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Time to End Predatory Payment Practices, AAFP Tells CMS

In a recent letter to CMS, the AAFP called on the agency to rein in health plans’ practice of using third-party vendors, which often charge mandatory extra fees, to process payments to physicians via the electronic funds transfer transaction standard.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20211103eftlettercms.html

2022 Medicare Physician Fee Schedule Represents Step Toward Prioritizing Primary Care, ...

2022 Medicare Physician Fee Schedule Represents Step Toward Prioritizing Primary Care, Family Medicine

AAFP News : Media Center

https://www.aafp.org/news/media-center/statements/2022-Medicare-Physician-Fee-Schedule.html

Musculoskeletal Medicine Online Course | AAFP CME

Register for this Feb 16-19 virtual CME course focused on range of motion, stability, and other musculoskeletal treatments. Earn AAFP and AOA credits.

CME : All CME Products

https://www.aafp.org/cme/all/musculoskeletal-medicine-livestream.html

AAFP Applauds FDA’s Emergency Use Authorization of COVID-19 Vaccines for Children Ages ...

AAFP Applauds FDA’s Emergency Use Authorization of COVID-19 Vaccines for Children Ages 5-11

AAFP News : Media Center

https://www.aafp.org/news/media-center/statements/covid-19-vaccines-children.html

Report: Overhaul Transition From Med School to Residency

A recent report called for a comprehensive overhaul of the process that transitions medical students to residency training. The AAFP already is taking steps that address many of the recommendations.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20211102ugrcrecs.html

Medical Clearance for Common Dental Procedures - American Family Physician Restricted content. Login required.

Nov 1, 2021 - Medical consultations before dental procedures present opportunities to integrate cross-disciplinary preventive care and improve patient health. This article presents recommendations related to patients with certain medical conditions who are planning to undergo common dental ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p476.html

Recent-Onset Altered Mental Status: Evaluation and Management - American Family Physician Restricted content. Login required.

Nov 1, 2021 - Potential precipitating factors for the recent onset of altered mental status (AMS) include primary central nervous system insults, systemic infections, metabolic disturbances, toxin exposure, medications, chronic systemic diseases, and psychiatric conditions. Delirium is also an ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p461.html

End-Stage Renal Disease: Medical Management - American Family Physician Restricted content. Login required.

Nov 1, 2021 - End-stage renal disease (ESRD) is diagnosed when kidney function is no longer adequate for long-term survival without kidney transplantation or dialysis. Primary care clinicians should refer people at risk of ESRD to nephrology to optimize disease management. Kidney transplantation ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p493.html

Vocal Cord Dysfunction: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Nov 1, 2021 - Vocal cord dysfunction (i.e., vocal cords closing when they should be opening, particularly during inspiration) should be suspected in patients presenting with inspiratory stridor or wheezing; sudden, severe dyspnea (without hypoxia, tachypnea, or increased work of breathing); throat or...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p471.html

Fetal Growth Restriction Before and After Birth - American Family Physician Restricted content. Login required.

Nov 1, 2021 - Fetal growth restriction, previously called intrauterine growth restriction, is a condition in which a fetus does not achieve its full growth potential during pregnancy. Early detection and management of fetal growth restriction are essential because it has significant clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p486.html

Breast Implants: Common Questions and Answers - American Family Physician Restricted content. Login required.

Nov 1, 2021 - Breast implants are used for a wide range of cosmetic and reconstructive purposes. In addition to breast augmentation, implants can be used for postmastectomy breast reconstruction, correction of congenital breast anomalies, breast or chest wall deformities, and male-to-female top ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p500.html

Asthma Management Guidelines: Focused Updates for 2020 - Editorials - American Family ...

Nov 1, 2021 - The 2020 Focused Updates to the asthma management guidelines represent the first revision of the National Asthma Education and Prevention Program guidelines in more than 10 years. The report differs from the Global Initiative for Asthma recommendations because of the focused number of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1100/p446.html

Asthma Management: Updated Guidelines from the National Heart, Lung, and Blood ... Restricted content. Login required.

Nov 1, 2021 - The National Heart, Lung, and Blood Institute (NHLBI) published asthma management guidelines in 1991 and 2007. In 2020, the NHLBI released an update focusing on six priority topics.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1100/p531.html

Acute Treatments for Episodic Migraine in Adults - Implementing AHRQ Effective Health ... Restricted content. Login required.

Nov 1, 2021 - How effective are pharmacologic and nonpharmacologic acute treatments for episodic migraine in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/1100/p509.html

Screening for Vitamin D Deficiency in Adults - Putting Prevention into Practice - ... Restricted content. Login required.

Nov 1, 2021 - A 49-year-old Black man with a history of hypertension, type 2 diabetes mellitus, and class I obesity (body mass index of 31.4 kg per m2) presents for a wellness examination. The patient's hypertension and diabetes are well controlled with lisinopril and metformin; they do not take any ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1100/p515.html

Coenzyme Q10 for Heart Failure - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Nov 1, 2021 - In patients with chronic heart failure, supplementation with coenzyme Q10 may reduce all-cause mortality. Adverse effects are generally mild and may be only slightly increased with coenzyme Q10 supplementation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p458.html

Dietary Guidelines for Americans 2020-2025: Recommendations from the U.S. Departments ... Restricted content. Login required.

Nov 1, 2021 - The U.S. Departments of Agriculture and Health and Human Services published updated guidelines for healthy eating across a person's lifespan.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1100/p533.html

Facial Rash in a Newborn - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 1, 2021 - An infant is born with a yellowish linear plaque on the cheek.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1100/p523.html

Firm Nodule on the Ear - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 1, 2021 - A patient presented with a crusted papule on the antihelix of the ear that had grown slowly over several years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1100/p521.html

Tirbanibulin (Klisyri) for the Treatment of Actinic Keratosis - STEPS - American Family... Restricted content. Login required.

Nov 1, 2021 - The cost and effectiveness profile of tirbanibulin make it a last-line option compared with current first-line therapies such as fluorouracil and imiquimod, which are less expensive and have a higher clearance rate of AK lesions. Further trials comparing the effectiveness of ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/1100/p519.html

Climate Change and the Local Environment: Communicating with Your Patients about Health... Restricted content. Login required.

Nov 1, 2021 - This case provides an example of how climate change and the environment can have significant impacts on the health of our patients. It also illustrates the complex interaction of local, regional, and global environmental harms. The wide scope of environmental threats to human health ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/1100/p526.html

Translating the 2020-2025 U.S. Dietary Guidelines into Clinical Practice - Editorials -...

Nov 1, 2021 - The U.S. Department of Agriculture's Dietary Guidelines for Americans is where many look for guidance in answering the question,

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1100/p448.html

Basal Cell Carcinoma: Comparison of Surgical and Nonsurgical Interventions - Cochrane ... Restricted content. Login required.

Nov 1, 2021 - The recurrence rate after surgical management of BCC by standard surgical excision or Mohs micrographic surgery is very low. Recurrence after management with imiquimod (Aldara) is also low and may result in more favorable cosmetic outcomes. Other nonsurgical options may have acceptably ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p459.html

Anticonvulsants, SNRIs, and Rubefacients Are Best Initial Choices for Chronic Pain ... Restricted content. Login required.

Nov 1, 2021 - Given the balance of benefits and harms, there is moderately good evidence for anticonvulsants (pregabalin [Lyrica] and gabapentin [Neurontin] were similarly effective and well tolerated) and serotonin-norepinephrine reuptake inhibitors (SNRIs; with duloxetine [Cymbalta] and venlafaxine...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od6.html

Aptima Assay for Detection of Mycoplasma genitalium Infection - Diagnostic Tests: What ... Restricted content. Login required.

Nov 1, 2021 - The Aptima M. genitalium assay is highly sensitive and specific. The Centers for Disease Control and Prevention recommends the use of NAAT testing for M. genitalium infection in men with recurrent nongonococcal urethritis, in women with recurrent cervicitis, and possibly in women with ...

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

https://www.aafp.org/afp/2021/1100/p517.html

Nonsteroidal Anti-Inflammatory Drug Injections for Trigger Finger - Medicine by the ... Restricted content. Login required.

Nov 1, 2021 - Learn more about nonsteroidal anti-inflammatory drug injections for trigger finger.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1100/od2.html

Antibiotic Therapy Does Not Prevent Death or Acute Exacerbations in Adults with ... Restricted content. Login required.

Nov 1, 2021 - The study found an increased number of adverse events without any significant benefit from antimicrobial therapy compared with usual care alone for adults with IPF. The study was terminated earlier than planned because of futility and the possibility of significantly increased harm.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od4.html

Should Allele Testing Be Done Before Prescribing Allopurinol to Prevent Severe ... Restricted content. Login required.

Nov 1, 2021 - Moderate evidence supports allele testing for HLA-B*58:01 before initiating allopurinol to decrease the incidence of SCARs in higher risk populations. Patient populations who are not at increased risk should not be screened.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1100/p513.html

Five Days of Antibiotic Therapy Is Comparable with 10 Days in Children with ... Restricted content. Login required.

Nov 1, 2021 - In a limited study, children with community-acquired pneumonia who were treated with five days of high-dose amoxicillin had cure rates comparable with those who were treated for 10 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od3.html

Nerve Injury, Survivors of Sexual Assault, Obstructive Sleep Apnea, Bipolar Disorder, ... Restricted content. Login required.

Nov 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/2021/1100/p453.html

Dual Antiplatelet Therapy Is Superior to Aspirin in Preventing Short-Term Recurrent ... Restricted content. Login required.

Nov 1, 2021 - If the authors have found all the relevant studies, administering dual antiplatelet therapy within 24 hours of a mild to moderate stroke or TIA is more effective than aspirin at decreasing recurrent stroke over the subsequent 90 days. There is a low overall risk of major bleeding, but ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od5.html

AFP Photo Contest Winners! - Inside AFP - American Family Physician Restricted content. Login required.

Nov 1, 2021 - This summer we held the first American Family Physician photo competition, which was intended to encourage students and residents to share their stories through photographs about how they use the AFP journal.

American Family Physician : Inside AFP

https://www.aafp.org/afp/2021/1100/p442.html

In-flight Medical Emergencies and Medical Legal Issues - Letters to the Editor - ...

Nov 1, 2021 - << Previous article Next article >> Nov 01, 2021 Issue Letters to the Editor In-flight Medical Emergencies and Medical Legal Issues Am Fam Physician. 2021 Nov ;104(5):443. Original Article: In-flight Medical Emergencies Issue Date: May 1, 2021 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1100/p443.html

Corrections - Nov 01, 2021 - American Family Physician Restricted content. Login required.

Nov 1, 2021 - << Previous article Next article >> Nov 01, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Nov ;104(5):443. Missing reference. In the article Out-of-Hospital Birth, (June 1, 2021, p. 672) the citation for reference 60 was inadvertently omitted (page 679). The citation...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/1100/p443b.html

Corrections - Nov 01, 2021 - American Family Physician Restricted content. Login required.

Nov 1, 2021 - << Previous article Next article >> Nov 01, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Nov ;104(5):443. Incorrect measurement. In the article Management of Infants Born to Mothers with HIV Infection, (July 2021, p. 58) the HIV RNA load threshold for recommending a...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/1100/p443a.html

Women's Health Online CME Course | AAFP

Enhance your ability to develop evaluation and treatment plans for every woman you treat, at every stage of her life with this AAFP online CME course. Earn 21 CME credits.

CME : All CME Products

https://www.aafp.org/cme/all/womens/self-study.html

In AAFP Win, HHS Moves to Repeal SUNSET Rule

In a win for the Academy’s advocacy, HHS has proposed to withdraw a rule that would have added unnecessary administrative complexity without clear benefit.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20211101sunsetrule.html

COVID-19 vaccination guidelines

To keep up with the changing requirements related to COVID-19 vaccines — including boosters, coding, and vaccines for kids — practice staff can use the following tables as a quick reference guide.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid19-vaccine-guidelines.html

Breast Implants - American Family Physician

Nov 1, 2021 - << Previous article Next article >> Nov 01, 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/2021/1100/p500-s1.html

Vocal Cord Dysfunction - American Family Physician

Nov 1, 2021 - << Previous article Next article >> Nov 01, 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/2021/1100/p471-s1.html

USPSTF: Evidence Lacking on Screening for Eating Disorders

The U.S. Preventive Services Task Force is accepting comments on a draft recommendation and draft evidence review that found insufficient evidence to assess the balance of benefits and harms of screening for eating disorders.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20211029uspstfeating.html

Provisions in President Biden’s Build Back Better Framework Support Family Physicians, ...

Provisions in President Biden’s Build Back Better Framework Support Family Physicians, Primary Care

AAFP News : Media Center

https://www.aafp.org/news/media-center/statements/provisions-in-president-bidens-build-back-better-framework-support-family-physicians-primary-care.html

Social Determinants Grab Spotlight in New Obesity Report

The latest findings of an annual obesity report shed new light on how social determinants of health and COVID-19 have contributed to the obesity crisis in the United States.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20211028stateofobesity.html

COVID-19 Vaccine Use in Children Conversation | AAFP

Join us for a virtual conversation addressing the use of COVID-19 vaccines in children, November 3 from 7-8 pm CST.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/current-hot-topics/recent-outbreaks/covid-19/covid-19-vaccine/conversation.html

Global Health Summit Conference | AAFP

Network and learn with global health advocates at the AAFP's Global Health Summit conference.

Events : Global Health Summit

https://www.aafp.org/events/global-health.html

AAMC Honors FP Mentor With National Award

More than two decades after she first experienced it as a student, Natalie Rodriguez, M.D., remains dedicated to the patients and students at the University of California-San Diego Student-Run Free Clinic Project.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20211026fdf-rodriguez.html

HHS Loan Repayment Grants Answer Academy’s Workforce Push

Following AAFP advocacy, HHS has announced $100 million of funding for state loan repayment programs to support primary care practices in underserved communities.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20211026slrp.html

Three AAFP Presidents, One Message: Stabilize Primary Care

Three AAFP presidents this week call on Congress to stabilize primary care. Stephanie Quinn, AAFP senior vice president of advocacy, practice advancement and policy, details their agenda in the In the Trenches Blog.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20211026itt-hillmeetings.html

Family Physicians Urge Policymakers to Focus on Mental Health Care for Children, Families

Family Physicians Urge Policymakers to Focus on Mental Health Care for Children, Families

AAFP News : Media Center

https://www.aafp.org/news/media-center/statements/family-physicians-mental-health-care-children-families.html

AAFP Approves Updated COVID-19 Vaccine Plan From FDA, CDC

The FDA, CDC and AAFP have approved recommendations that will expand the use of COVID-19 vaccine booster doses for tens of millions of Americans.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20211025covidboosters.html

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