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Do No (Financial) Harm

In this Fresh Perspectives blog post, Anita Ravi, M.D., M.P.H., M.S.H.P., examines why understanding and addressing patients' financial health is as important as caring for their physical and mental health.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200911fp-financialhealth.html

Virtual Visits -- FPM Topic Collection

Sep 10, 2020 - Advertisement Topic Collection Virtual Visits Editors' Choice of Best Available Content Categories Virtual Visits Virtual Visits During COVID-19 Other Resources Last Update: 09/10/2020 Virtual Visits 08/01/2015 Should You Treat Patients Virtually?...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=116

Preparing for Flu Season During Pandemic

Natasha Bhuyan, M.D., examines the coming challenges of a flu season overlapping a pandemic 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/20200910fp-flu.html

Five keys to a happy career in medicine -- FPM

Doctors who need to make money at the expense of work boundaries and professional satisfaction are rarely happy. But prudent management of personal finances leads to a more satisfying career.

Family Practice Management : Quick Tips : FPM Home

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

Tips for talking to reluctant patients about vaccines -- FPM

You can’t convince every patient of the value of vaccines, so focus your efforts and follow these tips.

Family Practice Management : Quick Tips : FPM Home

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

CMS releases software fix for issue that could affect eCQM scores -- FPM

The Centers for Medicare and Medicaid Services has released updated database files to correct an issue that could impact scores for some eligible clinician electronic clinical quality measures (eCQM) for the 2020 performance period.

Family Practice Management : Getting Paid : FPM Home

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

Why We Fight for Patients of Color

In this Fresh Perspectives blog post, MaryAnn Dakkak, M.D., M.S.P.H., ponders how physicians can help people of color, who bear a disproportionate share of the effects of racism, violence and COVID-19.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200903fp-breathe.html

ICD-10 annual update: what family physicians need to know -- FPM

The ICD-10-CM diagnosis code annual update will take effect Oct. 1, which means it’s time to prepare your practice.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2021_diagnosis_codes.html

Urinary Tract Infections/Dysuria - American Family Physician

Sep 1, 2020 - This collection features AFP content on urinary tract infections/dysuria and related issues, including asymptomatic bacteriuria, bladder infections, cystitis, painful bladder syndrome, pyelonephritis, urinalysis, and urine dipstick testing. This collection features AFP content on ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=30

Thyroid Nodules: Advances in Evaluation and Management - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Thyroid nodules can be detected by ultrasonography in up to 68% of the general population. They are typically benign and are often discovered incidentally. The primary goal of thyroid nodule evaluation is to determine whether it is malignant. After thyroid ultrasonography has been ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p298.html

Urinary Tract Infections in Young Children and Infants: Common Questions and Answers - ... Restricted content. Login required.

Sep 1, 2020 - Urinary tract infections (UTIs) are common in children and are associated with significant short- and long-term morbidity. They have a high recurrence rate and are associated with anatomic and functional abnormalities. The decision to test for UTI is based on risk factors and the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p278.html

Esophageal Motility Disorders - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Esophageal motility disorders can cause chest pain, heartburn, or dysphagia. They are diagnosed based on specific patterns seen on esophageal manometry, ranging from the complete absence of contractility in patients with achalasia to unusually forceful or disordered contractions in ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p291.html

Pneumonia - American Family Physician

Sep 1, 2020 - This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care. This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=22

End-of-Life Care - American Family Physician

Sep 1, 2020 - This collection features AFP content on end-of-life care and related issues, including advance directives, hospice care, legal and ethical issues, nursing home care, palliative care, and terminal illness. This collection features AFP content on end-of-life care and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=57

Dyspepsia - American Family Physician

Sep 1, 2020 - This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD. This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=8

Treatment of Subclinical Hypothyroidism: BMJ Rapid Recommendation - Practice Guidelines... Restricted content. Login required.

Sep 1, 2020 - Previous guidelines suggested that levothyroxine treatment may be appropriate with hypothyroid symptoms or a TSH level exceeding 10 mIU per L based on limited evidence. A recent large trial in older adults suggests that treatment shows no benefit in many areas and possible harm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0901/p316.html

Misoprostol Dosing for First-Trimester Abortion - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Sep 1, 2020 - Vaginal, oral, and sublingual misoprostol in single doses of 600 to 800 mcg are equally effective for promoting completed abortion in patients with an incomplete first-trimester spontaneous abortion.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0901/od1.html

Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0901/od2.html

Cloudy Pleural Fluid on Thoracentesis - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 1, 2020 - A man with a history of COPD from long-term tobacco use presented to the ER with worsening shortness of breath over the past week.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0901/p307.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

Health Equity in Preventive Services: The Role of Primary Care - Editorials - American ...

Sep 1, 2020 - Groups that are least likely to receive preventive screening or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0901/p264.html

Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic -... Restricted content. Login required.

Sep 1, 2020 - In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0901/p312.html

We’re Listening and Taking Action on Racism and Health Inequities - Letters to the ...

Sep 1, 2020 - Letter to the Editor from the AFP Editor about taking action on racism and health inequities.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0901/p261.html

Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of ... Restricted content. Login required.

Sep 1, 2020 - Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0901/p269.html

Otitis Media, COVID-19 and Hydroxychloroquine, Postoperative Pulmonary Risk, ... Restricted content. Login required.

Sep 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/2020/0901/p266.html

Congress Got a Shot of FP Expertise to Boost Immunizations

AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Stephanie Quinn talks about the AAFP's role in writing a new House bill to boost vaccine confidence, in part by recognizing the importance of the physician-patient relationship.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200901itt-vaccinebill.html

UTIs in Children: What to Expect - American Family Physician

Sep 1, 2020 - << Previous article Next article >> Sep 1, 2020 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 health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/0901/p278-s1.html

Need more time? Train a nurse closer to wrap up patient visits -- FPM

Training a nurse to finish patient visits can make your practice more efficient and improve patient outcomes.

Family Practice Management : Quick Tips : FPM Home

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

CMS finally specifies which service codes are subject to COVID-19 cost-sharing waiver ...

After several months, the Centers for Medicare and Medicaid Services has finally released a list of specific procedure codes that are subject to rules waiving coinsurance and deductibles for COVID-19 testing.

Family Practice Management : Getting Paid : FPM Home

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

When a newborn is not a new patient -- FPM

In most cases a newborn is considered a new patient under CPT rules for purposes of coding and documenting an office visit. There’s one exception, however.

Family Practice Management : Quick Tips : FPM Home

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

Is Returning to Sports Irresponsible?

Family and sports medicine physician Kristina DeMatas, D.O., questions the safety of returning to sports before a safe return to school has been executed, 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/20200827fl-sports.html

Help Kids Catch Up After Delays in Care

As schools begin to reopen, Margot Savoy, M.D., M.P.H., offers tips on how to catch kids up on vaccines after potential delays in preventive care from the COVID-19 pandemic.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200826lv-backtoschool.html

The trait physicians need during times of uncertainty -- FPM

The best response in stressful times isn’t to ramp up urgency but to practice patience.

Family Practice Management : Quick Tips : FPM Home

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

Four steps to succeeding in the coming value-based system -- FPM

The shift from rewarding volume to rewarding value can feel daunting, but it may give family physicians new opportunities to prosper and to provide the kind of care patients want.

Family Practice Management : Quick Tips : FPM Home

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

How Gardening Made Me A Better Doctor

Luis Garcia, M.D., writes that the skills he learned while gardening -- including patience -- have made him a better physician.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200824fp-gardening.html

The deadline to apply for COVID-19 Provider Relief Funds is only days away -- FPM

The U.S. Department of Health and Human Services had previously announced that certain providers would have this opportunity to receive additional Provider Relief Fund payments.

Family Practice Management : Getting Paid : FPM Home

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

Care Management -- FPM Topic Collection

Aug 19, 2020 - Care management activities facilitate coordinated patient care across the health care system, leading to increased patient satisfaction, improved outcomes, and reduced costs through avoidance of unnecessary hospital and emergency department utilization. Care management activities ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=115

With Facts Ahead of Politics, Family Medicine Wins

In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Stephanie Quinn checks in with the Oklahoma AFP about how it helped pass Medicaid expansion there this summer.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200819itt-expansionokla.html

CMS delays enforcement of Appropriate Use Criteria program -- FPM

The Centers for Medicare and Medicaid Services recently announced an extension of the education and testing period for its Appropriate Use Criteria program through calendar year 2021.

Family Practice Management : Getting Paid : FPM Home

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

Four tips for maintaining patient relationships despite COVID-19 -- FPM

Fragmentation of care was already making it harder to maintain close ties with patients. Now a viral pandemic has many reluctant to come for office visits. Here are four ways to stay connected.

Family Practice Management : Quick Tips : FPM Home

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

Create an orientation checklist to integrate a new colleague -- FPM

The sooner new physicians get settled, the sooner they will be able to lighten your workload. Try this sample orientation checklist.

Family Practice Management : Quick Tips : FPM Home

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

Palliative Care Is More Important Than Ever in Pandemic

Paul Tatum, M.D., M.S.P.H., writes in the FPs on the Front Lines blog that the pandemic has made palliative care even more challenging, but it also presents an important opportunity to serve others.

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

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200817fl-palliativecare.html

FPs Adept at Beating the Grind ‘Dog Days’ of Pandemic Bring

Steven Furr, M.D., explains in this Leader Voices Blog post how his rural community's early actions protected its most vulnerable population during the pandemic.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200817lv-ruralcovid.html

Osteoporosis - American Family Physician

Aug 15, 2020 - This collection features AFP content on osteoporosis and related issues, including calcium supplementation, fracture prevention, hip fracture, radiologic bone assessment, and vitamin D deficiency. This collection features AFP content on osteoporosis and related issues, including calcium...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=20

Henoch-Schönlein Purpura (IgA Vasculitis): Rapid Evidence Review - American Family ... Restricted content. Login required.

Aug 15, 2020 - Henoch-Schönlein purpura, now called immunoglobulin A (IgA) vasculitis, is a systemic, immune complex–mediated, small-vessel leukocytoclastic vasculitis characterized by nonthrombocytopenic palpable purpura, arthritis, and abdominal pain. It is the most common vasculitis in children but...

American Family Physician : Article

https://www.aafp.org/afp/2020/0815/p229.html

Paget Disease of Bone for Primary Care - American Family Physician Restricted content. Login required.

Aug 15, 2020 - Paget disease of bone is a benign disorder characterized by focal areas of increased bone turnover in one or more skeletal sites. It usually affects older adults, and men are at a higher risk than women. Any bone may be affected, but the disease has a high preference for the pelvis, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0815/p224.html

House Calls - American Family Physician Restricted content. Login required.

Aug 15, 2020 - The demand for house calls is increasing because of the aging U.S. population, an increase in patients who are homebound, and the acknowledgment of the value of house calls by the public and health care industry. Literature from current U.S. home-based primary care programs describes ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0815/p211.html

Colorectal Cancer Screening: ACP Guidance Statements - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p250.html

Primary Care Clinicians Can Effectively Treat Depression in Children and Adolescents - ...

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

American Family Physician : Letter

https://www.aafp.org/afp/2020/0815/p198.html

Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and ...

Aug 15, 2020 - The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents.

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

https://www.aafp.org/afp/2020/0815/p234.html

Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and ... Restricted content. Login required.

Aug 15, 2020 - J.P., a 13-year-old girl, presents to your clinic for a routine well-child visit. She has no acute concerns, is doing well in school, plays sports, and is generally healthy. J.P. reports that she has never used tobacco products, including electronic cigarettes or vaping.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0815/p241.html

Colorectal Cancer Screening: BMJ Rapid Recommendation - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - Colorectal cancer (CRC) screening recommendations vary because the underlying evidence is low quality, with few screening methods evaluated by randomized trials. The BMJ/MAGIC Group performed a systematic review based on 15-year CRC risk models to compare screening options.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p253.html

Case Report: Wernicke Encephalopathy Following Roux-en-Y Gastric Bypass - Letters to ...

Aug 15, 2020 - Letters to the Editor from AFP reader regarding Wernicke encephalopathy following Roux-en-Y gastric bypass.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0815/p197.html

Immunizations in Pregnancy: Updated Recommendations - Editorials - American Family ...

Aug 15, 2020 - Important new data on the immunology of immunization in pregnancy provide greater support for and information on the provision and timing of these immunizations.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p205.html

Sarecycline (Seysara) for the Treatment of Acne - STEPS - American Family Physician Restricted content. Login required.

Aug 15, 2020 - Sarecycline is a once-daily oral medication for patients with moderate to severe non-nodular acne. Its benefit over less expensive options has not been demonstrated.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0815/p245.html

Facial Rash with Oral Lesions - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 15, 2020 - An older patient presented with a pruritic facial rash and oral lesions.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0815/p243.html

Daily Colchicine Post-MI Reduces Strokes and Recurrent Hospitalizations for Angina - ... Restricted content. Login required.

Aug 15, 2020 - Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p248.html

Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ... Restricted content. Login required.

Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p247.html

2020 National Residency Match Program Results: Where Does Family Medicine Stand and ...

Aug 15, 2020 - Although overshadowed by the coronavirus disease 2019 (COVID-19) pandemic, results of the 2020 National Residency Match Program (The Match) are in.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p202.html

Oseltamivir of Uncertain Benefit in Patients with Flulike Symptoms - POEMs - American ... Restricted content. Login required.

Aug 15, 2020 - Although the authors report that compared with usual care oseltamivir shortens the duration of symptoms, the methodologic biases in this study make their conclusions suspect.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p248a.html

Postpartum Care, COVID-19, Augmentation Therapy, Vitamin D Supplementation - AFP ... Restricted content. Login required.

Aug 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/2020/0815/p209.html

Paget Disease of Bone: What You Should Know - American Family Physician

Aug 15, 2020 - << Previous article Next article >> Aug 15, 2020 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 health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/0815/p224-s1.html

COVID-19 spurs CMS to delay mandatory use of new noncoverage form -- FPM

The Centers for Medicare and Medicaid Services announced last week it will delay a rule requiring physicians to use a new version of its Advance Beneficiary Notice of Noncoverage form.

Family Practice Management : Getting Paid : FPM Home

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

Will Medicare give you a pay bump next year? Check your MIPS score -- FPM

Physicians and practices can now access their 2019 Merit-based Incentive Payment System feedback and final score through the Quality Payment Program website.

Family Practice Management : Getting Paid : FPM Home

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

Let's Amplify the Real Front-line Physicians

In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Stephanie Quinn pushes back against misinformation about the pandemic -- and spotlights members who are doing the same on the ground.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200805itt-facts.html

Medicare taking comments on 2021 physician payment proposals -- FPM

The changes are a mix of good news and bad news for family physicians, but taken as a whole CMS estimates they will result in a 13% increase in family physicians’ Medicare allowed charges in 2021.

Family Practice Management : Getting Paid : FPM Home

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

Medicare unveils influenza vaccine payment allowances for 2020-2021 flu season -- FPM

The allowances range from about $10 to about $60.

Family Practice Management : Getting Paid : FPM Home

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

Acute Pyelonephritis in Adults: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Aug 1, 2020 - Acute pyelonephritis is a bacterial infection of the kidney and renal pelvis and should be suspected in patients with flank pain and laboratory evidence of urinary tract infection. Urine culture with antimicrobial susceptibility testing should be performed in all patients and used to ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0801/p173.html

Neck Pain: Initial Evaluation and Management - American Family Physician Restricted content. Login required.

Aug 1, 2020 - Neck pain is a common presenting symptom in the primary care setting and causes significant disability. The broad differential diagnosis requires an efficient but global assessment; therefore, emphasis is typically placed on red flags that can assist in the early recognition and ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0801/p150.html

Intrapartum Fetal Monitoring - American Family Physician Restricted content. Login required.

Aug 1, 2020 - Continuous electronic fetal monitoring was developed to screen for signs of hypoxic-ischemic encephalopathy, cerebral palsy, and impending fetal death during labor. Because these events have a low prevalence, continuous electronic fetal monitoring has a false-positive rate of 99%. The ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0801/p158.html

Complementary and Alternative Medicine - American Family Physician

Aug 1, 2020 - This collection features AFP content on complementary and alternative medicine, including herbs and dietary supplements, acupuncture, meditation, and yoga. This collection features AFP content on complementary and alternative medicine, including herbs and dietary supplements, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=60

Coding & Documentation - Jul-Aug 2020 -- FPM Restricted content. Login required.

Aug 1, 2020 - Lab tests requiring modifier QW | Newborn: new patient or not? | Shared services for new patients | Coding sex-specific services for transgender patients | Pacemaker due to sick sinus syndrome

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0700/p36.html

VTE in Patients with Cancer: Guidelines from the American Society of Clinical Oncology ... Restricted content. Login required.

Aug 1, 2020 - The American Society of Clinical Oncology has updated recommendations for the prevention and treatment of venous thromboembolism (VTE) in patients with cancer.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0801/p188.html

Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs - Cochrane ... Restricted content. Login required.

Aug 1, 2020 - NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p147.html

Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...

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

American Family Physician : Letter

https://www.aafp.org/afp/2020/0801/p136.html

Transitioning to Direct Primary Care -- FPM Restricted content. Login required.

Aug 1, 2020 - Imagine practicing medicine without all the administrative burdens related to billing insurance. Here’s how one physician made the switch.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p29.html

Ten EHR Strategies for Efficient Documentation -- FPM Restricted content. Login required.

Aug 1, 2020 - Applying even one of these 10 strategies can help you reduce frustration, improve productivity, and get home earlier.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p5.html

Benefits of Teaching Medical Students: Perspectives from a Community Physician ...

Aug 1, 2020 - There is a need for more enthusiastic community family physician mentors to improve the shortage of medical students going into primary care and to reach the goal of 25% of students choosing family medicine by 2030.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0801/p140.html

Acupuncture for Knee Osteoarthritis - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Aug 1, 2020 - Electroacupuncture can be used to improve pain and physical function in adults with knee osteoarthritis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0801/p184.html

Understanding Value-Based Payment: A Primer for Family Physicians -- FPM Restricted content. Login required.

Aug 1, 2020 - Public and private payers are transitioning away from fee-for-service and emphasizing value-based payment models. This supplement from the American Academy of Family Physicians describes what you need to know about the transition and how it may affect you and your practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p25.html

Two Habits of a Healthy Team: Managing Conflict and Practicing Gratitude -- FPM Restricted content. Login required.

Aug 1, 2020 - Most teams try to avoid conflict, yet can’t stop focusing on the negative. Healthy teams do the opposite.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p11.html

Smoking Cessation with Text Messaging and App-Based Interventions - Cochrane for ... Restricted content. Login required.

Aug 1, 2020 - Automated text messaging interventions are more effective than minimal smoking cessation support (absolute risk reduction [ARR] = 3%; 95% CI, 1% to 5%).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p148.html

Developing Your Professional Career Plan -- FPM Restricted content. Login required.

Aug 1, 2020 - The key to a fulfilling career is to know what’s important to you - from your mission, identity, and direction to family, fun, and finances - and then pursue that.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p21.html

Rates of Adverse Effects of Treatment for Otitis Media Vary by Antibiotic and Dose - ... Restricted content. Login required.

Aug 1, 2020 - The rates of diarrhea and rashes associated with the treatment of children with acute otitis media vary depending on each specific antibiotic and its dosing. The rates of diarrhea and generalized rash were highest with amoxicillin/clavulanate (Augmentin) and high-dose amoxicillin, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0801/p186.html

Fetal Fibronectin Testing in Threatened Preterm Labor - Medicine by the Numbers - ... Restricted content. Login required.

Aug 1, 2020 - Fetal fibronectin testing is a common clinical test, performed via cervicovaginal secretion swab after 22 weeks of pregnancy, and is used to identify women at increased risk for preterm delivery. Learn more about the benefits and harms of fetal fibronectin testing in threatened preterm ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0801/p145.html

Ten Tips for Cultivating Patience During Uncertain Times -- FPM Restricted content. Login required.

Aug 1, 2020 - It’s easy to feel impatient with ourselves and others these days. But research suggests impatience can be bad for our health. Here’s a better way to respond.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0700/p43.html

Maintaining Patient Relationships in the Age of Hospitalists, Urgent Care, and a ...

Aug 1, 2020 - It was already difficult to get enough face-to-face time with patients before COVID-19 hit. Bonding with them now takes even more effort.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0700/p4.html

COVID-19, Acne Treatment, Threatened Miscarriage, Pilonidal Disease - AFP Clinical ... Restricted content. Login required.

Aug 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/2020/0801/p142.html

Increasing Pneumococcal Immunization Rates -- FPM Restricted content. Login required.

Aug 1, 2020 - This supplement from the American Academy of Family Physicians shares learnings from state chapter quality improvement initiatives designed to increase adult pneumococcal vaccination rates. The project was supported by a grant from Pfizer Independent Grants for Learning and Change.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p17.html

Practice Pearls - Jul-Aug 2020 -- FPM Restricted content. Login required.

Aug 1, 2020 - Use EHR sticky notes to connect with patients personally | Talking your team through a crisis | Get credit for pre- and post-exam work

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0700/p38.html

Hyperpigmentation of the Tongue and Buccal Mucosa - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2020 - << Previous article Next article >> Aug 1, 2020 Issue Photo Quiz Hyperpigmentation of the Tongue and Buccal Mucosa H.U. REHMAN, MBBS, FRCPC, FRCPI, FRCP (Glas), FACP, Saskatchewan Health Authority, Regina General Hospital, Regina, Saskatchewan, Canada SARAH LOHRENZ, MD, University of...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0801/p181.html

Intrapartum Fetal Monitoring - American Family Physician

Aug 1, 2020 - << Previous article Next article >> Aug 1, 2020 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 health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/0801/p158-s1.html

CMS and CDC release guidance on counseling patients tested for COVID-19 -- FPM

Counseling patients about the importance of isolating, in particular, can help reduce transmission of the illness.

Family Practice Management : Getting Paid : FPM Home

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

Two strategies to keep healthy teams healthy and get dysfunctional teams functioning --...

TCOVID-19, financial struggles, racial injustice, civil unrest - these are stressful times. If your team has navigated them successfully so far, establishing these two habits can help keep it on track. If your team is falling into backbiting and dysfunction, they can help you turn ...

Family Practice Management : Quick Tips : FPM Home

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

During COVID-19 Pandemic, Public Health Is Personal

In this FPs on the Front Lines blog post, Jennifer Bacani McKenney, M.D., relates the challenges of trying to protect the community she grew up in during a pandemic as a family physician and county health officer.

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

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200730fl-publichealthpersonal.html

Yes, You Can Practice Full-scope Family Medicine

MaryAnn Dakkak, M.D., M.S.P.H.; writes in the Fresh Perspectives blog that finding a job that allows her to use the full scope of her family medicine training was worth the second effort.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200729fp-scope.html

Your Patient Wants a Second Opinion? It's Not Personal

Tochi Iroku-Malize, M.D., M.P.H., M.B.A., writes that her own experience as a patient offered a humbling reminder not take it personally when a patient asks for a second opinion.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200728lv-secondopinion.html

Transitional care management coding requirements -- FPM

The CPT codes for TCM require one face-to-face visit, certain non-face-to-face services, and medication reconciliation and management during the 30-day service period.

Family Practice Management : Quick Tips : FPM Home

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

Three steps to improve preventive service utilization during the COVID-19 pandemic -- FPM

Patients are deferring routine office visits for chronic disease management and preventive services out of concern for their safety during COVID-19. But these visits are important, especially for patients with conditions that require close monitoring, or those who are due for ...

Family Practice Management : Getting Paid : FPM Home

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

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