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Survivor of Child Abuse Making a Difference for Others

Family physician Tina Tanner, M.D., draws on her experience as a survivor of child abuse to help patients with their own struggles.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20210809fdf-tanner.html

Statement of Strong Medical Consensus for Vaccination of Pregnant Individuals Against ...

Statement of Strong Medical Consensus for Vaccination of Pregnant Individuals Against COVID-19

AAFP News : Media Center

https://www.aafp.org/news/media-center/statements/covid-vaccine-pregnant-individuals.html

How to request a review of your MIPS 2022 payment adjustment -- FPM

Disagree with your MIPS score and corresponding payment adjustment? You have until Oct. 1 to request a review.

Family Practice Management : Getting Paid : FPM Home

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

CMS releases 2022 payment adjustments for 2020 MIPS performance -- FPM

The Merit-based Incentive Program System final scores for 2020 performance reflect changes put in place because of the COVID-19 pandemic.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2022_mips_payment.html

Drug Overdose Deaths Reached New High in 2020, Says CDC

A CDC report estimated that more than 93,000 drug overdose deaths occurred in the United States in 2020, with most deaths attributable to misuse of opioids. The AAFP offers resources to help FPs address substance use.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210806overdosedeaths.html

Research Highlights Primary Care’s Role in Mental Health

A new study from the Robert Graham Center for Policy Studies in Family Medicine and Primary Care quantifies the importance of primary care physicians to U.S. mental and behavioral health care.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210806rgcmentalhealth.html

Livestream CME Courses with the AAFP

Get all the the same live CME benefits from anywhere on your device with AAFP livestream courses.

CME : Livestream with the AAFP

https://www.aafp.org/cme/streaming.html

New surprise billing rule takes effect soon. Find out if it applies to you -- FPM

The rule applies to emergency services, as well as non-emergency care by out-of-network physicians working at in-network facilities.

Family Practice Management : Getting Paid : FPM Home

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

Residents Address COVID-related Barriers to Training, More

Delegates debated resolutions related to several issues — including training requirements and advance directives — during the virtual National Congress of Family Medicine Residents.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20210805nc-residents.html

Student Delegates Act on SUD, Advance Directives

Delegates debated resolutions related to several issues — including substance use disorder, advance directives and gender-affirming care — during the virtual National Congress of Student Members.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20210805nc-students.html

Academy Sees Health Equity Boost in Proposed HHS Rule

The AAFP supports proposed federal rulemaking that would increase access to comprehensive primary care coverage.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20210805pprule.html

2021 Congress of Delegates Postponed

The in-person meeting of the 2021 Congress of Delegates that was planned for Sept. 27-29 is being postponed, but delegates will still elect the AAFP president-elect, speaker, vice speaker and directors during a virtual special session next month.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210805codpostponed.html

Major insurer reviewing, downgrading some E/M codes for outlier physicians -- FPM

Claims will be selected from physicians who code at higher E/M levels compared to their peers with similar risk-adjusted patients.

Family Practice Management : Getting Paid : FPM Home

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

FPs Share Breadth of Family Medicine in Mainstage Event

Four family physicians shared personal stories that highlighted different roles in the specialty July 30 during the National Conference of Family Medicine Residents and Medical Students.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20210804nc-careers.html

Avoiding a Telehealth Cliff

Robust virtual care, a byproduct of the public health emergency, is already in jeopardy. AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Stephanie Quinn writes in the In the Trenches blog that the AAFP is pushing for thoughtful solutions.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20210803itt-telehealth.html

Sports and Medical Organizations Encourage COVID-19 Vaccine Conversations be Part of ...

Sports and Medical Organizations Encourage COVID-19 Vaccine Conversations be Part of all Sports Physicals

AAFP News : Media Center

https://www.aafp.org/news/media-center/statements/covid-vaccine-sports-physicals.html

Delegates Elect New Student, Resident Leaders

Delegates elected peers to represent them during the recent National Conference of Family Medicine Residents and Medical Students.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20210803nc-elections.html

A four-step process for quicker, easier evaluation and management coding -- FPM

The majority of visits can be optimally coded without worrying about data at all, if you follow these four steps.

Family Practice Management : Quick Tips : FPM Home

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

Home Blood Pressure Monitoring - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Home blood pressure monitoring provides important diagnostic information beyond in-office blood pressure readings and offers similar results to ambulatory blood pressure monitoring. Home blood pressure monitoring involves patients independently measuring their blood pressure with an ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p237.html

Alcohol Withdrawal Syndrome: Outpatient Management - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Approximately one-half of patients with alcohol use disorder who abruptly stop or reduce their alcohol use will develop signs or symptoms of alcohol withdrawal syndrome. The syndrome is due to overactivity of the central and autonomic nervous systems, leading to tremors, insomnia, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p253.html

Kawasaki Disease and Multisystem Inflammatory Syndrome in Children: An Overview and ... Restricted content. Login required.

Aug 1, 2021 - Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C) are inflammatory conditions that present diagnostic and therapeutic challenges to the physician. Although many of their features overlap, they are two distinct conditions. KD is a febrile illness most ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p244.html

Hereditary Hemochromatosis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Hereditary hemochromatosis is an autosomal recessive disorder that disrupts iron homeostasis, resulting in systemic iron overload. It is the most common inherited disorder among people of northern European ancestry. Despite the high prevalence of the gene mutation, there is a low and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p263.html

Neglected Parasitic Infections: What Family Physicians Need to Know—A CDC Update - ... Restricted content. Login required.

Aug 1, 2021 - Chagas disease, cysticercosis, and toxoplasmosis affect millions of people in the United States and are considered neglected parasitic diseases. Few resources are devoted to their surveillance, prevention, and treatment. Chagas disease, transmitted by kissing bugs, primarily affects ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p277.html

Splenomegaly: Diagnosis and Management in Adults - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Splenomegaly can be due to several mechanisms but is almost always a sign of a systemic condition. Patient habits, travel, and medical conditions can increase risk of splenomegaly and suggest etiology. Symptoms can suggest infectious, malignant, hepatic, or hematologic causes. Physical ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p271.html

Outpatient Primary Care Management of Headaches: Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Aug 1, 2021 - The U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) published updated guidelines for the treatment of headache disorders based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0900/p316.html

Cervical Cancer Screening: Updated Guidelines from the American Cancer Society - ... Restricted content. Login required.

Aug 1, 2021 - The American Cancer Society (ACS) has released new guidelines for cervical cancer screening.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0900/p314.html

Slow-Growing, Painless Periungual Nodule - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a painless, slow-growing lesion on her finger that had been present for several years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0900/p299.html

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

Aug 1, 2021 - A 47-year-old patient presents for a routine physical examination. The patient does not have a history of colorectal cancer, inflammatory bowel disease, or adenomatous polyps or a family history of colorectal cancer. The patient's body mass index is 29 kg per m2, and the A1C level at ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0900/p295.html

Hyperpigmentation of the Hands, Feet, and Tongue - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a painless, non-pruritic rash involving his palms, soles, and tongue after undergoing chemotherapy.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0900/p301.html

Melatonin to Treat Insomnia in Older Adults - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Aug 1, 2021 - Melatonin preparations reduce sleep-onset latency, increase total sleep time, and slightly improve sleep efficiency. Prolonged-release melatonin reduces sleep-onset latency in older adults and has rates of adverse effects similar to those of placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0900/p297.html

Reducing Saturated Fat Intake to Decrease the Risk of Cardiovascular Disease - Cochrane... Restricted content. Login required.

Aug 1, 2021 - Reducing saturated fat in the diet for at least two years decreases the risk of combined cardiovascular events. However, there is little to no effect on cardiovascular mortality, all-cause mortality, or individual cardiovascular events.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p235.html

Efficient Approach to the Evaluation of Syncope - Lown Right Care: Reducing Overuse and... Restricted content. Login required.

Aug 1, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

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

https://www.aafp.org/afp/2021/0900/p305.html

Chronic Musculoskeletal Pain, NAFLD, Peripheral Neuropathy, Myocardial Infarction - AFP... 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

https://www.aafp.org/afp/2021/0900/p232.html

Remdesivir (Veklury) for the Treatment of COVID-19 in Hospitalized Patients - STEPS - ... Restricted content. Login required.

Aug 1, 2021 - Although remdesivir has been shown to be safe and well tolerated, there is a lack of consistency in clinical trial results and guideline recommendations.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0900/p311.html

Fecal Calprotectin for the Evaluation of Inflammatory Bowel Disease - Diagnostic Tests:... Restricted content. Login required.

Aug 1, 2021 - Fecal calprotectin measurement is an accurate, simple, cost-effective test that can aid in selecting which patients presenting with possible IBD can be safely observed in the primary care setting.

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

https://www.aafp.org/afp/2021/0900/p303.html

Pelvic Floor Muscle Training to Prevent and Treat Urinary and Fecal Incontinence in ... Restricted content. Login required.

Aug 1, 2021 - Structured PFMT beginning early in pregnancy prevents the onset of urge incontinence later in pregnancy and in the postpartum period compared with no intervention. There is no evidence that PFMT improves urinary incontinence later in pregnancy or in the postpartum period in pregnant ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p234.html

Applying a Clinical Prediction Rule to Distinguish Lower Extremity Cellulitis from Its ... Restricted content. Login required.

Aug 1, 2021 - How can the clinician best determine whether a patient with lower leg erythema has cellulitis?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/0900/p309.html

Using Race with Caution in the ASCVD Calculator - Curbside Consultation - American ... Restricted content. Login required.

Aug 1, 2021 - The use of race in clinical decision-making is a source of controversy in U.S. modern medicine. Definitions of race are inconsistent throughout the medical literature and in medical education, and most experts in biology and social sciences agree that race has a limited biologic basis ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0900/p292.html

Practical Ways to Manage Your EHR Inbox -- FPM Restricted content. Login required.

Aug 1, 2021 - These 10 tips can help reduce your workload during and after clinic, so you can focus on what matters most.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p27.html

FMLA Does Not Need to Be a Four-Letter Word -- FPM Restricted content. Login required.

Aug 1, 2021 - These tips can help you complete FMLA paperwork quickly and accurately.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p12.html

Diary of a Family Physician - Sep 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

https://www.aafp.org/afp/2021/0900/p313.html

A Step-by-Step Time-Saving Approach to Coding Office Visits -- FPM Restricted content. Login required.

Aug 1, 2021 - Follow these four steps to code quickly and accurately, while reducing the need to count up data points.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p21.html

Comparison of Treatment Regimens for Helicobacter pylori Infection - Medicine by the ... Restricted content. Login required.

Aug 1, 2021 - A network meta-analysis found that vonoprazan-based triple therapy and reverse hybrid therapy demonstrated the highest overall cure rates and SUCRA values; however, among Western countries, levofloxacin-based triple therapy had the highest cure rate and SUCRA value. Standard triple ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0900/od1.html

Parasitic Infections: Do Not Neglect Strongyloidiasis - Editorials - American Family ...

Aug 1, 2021 - Although the intestinal roundworm Strongyloides stercoralis is not on the Centers for Disease Control and Prevention's list of neglected parasitic infections, it deserves increased awareness. There are an estimated 30 million to 100 million infections from S. stercoralis worldwide and a...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0900/p224.html

Neonatal Abstinence Syndrome: A Call for Mother-Infant Dyad Treatment Approach - ...

Aug 1, 2021 - Neonatal abstinence syndrome (NAS) is a constellation of symptoms observed in newborns exposed to opioids during pregnancy. The incidence of NAS has steadily increased during the past decade as more infants have been born to mothers with opioid use disorder (OUD). Pregnancy and the ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0900/p222.html

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

https://www.aafp.org/fpm/2021/0700/p38.html

In Older Adults, Aspirin Increases the Risk of Metastatic or Stage 4 Cancers and Cancer... Restricted content. Login required.

Aug 1, 2021 - In this large trial, older adults who received aspirin had higher rates of metastatic cancer, stage 4 cancer, and cancer mortality than those who received placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od4.html

Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit in Low Back Pain ... Restricted content. Login required.

Aug 1, 2021 - Epidural corticosteroid injections provide a small and probably clinically insignificant reduction in leg and back pain in the immediate term (less than two weeks), and a small to moderate reduction in disability in the short and intermediate terms.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od2.html

The Risk of Progression from Prediabetes to Diabetes in Older Adults Is Low - POEMs - ... Restricted content. Login required.

Aug 1, 2021 - Older patients generally will not progress to diabetes; they will either, over an average of 6.5 years, stay at the prediabetic levels or revert to normal levels. If a patient makes it to their mid-70s without a diagnosis of diabetes, it is unlikely to occur.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od3.html

Take-and-Hold Prescriptions for Children with Respiratory Tract Infections Decrease ... Restricted content. Login required.

Aug 1, 2021 - A strategy of providing education about the natural history of respiratory symptoms in children combined with giving a take-and-hold prescription (to be filled only if symptoms persisted) resulted in one in four of those children eventually receiving an antibiotic.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od5.html

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