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Objection! Can We Bring Order to Documentation and Billing?

Have you ever seen a lawyer documenting everything said during court? Neither has Allison Edwards, M.D., who ponders in this Fresh Perspectives blog post whether doctors could learn something about how attorneys document -- and bill for -- their work.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190405fp-billing.html

Trump Administration Rolling the Dice on Health Care

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that the administration's recent decision to not defend the Patient Protection and Affordable Care Act is an interesting gamble ahead of the 2020 elections.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190402itt-acalawsuit.html

EAT-Lancet Recommendations Have Value, but Are They Feasible?

A new report on diet and agriculture aims to improve the health of the earth and its human inhabitants. Lalita Abhyankar, M.D., M.H.S., lauds the commission's effort but questions the feasibility of its recommendations.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190402fp-eatlancet.html

High-deductible Plans Give 'Prevention' a New Meaning

Robert Raspa, M.D., writes in this Leader Voices Blog post that high-deductible plans are causing patients to delay needed care, which leads to more costly urgent care later.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190401lv-hdhp.html

Not Tough Enough? What More Do You Want?

Leonard Reeves, M.D., offers a rebuttal to a speaker who questioned the toughness of physicians amid a burnout crisis.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190325lv-toughenough.html

Are You Kidding Me? We Need More Primary Care Physicians

A recent commentary in The American Journal of Medicine suggests that primary care be left to nurse practitioners and physician assistants. In his latest In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin points out the ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190319itt-workforce.html

We Matched! Now What?

Chandler Stisher was one of thousands of fourth-year medical students who matched to family medicine residency programs on Friday. In this Leader Voices Blog post, he shares some of the words that resonated most strongly with him as he approached Match Day.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190315lv-match.html

Your State Legislature Is a Train Wreck? Don't Look Away

Kimberly Becher, M.D., writes in this Fresh Perspectives blog post that a day in her state capitol during a contentious legislative session rekindled her interest in health policy.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190314fp-stateadvocacy.html

How Do You Deal With the Trauma? VT and Me

Anita Ravi, M.D., M.P.H., M.S.H.P., suffered vicarious trauma while repeatedly caring for patients who had experienced violence. In this Fresh Perspectives blog post, she writes about identifying it and seeking support.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190312fp-vicarioustrauma.html

Spread the Word: Teaching Health Centers Deserve Support

Bills have been introduced in Congress that would authorize funding for the teaching health center program. Resident Michelle Byrne, M.D., M.P.H., makes the case for supporting the model, and tells others how they can help.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190307lv-thcgme.html

Our Maternal Mortality Rate Is Shameful

The United States is the only developed nation with a rapidly increasing maternal mortality rate. Natasha Bhuyan, M.D., examines what should be done about it.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190305fp-maternalmortality.html

Under Pressure: Health Care Needs Reform, Stable Markets

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update after legislators from both sides of the aisle introduced bills regarding health insurance.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190305itt-insurancereform.html

Curious About the ABFM Pilot? Here's My Experience So Far

Family physicians have long clamored for an alternative to the high-stakes continuing certification exam. In this Leader Voices Blog post, Tochi Iroku-Malize, M.D., M.P.H., M.B.A., offers her perspective on the Family Medicine Certification Longitudinal Assessment pilot.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190304lv-fmcla.html

Finding the Right Mentor Is Worth the Quest

Mentors, regardless of specialty, can have a profound effect on students. AAFP President-elect Gary LeRoy, M.D., writes in this Leader Voices Blog post that a surgeon helped start him on his way to a career in medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190225lv-mentoring.html

Take Note of Growing Demand for Subscription Services

Consumer Reports recently advised consumers that direct primary care could save them money and improve their care. Allison Edwards, M.D., makes the case for the subscription model 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/20190222fp-subscriptioncare.html

Shift Health System's Focus From Profit to Prevention

Leonard Reeves, M.D., writes in this Leader Voices Blog post that a single-payer system reserved for primary care would put the focus on keeping people healthy rather than on treating illness.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190221lv-change.html

Bipartisan Work on Crucial Issues Deserves Support

Congress is showing signs of bipartisan agreement on three health care issues. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update on prescription drug pricing, physician workforce training and insurance reform.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190219itt-bipartisan.html

Let's Take a Public Health Approach to Climate Change

Nearly 80 percent of Americans believe climate change is happening. M.P.H. candidate Stewart Decker, M.D., offers a public health approach to convincing the rest and addressing the problem.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190218fp-climate.html

Better Health Care for Veterans Requires Better Payment

Ada Stewart, M.D., who cares for active-duty soldiers and veterans as a U.S. Army Reserve physician, as well as in her civilian practice, writes about the urgent need for payment and workforce reform in the nation's veterans health care system.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190218lv-veterans.html

Are Your Patients Wasting Money on Supplements?

According to the latest Fresh Perspectives blog post, a recent survey found that nearly 90 percent of adults take vitamins or supplements, but less than 25 percent of respondents had a confirmed nutrient deficiency.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190213fp-supplements.html

Can Design Thinking Improve Health Care for Patients, Physicians?

Design thinking requires decision-makers to empathize with, and test potential solutions with, users and stakeholders. Lalita Abhyankar, M.D., M.H.S., shares insights from a crash course on the process.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190205fp-designthinking.html

Window of Opportunity Opening to Revalue E/M Codes

Codes for evaluation and management services have not had a comprehensive review by CMS in more than a decade. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that it's time to correct that oversight.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190205itt-emcodes.html

True Mentors Help Students Find Where They Belong

Medical student Chandler Stisher writes that family medicine mentors should show students how the specialty aligns with their interests.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190204lv-mentors.html

Don't Be Shy About Asking for Help Patients Need

Kimberly Becher, M.D., writes that finding creative ways to solve patients' problems outside of her clinic is good for both her and her patients.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190129fp-grants.html

Our Health Care System Is Sick

The U.S. health care system focuses more on care of the sick than prevention. Leonard Reeves, M.D., writes that even our sick care is less than ideal.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190128lv-sickcare.html

Family of Family Medicine Is Working to Expand the Workforce

An ambitious initiative to expand the family medicine pipeline is the latest example of collaboration among the specialty's eight national organizations.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190123lv-workingparty.html

We're Working to Make Sure Telemedicine Is Real Medicine

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that the Academy has new resources to support telemedicine within family medicine practices.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190122itt-telemedicine.html

What Does the Government Shutdown Mean for Patients?

As the partial government shutdown stretched into its fourth week, our new physician bloggers examined how the impasse in Washington, D.C., is affecting their patients.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190117fp-shutdown.html

Why Do I Provide Maternity Care? The Answer's Simple

There are many reasons some family physicians don't provide maternity care. But more than 30 years into practice, Robert Raspa, M.D., explains why it's still one of his favorite parts of the job.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190116lv-maternity.html

Beat the Clock: Why I Chose Direct Primary Care

Allison Edwards, M.D., writes in this Fresh Perspectives blog post that the limitations of the 12-minute patient visits she experienced as a resident inspired her to start her own direct primary care practice.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190115fp-whydpc.html

Medicaid Expansion Could Be Key to Saving Rural Hospitals

Nearly 100 rural hospitals have closed since 2010, and almost 700 more are considered vulnerable. Tate Hinkle, M.D., writes in the Fresh Perspectives blog that Medicaid expansion could be the key to stopping the trend.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190109fp-ruralhospitals.html

Make Sure Policymakers Know We're Knights for Our Patients

John Cullen, M.D., writes in the Leader Voices Blog that physicians are more likely to be heard by payers and policymakers when health care discussions are framed in terms of patient care.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190109lv-knights.html

No Margin, No Mission: Better Physician Pay = Better Patient Care

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines six areas of focus where the Academy's advocacy work is aimed at improving payment for primary care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190108itt-betterpayment.html

Physician Leaders Can't Wait for Squeaks to Turn Into Clunks

Gary LeRoy, M.D., writes in this Leader Voices Blog post that the AAFP must listen to its members' urgent concerns while also pursuing the long-term needs of family medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190102lv-listening.html

Have We Failed to 'Promote the General Welfare' of People?

In this fourth installment of his master's in public health series in the Fresh Perspectives blog, Stewart Decker, M.D., discusses the social, or structural, issues that affect health.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181221fp-mph4.html

All I Want for Christmas Is a Better Health Care System

Leonard Reeves, M.D., is on our nice list. In this Leader Voices Blog post, he shares what's on his Christmas wish list for family physicians and their patients.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181219lv-christmaslist.html

You Hate Your EHR? Help Develop Something Better

Instead of hoping someone will ask physicians about their technology needs, Lalita Abhyankar, M.D., M.H.S., writes in the Fresh Perspectives blog that doctors should seek out developers looking for new ideas.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181218fp-ehrs.html

High-deductible Plans Shouldn't Endanger Continuity of Care

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin addresses the need for continuity of care among patients with high-deductible health plans.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181218itt-hdhp.html

What a Barefoot Patient Taught Me About Health Equity

Resident Michelle Byrne, M.D., M.P.H., writes in this Leader Voices Blog post that she was drawn to family medicine by a desire to be trained by physicians who are committed to addressing social justice and health equity.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181218lv-choosingfm.html

No Need to Yield: Advocacy Is Our Lane

Some people think physicians should stay out of politics, but Tochi Iroku-Malize, M.D., M.P.H., M.B.A., writes in this Leader Voices Blog post that being an advocate is a role that physicians must embrace.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181212lv-advocacy.html

Why I Love Working in a Community Health Center

Luis Garcia, M.D., spoke with several colleagues who work in community health centers, as he does, about what makes these practices so rewarding for family physicians.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181211fp-chc.html

Teaching Health Centers Funding a Top Priority for 2019

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that securing funding for the teaching health center program will be a top priority for the Academy when the new Congress convenes.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181204itt-thcgme.html

Minorities Are Underrepresented in Clinical Trials

Ada Stewart, M.D., writes in this Leader Voices Blog post that an analysis of clinical drug trials found that certain minority groups are underrepresented, even when the medications being researched are intended to treat diseases that disproportionately affect them.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181204lv-clinicaltrials.html

Focus on Decision-makers to Improve Public Health

Master of public health candidate Stewart Decker, M.D., shares his insights from a course on campaigning and community organizing.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181129fp-mph3.html

Help Patients Know Their HIV Status

An estimated 15 percent of Americans living with HIV infection are unaware of it. Ada Stewart, M.D., writes in this Leader Voices Blog post that World AIDS Day offers a reminder to help patients know their status.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181127lv-hivstatus.html

Let's Get Drug Pricing Under Control

Allison Edwards, M.D., writes in this Fresh Perspectives blog post that it's high time we find a fix for the drug pricing system that we've grown too accustomed to.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181126fp-drugprices.html

Protect Transgender and Intersex Patients

In this Fresh Perspectives blog post, Natalie Hinchcliffe, D.O., describes the many factors that contribute to gender identity, and she calls for physicians to take a stand in support of their transgender and intersex patients.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181120fp-transgender.html

The Votes Were Cast. What Does It Mean for Family Medicine?

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin sets the stage for an analysis of the 2018 midterm elections and looks at Wall Street's growing interest in health care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181120itt-postelection.html

Bustling Clerkship Shows Family Medicine Is Never Boring

Chandler Stisher saw the excitement of family medicine for himself in his first third-year clerkship. He writes that the primary care physician shortage could be eased if more students were exposed to the full potential of family medicine.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181120lv-clerkship.html

FPs and Vasectomies: Help Your Patients Make a 'Snip' Decision

Vasectomy is a quick, easy procedure that can be performed in the primary care setting. AAFP President John Cullen, M.D., questions why more men aren't willing to take that step.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20181113lv-vasectomy.html

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