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Exercise vs. No Exercise for the Occurrence, Severity, and Duration of Acute ... Restricted content. Login required.

Feb 1, 2021 - For adults, regular exercise may reduce the overall severity of acute respiratory tract infections and the number of days with symptoms, but there is no evidence that exercise reduces the overall occurrence or duration of these infections.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0201/p144.html

"Quick, Grab the Naloxone": Overdose Preparedness for Ambulatory Clinics -- FPM Restricted content. Login required.

Feb 1, 2021 - With opioid overdoses rising, practices should consider stocking this safe rescue drug alongside other emergency devices and medications.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p17.html

Widening Disease Definitions: What Can Physicians Do? - Editorials - American Family ...

Feb 1, 2021 - Disease definitions are often broadened over time to include milder and earlier cases. A strong driver for such definitional changes is the belief that they will benefit patients by preventing more severe disease or future complications.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0201/p138.html

Symphysiotomy for Shoulder Dystocia - Letters to the Editor - American Family Physician

Feb 1, 2021 - Letter to the Editor explaining the reasons why symphysiotomy may be lifesaving for the baby, the mother, or both.

American Family Physician : Letter

https://www.aafp.org/afp/2021/0201/p136.html

C. difficile, Migraines, Gastrointestinal Bleeding, Reducing Falls, Neurologic ... Restricted content. Login required.

Feb 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/2021/0201/p143.html

Systemic Racism and Health Disparities: A Statement from Editors of Family Medicine ...

Feb 1, 2021 - Today there is a renewed call to action for family medicine to both confront systemic racism and eliminate health disparities.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/0100/p5.html

The Ultimate Balancing Act -- FPM Restricted content. Login required.

Feb 1, 2021 - Balancing a family and a career in medicine isn’t easy, but these tips can help.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2021/0100/p40.html

Thank You, FPM Peer Reviewers (2020) -- FPM

Feb 1, 2021 - << The 2021 Medicare Paym ... Previous article Systemic Racism and He ... Next article >> Jan-Feb 2021 Issue FROM THE EDITOR Thank You, FPM Peer Reviewers Fam Pract Manag. 2021 Jan-Feb;28(1):4. Quality peer reviews help the FPM editors select and publish articles that are accurate,...

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/0100/p4.html

Physician employment trends: salaries, compensation models, benefits, and more -- FPM

Hiring is down, starting salaries are flat, but the long-term job prospects remain promising for family physicians. Here’s what to expect.

Family Practice Management : Quick Tips : FPM Home

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

Sexual Assault of Women - American Family Physician

Feb 1, 2021 - << Previous article Next article >> Feb 1, 2021 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/2021/0201/p168-s1.html

New MIPS participation option has streamlined reporting -- FPM

Beginning this year, Medicare is offering a new Merit-based Incentive Payment System (MIPS) participation option intended to streamline reporting requirements.

Family Practice Management : Getting Paid : FPM Home

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

What you need to know about MIPS eligibility for 2021 -- FPM

As you wrap up the Merit-based Incentive Payment System (MIPS) 2020 performance year, here are some important things to remember about MIPS eligibility for performance year 2021.

Family Practice Management : Getting Paid : FPM Home

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

MDM data FAQs: Don’t double-count the order and review of a single test -- FPM

The new rules for coding outpatient evaluation and management (E/M) office visits have drawn questions about what physicians can count toward the data portion of medical decision making (MDM).

Family Practice Management : Quick Tips : FPM Home

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

Tips From the Virtual Interview Trail

Virtual residency interviews may remain part of the Match process beyond the pandemic. Fourth-year student Cynthia Ciccotelli offers future applicants her insights.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20210127lv-virtualinterview.html

Was that a level 4 E/M visit? Find the answer in just three questions -- FPM

Under-coding level 4 evaluation and management (E/M) visits is a costly mistake. The new E/M coding rules offer an easier way to code these visits and capture the value of your work.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/level4_emcoding.html

Cigna institutes new reimbursement policy for virtual care -- FPM

Cigna, one of the country’s largest private health insurers, has implemented a new virtual care reimbursement policy as of Jan. 1. The policy builds on billing and coding flexibilities spurred by COVID-19.

Family Practice Management : Getting Paid : FPM Home

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

Encouraging Signs in Washington for Family Medicine

There’s reason to hope that the incoming administration is ready to recognize primary care’s importance as it works to improve vaccination efforts and health care policy as a whole.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20210121itt-newadministration.html

Important MIPS deadlines approaching -- FPM

Here are some important dates and deadlines to keep in mind as you wrap up the Merit-based Incentive Payment System (MIPS) 2020 performance year.

Family Practice Management : Getting Paid : FPM Home

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

How the E/M code RVU increases could affect family physicians’ pay -- FPM

The relative value units (RVUs) for several key E/M codes increased on Jan. 1. Here’s how this could affect your payment rates.

Family Practice Management : Getting Paid : FPM Home

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

Hip Pain in Adults: Evaluation and Differential Diagnosis - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Adults commonly present to their family physicians with hip pain, and diagnosing the cause is important for prescribing effective therapy. Hip pain is usually located anteriorly, laterally, or posteriorly. Anterior hip pain includes referred pain from intra-abdominal or intrapelvic ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p81.html

Dysphagia: Evaluation and Collaborative Management - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dysphagia is common but may be underreported. Specific symptoms, rather than their perceived location, should guide the initial evaluation and imaging. Obstructive symptoms that seem to originate in the throat or neck may actually be caused by distal esophageal lesions. Oropharyngeal ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p97.html

Labor Dystocia in Nulliparous Women - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dystocia (abnormally slow or protracted labor) accounts for 25% to 55% of primary cesarean deliveries. The latent phase of labor begins with onset of regular, painful contractions and continues until 6 cm of cervical dilation. Current recommendations are to avoid admission to labor and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p90.html

Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology... Restricted content. Login required.

Jan 15, 2021 - The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0115/p120.html

Buffering Lidocaine 1%/ Epinephrine with Sodium Bicarbonate in a 3:1 Ratio Is as ... Restricted content. Login required.

Jan 15, 2021 - Lido/Epi buffered with NaHCO3 in a 3:1 ratio is significantly less painful during infiltration than unbuffered Lido/Epi and buffered Lido/Epi in a 9:1 ratio.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od4.html

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

https://www.aafp.org/afp/2021/0115/p107.html

Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of ... Restricted content. Login required.

Jan 15, 2021 - Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0115/p117.html

COVID-19, Scoliosis, Muscle Weakness, Preterm Birth, Fecal Incontinence - AFP Clinical ... Restricted content. Login required.

Jan 15, 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/2021/0115/p78.html

Antepartum Perineal Massage for Intrapartum Lacerations - FPIN's Help Desk Answers - ... Restricted content. Login required.

Jan 15, 2021 - Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0115/p115.html

Fever and Rash After Travel to the Philippines - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 15, 2021 - A patient presented with fever, headache, nausea, arthralgia, and a rash, soon after travel to the Philippines.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0115/p113.html

Short-Term Low Back Pain Relief with Placebo - POEMs - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Over three weeks, patients with long-term low back pain who knowingly took placebo twice a day reported less pain and disability than those continuing with treatment as usual.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od3.html

Evidence Lacking to Support Universal Unhealthy Drug Use Screening - Editorials - ...

Jan 15, 2021 - To address the growing problem of unhealthy drug use, the U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations on screening for unhealthy drug use in adults and adolescents. For the first time, the USPSTF recommends screening adults 18 years and older by ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0115/p72.html

Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No ... Restricted content. Login required.

Jan 15, 2021 - Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od2.html

Twenty-Year Follow-Up of Women's Health Initiative Trials: Lower Breast Cancer ... Restricted content. Login required.

Jan 15, 2021 - The cumulative 20-year follow-up report from the Women's Health Initiative hormone therapy trials found significantly lower breast cancer incidence and mortality among postmenopausal women who previously took conjugated equine estrogen (CEE; Premarin) alone (with a prior hysterectomy) ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od1.html

Newborn Circumcision Techniques and Medical Ethics - Letters to the Editor - American ...

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Letters to the Editor Newborn Circumcision Techniques and Medical Ethics Am Fam Physician. 2021 Jan 15;103(2):69-70. Original Article: Newborn Circumcision Techniques Issue Date: June 1, 2020 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p69.html

Blood Transfusion Decisions in Adults with Nonvariceal Upper Gastrointestinal Bleeding ...

Jan 15, 2021 - Jan 15, 2021 Issue Letters to the Editor Blood Transfusion Decisions in Adults with Nonvariceal Upper Gastrointestinal Bleeding Am Fam Physician. 2021 Jan 15;103(2):68-69. Original Article: Upper Gastrointestinal Bleeding in Adults: Evaluation and Management Issue Date: March 1, 2020...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p68a.html

Corrections - Jan 15, 2021 - American Family Physician

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Jan 15;103(2):70. Inaccurate disease description. In the Practice Guidelines Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA (July 15, 2020, p. 121),...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0115/p70a.html

Low Specificity Limits Use of Test for Spondylolysis in Children and Adolescents - ...

Jan 15, 2021 - Jan 15, 2021 Issue Letters to the Editor Low Specificity Limits Use of Test for Spondylolysis in Children and Adolescents Am Fam Physician. 2021 Jan 15;103(2):68. Original Article: Back Pain in Children and Adolescents Issue Date: July 1, 2020 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p68.html

Corrections - Jan 15, 2021 - American Family Physician

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Jan 15;103(2):70. Updated recommendation. The article Upper Gastrointestinal Bleeding in Adults: Evaluation and Management, (March 1, 2020, p. 294) referenced a recommendation...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0115/p70.html

Black Physician’s COVID Death Underscores Health Disparities

Family physician Susan Moore, M.D., alleged she received unequal care for COVID-19 because she was Black. Less than two weeks later, she was dead.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20210115lv-coviddisparities.html

Hip Pain in Adults - American Family Physician

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 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/2021/0115/p81-s1.html

Waking Up in 2021

As a new year begins, AAFP Board chair Gary LeRoy, M.D., outlines the Academy’s priorities for 2021.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20210112lv-2021.html

Thank You

Events : COVID-19 Town Hall Questions

https://www.aafp.org/events/questions/thank-you.html

Practical lessons learned from administering COVID vaccine in a small office setting --...

Administering the COVID vaccine takes more effort than doing flu shots. Here are 13 lessons to help you prepare.

Family Practice Management : Quick Tips : FPM Home

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

Don’t Return to Your Silo

MaryAnn Dakkak, M.D., M.S.P.H., writes that COVID-19 has broken down silos in health care, and the collaborative approach should continue after the pandemic ends.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20210107fp-silos.html

COVID-19 vaccines coding guide -- FPM

The CPT Editorial Panel has approved unique codes for multiple COVID-19 vaccines, as well as administration codes for each dose of those vaccines.

Family Practice Management : Getting Paid : FPM Home

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

New Year, New Paradigm(s)

President-elect Biden says it’s going to take patience, persistence and determination to beat this virus. It’s also going to take primary care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20210106itt-newyear.html

More new CPT codes approved for COVID-19 vaccines -- FPM

The CPT Editorial Panel has approved a new unique code for the COVID-19 vaccine developed by AstraZeneca and the University of Oxford.

Family Practice Management : Getting Paid : FPM Home

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

UnitedHealthcare modifies telehealth reimbursement policy for 2021 -- FPM

UHC, one of the nation's largest insurers, has instituted a new place of service coding requirement and other changes.

Family Practice Management : Getting Paid : FPM Home

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

What’s new with E/M coding? This chart can help you remember -- FPM

Physicians and other qualified health professionals will now be able to level visits based solely on either medical decision making or total time.

Family Practice Management : Quick Tips : FPM Home

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

COVID-19 is causing a mental health crisis: here’s one model to help these patients -- FPM

Family physicians can play a key role in managing behavioral health conditions, especially in areas where psychiatric resources are scarce.

Family Practice Management : Quick Tips : FPM Home

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

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