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Seven best practices for doctors on social media -- FPM

Social media platforms such as Facebook and Twitter can be an effective means for professional and patient engagement, but to avoid pitfalls, make sure you follow these seven best practices.

Family Practice Management : Quick Tips : FPM Home

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

The 30 Year Lie: How Physician Payment Inequities Began

The discrepancies between payment levels and cost values for primary care compared to surgical procedures have been recognized for decades. AAFP Senior VP Shawn Martin examines the missteps that led us to this point in this In the Trenches post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200218itt-paymenthistory.html

Acute Lower Gastrointestinal Bleeding: Evaluation and Management - American Family ... Restricted content. Login required.

Feb 15, 2020 - Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p206.html

Cerebral Palsy: An Overview - American Family Physician Restricted content. Login required.

Feb 15, 2020 - Cerebral palsy, which occurs in two to three out of 1,000 live births, has multiple etiologies resulting in brain injury that affects movement, posture, and balance. The movement disorders associated with cerebral palsy are categorized as spasticity, dyskinesia, ataxia, or mixed/other. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p213.html

Coccidioidomycosis (Valley Fever) in Primary Care - American Family Physician Restricted content. Login required.

Feb 15, 2020 - Primary pulmonary coccidioidomycosis (valley fever) is caused by inhaling airborne spores of the fungus Coccidioides immitis or Coccidioides posadasii. Residing in or traveling to areas endemic for Coccidioides is required for the diagnosis; no person-to-person or zoonotic contagion ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p221.html

U.S. Policies and Their Effects on Immigrant Children’s Health - Editorials - American ...

Feb 15, 2020 - Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right to asylum, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0215/p202.html

Diagnosis of Heart Failure with Reduced Ejection Fraction - Point-of-Care Guides - ... Restricted content. Login required.

Feb 15, 2020 - Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0215/p230.html

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: ...

Feb 15, 2020 - The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk...

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

https://www.aafp.org/afp/2020/0215/p233.html

ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules - Practice ...

Feb 15, 2020 - The 2020 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0215/p251.html

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer - ... Restricted content. Login required.

Feb 15, 2020 - A 31-year-old woman presents to your office for a well-woman examination. She is sexually active in a monogamous relationship and has never been pregnant. She tells you that her mother was diagnosed with tubal cancer at age 40 and that her sister, who is 42 years of age, was recently ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0215/p239.html

Amenorrhea, Ingrown Toenails, Chronic Neck Pain, Infantile Hemangiomas, Fluoride ... Restricted content. Login required.

Feb 15, 2020 - 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/2020/0215/p205.html

No Benefit, Longer Hospital Stay with Treatment of Asymptomatic Bacteriuria - POEMs - ... Restricted content. Login required.

Feb 15, 2020 - Inappropriate treatment of asymptomatic bacteriuria is common in hospitalized patients. Older patients, those with dementia or acutely altered mental status, and those with abnormal urinalysis results are more likely to be treated with antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p248.html

Dupilumab (Dupixent) for Asthma - STEPS - American Family Physician Restricted content. Login required.

Feb 15, 2020 - Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0215/p244.html

An Anatomical Cause of Dysphagia - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 15, 2020 - A man presented with worsening dysphagia, with sore throat, dyspnea, cough, heartburn, and wheezing.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0215/p241.html

Do Not Change Antidepressant Treatment Early Based on a Lack of Response - POEMs - ... Restricted content. Login required.

Feb 15, 2020 - Do not be in a hurry to change treatment in patients with severe depression who do not respond to treatment within the first two weeks. Early response to treatment predicts eventual response or remission, but a lack of early response does not predict treatment failure.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p250.html

Increased Readmissions and Adverse Events with Intensification of Antihypertensive ... Restricted content. Login required.

Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p248a.html

Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis - POEMs ... Restricted content. Login required.

Feb 15, 2020 - Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p249.html

The Risk of Corticosteroids in Community-Acquired Pneumonia - Letters to the Editor - ...

Feb 15, 2020 - << Previous article Next article >> Feb 15, 2020 Issue Letters to the Editor The Risk of Corticosteroids in Community-Acquired Pneumonia Am Fam Physician. 2020 Feb 15;101(4):197. To the Editor: A 71-year-old man with diabetes mellitus and osteoarthritis of the knee presented with a...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0215/p197.html

The 4Ms: Simplifying complex care decision making for older adults -- FPM

Medical training focuses on curing or treating as many of a patient's health problems as possible, but when providing complex care for older patients with multiple chronic diseases, it can be easy to lose focus on what outcomes matter most to the patient.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/4Ms_decision_making.html

What You Should Know About Valley Fever - American Family Physician

Feb 15, 2020 - << Previous article Next article >> Feb 15, 2020 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/2020/0215/p221-s1.html

Advocacy, Social Determinants Must Be Part of Physician Training

Family medicine resident Kelly Thibert, D.O., M.P.H., writes in this Leader Voices Blog post that family physicians should not only be trained to screen patients for the social determinants of health, but should also know how to advocate for their patients.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200214lv-advocacytraining.html

Three tips for being present -- FPM

When demands and distractions intrude on your patient encounters, practice these three tips for being fully present.

Family Practice Management : Quick Tips : FPM Home

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

Administrative Simplification -- FPM Topic Collection

Feb 13, 2020 - The documentation, paperwork, and quality reporting burden on physicians is immense. What can physicians do to reduce their administrative hassles, and what are organizations doing on their behalf? This FPM topic collection explores these issues. The documentation, paperwork, and ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=112

Why family physicians should not just be physicians -- FPM

Beware of physician roles that focus predominantly on outpatient visits and separate physicians from most organizational innovation and strategy, as well as the colleagues, staff, and communities they serve.

Family Practice Management : Quick Tips : FPM Home

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

A three-step guide to coding for multiple skin procedures in a single visit -- FPM

Follow these three steps to bill correctly, avoid denials, and make sure you’re not leaving revenue on the table when you perform skin biopsies and lesion removals.

Family Practice Management : Quick Tips : FPM Home

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

What a waiting room liaison can do for your office -- FPM

An existing staff member might be able to take on these duties to keep your waiting room clean and running smoothly.

Family Practice Management : Quick Tips : FPM Home

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

Medicare webinar on glucose supplies scheduled for Feb. 11 -- FPM

The webinar will include guidelines for coverage along with the information patients and suppliers need from physicians.

Family Practice Management : Getting Paid : FPM Home

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

A simple way to build trust with young patients -- FPM

Doing this one thing during a visit can get pediatric appointments off to a good start by showing kids you care about them and respect them.

Family Practice Management : Quick Tips : FPM Home

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

Patients Aren't Widgets; Care Shouldn't Be Volume-based

Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that treating patients like assembly line products -- and judging physicians by their productivity -- isn't good for anyone.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200205fp-widgets.html

It's Not Only OK to Be Vulnerable, It's Necessary

Medical student Margaret Miller writes in this Leader Voices Blog post that although allowing ourselves to be vulnerable is difficult, it opens doors to learning and opportunities.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200205lv-vulnerability.html

Here's How We're Battling Administrative Burden for You

According to surveys, administrative burden is the top concern of family physicians. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin offers an update on the Academy's work to reduce prior authorization and ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200204itt-adminburden.html

Menopause - American Family Physician

Feb 1, 2020 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59

Chronic Wounds: Evaluation and Management - American Family Physician Restricted content. Login required.

Feb 1, 2020 - Chronic wounds are those that do not progress through a normal, orderly, and timely sequence of repair. They are common and are often incorrectly treated. The morbidity and associated costs of chronic wounds highlight the need to implement wound prevention and treatment guidelines. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0201/p159.html

Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ... Restricted content. Login required.

Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0201/p147.html

Clostridioides difficile Infection: Update on Management - American Family Physician Restricted content. Login required.

Feb 1, 2020 - Guidelines for the diagnosis and treatment of Clostridioides difficile infection have recently been updated. Risk factors include recent exposure to health care facilities or antibiotics, especially clindamycin. C. difficile infection is characterized by a wide range of symptoms, from ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0201/p168.html

Breast Cancer Screening: ACP Releases Guidance Statements - Practice Guidelines - ... Restricted content. Login required.

Feb 1, 2020 - The American College of Physicians reviewed guidelines from other organizations and developed four statements to provide advice to clinicians about breast cancer screening for women who are at average risk.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0201/p184.html

Shared Decision-Making for Administering PCV13 in Older Adults - Editorials - American ...

Feb 1, 2020 - In June 2019, the Advisory Committee on Immunization Practices approved a change from its age-based 13-valent pneumococcal conjugate vaccine recommendations to a shared clinical decision-making process.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0201/p134.html

The 2020 Medicare Documentation, Coding, and Payment Update -- FPM Restricted content. Login required.

Feb 1, 2020 - The Centers for Medicare and Medicaid Services is trying to make Medicare documentation less burdensome and planning more changes that should result in a pay raise for family physicians in the future.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p8.html

Coding & Documentation - Jan-Feb 2020 -- FPM Restricted content. Login required.

Feb 1, 2020 - Vaping-related illness | Billing Qualified Medicare Beneficiaries | Electrocardiogram recorded by a Holter monitor | Lung function tests

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0100/p33.html

Physician Well-Being: Prioritizing Your Own Health Through a Personal Health ... Restricted content. Login required.

Feb 1, 2020 - You can’t take care of others optimally unless you first take care of yourself. Start today.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p27.html

Adverse Events of Pharmacologic Treatments of Major Depression in Older Adults - ... Restricted content. Login required.

Feb 1, 2020 - What are the adverse events of antidepressants prescribed to treat major depressive disorder in adults 65 years and older?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/0201/p179.html

Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease - Medicine by ... Restricted content. Login required.

Feb 1, 2020 - Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0201/od1.html

OnabotulinumtoxinA for Prevention of Migraine in Adults - Cochrane for Clinicians - ... Restricted content. Login required.

Feb 1, 2020 - OnabotulinumtoxinA reduces the number of migraine days per month by two days compared with placebo in adults with chronic migraines.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0201/p144.html

Treatments for Postmenopausal Hypoactive Sexual Desire Disorder - FPIN's Clinical ... Restricted content. Login required.

Feb 1, 2020 - Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0201/p182.html

Accuracy of Dermoscopy vs. Visual Inspection for Diagnosing Melanoma in Adults - ... Restricted content. Login required.

Feb 1, 2020 - The addition of dermoscopy to in-person visual inspection of skin lesions increases specificity and sensitivity in the detection of melanoma. In-person evaluation with dermoscopy is more accurate than image-based assessment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0201/p145.html

Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level ... Restricted content. Login required.

Feb 1, 2020 - Some of the top family physicians on social media share their best practices for building a following and avoiding common pitfalls.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p19.html

Improving the Waiting Room Experience -- FPM Restricted content. Login required.

Feb 1, 2020 - Adding a touch of tech, a dose of education, and plenty of creature comforts to your waiting room can make it more palatable for patients.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p14.html

Why Family Physicians Should Not Just Be Family Physicians: Rethinking Roles in ...

Feb 1, 2020 - In some settings, the cause of burnout isn’t having too much work - it’s having the wrong type of work.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2020/0100/p5.html

H. pylori, Heart Failure, Acupuncture, Injections for Tendinopathy, Hirsutism - AFP ... Restricted content. Login required.

Feb 1, 2020 - 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/2020/0201/p143.html

Practice Pearls - Jan-Feb 2020 -- FPM Restricted content. Login required.

Feb 1, 2020 - Navigate patients’ anxiety about pelvic exams | Ask older patients these questions to assess dementia risk | Tell patients up front how much time you have

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0100/p34.html

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