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Acute Sharp Flank Pain - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2021 - A patient presented with stiffness and pain in his lower back and both thighs and an abnormal CT scan.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0800/p201.html

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

https://www.aafp.org/afp/2021/0700/p28.html

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons: ...

Jun 15, 2021 - The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.

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

https://www.aafp.org/afp/2021/0615/od1.html

A Compassionate Communication Refresher for Clinicians Experiencing COVID Fatigue -- FPM Restricted content. Login required.

Aug 1, 2021 - If the stress of the pandemic has challenged your patient communication skills, here’s how you can reestablish rapport.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/oa1.html

Case Report: Handwashing-Induced Dermatitis During the COVID-19 Pandemic - Letters to ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of dermatitis during the COVID-19 pandemic.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p327.html

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

Jul 1, 2021 - Can prioritizing primary care save the U.S. health care system?

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0700/p14.html

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

https://www.aafp.org/afp/2021/0700/p85.html

Coding & Documentation - Jan-Feb 2021 -- FPM Restricted content. Login required.

Feb 1, 2021 - Providing E/M services and a preventive physical | Discussing data with an external physician | Warfarin monitoring | E/M over the phone

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/0100/p35.html

Eosinophilic Esophagitis: Management Guidelines from the AGA and JTF - Practice ... Restricted content. Login required.

May 1, 2021 - The American Gastroenterological Association (AGA) and the Joint Task Force on Allergy-Immunology Practice Parameters (JTF) published guidelines for treatment of eosinophilic esophagitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0501/p573.html

More than One-Half of Adults Hospitalized for COVID-19 Still Report Significant ... Restricted content. Login required.

Jul 1, 2021 - This study found that more than one-half of the adults (51%) who had been hospitalized for COVID-19 reported a significant amount of persistent symptoms four months after discharge.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p206a.html

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

https://www.aafp.org/afp/2021/0615/p753.html

Slow-Growing Thumb Nodule - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 1, 2021 - A patient presented with a small, firm nodule on the volar aspect of the interphalangeal joint of the left thumb.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0201/p179.html

Physical Activity and the Prevention of Depression - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Jul 1, 2021 - Physical activity appears to be associated with a lower risk of developing depression and depressive symptoms.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0800/p204.html

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

https://www.aafp.org/fpm/2021/0700/p5.html

Coding & Documentation - Jul-Aug 2020 -- FPM

Aug 1, 2020 - Lab tests requiring modifier QW | Newborn: new patient or not? | Shared services for new patients | Coding sex-specific services for transgender patients | Pacemaker due to sick sinus syndrome

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0700/p36.html

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

https://www.aafp.org/afp/2021/0700/p83.html

What Millennials Want Out of Primary Care, and How to Deliver It -- FPM Restricted content. Login required.

Jun 1, 2021 - As the largest adult generation in the U.S., millennials will have an outsized impact on the future of health care. Here are some ways to make primary care more appealing to all patients, including the first group raised with the internet.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0500/p29.html

Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ... Restricted content. Login required.

Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1215/p782.html

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

Jul 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

https://www.aafp.org/afp/2021/0800/p135.html

Now More Than Ever, Mental Health Care Needs Family Medicine -- FPM

Jun 1, 2021 - With the stress of the pandemic exacerbating patients’ health issues, primary care physicians have an unparalleled opportunity to address both their physical and their mental health needs.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0500/oa1.html

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

https://www.aafp.org/fpm/2021/0500/oa2.html

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

https://www.aafp.org/fpm/2021/0700/p6.html

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

https://www.aafp.org/afp/2021/0700/p24.html

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

https://www.aafp.org/afp/2021/0501/p518.html

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

https://www.aafp.org/fpm/2021/0700/p34.html

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

Jul 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/2021/0800/p198.html

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

https://www.aafp.org/afp/2020/1215/p716.html

Pharmacogenetic Gene-Drug Associations: FDA Perspective on What Physicians Need to Know...

Jul 1, 2021 - To share its perspective on the state of the science, the FDA has published a table of pharmacogenetic associations related to genetic variants that can affect drug concentrations, therapeutic responses, or adverse events.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0700/p16.html

Poor Physician-Patient Communication and Medical Error - Lown Right Care: Reducing ... Restricted content. Login required.

Jun 15, 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/2021/0615/p757.html

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

https://www.aafp.org/afp/2021/0515/p584.html

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement - U.S. ...

May 15, 2021 - The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

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

https://www.aafp.org/afp/2021/0515/p614.html

Single-Dose Opioid Analgesics Offer No Benefit over Nonopioid Analgesia for ... Restricted content. Login required.

Jul 1, 2021 - A single dose of opioid analgesics provides similar acute pain relief compared with a single dose of a combination of acetaminophen and ibuprofen in patients with acute musculoskeletal pain in the emergency department.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p95a.html

Tighter Blood Pressure Control Does Not Increase the Likelihood of Orthostatic ... Restricted content. Login required.

Jul 1, 2021 - Orthostatic hypotension, a drop of 20 mm Hg systolic or 10 mm Hg diastolic after moving from sitting to standing, was not associated with more intensive treatment of blood pressure and may be less likely to occur with intensive treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p208.html

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

https://www.aafp.org/fpm/2021/0700/p17.html

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

https://www.aafp.org/afp/2021/0700/p95.html

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

Jul 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

https://www.aafp.org/afp/2021/0800/p124.html

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

https://www.aafp.org/fpm/2020/0500/p4.html

Levonorgestrel-Releasing Intrauterine System for Regression of Endometrial Hyperplasia ... Restricted content. Login required.

Jul 1, 2021 - A Cochrane review compared the levonorgestrel-releasing intrauterine system with progesterone for the treatment of endometrial hyperplasia.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0700/p26.html

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

https://www.aafp.org/afp/2021/0700/p97.html

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

https://www.aafp.org/afp/2021/0515/p623.html

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

Jul 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

https://www.aafp.org/afp/2021/0800/p133.html

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

https://www.aafp.org/afp/2021/0615/p716.html

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

https://www.aafp.org/afp/2021/0615/p760.html

Implementing Continuous Glucose Monitoring in Clinical Practice -- FPM Restricted content. Login required.

Apr 1, 2021 - Finger-stick blood glucose measurements provide a snapshot in time. Continuous glucose monitoring gives patients with diabetes a bigger picture.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0300/p7.html

Chronic Kidney Disease: Evaluation and Treatment Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Sep 15, 2020 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and treatment of chronic kidney disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0915/p378.html

Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years - ... Restricted content. Login required.

May 1, 2021 - A meta-analysis found that ibuprofen is more effective than acetaminophen in reducing fever and pain in children younger than two years, although further study is needed to evaluate combination therapy, dosing, and use in children younger than six months.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0501/od1.html

Autism Spectrum Disorder: Updated Guidelines from the American Academy of Pediatrics - ... Restricted content. Login required.

Nov 15, 2020 - The American Academy of Pediatrics has published updated guidelines for diagnosis and treatment of autism spectrum disorder.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1115/p629.html

Lipid Lowering Is Beneficial for Secondary Prevention but Not Primary Prevention in ... Restricted content. Login required.

Jun 1, 2021 - Does lipid lowering reduce major vascular events in patients 75 years and older?

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0601/p695a.html

Screening Smokers for Lung Cancer with Low-Dose CT Decreases Lung Cancer Mortality - ... Restricted content. Login required.

May 15, 2021 - High-quality trials show that low-dose CT screening decreased lung cancer mortality in smokers.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0515/p630.html

Screening for High Blood Pressure in Children and Adolescents - Putting Prevention into... Restricted content. Login required.

Mar 15, 2021 - A 10-year-old boy with obesity and a family history significant for hypertension and hyperlipidemia presents to your clinic for a well-child examination. The parents are concerned about their child 's risk for hypertension and ask whether they should be monitoring his blood pressure.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0315/p371.html

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