not receiving them.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0415/p538.html

Screening and Management of High BP in Children and Adolescents: An Updated Guideline ...

Apr 15, 2018 - The American Academy of Pediatrics (AAP) previously published guidance on screening for and managing high blood pressure (BP) in children and adolescents in 2004. An updated guideline was released by the AAP to address increased interest in childhood hypertension (HTN) and an updated ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0415/p543.html

Routine Oxygen Supplementation After Acute Stroke Does Not Improve Functional Outcomes ...

Apr 15, 2018 - For nonhypoxic patients with acute stroke, routine oxygen therapy for 72 hours, either continuously or at night only, does not improve functional outcomes at 90 days. Long-term outcomes were not assessed in this study, and the question remains whether 90 days is an adequate length of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0415/p533.html

Acknowledging and Thanking AFP's Peer Reviewers for 2017 - Editorials - American Family...

Apr 15, 2018 - Peer review continues to be an essential and valuable process for AFP. We recognize that these reviewers have volunteered their time and shared important expertise.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0415/p502.html

Treatment of Venous Thromboembolism in Patients Who Are Morbidly Obese - Letters to the...

Apr 15, 2018 - Advertisement Apr 15, 2018 Issue Letters to the Editor Treatment of Venous Thromboembolism in Patients Who Are Morbidly Obese Am Fam Physician. 2018 Apr 15;97(8):497-498. Original Article: Deep Venous Thrombosis and Pulmonary Embolism: Current Therapy Issue Date: March 1, 2017 See...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0415/p497.html

AAFP News - Apr 15, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0415/p492.html

How to communicate bad news to your patients -- FPM

Family physicians are increasingly responsible for giving patients and their families devastating news. A systematic approach can help you feel more confident and reduce your patients’ suffering.

Family Practice Management : Quick Tips : FPM Home

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

Compensation is up for family physicians -- FPM

Family physicians saw their annual compensation increase an average of 5 percent over last year, reflecting an industrywide rise in physician pay.

Family Practice Management : Getting Paid : FPM Home

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

Do your diagnosis codes capture your patients' severity of illness? -- FPM

Accurate diagnosis coding may have a positive effect on your payment in the future as more payers move to risk-adjusted payment models.

Family Practice Management : Quick Tips : FPM Home

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

Updated tool lets physicians lookup 2018 MIPS eligibility -- FPM

The Centers for Medicare and Medicaid Services has updated its Merit-based Incentive Payment System Eligibility Lookup Tool to inform physicians if they must report for the program in 2018.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Updated_tool_lets_physicians_lookup_2018_MIPS_eligibility.html

More Investment in Primary Care Would Help Mothers, Babies

Obstetric care recommendations implemented in 2012 lowered costs and improved outcomes in Washington, but Carl Olden, M.D., asks in this Leader Voices Blog post whether his home state can do better.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180411lv-obcare.html

Amazon vs. Walmart: Can Corporate America Lower Drug Prices?

Pharmaceutical companies, payers and Congress have been unable -- or unwilling -- to drive down drug costs. Can big retailers make a difference? Natasha Bhuyan, M.D., discusses the issue 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/20180410fp-drugprices.html

Seven tips for mastering the art of medicine -- FPM

To foster more consistent practice of the art of medicine, physicians should adopt these seven behaviors.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/art-of-medicine.html

Huddles: jump start your practice today -- FPM

A few minutes spent in a morning huddle preparing with your team for the day’s schedule can improve your efficiency.

Family Practice Management : Quick Tips : FPM Home

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

More Medicare money potentially headed to you -- FPM

The Bipartisan Budget Act of 2018 is requiring Medicare administrative contractors (MACs) to reprocess practice claims, which could mean some physicians will see a boost in reimbursement

Family Practice Management : Getting Paid : FPM Home

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

How to immunize against burnout -- FPM

Although nearly two-thirds of family physicians report symptoms of burnout, Philip Kaplan, MD, FAAFP, says he still finds joy in going to the office after more than 40 years in practice.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/burnout-immunization.html

AAFP Payment Model Clears Another Hurdle

In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update on the progress of the Academy's Advanced Primary Care Alternative Payment Model, as well as a summary of how provisions of the recently passed federal ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180403ITT_PTAC2.html

Knowing Patient's Story Improves Odds of Happy Ending

Gary LeRoy, M.D., writes in this Leader Voices Blog post that physicians must understand a patient's situation, not just his or her chief complaint. The AAFP has resources to help.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180403lv-socialdeterminants.html

How to respond to patients’ misconceptions about antidepressants -- FPM

You can play a vital role in dispelling myths and illuminating your patients’ decision making regarding antidepressant treatment.

Family Practice Management : Quick Tips : FPM Home

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

Don't Forget Puerto Rico -- We Didn't

In the wake of Hurricane Maria, a Fort Collins, Colo., family practice created two jobs for displaced workers. John Bender, M.D., M.B.A., shares their stories in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20180328lv-puertorico.html

Cervical Cancer Screening - American Family Physician

Apr 1, 2018 - Screening in women has decreased the incidence and mortality of cervical cancer. Precancerous cervical lesions (cervical intraepithelial neoplasias) and cervical carcinomas are strongly associated with sexually-transmitted high-risk human papillomavirus (HPV) infection, which causes ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0401/p441.html

Rheumatoid Arthritis: Common Questions About Diagnosis and Management - American Family...

Apr 1, 2018 - Rheumatoid arthritis is the most commonly diagnosed systemic inflammatory arthritis, with a lifetime prevalence of up to 1% worldwide. Women, smokers, and those with a family history of the disease are most often affected. Rheumatoid arthritis should be considered if there is at least ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0401/p455.html

Cervical Cancer: Evaluation and Management - American Family Physician

Apr 1, 2018 - Human papillomavirus infection is the precursor for the development of cervical cancer and is detectable in 99.7% of squamous cell carcinoma and adenocarcinoma cases. Early detection of precancerous lesions with Papanicolaou testing remains the primary mechanism for cancer prevention. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0401/p449.html

Encouraging Health Behavior Change: Eight Evidence-Based Strategies -- FPM

Apr 1, 2018 - Using these brief interventions, you can help your patients make healthy behavior changes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p31.html

Diagnosis Coding for Value-Based Payment: A Quick Reference Tool -- FPM

Apr 1, 2018 - Use this cheat sheet to identify diagnosis codes that are weighted for risk adjustment.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p26.html

Is Your Diagnosis Coding Ready for Risk Adjustment? -- FPM

Apr 1, 2018 - As payment models change, diagnosis coding is more important than ever. Here’s how to be sure your codes capture your patients’ severity of illness.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p21.html

Syncope Evaluation and Treatment Guidelines from ACC, AHA, and HRS - Practice ...

Apr 1, 2018 - The American College of Cardiology (ACC), American Heart Association (AHA), and Heart Rhythm Society (HRS) have released guidelines to assist physicians in evaluating and treating syncope.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0401/p478.html

It's Time to Go RAFing -- FPM

Apr 1, 2018 - What you don’t know about risk-adjustment factor scores could cost you.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2018/0300/p5.html

Duration of Bisphosphonate Therapy - FPIN's Help Desk Answers - American Family Physician

Apr 1, 2018 - Oral bisphosphonates significantly reduce clinical fracture risk at four years in women with postmenopausal osteoporosis (T-score less than −2.5). Treatment beyond five years is associated with further reductions in fractures in women with persistent femoral neck T-scores less than −2.5.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od1.html

A Team-Based Care Model That Improves Job Satisfaction -- FPM

Apr 1, 2018 - Expanding the role of medical assistants to better support providers can improve not only traditional outcomes but also job satisfaction.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p6.html

HIPAA: Answers to Your Frequently Asked Questions -- FPM

Apr 1, 2018 - Does your organization interpret HIPAA too strictly, too loosely, or just right? Find out with these FAQs.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p12.html

Five Mobile Apps to Help Patients With Anxiety and Depression -- FPM

Apr 1, 2018 - When patients need some assistance coping with mental distress, consider these apps.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/0300/oa1.html

Use of Niacin for Primary or Secondary Prevention of Cardiovascular or Cerebrovascular ...

Apr 1, 2018 - Prescription niacin (nicotinic acid, vitamin B3) does not reduce myocardial infarctions, strokes, or overall mortality when used for primary or secondary prevention.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0401/p436.html

Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease - Medicine by the ...

Apr 1, 2018 - Pneumococcal vaccines had no significant effect on mortality from cardiorespiratory disease when compared with control and had no significant effect on all-cause mortality. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0401/p463.html

DPP-4 Inhibitors and GLP-1 Receptor Agonists for Prevention or Delay of Type 2 Diabetes...

Apr 1, 2018 - There is only limited-quality evidence that at-risk patients taking GLP-1 receptor agonists are less likely to progress to diabetes (number needed to treat [NNT] = 23). Serious adverse events were more likely in patients taking GLP-1 receptor agonists than in patients taking placebo ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0401/p437.html

Coding & Documentation - Mar-Apr 2018 -- FPM

Apr 1, 2018 - Time spent on chronic care management vs. time spent on E/M services | ICD-10 coding for bug bites | Billing for palliative care visits

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0300/p41.html

Broad-Spectrum Antibiotics Increase Adverse Events in Children with Acute Respiratory ...

Apr 1, 2018 - Broad-spectrum antibiotics are no more effective than narrow-spectrum antibiotics for treating acute respiratory tract infections in infants and children, and adverse events are significantly more common in children treated with broad-spectrum antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0401/p474a.html

Short-Term Antipsychotics for Alzheimer Disease - FPIN's Help Desk Answers - American ...

Apr 1, 2018 - Physicians should consider not using antipsychotics in patients with dementia. Patients with dementia, including Alzheimer disease, who are treated with antipsychotics for any length of time have a higher mortality rate than those not taking antipsychotics.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od2.html

Digital Clues - Photo Quiz - American Family Physician

Apr 1, 2018 - An older man presented with increasing fatigue and fingernail deformity.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0401/p465.html

Clinical Diagnosis of Lyme Disease Frequently Misses the "Bull’s Eye" - POEMs - ...

Apr 1, 2018 - For children with suspected Lyme disease but without a classic bull's-eye lesion (erythema migrans of at least 5 cm), check serology rather than rely on your clinical impression. In this study, 12% of the children not suspected of having Lyme disease did have Lyme disease, and 31% of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0401/p474.html

Helping Patients Live with Chronic Pain - Close-ups - American Family Physician

Apr 1, 2018 - Providing high-quality, patient-centered care for those living with chronic pain includes developing a good understanding of the many ways the pain affects their lives are affected by their symptoms and validating their concerns and feelings.

American Family Physician : Close-ups

https://www.aafp.org/afp/2018/0401/p473.html

What to Do When Emotions Run High in the Exam Room -- FPM

Apr 1, 2018 - Step one: Don't ignore it.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2018/0300/p48.html

Putting Choosing Wisely into Practice - Editorials - American Family Physician

Apr 1, 2018 - It is our responsibility as physicians to help our patients avoid interventions that are not helpful or, worse, potentially harmful.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0401/p432.html

Early PT for Acute Low Back Pain Is Cost-Effective, but Gain in Quality of Life Is ...

Apr 1, 2018 - At $30,000 per quality-adjusted life year (QALY) gained, early PT for acute low back pain in primary care is cost-effective by the usual criteria of $50,000 to $100,000 per QALY. However, the magnitude of improvement in quality of life is small and is probably not clinically meaningful.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0401/p475.html

Practice Pearls - Mar-Apr 2018 -- FPM

Apr 1, 2018 - Be mindful of the joy in medicine | Rule out heart murmurs more effectively in children | Take a lesson from the hospitality industry

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2018/0300/p42.html

Helping Your Adolescent and Young Adult Patients Get the Preventive Care and Services ...

Apr 1, 2018 - Make the most of opportunities to confidentially discuss health decisions and recommend screening tests and immunizations using this tool.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p17.html

AAFP News - Apr 1, 2018 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0401/p434.html

Close that physician-staff divide -- FPM

Practice leaders need to bridge the dual organizations within their offices to achieve peak performance. Three strategies will help.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/closing_the_physician-staff_divide.html

App review: Aspirin Guide -- FPM

A mobile app developed by researchers at Harvard Medical School and Brigham and Women’s Hospital can help you quickly determine whether a patient is a good candidate for low-dose aspirin therapy.

Family Practice Management : Quick Tips : FPM Home

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

DTC Tests Raise Questions Among Patients, Physicians

With so many questions about the risks and benefits of direct-to-consumer genetic tests that are hitting the market, we asked two of our new physician bloggers for their insights.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180329fp-dtctests.html

Group of Six Home

The Group of Six, America's Frontline Physicians, and a collection of their joint statements related to primary care.

Home

https://www.aafp.org/group-six/home.html

Deadline to submit data for 2017 MIPS approaches -- FPM

If you have not already done so, you have until March 31 to provide 2017 data for the Merit-based Incentive Payment System (MIPS), which could affect your Medicare payments in 2019.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/deadline_to_submit_data_for_2017_MIPS_approaches.html

Three common sense ways to practice medicine more cost-effectively -- FPM

To deliver high-quality, cost-effective care, physicians need not just medical knowledge but good clinical judgment so they can focus on what’s important and avoid useless tests and ineffective treatments.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/cost-effectiveness.html

It’s the weekend: Are you spending it with your EHR? -- FPM

Physicians spend one to two hours each night on their electronic health record (EHR) or paperwork, including weekends.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/ehr-after-hours.html

Four tips to get what you need from your PA or NP -- FPM

To ensure that PAs and NPs support family physicians in the best way possible and contribute to optimal patient care, follow these four tips:

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/np-pa.html

Pre-diabetes program available to Medicare patients beginning April 1 -- FPM

Medicare is expanding Medicare Diabetes Prevention Program with effective with dates of service on or after April 1.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/prediabetes_program_opens_to_Medicare_patients_April_1.html

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