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Resetting Your Priorities in Family Medicine Post-Pandemic -- FPM Restricted content. Login required.

Aug 1, 2021 - What if we stopped saying yes to new demands and reallocated our time based on our priorities? This three-part exercise can help.

Family Practice Management : The Last Word

Addressing Loneliness and Social Isolation in Older Adults - Curbside Consultation - ... Restricted content. Login required.

Jul 1, 2021 - Social isolation and loneliness are increasingly recognized as complex clinical and public health problems, particularly in older adults, leading to adverse mental and physical health outcomes. The COVID-19 pandemic has led to physical distancing policies, which have exacerbated ...

American Family Physician : Curbside Consultation

Addressing Administrative Simplification -- FPM

Aug 1, 2021 - Physicians are spending too much time on paperwork and EHR-related tasks, but what can be done?

Family Practice Management : From the Editor

Prioritizing Primary Care Can Save the U.S. Health Care System -- FPM

Aug 1, 2021 - Payers are being asked to commit to a change in primary care financing in the next two years.

Family Practice Management : Opinion

Predicting True Penicillin Allergy in Adults - Point-of-Care Guides - American Family ... Restricted content. Login required.

Jun 15, 2021 - In patients reporting a penicillin allergy, is it possible to determine the likelihood of true allergy without formal testing?

American Family Physician : Point-of-Care Guides

SGLT2 Inhibitors Improve All-Cause and Cardiovascular Mortality in Patients Regardless ... Restricted content. Login required.

May 15, 2021 - What effect do sodium-glucose cotransporter-2 (SGLT2) inhibitors have on mortality and cardiovascular and renal outcomes in patients with and without diabetes mellitus, heart failure, or kidney disease?

American Family Physician : POEMs

Diagnosing the Cause of Chest Pain - American Family Physician

Nov 15, 2005 - Chest pain presents a diagnostic challenge in outpatient family medicine. Noncardiac causes are common, but it is important not to overlook serious conditions such as an acute coronary syndrome, pulmonary embolism, or pneumonia. In addition to a thorough history and physical ...

American Family Physician : Article

Accuracy of Ultrasonography for the Diagnosis of Small Bowel Obstruction - Medicine by ... Restricted content. Login required.

Aug 1, 2021 - According to a meta-analysis including prospective observational studies evaluating the accuracy of ultrasonography for the diagnosis of small bowel obstruction, ultrasonography appears to be highly sensitive and specific for this use.

American Family Physician : Medicine by the Numbers

Diary of a Family Physician - Aug 01, 2021 - American Family Physician

Aug 1, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

Benefits of Avoiding Unnecessary Medical Care During the COVID-19 Pandemic - Editorials...

May 15, 2021 - How can avoiding unnecessary medical care during the COVID-19 pandemic benefit patients?

American Family Physician : Editorials

State-Level Variation in Primary Care Physician Density - Graham Center Policy ...

Aug 1, 2021 - Despite representing only one-third of the physician workforce in the United States, primary care physicians (PCPs) are the first contact with the health care system for most patients. A 2010 report by the Council on Graduate Medical Education recommended that 40% of the physician ...

American Family Physician : Graham Center Policy One-Pagers

Treatment of Seborrheic Dermatitis - American Family Physician

May 1, 2000 - Seborrheic dermatitis is a chronic inflammatory disorder affecting areas of the head and trunk where sebaceous glands are most prominent. Lipophilic yeasts of the Malassezia genus, as well as genetic, environmental and general health factors, contribute to this disorder. Scalp seborrhea...

American Family Physician : Article

Demystifying Documentation and Billing for Osteopathic Manipulative Treatment -- FPM Restricted content. Login required.

Jun 1, 2021 - Osteopathic manipulative treatment is indicated for several common ailments, but documenting and coding it can be daunting for beginners. Here’s how it’s done.

Family Practice Management : Articles

Common Oral Lesions: Part II. Masses and Neoplasia - American Family Physician

Feb 15, 2007 - Certain common oral lesions appear as masses, prompting concern about oral carcinoma. Many are benign, although some (e.g., leukoplakia) may represent neoplasia or cancer. Palatal and mandibular tori are bony protuberances and are benign anomalies. Oral pyogenic granulomas may appear in...

American Family Physician : Article

Acromioclavicular Joint Dislocation: Surgical vs. Conservative Interventions - Cochrane... Restricted content. Login required.

Jul 1, 2021 - Surgical treatment for AC joint dislocation of the shoulder does not appear to be superior to conservative management in adults. Surgical therapy increases the risk of hardware complications, infection, and continued discomfort.

American Family Physician : Cochrane for Clinicians

Nontender Rash on the Soles of the Feet in a Febrile Adult - Photo Quiz - American ... Restricted content. Login required.

Jul 1, 2021 - A patient with multiple medical conditions presented with nonpurulent cellulitis and MRSA bacteremia.

American Family Physician : Photo Quiz

Prenatal Vitamins, Patellofemoral Pain Syndrome, Alcohol Misuse, Hernia, Anaphylaxis, ... Restricted content. Login required.

Aug 1, 2021 - 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

AFP 2021: Updates, New Fellow, Top 20 Articles, AFP Statistics, and Thanking Peer ...

Jun 15, 2021 - American Family Physician (AFP) continues its annual tradition of updating our readers on changes in the journal, welcoming new members to our editing team, highlighting the top 20 articles from the prior year, sharing print circulation and website statistics, and thanking our peer ...

American Family Physician : Editorials

How to Integrate Clinical Pharmacists Into Primary Care -- FPM Restricted content. Login required.

Jun 1, 2021 - Clinical pharmacists can take team-based care to the next level.

Family Practice Management : Articles

Treatment of Plantar Fasciitis - American Family Physician

Feb 1, 2001 - Plantar fasciitis is a common cause of heel pain in adults. The disorder classically presents with pain that is particularly severe with the first few steps taken in the morning. In general, plantar fasciitis is a self-limited condition. However, symptoms usually resolve more quickly ...

American Family Physician : Article

Graham Center Policy One-Pagers Provide Perspectives on the State of Primary Care - ...

Aug 1, 2021 - Previous Graham Center Policy One-Pagers published in AFP have provided timely perspectives on a range of topics. In 2020, the Graham Center, in collaboration with IBM Watson Health and the American Board of Family Medicine, produced a chartbook of statistics on the current state of ...

American Family Physician : Editorials

Practice Pearls - Jul-Aug 2021 -- FPM Restricted content. Login required.

Aug 1, 2021 - Use dedicated staff to ease prior authorizations | Leverage your EHR to save time on drug recalls | Use reminder slips to simplify follow-up appointment scheduling

Family Practice Management : Practice Pearls

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons - ... Restricted content. Login required.

Jun 15, 2021 - A 27-year-old patient, R.C., with a history of generalized anxiety disorder presents for a wellness examination. R.C. previously smoked a pack of cigarettes per day but has cut down to half a pack per day and started using electronic cigarettes (e-cigarettes) and is interested in ...

American Family Physician : Putting Prevention into Practice

Hyperthyroidism: Diagnosis and Treatment - American Family Physician

Aug 15, 2005 - The proper treatment of hyperthyroidism depends on recognition of the signs and symptoms of the disease and determination of the etiology. The most common cause of hyperthyroidism is Graves' disease. Other common causes include thyroiditis, toxic multinodular goiter, toxic adenomas, and...

American Family Physician : Article

Progressive Rash Involving the Hands and Feet - Photo Quiz - American Family Physician

Jun 15, 2018 - A man presented in late fall with a progressive rash on his hands, arms, back, chest, and feet after a hiking trip.

American Family Physician : Photo Quiz

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

Talking About Vaccines During Pregnancy -- FPM

Aug 1, 2021 - Immunization is a vital component of prenatal care, offering protection from preventable diseases to patients who are pregnant and their fetuses. The Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommends immunizing every patient ...

Family Practice Management : Articles

House Calls: Providing Care Beyond the Office Walls -- FPM Restricted content. Login required.

Jun 1, 2021 - Interest in home-based primary care is growing as payments increase, technology improves, and the population ages.

Family Practice Management : Articles

Dermatologic Emergencies - American Family Physician

Oct 1, 2010 - Life-threatening dermatologic conditions include Rocky Mountain spotted fever; necrotizing fasciitis; toxic epidermal necrolysis; and Stevens-Johnson syndrome. Rocky Mountain spotted fever is the most common rickettsial disease in the United States, with an overall mortality rate of 5 ...

American Family Physician : Article

Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis - Letters to...

Apr 1, 2021 - Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis

American Family Physician : Letter

Coping With Impostor Syndrome -- FPM Restricted content. Login required.

Jun 1, 2021 - Even accomplished physicians can experience self-doubt. These tips can help you move past it.

Family Practice Management : The Last Word

Rapidly Growing Red Nodule on the Scalp - Photo Quiz - American Family Physician Restricted content. Login required.

Jun 15, 2021 - A patient presented with a fleshy, erythematous, round, exophytic red nodule over the frontal scalp.

American Family Physician : Photo Quiz

Rebound Bilirubin Levels after Phototherapy in Neonates with Hyperbilirubinemia - ... Restricted content. Login required.

Nov 1, 2020 - Rebound elevation of bilirubin levels after phototherapy discontinuation in healthy term neonates is infrequent (fewer than 2% of infants with levels less than 14 mg per dL [239 mmol per L] at initial discontinuation). Obtaining a repeat bilirubin level four to six hours after ...

American Family Physician : FPIN's Clinical Inquiries

Treatment of Menorrhagia - American Family Physician

Jun 15, 2007 - Menorrhagia is defined as excessive uterine bleeding occurring at regular intervals or prolonged uterine bleeding lasting more than seven days. The classic definition of menorrhagia (i.e., greater than 80 mL of blood loss per cycle) is rarely used clinically. Women describe the loss or ...

American Family Physician : Article

Special Considerations in Interpreting Liver Function Tests - American Family Physician

Apr 15, 1999 - A number of pitfalls can be encountered in the interpretation of common blood liver function tests. These tests can be normal in patients with chronic hepatitis or cirrhosis. The normal range for aminotransferase levels is slightly higher in males, nonwhites and obese persons. Severe ...

American Family Physician : Article

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

Interpretation of the Electronic Fetal Heart Rate During Labor - American Family Physician

May 1, 1999 - Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention. Since ...

American Family Physician : Article

Cryoablation Preferred as Initial Therapy for Paroxysmal Atrial Fibrillation - POEMs - ... Restricted content. Login required.

Jul 1, 2021 - Initial cryoablation for patients with paroxysmal AF is superior to initial antiarrhythmic drug therapy. Another study in the same issue of New England Journal of Medicine compared cryoablation with medical therapy and had similar findings.

American Family Physician : POEMs

Clinical Considerations in Caring for Transgender Athletes - Editorials - American ...

May 1, 2021 - Family physicians are in a unique position to care for transgender athletes, including providing preventive and gender-affirming care and addressing acute athletic injuries and chronic health concerns.

American Family Physician : Editorials

Long COVID: A Primer for Family Physicians - Editorials - American Family Physician

Dec 15, 2020 - As the United States struggles with a prolonged wave of acute coronavirus disease 2019 (COVID-19; see article recently published in American Family Physician), family physicians need to be prepared to care for patients presenting with postacute (one to three months) or chronic (beyond ...

American Family Physician : Editorials

Low-Carb Diets May Produce Short-Term Diabetes Remission - POEMs - American Family ... Restricted content. Login required.

Jul 1, 2021 - Patients with type 2 diabetes can try cutting out bread and pasta, leaving the skin on chicken, or eating nuts and avocados to lower their blood glucose levels. Six months of a low-carbohydrate diet (less than 26% of calories from carbohydrates) was more likely than other diets or usual...

American Family Physician : POEMs

Fetal Alcohol Spectrum Disorders - American Family Physician

Jul 15, 2005 - To complement the 2005 Annual Clinical Focus on medical genomics, AFP will be publishing a series of short reviews on genetic syndromes. This series was designed to increase awareness of these diseases so that family physicians can recognize and diagnose children with these disorders ...

American Family Physician : Article

Coding & Documentation - May-Jun 2021 -- FPM Restricted content. Login required.

Jun 1, 2021 - Home health or hospice care supervision | Advance care planning via telehealth | Ambulatory blood pressure monitoring | Counseling patients about foreign travel | Catching up on children's vaccines

Family Practice Management : Coding & Documentation

Heavy Menstrual Bleeding, Acute Pyelonephritis, Bacteriuria, IgA Vasculitis, Febrile ... Restricted content. Login required.

Jul 1, 2021 - 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

Burning on the Tip of the Tongue - Photo Quiz - American Family Physician

Jan 1, 2018 - A woman presented with lesions on her tongue, as well as bare patches with raised erythematous borders.

American Family Physician : Photo Quiz

Toilet Training - American Family Physician

Nov 1, 2008 - Toilet training is a developmental task that impacts families with small children. All healthy children are eventually toilet trained, and most complete the task without medical intervention. Most research on toilet training is descriptive, although some is evidence based. In the United...

American Family Physician : Article

Screening for Asymptomatic Carotid Artery Stenosis - Putting Prevention into Practice -... Restricted content. Login required.

May 15, 2021 - A 67-year-old man comes to your office for a regularly scheduled visit. He has type 2 diabetes mellitus and a 40-pack-year smoking history, but he quit smoking two years ago. He takes lisinopril and atorvastatin (Lipitor); his blood pressure today is normal.

American Family Physician : Putting Prevention into Practice

Screening for Unhealthy Drug Use: Recommendation Statement - U.S. Preventive Services ...

Jan 15, 2021 - The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.

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

Six Tips to Effectively Treat Opioid Use Disorder in Rural Areas -- FPM Restricted content. Login required.

Jun 1, 2021 - Overcome barriers to care by using telehealth, supporting home-based treatment, and partnering with local and state services.

Family Practice Management : Articles

Pessaries for Managing Pelvic Organ Prolapse in Women - Cochrane for Clinicians - ... Restricted content. Login required.

Jun 1, 2021 - Pessaries combined with pelvic floor muscle training (PFMT) probably improve pelvic organ prolapse symptoms in women and prolapse-specific quality of life compared with PFMT alone.

American Family Physician : Cochrane for Clinicians

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