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CMS again offers QPP data reporting relief, but this time it's not automatic -- FPM

Practices participating in MIPS that have been significantly impacted by the public health emergency can apply for the Extreme and Uncontrollable Circumstances Exception.

Family Practice Management : Getting Paid : FPM Home

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

Health Equity, Diversity, and Social Determinants of Health -- FPM Topic Collection

Jun 29, 2020 - Advertisement Topic Collection Health Equity, Diversity, and Social Determinants of Health Editors' Choice of Best Available Content Categories Addressing Discrimination Social Determinants of Health Cultural Competence Other Resources Addressing...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=114

Major insurer extends COVID-related telehealth expansion through September -- FPM

One of the nation's largest insurance companies announced it will continue to reimburse telehealth visits at the same level as in-person visits for several more months.

Family Practice Management : Getting Paid : FPM Home

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

Beware Consequences of Delaying Primary Care in Pandemic

Although it may make sense to delay elective procedures during a pandemic, Natasha Bhuyan, M.D., writes in the Fresh Perspectives blog that primary care is essential.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200625fp-coviddelay.html

Care for Special Populations in Pandemic Adds Challenges

From masks and social distancing to closing group homes, Kyle Jones, M.D., writes in the FPs on the Front Lines blog that physicians caring for patients with intellectual or other developmental disabilities face added challenges with COVID-19.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200624fl-specialpopulations.html

Reopening your practice during COVID-19: where to begin -- FPM

New workflows and other changes are now critical to maintaining social distancing and keeping facilities clean and safe. But where should practices begin?

Family Practice Management : Quick Tips : FPM Home

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

Pandemic Exposes Flaws in Health Care Payment System

The COVID-19 pandemic has exacerbated the many challenges that the fee-for-service system presents to primary care. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Stephanie Quinn examines what needs to change.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200623itt-payment.html

The key to reducing work after clinic -- FPM

Physicians spend one to two hours nightly on EHR tasks or paperwork. To reduce work after clinic, focus on this one thing.

Family Practice Management : Quick Tips : FPM Home

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

Three ways to nurture the family in family medicine -- FPM

Your well-being is affected by not only the quality of your workplace but also the quality of your family life. Here are three ways physicians can protect family well-being.

Family Practice Management : Quick Tips : FPM Home

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

Closure, COVID, Chaos: A Resident's Tale of Resilience

Merlyn Sunny Abraham, M.D., writes in the Fresh Perspectives blog that her family medicine class of seven women persisted through the closure of their hospital, the transfer of their program and a pandemic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200618fp-drexel.html

It's Your Future: Don't Let Others Thwart Your Ambitions

Tochi Iroku-Malize, M.D., M.P.H., M.B.A., writes in this Leader Voices Blog post that she first encountered racism when her elementary school teacher told her she couldn't become a doctor.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200617lv-ambition.html

Lessons in Negotiation: Saving OB Training During Pandemic

When COVID-19 threatened to disrupt maternity care training at a Seattle hospital, leaders from three family medicine residency programs rallied to find a solution. Read more in this FPs on the Front Lines blog post.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200616fl-covidob.html

Dementia - American Family Physician

Jun 15, 2020 - This collection features AFP content on dementia and related issues, including Alzheimer’s, Binswanger’s type, dementia, and dementia with Lewy bodies. This collection features AFP content on dementia and related issues, including Alzheimer’s, Binswanger’s type, dementia, and dementia ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=5

Management of Fever in Infants and Young Children - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Despite dramatic reductions in the rates of bacteremia and meningitis since the 1980s, febrile illness in children younger than 36 months continues to be a concern with potentially serious consequences. Factors that suggest serious infection include age younger than one month, poor ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p721.html

Acute Respiratory Distress Syndrome: Diagnosis and Management - American Family Physician

Jun 15, 2020 - Acute respiratory distress syndrome (ARDS) is noncardiogenic pulmonary edema that manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Diagnostic criteria include onset within one week of a known insult or new or worsening respiratory symptoms, profound hypoxemia, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p730.html

Foreign Bodies in the Skin: Evaluation and Management - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Foreign bodies may be introduced into the skin through lacerations and soft tissue wounds. Long-term complications of retained foreign bodies include chronic pain and neurovascular impairment. Wound exploration and initial imaging with radiography or ultrasonography should be considered...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p740.html

Asthma: Updated Diagnosis and Management Recommendations from GINA - Practice ... Restricted content. Login required.

Jun 15, 2020 - The latest update to the Global Initiative for Asthma (GINA) guidelines includes significant changes to treatment recommendations, especially a recommendation against using a short-acting beta2 agonists such as albuterol as sole therapy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0615/p762.html

Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...

Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.

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

https://www.aafp.org/afp/2020/0615/od1.html

Clinical Diagnosis of Acute Bacterial Rhinosinusitis - Point-of-Care Guides - American ... Restricted content. Login required.

Jun 15, 2020 - Which patients with symptoms of acute rhinosinusitis have bacterial infection?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0615/p758.html

Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -... Restricted content. Login required.

Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0615/p753.html

Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ... Restricted content. Login required.

Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2020/0615/p748.html

Welcoming AFP's Patient Partners - Editorials - American Family Physician

Jun 15, 2020 - We would like to welcome Helen Haskell and John James in their new roles on American Family Physician’s (AFP’s) Editorial Advisory Board, in which they will serve as AFP’s first-ever official patient partners.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0615/p713.html

Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician Restricted content. Login required.

Jun 15, 2020 - A woman presented with redness and pain in her right eye that was achy and associated with watery discharge but no visual changes.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0615/p755.html

Bone Infections, Sinusitis, Antihypertensive Therapy and COVID-19, Toilet Training, ... Restricted content. Login required.

Jun 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0615/p718.html

Ozenoxacin (Xepi) for the Treatment of Impetigo - STEPS - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Ozenoxacin is an effective and safe topical quinolone treatment for bullous and nonbullous impetigo in patients as young as two months. However, it is expensive and some patients may have limited access because it is only available through a physician or hospital.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0615/p760.html

Resources on Environmental Exposures for Military Veterans - Letters to the Editor - ...

Jun 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0615/p709.html

Medicare payment for some physician services may be impacted by prior authorization -- FPM

Certain hospital outpatient department services will require prior authorization as a condition of Medicare payment beginning July 1.

Family Practice Management : Getting Paid : FPM Home

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

Unconventional career advice: a physician reflects on her dad -- FPM

With Father’s Day approaching, one family physician looks back on her father’s words of wisdom that inspired her quest to become a doctor.

Family Practice Management : Quick Tips : FPM Home

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

One item that makes documentation easier during a telehealth visit -- FPM

Telehealth visits have spiked during the COVID-19 pandemic. But it’s hard to document a visit on a computer while you’re also using it to communicate with a patient via video.

Family Practice Management : Quick Tips : FPM Home

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

Four strategies to reduce patients' prescription drug costs -- FPM

The cost of medications has long been a concern for patients. With unemployment spiking due to COVID-19, they may need your help saving money on meds.

Family Practice Management : Quick Tips : FPM Home

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

Pandemic Is Shining a Light on Health Disparities

Marie-Elizabeth Ramas, M.D., writes in the FPs on the Front Lines blog that the pandemic is amplifying the health inequities minorities face in the United States.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200610fl-disparities.html

Piece by Piece: Insights From a Residency Graduate

Arindam Sarkar, M.D., who recently completed his residency training, offers insights in this Fresh Perspectives blog post on how to become your role model, what you can learn from a good dog and more.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200610fp-residentlessons.html

End the Silence -- Make Every Voice Count

In her first In the Trenches blog post, Stephanie Quinn, the AAFP's new senior vice president for advocacy, practice advancement and policy, writes that during a pivotal moment in U.S. history, it is important for family medicine to lead with compassion and strength.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200609itt-race.html

CMS opens Direct Contracting alternative payment program applications -- FPM

The Center for Medicare and Medicaid Innovation has opened applications for its Direct Contracting program.

Family Practice Management : Getting Paid : FPM Home

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

How to respond to incivility -- FPM

When you encounter rudeness, discrimination, or violence in your practice, stay calm and apply these seven strategies.

Family Practice Management : Quick Tips : FPM Home

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

Recovering patient volume and practice finances in the wake of COVID-19: 12 tips -- FPM

Patient volume has dropped 60% since the start of the pandemic, and practice revenues have declined 55%. Here’s what practices can do to recover.

Family Practice Management : Quick Tips : FPM Home

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

Three things physician leaders need to clarify -- FPM

To manage all the tasks, projects, and requests for your time, you have to be clear on three things.

Family Practice Management : Quick Tips : FPM Home

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

Virtual Match Has Potential to Drive Innovation

Recent medical school graduate Margaret Miller, M.D., M.P.H., offers advice to the Class of 2021 on a Match process that will be unlike any before it in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200605lv-virtualmatch.html

Snorkeling or Paralysis: An FP's Strange Experience With COVID-19

Ryan Neuhofel, D.O., M.P.H., explains how the pandemic has forced him to try some unconventional things, including new approaches to personal protective equipment, in the FPs on the Front Lines blog.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200602fl-newapproaches.html

What Are the Actual Causes of Hospital Admissions?

Kyle Leggott, M.D., and Graham Custar, M.D., look at the social drivers that actually lead to many hospital admissions.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200602fp-admissions.html

Welcome to Family Medicine; the AAFP Is Here to Help

Third-year residents are wrapping up their training. Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., the new physician member of the AAFP Board of Directors, offers advice on how the Academy can be an invaluable resource at this critical career stage in the Leader Voices Blog.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200602lv-newphysicians.html

Coronary Artery Disease/Coronary Heart Disease - American Family Physician

Jun 1, 2020 - This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and myocardial infarction. This collection features AFP content on coronary artery disease ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=4

Newborn Circumcision Techniques - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. The American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the Centers for Disease Control and Prevention, and the American Academy ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p680.html

Nerve Blocks: Part II. Lower Extremity - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Family physicians use anesthesia to provide diagnostic and procedural analgesia for conditions such as neuropathies, fracture reduction, foreign body removals, and complex wound management. Local infiltration of anesthetics is commonly used in this setting because of the ease of use, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p669.html

Nerve Blocks: Part I. Upper Extremity - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Procedural anesthesia is administered by family physicians for a variety of conditions, including neuropathies, fracture reduction, foreign body removals, and complex wound management. A nerve block may be preferred because it provides effective regional anesthesia with less anesthetic....

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p654.html

Continuous Glucose Monitoring in Type 2 Diabetes Is Not Ready for Widespread Adoption -...

Jun 1, 2020 - Although continuous glucose monitoring may benefit patients with type 1 diabetes mellitus, there is limited evidence that it offers similar benefits in patients with type 2 diabetes, regardless of whether they are taking insulin.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0601/p646.html

Operationalizing Virtual Visits During a Public Health Emergency -- FPM Restricted content. Login required.

Jun 1, 2020 - Providing options for remote access to care can keep your practice running and your patients healthy when an infectious disease outbreak prevents you from seeing them in person.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p5.html

Coding & Documentation - May-Jun 2020 -- FPM Restricted content. Login required.

Jun 1, 2020 - Mental health screenings | Reporting multiple management services | Transferring paper notes to the medical record

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0500/p31.html

Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM Restricted content. Login required.

Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p19.html

Managing a Telephone Encounter: Five Tips for Effective Communication -- FPM

Jun 1, 2020 - Doctoring by phone is a skill I never thought I’d have to learn.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0500/p4.html

Preparticipation Physical Evaluation: AAFP and Others Update Recommendations - Practice... Restricted content. Login required.

Jun 1, 2020 - The American Academy of Family Physicians (AAFP)and others have published the 5th edition of the preparticipation physical evaluation monograph. Revisions include new mental health and transgender sections and expansion of the female athlete chapter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0601/p692.html

Emergency Contraception: Safety and Effectiveness - Cochrane for Clinicians - American ... Restricted content. Login required.

Jun 1, 2020 - Oral mifepristone (Mifeprex), ulipristal (Ella), levonorgestrel-releasing emergency contraception (Plan B One-Step), ethinyl estradiol/levonorgestrel, and the copper intrauterine device (IUD; Paragard) are safe and effective for emergency contraception.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0601/p651.html

No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ... Restricted content. Login required.

Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695.html

Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer ... Restricted content. Login required.

Jun 1, 2020 - Supplemental MRI screening for women with very dense breasts compared with mammography alone every two years significantly reduces the likelihood of an interval cancer, from 5 per 1,000 to 2.5 per 1,000 in the intention-to-treat population and to 0.8 per 1,000 in the per-protocol ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695a.html

Potential of Fetal Fibronectin Testing to Prevent Preterm Birth - Cochrane for ... Restricted content. Login required.

Jun 1, 2020 - Fetal fibronectin testing may reduce preterm birth, although the evidence is not strong enough to recommend regular testing.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0601/p652.html

Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis - Photo... Restricted content. Login required.

Jun 1, 2020 - A presented with an intensely pruritic rash on both lower legs that coincided with progressive worsening of his chronic atopic dermatitis.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0601/p689.html

For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI - POEMs... Restricted content. Login required.

Jun 1, 2020 - For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p698.html

Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome - ... Restricted content. Login required.

Jun 1, 2020 - No conclusive evidence demonstrates that routine use of supplemental oxygen therapy is associated with clinical benefit or harm in nonhypoxemic patients with acute myocardial infarction (MI).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0601/p687.html

A Physician’s Guide to Navigating a Bureaucracy -- FPM Restricted content. Login required.

Jun 1, 2020 - To get what you need to create a more ideal practice, you must learn to navigate the bureaucracy of your organization. Here’s how.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p26.html

Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive ... Restricted content. Login required.

Jun 1, 2020 - Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by hyperinflation of the lungs, including emphysema and chronic bronchitis. Learn more about the benefits and harms of using noninvasive positive pressure ventilation for exacerbation of COPD.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0601/od1.html

Useful Signs and Symptoms for Diagnosing Hip Osteoarthritis - POEMs - American Family ... Restricted content. Login required.

Jun 1, 2020 - Although plain radiographs are often used to diagnose hip OA, the correlation between radiographic indicators of hip arthritis and hip pain is low.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p696.html

Protecting Family Well-Being Through Social Connectivity and Time Management -- FPM Restricted content. Login required.

Jun 1, 2020 - Families are a physician’s core source of support. Making time to nurture family connections is crucial to keeping that support system strong.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p13.html

Decompression Surgery, Fabric Masks, Heat Stroke, e-Cigarette Use - AFP Clinical ... Restricted content. Login required.

Jun 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0601/p648.html

Sexual Health Communication Strategies for Breast Cancer Survivors - Letters to the ...

Jun 1, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0601/p644.html

Learning to Lead in Uncertain Times: Seven Tips -- FPM Restricted content. Login required.

Jun 1, 2020 - As a physician leader, you can help provide clarity, calm, and cohesion.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0500/p36.html

Practice Pearls - May-Jun 2020 -- FPM Restricted content. Login required.

Jun 1, 2020 - Check for COVID-19 updates on home isolation and work notes | Ask patients to submit vitals before telehealth | Adapt your documentation setup for telehealth

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0500/p32.html

CMS answers more key questions on telehealth billing during COVID-19 -- FPM

The Centers for Medicare and Medicaid Services updated a frequently asked questions page with new guidance on billing Medicare during the COVID-19 public health emergency.

Family Practice Management : Getting Paid : FPM Home

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

Four virtual visit options for treating patients who can't do video -- FPM

Patients may be leery about coming into your office during the COVID-19 pandemic, no matter how many safety measures you take. Here are four ways to treat them remotely even if they don’t have the equipment or technological know-how to do video visits.

Family Practice Management : Quick Tips : FPM Home

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

How to collect patient vitals for telehealth visits, including AWVs -- FPM

The Centers for Medicare and Medicaid Services recently clarified how physicians can collect biometric data for Medicare annual wellness visits from patients who are in their homes.

Family Practice Management : Quick Tips : FPM Home

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

Lend Your Voice to Academy's Week of Action

Due to the pandemic, the Academy is taking its annual advocacy event online. John Cullen, M.D., urges family physicians to make their voices heard June 1-5 to help stabilize, strengthen and sustain primary care.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200529lv-weekofaction.html

CMS: Patients can self-report vitals for Medicare AWV telehealth visits -- FPM

The Centers for Medicare and Medicaid Services (CMS) recently clarified that during the COVID-19 public health emergency (PHE) patients may self-report vital signs and other biometric data for Medicare Annual Wellness Visits (AWV) done via telehealth.

Family Practice Management : Getting Paid : FPM Home

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

Gallows humor in the time of COVID-19 -- FPM

Gallows humor has long been a part of medicine, and research shows that when deployed appropriately, it can relieve tension in stressful situations.

Family Practice Management : Quick Tips : FPM Home

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

Navigating Paper Walls, Digital Windows in Pandemic

Kurt Bravata, M.D., writes in this FPs on the Front Lines blog post that masks and other COVID-19 precautions have changed the way he communicates with patients in his rural practice.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200527fl-ruralcovid.html

COVID-19: Two Sides of the Looking Glass

In this Fresh Perspectives blog post, MaryAnn Dakkak, M.D., M.S.P.H., relates the complex experience of being both a physician treating patients who are COVID-19-positive and a relative of a patient with COVID-19.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200527fp-lookingglass.html

What Lies Ahead

Family physicians will never relinquish the future of their discipline to someone else's vision, Shawn Martin writes in his final In the Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200526itt-whatliesahead.html

The secret to job satisfaction? Ask for what you need -- FPM

Many practices exist within a vast bureaucracy of rules and policies. To create a more satisfying practice, you must ask for what you need. Here's how.

Family Practice Management : Quick Tips : FPM Home

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

What family physicians are earning -- FPM

Family physician total compensation averaged $234,000 per year at the outset of 2020, according to a new report. But how will COVID-19 affect physicians financially?

Family Practice Management : Quick Tips : FPM Home

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

How Do We Talk About the Worst-case Scenario?

Against the backdrop of a pandemic, Allison Edwards, M.D., ponders the best way to broach the subject of end-of-life care with a relatively young patient panel 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/20200520fp-endoflife.html

Pandemic Shows Intern the Power of Family Medicine

Jordan Hoese, M.D., M.P.H., launches the AAFP's new FPs on the Front Lines blog by writing that her intern year hasn't been what she expected, but it's teaching her the adaptability she'll need as a family physician.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200519fl-intern.html

Four algorithms that answer key questions about COVID-19 -- FPM

For quick guidance on virtual visits, ending home isolation, patient scheduling, and staff illness, download these algorithms.

Family Practice Management : Quick Tips : FPM Home

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

Five steps to set up ambulatory blood pressure monitoring in your practice -- FPM

Ambulatory blood pressure monitoring (ABPM) provides more accurate data than in-office blood pressure checks, which is useful for identifying issues that might otherwise stay hidden and ruling out white coat hypertension.

Family Practice Management : Quick Tips : FPM Home

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

Atopic Dermatitis: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

May 15, 2020 - Atopic dermatitis (atopic eczema) is a chronic relapsing and remitting inflammatory skin disease affecting one in 10 people in their lifetime. Atopic dermatitis is caused by a complex interaction of immune dysregulation, epidermal gene mutations, and environmental factors that disrupts ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0515/p590.html

Family Planning and Contraception - American Family Physician

May 15, 2020 - This collection features AFP content on family planning and contraception, including emergency contraception, hormonal and non-hormonal contraception, infertility, in vitro fertilization, intrauterine devices, preconception care, tubal sterilization, and vasectomy. This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=71

Top 20 Research Studies of 2019 for Primary Care Physicians - American Family Physician

May 15, 2020 - In 2019, regular surveillance of 110 English-language research journals identified 254 studies that met the criteria to become POEMs (patient-oriented evidence that matters). Physician members of the Canadian Medical Association rated these POEMs for their relevance to patients in their...

American Family Physician : Article

https://www.aafp.org/afp/2020/0515/p608.html

Ectopic Pregnancy: Diagnosis and Management - American Family Physician Restricted content. Login required.

May 15, 2020 - Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include a history of pelvic...

American Family Physician : Article

https://www.aafp.org/afp/2020/0515/p599.html

Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...

May 15, 2020 - The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.

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

https://www.aafp.org/afp/2020/0515/od1.html

Equivalent Pain Relief with Different Doses of Ibuprofen - POEMs - American Family ... Restricted content. Login required.

May 15, 2020 - Higher doses of ibuprofen for acute pain relief offer no more benefit at 60 minutes than a single 400-mg dose. The same has been shown for chronic treatment of osteoarthritis. A higher, anti-inflammatory dose is not needed.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p631.html

Heavy Menstrual Bleeding in Adolescents: ACOG Management Recommendations - Practice ... Restricted content. Login required.

May 15, 2020 - The American College of Obstetricians and Gynecologists (ACOG) has new recommendations and conclusions about menstrual bleeding disorders in adolescents.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0515/p633.html

Screening for Abdominal Aortic Aneurysm - Putting Prevention into Practice - American ... Restricted content. Login required.

May 15, 2020 - A 65-year-old man with no significant medical history presents to your clinic for a wellness visit. His social history includes smoking periodically in his 20s, and his family history includes a father who died from an abdominal aortic aneurysm (AAA) in his 60s. The patient wants to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0515/p621.html

Hirsutism, Amphetamines, COVID-19 Viral Shedding, Hand-Foot-and-Mouth Disease - AFP ... Restricted content. Login required.

May 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0515/p589.html

Why the Stress-Disease Connection Matters and How to Respond - Editorials - American ...

May 15, 2020 - Emotional health and physical health are deeply intertwined, and patients who have experienced difficult events or persistent stressors may struggle to cope in a healthy way. Helping our patients recognize the connection between physical and mental well-being allows us to validate ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0515/p585.html

Severely Callused Hands and Feet - Photo Quiz - American Family Physician Restricted content. Login required.

May 15, 2020 - A man presented with a long history of an uncontrollable, proliferating skin callus formation on both hands and feet.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0515/p623.html

Autism Screening with Follow-Up Overidentifies Autism Spectrum Disorder - POEMs - ... Restricted content. Login required.

May 15, 2020 - Screening for ASD with the Modified Checklist for Autism in Toddlers with Follow-Up is effective in ruling out ASD in children who screen positive (negative predictive value of 98.6% at 2.2% prevalence).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630.html

Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception - ... Restricted content. Login required.

May 15, 2020 - Annovera is an effective combined progestin/estrogen contraceptive device that can be used for one year.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0515/p618.html

Nonpharmacologic Approaches Are Better Than Medication to Control Aggression and ... Restricted content. Login required.

May 15, 2020 - Nonpharmacologic approaches to agitation or aggression in patients with dementia are more effective than medication (e.g., haloperidol). Outdoor activities, multidisciplinary care, and massage and touch therapy with or without music are all effective.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p631a.html

The Older Driver - Curbside Consultation - American Family Physician Restricted content. Login required.

May 15, 2020 - Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0515/p625.html

Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American... Restricted content. Login required.

May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630a.html

Care of the Military Veteran Should Include Screening for Substance Use Disorders - ...

May 15, 2020 - << Previous article Next article >> May 15, 2020 Issue Letters to the Editor A Case of COVID-19 Infection: Chief Symptom, Diarrhea Am Fam Physician. 2020 May 15;101(10):580. To the Editor: A 67-year-old man with a history of chronic obstructive pulmonary disease, coronary artery...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0515/p580.html

Care of the Military Veteran Should Include Screening for Substance Use Disorders - ...

May 15, 2020 - << Previous article Next article >> May 15, 2020 Issue Letters to the Editor Care of the Military Veteran Should Include Screening for Substance Use Disorders Am Fam Physician. 2020 May 15;101(10):580-582. Original Article: Care of the Military Veteran: Selected Health Issues Issue...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0515/p580a.html

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