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Lymphoma: Diagnosis and Treatment - American Family Physician

Jan 1, 2020 - << Previous article Next article >> Jan 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 But medical information is always changing, and some information given here may be out of date.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/2020/0101/p34-s1.html

The top Medicare changes to know for 2020 -- FPM

The annual Medicare update includes changes to documentation requirements, coding and payment.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_Medicare_update.html

SNAP Work Requirements Won't Work

Kimberly Becher, M.D., writes in this Fresh Perspectives blog post that roughly 10% of her county's population was already receiving assistance from a local food bank before the federal government finalized a rule that will cut Supplemental Nutrition Assistance Program benefits.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191216fp-snap.html

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

Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p759.html

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

Dec 15, 2019 - Influenza is an acute viral respiratory infection that causes significant morbidity and mortality worldwide. Three types of influenza cause disease in humans. Influenza A is the type most responsible for causing pandemics because of its high susceptibility to antigenic variation. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p751.html

Amblyopia: Detection and Treatment - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Amblyopia is the leading cause of monocular vision loss in children. Early recognition and treatment are important to prevent vision loss. The U.S. Preventive Services Task Force recommends vision screening for all children at least once between three and five years of age to detect the...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p745.html

The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...

Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1215/p734.html

Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ... Restricted content. Login required.

Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1215/p782.html

Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting - Point-of-Care Guides... Restricted content. Login required.

Dec 15, 2019 - What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/1215/p778.html

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

Dec 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2019/1215/p742.html

Rash on the Ankle - Photo Quiz - American Family Physician Restricted content. Login required.

Dec 15, 2019 - A man presented with a vesicular rash on his ankle in a serpentine-like pattern.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1215/p773.html

Screening for Pancreatic Cancer - Putting Prevention into Practice - American Family ... Restricted content. Login required.

Dec 15, 2019 - A 71-year-old woman comes to your office for a regularly scheduled visit. She has type 2 diabetes mellitus and a 50-pack-year smoking history, and had non-ulcer dyspepsia two years ago. Her body mass index is 32 kg per m2, and her blood pressure is normal.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1215/p771.html

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

Dec 15, 2019 - The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.

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

https://www.aafp.org/afp/2019/1215/od1.html

One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ... Restricted content. Login required.

Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od5.html

Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of... Restricted content. Login required.

Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od4.html

Baloxavir Marboxil (Xofluza) for Influenza - STEPS - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Single-dose baloxavir should be limited to ill patients who cannot tolerate or comply with a course of oseltamivir. For otherwise healthy adults with confirmed influenza or influenza-like illness, the high cost of baloxavir may not justify the one-day reduction in symptoms of a ...

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1215/p776.html

Augmentation of Antidepressant Treatment Offers Little Benefit - POEMs - American ... Restricted content. Login required.

Dec 15, 2019 - The available evidence that treatment-resistant depression (depression that is unresponsive to two different treatments of adequate dose and length) responds well to augmentation treatment (i.e., adding psychotherapy, lithium, or aripiprazole [Abilify] to current treatment) is weak.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od3.html

Peptic Ulcers, Blood Lead Levels in Children, Diabetic Kidney Disease, VTE, Endometrial... Restricted content. Login required.

Dec 15, 2019 - 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/2019/1215/p740.html

Platelet-Rich Plasma is Equal to Saline for Patients with Patellar Tendinopathy - POEMs... Restricted content. Login required.

Dec 15, 2019 - In this study, platelet-rich plasma injections were no better than saline injections in improving pain or activity in patients with patellar tendinopathy. It did not matter whether the plasma was leukocyte rich or leukocyte poor.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od2.html

Five changes that will affect physician payment and productivity in 2020 and beyond -- FPM

There are new codes for online digital E/M, blood pressure monitoring and other common services.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/medicare_update_2020.html

End-of-life Care Is as Important as All Care Preceding It

In this Leader Voices Blog post, family medicine resident Kelly Thibert, D.O., M.P.H., shares her first experience with helping a terminally ill patient decide how she wanted to live her final days.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191213lv-endoflife.html

Four ways to target blood pressure control -- FPM

Four steps to get your patients on the path to better blood pressure.

Family Practice Management : Quick Tips : FPM Home

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

A quick tip for last-minute gynecologic exams -- FPM

This prep method can save time when a patient needs an unplanned Pap smear.

Family Practice Management : Quick Tips : FPM Home

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

Check your final 2019 MIPS eligibility status -- FPM

The QPP Participation Status Tool tells physicians if they are required to report to the Merit-based Incentive Payment System (MIPS) for the 2019 performance year.

Family Practice Management : Getting Paid : FPM Home

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

Reflections on a Decade of Change

Positive and sometimes negative, the 2010s saw massive shifts in health policy. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin looks back at the issues he thinks made the biggest impact.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20191210itt-lookback.html

In Business -- Including Health Care -- Someone Has To Pay

A group of physicians recently spoke out about their institution's aggressive collections tactics. Allison Edwards, M.D., asks in this Fresh Perspectives post whether anyone will follow their lead in standing up for patients regarding skyrocketing costs in the U.S. health care system.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191209fp-collections.html

Med Student's Rotation Ignites Passion for Rural Care

Medical student Margaret Miller writes in this Leader Voices Blog post that rural clinical experiences have the potential to transform careers.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191209lv-ruralrotation.html

Nine measurements for evaluating the quality of your dementia care -- FPM

A nationally recognized, evidence-based, group of metrics physicians can use to evaluate their current level of dementia care and improve upon it.

Family Practice Management : Quick Tips : FPM Home

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

A basic model for behavioral health integration -- FPM

You can get paid to integrate basic behavioral health check-ins into your practice.

Family Practice Management : Quick Tips : FPM Home

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

FPM/STFM award goes to MedStar Franklin Square for innovative care coordination program...

The 2019 Practice Improvement Award recognizes Medstar Franklin Square Family Health Center for its efforts to improve care and reduce utilization for high-risk patients through intensive care coordination.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/practice_improvement_award_winner_2019.html

Three questions to ask before making a major change -- FPM

Asking these three questions before making a big change in your practice can help everyone affected stay united.

Family Practice Management : Quick Tips : FPM Home

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

New Medicare home health payment feature has implications for physician orders -- FPM

Home health changes coming to Medicare in 2020 won't affect physician payments, but could change how much information home health providers request in physician orders.

Family Practice Management : Getting Paid : FPM Home

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

Harness AI to Enable Family Medicine's Health Care Vision

Artificial intelligence is undeniably part of medicine's future. Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., writes in this Leader Voices Blog post that family physicians must be prepared to take advantage of the opportunities AI presents.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191204lv-ai.html

Patients Need to Know the True Cost of 'Free' Screenings

Natasha Bhuyan, M.D., writes in this Fresh Perspectives blog post that free health screenings often come at a high cost and overshadow what patients actually need: prevention.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191203fp-screening.html

Five reasons you can’t get things done in your organization -- FPM

Author Peter Senge offers several laws that govern organizational behavior. Five of them are particularly apropos to physicians who are trying to build something new within their organizations but facing resistance.

Family Practice Management : Quick Tips : FPM Home

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

Acute Kidney Injury: Diagnosis and Management - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Acute kidney injury is a clinical syndrome characterized by a rapid decline in glomerular filtration rate and resultant accumulation of metabolic waste products. Acute kidney injury is associated with an increased risk of mortality, cardiovascular events, and progression to chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p687.html

Hypothermia and Cold Weather Injuries - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Hypothermia, frostbite, and nonfreezing cold injuries predominantly affect older adults, homeless or intoxicated people, adventurers, and military personnel. Prevention begins with clothing that is clean, layered, and loose to promote circulation. Base layers made of moisture-wicking ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p680.html

Nonspecific Low Back Pain and Return To Work - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Nonspecific low back pain refers to a condition without a distinct etiology to explain its associated symptoms. This pain may become chronic and is a major cause of work loss around the world. Without a specific explanation for a patient’s symptoms, the family physician is charged with ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p697.html

Occupational Health - American Family Physician

Dec 1, 2019 - Advertisement AFP BY TOPIC Occupational Health Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on occupational health, including back pain and injuries, impairment and disability evaluations,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=89

Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...

Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1201/p672.html

Diagnosing VTE: Guidelines from the American Society of Hematology - Practice ... Restricted content. Login required.

Dec 1, 2019 - The American Society of Hematology has published recommendations for determining the optimal diagnostic strategy based on pretest risk.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1201/p716.html

Empiric Treatment for Acute Pharyngitis - Photo Quiz - American Family Physician Restricted content. Login required.

Dec 1, 2019 - A woman presented with fever and throat pain, with vesicular lesions over the soft palate and uvula.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1201/p713.html

Combined Hormonal Contraceptives for Heavy Menstrual Bleeding - Cochrane for Clinicians... Restricted content. Login required.

Dec 1, 2019 - Combined oral contraceptives decrease the number of women reporting menorrhagia over six months compared with placebo (absolute risk reduction = 36.7%; number needed to treat = 2.7).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p677.html

The Right-Sized Patient Panel: A Practical Way to Make Adjustments for Acuity and ... Restricted content. Login required.

Dec 1, 2019 - Do you have the right number of patients on your panel? Here’s a process and a spreadsheet for calculating and adjusting your panel based on actual patient behavior.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p23.html

General Health Checks in Adults for Reducing Disease-Related Morbidity and Mortality - ... Restricted content. Login required.

Dec 1, 2019 - General health check visits have no benefit on cardiovascular morbidity or on total, cardiovascular, or cancer-related mortality. There is also no evidence that they cause patient harm.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p676.html

Advance Care Planning: How to Have the Conversation You Want With Your Patients -- FPM Restricted content. Login required.

Dec 1, 2019 - More patients are receiving intensive care in their last days of life, even though studies show that most don’t want it. Family physicians are uniquely positioned to make sure patients’ wishes are recorded and respected.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p18.html

Alpha Blockers for Nephrolithiasis - FPIN's Clinical Inquiries - American Family Physician Restricted content. Login required.

Dec 1, 2019 - The alpha blocker tamsulosin (Flomax) can be used to improve clearance of stones larger than 5 mm, shorten expulsion times, and reduce hospitalization.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1201/p710.html

Practical Ways to Address Physician Burnout and Improve Joy in Practice -- FPM Restricted content. Login required.

Dec 1, 2019 - It starts with one simple principle: Get rid of stupid stuff in your practice. Here’s how.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p7.html

Bringing Behavioral Health Into Your Practice Through a Psychiatric Collaborative Care ... Restricted content. Login required.

Dec 1, 2019 - Learn how to implement an integrated behavioral health program that will more than pay for itself while increasing patients’ access to care.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p11.html

Statin Treatment, Early Pregnancy Loss, Ingrown Toenails, Blood Pressure, ADHD, ... Restricted content. Login required.

Dec 1, 2019 - 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/2019/1201/p671.html

Pelvic Floor Muscle Training for Treatment of Urinary Incontinence in Women - Medicine ... Restricted content. Login required.

Dec 1, 2019 - Urinary incontinence is common in adult women, leading to health complications such as rash and urinary tract infections. This review discusses pelvic floor muscle training for the treatment of urinary incontinence in women.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1201/od1.html

Coding & Documentation - Nov-Dec 2019 -- FPM Restricted content. Login required.

Dec 1, 2019 - Work relative value units | Vaccination refusal | Marijuana use | Lesion treatment for new patients | Patient discharge without seeing patient

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/1100/p30.html

A Devoted Couple - Close-ups - American Family Physician

Dec 1, 2019 - Life-long devotion and a mind-body mortality link between spouses.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/1201/p709.html

Taking the Fear Out of Error Disclosure -- FPM Restricted content. Login required.

Dec 1, 2019 - What if we could talk about medical mistakes without fear of judgment or punishment?

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2019/1100/p36.html

A Jury of One's Peers -- FPM

Dec 1, 2019 - FPM depends on readers like you to review submitted manuscripts and help us deliver useful, high-quality content.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/1100/p6.html

Practice Pearls - Nov-Dec 2019 -- FPM Restricted content. Login required.

Dec 1, 2019 - Liven up your exam rooms | Be prepared for last-minute gynecologic exams | Use nudges to encourage behavior change

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/1100/p31.html

A tool for calculating the right-sized patient panel -- FPM

Here's a five-step method for right-sizing your patient panel.

Family Practice Management : Quick Tips : FPM Home

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

How to respond if a teen patient’s parent wants access to records -- FPM

If the parent of an adolescent patient contacts you or your staff wanting to know why the teen visited your practice, the teen patient’s information must be kept private if any of these situations apply.

Family Practice Management : Quick Tips : FPM Home

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

You Earned That Raise; Here's How to Keep It

Subspecialists are fighting a CMS final rule that would boost Medicare primary care payment by 12%. In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin asks family physicians to join the Academy in protecting the win.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20191126itt-payincrease.html

How Much Will This Cost, Doc?

Allison Edwards, M.D., writes in this Fresh Perspectives blog post that CME can arm physicians with new approaches to treatment, but too often discussions leave out the aspect of cost and value.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191126fp-cost.html

Time to choose your Medicare status for 2020 -- FPM

Physicians have until Dec. 31 to decide how they plan to participate in Medicare in 2020.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_Medicare_status.html

AAFP Leaders Give Thanks for Paths to Family Medicine

With Thanksgiving approaching, we asked some members of the AAFP Board of Directors why they're glad they chose family medicine. They shared their answers in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191125lv-thankgiving.html

Four reasons your team doesn't get along -- FPM

Health care can be a high-stress environment, but if infighting, negativity, cliques, and back-biting are pervasive, the underlying issues need to be identified and addressed.

Family Practice Management : Quick Tips : FPM Home

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

Three quick tips for exam room safety -- FPM

You don't typically enter the exam worried about the potential for violence, but increased awareness of your surroundings can help keep you safe during visits.

Family Practice Management : Quick Tips : FPM Home

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

When should you code for marijuana use? -- FPM

If patients report marijuana use in their social history, but have no related complaints, should you list an ICD-10 code for it?

Family Practice Management : Quick Tips : FPM Home

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

Meth Use: The Most Challenging Chronic Disease I've Met

As her state deals with a new level of methamphetamine abuse, Kimberly Becher, M.D., writes in this Fresh Perspectives blog post that she's confronting a wave of poor health outcomes related to the epidemic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191120fp-meth.html

What to do when an MBI changes -- FPM

It's time to start using Medicare Beneficiary Identifiers, if you aren't already. But how will you know if a patient's MBI changes?

Family Practice Management : Getting Paid : FPM Home

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

A technique for easing advance care planning conversations -- FPM

Advance care planning conversations can get emotional. Here's one way to prepare.

Family Practice Management : Quick Tips : FPM Home

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

Depression in Children and Adolescents: Evaluation and Treatment - American Family ... Restricted content. Login required.

Nov 15, 2019 - The prevalence of major unipolar depression in children and adolescents is increasing in the United States. In 2016, approximately 5% of 12-year-olds and 17% of 17-year-olds reported experiencing a major depressive episode in the previous 12 months. Screening for depression in ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p609.html

Specific Learning Disabilities: The Family Physician's Role - American Family Physician Restricted content. Login required.

Nov 15, 2019 - Academic underachievement, such as failing a class and the threat of being held back because of academic issues, is common. Family physicians can provide support and guidance for families as they approach their child’s unique academic challenges. Specific learning disabilities are a ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p628.html

The Changing Climate: Managing Health Impacts - American Family Physician Restricted content. Login required.

Nov 15, 2019 - Concentrations of greenhouse gases continue to accumulate in the atmosphere at increasing rates, heating the Earth’s surface and destabilizing climate. Health impacts from climate change may include increased morbidity and mortality from worsening cardiopulmonary health, worsening ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p618.html

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ... Restricted content. Login required.

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

Hydrogen Peroxide 40% (Eskata) for Seborrheic Keratosis - STEPS - American Family ... Restricted content. Login required.

Nov 15, 2019 - Hydrogen peroxide 40% topical solution is not particularly effective for removing seborrheic keratosis lesions, and skin reactions are common.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1115/p643.html

Preexposure Prophylaxis for the Prevention of HIV Infection: Recommendation Statement -...

Nov 15, 2019 - The USPSTF recommends that clinicians offer preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition.

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

https://www.aafp.org/afp/2019/1115/od1.html

Climate Change Health Impacts: A Role for the Family Physician - Editorials - American ...

Nov 15, 2019 - Why is climate change a matter of such importance to us as health care professionals, and why must we act?

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1115/p602.html

Screening for HIV Infection: Recommendation Statement - U.S. Preventive Services Task ...

Nov 15, 2019 - The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk of infection should also be screened.

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

https://www.aafp.org/afp/2019/1115/od2.html

Screening for HIV Infection and Preexposure Prophylaxis for the Prevention of HIV ... Restricted content. Login required.

Nov 15, 2019 - J.S., a 29-year-old transgender woman, presents for her first maintenance visit with a new family physician. It has been three years since her previous visit with a primary care physician. She has no chronic illnesses, stopped using tobacco products four years ago, and reports that she ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1115/p637.html

Fully Automated Blood Pressure Measurement Is the Way to Go in the Office - POEMs - ... Restricted content. Login required.

Nov 15, 2019 - automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646.html

Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ... Restricted content. Login required.

Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p648.html

As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients... Restricted content. Login required.

Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646a.html

Climate Change: What the Science Tells Us - Editorials - American Family Physician

Nov 15, 2019 - The sounds of alarm increasingly manifested across multiple sectors around the globe are warranted, and the science shows why.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1115/od3.html

Aspirin for CVD, Scabies, Intimate Partner Violence, Maternal Vaccines, Caregiver ... Restricted content. Login required.

Nov 15, 2019 - 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/2019/1115/p606.html

Platelet-Rich Plasma Injection Not Beneficial for Nonoperative Treatment of Rotator ... Restricted content. Login required.

Nov 15, 2019 - The review found no evidence that supports any additional benefit of platelet-rich plasma injections compared with various control interventions, including saline placebo, in the non-operative treatment of rotator cuff disease in adults.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p647.html

Potential Drug Interactions in Patients Taking Oral Contraceptive Pills - Letters to ...

Nov 15, 2019 - Nov 15, 2019 Issue Letters to the Editor Potential Drug Interactions in Patients Taking Oral Contraceptive Pills Am Fam Physician. 2019 Nov 15;100(10):599-600. Original Article: Clinically Relevant Drug-Drug Interactions in Primary Care Issue Date: May 1, 2019 See additional reader...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p599.html

Seizure with Brain Lesions - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 15, 2019 - << Previous article Next article >> Nov 15, 2019 Issue Photo Quiz Seizure with Brain Lesions MERIMA BUCAJ, DO; HENNA PARMAR, MD; and PHILIPPE BIERNY, MD, Abrazo Community Health Network, Phoenix, Arizona Am Fam Physician. 2019 Nov 15;100(10):639-641. A 42-year-old man presented after...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1115/p639.html

Spinosad: A Low-Risk, Effective Treatment for Lice - Letters to the Editor - American ...

Nov 15, 2019 - << Previous article Next article >> Nov 15, 2019 Issue Letters to the Editor Spinosad: A Low-Risk, Effective Treatment for Lice Am Fam Physician. 2019 Nov 15;100(10):601. Original Article: Lice and Scabies: Treatment Update Issue Date: May 15, 2019 Available online at:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p601.html

Electronic Cigarettes: More Questions Than Answers - Letters to the Editor - American ...

Nov 15, 2019 - Nov 15, 2019 Issue Letters to the Editor Electronic Cigarettes: More Questions Than Answers Am Fam Physician. 2019 Nov 15;100(10):600-601. Original Article: Electronic Cigarettes: Common Questions and Answers Issue Date: August 15, 2019 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p600.html

Let People Taste Family Medicine and They'll See Our Value

AAFP President Gary LeRoy, M.D., writes in this Leader Voices Blog post that family medicine has been undervalued too long, a perception that the Academy is taking big steps to change.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191115lv-lobster.html

What can a care team coordinator do for you? -- FPM

In some practices coordinators lighten the load by taking on administrative and clinical duties so physicians can focus on patients.

Family Practice Management : Quick Tips : FPM Home

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

Depression in Children and Teens - American Family Physician

Nov 15, 2019 - << Previous article Next article >> Nov 15, 2019 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/2019/1115/p609-s1.html

Behavioral Health -- FPM Topic Collection

Nov 14, 2019 - Advertisement Topic Collection Behavioral Health Editors' Choice of Best Available Content This article collection features popular FPM content on topics such as substance use disorders or other addictions and mental health conditions. Categories Mental Health...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=111

Five ways to orbit the "hairball" of red tape and regulations -- FPM

Within your organizational boundaries, try to find new, invigorating, and satisfying ways to practice medicine.

Family Practice Management : Quick Tips : FPM Home

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

My Rx Is Simple: Do Less

Margaux Lazarin, D.O., M.P.H., writes in this Fresh Perspectives blog post that free time is undervalued in our society and that it's OK to say no to things that might overwhelm our schedules.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191113fp-doless.html

Time is running out to transition to new Medicare numbers -- FPM

Effective Jan. 1, 2020, you must use Medicare Beneficiary Identifiers (MBIs) when billing Medicare, regardless of the date of service.

Family Practice Management : Getting Paid : FPM Home

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

HHS taking applications for Primary Care First alternative payment model -- FPM

The bundled services model will offer performance bonuses of up to 50%, with downside risk of just -10%.

Family Practice Management : Getting Paid : FPM Home

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

Here's What You Need to Know About Primary Care First

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin summarizes key points of the new Primary Care First program.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20191112itt-PCF.html

Share the Art of Medicine by Embracing the Role of Mentor

As the breadth of medical education expands, Alan Schwartzstein, M.D., writes in this Leader Voices Blog post that physicians should make time to teach students the basic skill of building relationships with patients.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191107lv-precepting.html

Should Appearance Matter in Medicine?

When we asked our new physician bloggers for their opinions on a recent survey regarding physician footwear, the conversation quickly broadened to take in attire, appearance and professionalism. Read more in this Fresh Perspectives post.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191106fp-attire.html

Medicare finalizes physician fee schedule and Quality Payment Program for 2020 -- FPM

Highlights from the 2020 Medicare physician fee schedule include new codes for chronic care management and principal care management.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_physician_fee_schedule.html

Hidradenitis Suppurativa: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Nov 1, 2019 - Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. Additional risk factors include family history, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p562.html

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