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Rates of Adverse Effects of Treatment for Otitis Media Vary by Antibiotic and Dose - ... Restricted content. Login required.

Aug 1, 2020 - The rates of diarrhea and rashes associated with the treatment of children with acute otitis media vary depending on each specific antibiotic and its dosing. The rates of diarrhea and generalized rash were highest with amoxicillin/clavulanate (Augmentin) and high-dose amoxicillin, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0801/p186.html

Two Habits of a Healthy Team: Managing Conflict and Practicing Gratitude -- FPM Restricted content. Login required.

Aug 1, 2020 - Most teams try to avoid conflict, yet can’t stop focusing on the negative. Healthy teams do the opposite.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p11.html

Hyperpigmentation of the Tongue and Buccal Mucosa - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2020 - << Previous article Next article >> Aug 1, 2020 Issue Photo Quiz Hyperpigmentation of the Tongue and Buccal Mucosa H.U. REHMAN, MBBS, FRCPC, FRCPI, FRCP (Glas), FACP, Saskatchewan Health Authority, Regina General Hospital, Regina, Saskatchewan, Canada SARAH LOHRENZ, MD, University of...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0801/p181.html

Developing Your Professional Career Plan -- FPM Restricted content. Login required.

Aug 1, 2020 - The key to a fulfilling career is to know what’s important to you - from your mission, identity, and direction to family, fun, and finances - and then pursue that.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p21.html

Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...

Aug 1, 2020 - << Previous article Next article >> Aug 1, 2020 Issue Letters to the Editor Race-Based Treatment Decisions Perpetuate Structural Racism Am Fam Physician. 2020 Aug 1;102(3):136-137. Original Article: Managing Hypertension Using Combination Therapy Issue Date: March 15, 2020 Available...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0801/p136.html

Understanding Value-Based Payment: A Primer for Family Physicians -- FPM Restricted content. Login required.

Aug 1, 2020 - Public and private payers are transitioning away from fee-for-service and emphasizing value-based payment models. This supplement from the American Academy of Family Physicians describes what you need to know about the transition and how it may affect you and your practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p25.html

Coding & Documentation - Jul-Aug 2020 -- FPM Restricted content. Login required.

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

Ten Tips for Cultivating Patience During Uncertain Times -- FPM Restricted content. Login required.

Aug 1, 2020 - It’s easy to feel impatient with ourselves and others these days. But research suggests impatience can be bad for our health. Here’s a better way to respond.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0700/p43.html

Maintaining Patient Relationships in the Age of Hospitalists, Urgent Care, and a ...

Aug 1, 2020 - It was already difficult to get enough face-to-face time with patients before COVID-19 hit. Bonding with them now takes even more effort.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0700/p4.html

Increasing Pneumococcal Immunization Rates -- FPM Restricted content. Login required.

Aug 1, 2020 - This supplement from the American Academy of Family Physicians shares learnings from state chapter quality improvement initiatives designed to increase adult pneumococcal vaccination rates. The project was supported by a grant from Pfizer Independent Grants for Learning and Change.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p17.html

Practice Pearls - Jul-Aug 2020 -- FPM Restricted content. Login required.

Aug 1, 2020 - Use EHR sticky notes to connect with patients personally | Talking your team through a crisis | Get credit for pre- and post-exam work

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0700/p38.html

Fetal Fibronectin Testing in Threatened Preterm Labor - Medicine by the Numbers - ... Restricted content. Login required.

Aug 1, 2020 - << Previous article Next article >> Aug 1, 2020 Issue Medicine by the Numbers A Collaboration of TheNNT.com and AFP Fetal Fibronectin Testing in Threatened Preterm Labor DEAN A. SEEHUSEN, MD, MPH, and MARK SCHWADE, BS Am Fam Physician. 2020 Aug 1;102(3):145-146. Details for This...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0801/p145.html

Intrapartum Fetal Monitoring - American Family Physician

Aug 1, 2020 - << Previous article Next article >> Aug 1, 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/2020/0801/p158-s1.html

CMS and CDC release guidance on counseling patients tested for COVID-19 -- FPM

Counseling patients about the importance of isolating, in particular, can help reduce transmission of the illness.

Family Practice Management : Getting Paid : FPM Home

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

Two strategies to keep healthy teams healthy and get dysfunctional teams functioning --...

TCOVID-19, financial struggles, racial injustice, civil unrest - these are stressful times. If your team has navigated them successfully so far, establishing these two habits can help keep it on track. If your team is falling into backbiting and dysfunction, they can help you turn ...

Family Practice Management : Quick Tips : FPM Home

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

During COVID-19 Pandemic, Public Health Is Personal

In this FPs on the Front Lines blog post, Jennifer Bacani McKenney, M.D., relates the challenges of trying to protect the community she grew up in during a pandemic as a family physician and county health officer.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200730fl-publichealthpersonal.html

Yes, You Can Practice Full-scope Family Medicine

MaryAnn Dakkak, M.D., M.S.P.H.; writes in the Fresh Perspectives blog that finding a job that allows her to use the full scope of her family medicine training was worth the second effort.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200729fp-scope.html

Your Patient Wants a Second Opinion? It's Not Personal

Tochi Iroku-Malize, M.D., M.P.H., M.B.A., writes that her own experience as a patient offered a humbling reminder not take it personally when a patient asks for a second opinion.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200728lv-secondopinion.html

Transitional care management coding requirements -- FPM

The CPT codes for TCM require one face-to-face visit, certain non-face-to-face services, and medication reconciliation and management during the 30-day service period.

Family Practice Management : Quick Tips : FPM Home

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

Three steps to improve preventive service utilization during the COVID-19 pandemic -- FPM

Patients are deferring routine office visits for chronic disease management and preventive services out of concern for their safety during COVID-19. But these visits are important, especially for patients with conditions that require close monitoring, or those who are due for ...

Family Practice Management : Getting Paid : FPM Home

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

Considering direct primary care? Here are five tips to get started -- FPM

Interest in DPC was growing even before the pandemic took a chunk out of fee-for-service revenues. If you’re among those interested in the model, here are five tips for making the switch.

Family Practice Management : Quick Tips : FPM Home

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

Art of the Pivot: Redeployment as a Family Physician

Michael Hanak, M.D., writes in the FPs on the Front Lines blog that family medicine played a key role in handling a COVID-19 surge at a Chicago hospital.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200723fl-covidsurge.html

Check your QPP participation status with updated CMS tool -- FPM

The Centers for Medicare and Medicaid Services updated its Quality Payment Program Participation Status Tool based on new data.

Family Practice Management : Getting Paid : FPM Home

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

HHS extends application deadline for Medicaid/CHIP Provider Relief Fund -- FPM

The U.S. Department of Health and Human Services has extended the Medicaid/CHIP Provider Relief Fund distribution provider application deadline.

Family Practice Management : Getting Paid : FPM Home

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

How to Improve Pandemic Response? Fortify Family Medicine

In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Stephanie Quinn offers an overview of recent AAFP guidance on improving the nation's response to public health emergencies. It starts with making sure primary care is geared up and...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200721itt-fmpandemic.html

Six EHR documentation tips to save you time -- FPM

To reduce your work after clinic, consider ways to make the documentation process more efficient so that you can complete most (if not all) of this work during the visit. Here are six tips to get started.

Family Practice Management : Quick Tips : FPM Home

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

Setting up an outdoor clinic for COVID-19: key steps -- FPM

If you haven’t treated patients with suspected COVID-19 in your parking lot yet, it may only be a matter of time. Four steps can help you get started.

Family Practice Management : Quick Tips : FPM Home

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

How to avoid bias in patient care -- FPM

Implicit bias is the unconscious collection of stereotypes and attitudes that individuals develop toward certain groups of people. If left unchecked, it can affect patient relationships and care decisions.

Family Practice Management : Quick Tips : FPM Home

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

Despite Challenges, Virtual Match Can Bring Positive Change

Kelly Thibert, D.O., M.P.H., writes in the Leader Voices Blog that a virtual Match process will present challenges as well as opportunities for both medical students and residency programs.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200717lv-virtualmatch.html

Fact: The Pandemic Is About People, Not Politics

MaryAnn Dakkak, M.D., M.S.P.H., writes in the Fresh Perspectives blog that she is devastated by politicians and other officials telling the public that physicians aren't to be trusted regarding COVID-19.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200716fp-moralinjury.html

History Has Its Eyes on Us During This Crisis

Inspired by a recent viewing of the musical Hamilton, Gary LeRoy, M.D., writes in the Leader Voices Blog that too many Americans are still waiting to be treated equally, and the AAFP is working to address inequities in health care.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200716lv-hamilton.html

Urinary Tract Infections/Dysuria - American Family Physician

Jul 15, 2020 - This collection features AFP content on urinary tract infections/dysuria and related issues, including asymptomatic bacteriuria, bladder infections, cystitis, painful bladder syndrome, pyelonephritis, urinalysis, and urine dipstick testing. This collection features AFP content on ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=30

Syphilis: Far from Ancient History - American Family Physician Restricted content. Login required.

Jul 15, 2020 - Rates of primary, secondary, and congenital syphilis are increasing in the United States, and reversing this trend requires renewed vigilance on the part of family physicians to assist public health agencies in the early detection of outbreaks. Prompt diagnosis of syphilis can be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0715/p91.html

Asymptomatic Bacteriuria - American Family Physician Restricted content. Login required.

Jul 15, 2020 - Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. There are few indications to treat asymptomatic bacteriuria, and ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0715/p99.html

Shoulder Dystocia: Managing an Obstetric Emergency - American Family Physician Restricted content. Login required.

Jul 15, 2020 - Shoulder dystocia is an obstetric emergency in which normal traction on the fetal head does not lead to delivery of the shoulders. This can cause neonatal brachial plexus injuries, hypoxia, and maternal trauma, including damage to the bladder, anal sphincter, and rectum, and postpartum ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0715/p84.html

Heart Failure - American Family Physician

Jul 15, 2020 - This collection features AFP content on heart failure and related issues, including angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), cardiomyopathy, cardioverter-defibrillators, congestive heart failure, and diastolic and systolic heart failure. This...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=26

Labor, Delivery, and Postpartum Issues - American Family Physician

Jul 15, 2020 - This collection features AFP content on labor, delivery, and postpartum issues and related topics, including breastfeeding, cesarean delivery, episiotomy, labor pain management, postpartum hemorrhage, preterm labor and birth, shoulder dystocia, umbilical cord blood storage, and vaginal ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=16

Sexually Transmitted Infections - American Family Physician

Jul 15, 2020 - This collection features AFP content on sexually transmitted disease and related issues, including chlamydia, genital herpes, gonorrhea, human papillomavirus, and syphilis. This collection features AFP content on sexually transmitted disease and related issues, including chlamydia, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=23

Arthritis and Joint Pain - American Family Physician

Jul 15, 2020 - This collection features AFP content on arthritis and joint pain, including arthritis, gout, knee osteoarthritis, monoarthritis, osteoarthritis, polyarticular joint pain, Reiter's syndrome, rheumatoid arthritis, septic arthritis, and shoulder osteoarthritis. This collection features AFP...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=77

Pneumonia - American Family Physician

Jul 15, 2020 - This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care. This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=22

Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA - Practice ... Restricted content. Login required.

Jul 15, 2020 - The American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA) recently updated their recommendations on the diagnosis and treatment of community-acquired pneumonia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0715/p121.html

Inflamed, Purulent Axillary Nodules - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 15, 2020 - A man presented with several years of recurrent painful cysts and scarring, accompanied by severe pruritus and malodorous purulent discharge.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0715/p111.html

Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure - STEPS - ... Restricted content. Login required.

Jul 15, 2020 - Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0715/p115.html

Acetaminophen for Pain Relief in Osteoarthritis - FPIN's Help Desk Answers - American ... Restricted content. Login required.

Jul 15, 2020 - Acetaminophen is no better than placebo for relief of hip or knee pain due to osteoarthritis. Although acetaminophen does provide some pain relief, the effect is small and not clinically significant.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0715/p113.html

Venous Ulcers, Dementia Care, SARS-CoV-2 Swabs, Telehealth - AFP Clinical Answers - ... Restricted content. Login required.

Jul 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/2020/0715/p83.html

Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: ...

Jul 15, 2020 - The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery.

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

https://www.aafp.org/afp/2020/0715/p105.html

Mailing gFOBT or FIT Directly to Patients Increases Uptake of Colorectal Cancer ... Restricted content. Login required.

Jul 15, 2020 - Mailed outreach significantly increases rates of colorectal cancer screening, with four tests needing to be mailed to screen one person.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p117.html

No Cow's Milk Formula for the First Three Days of Life Prevents Food Allergies - POEMs ... Restricted content. Login required.

Jul 15, 2020 - In infants at increased risk of atopy, restricting cow's milk supplementation for the first three days of life is associated with a significantly lower risk of developing a cow's milk allergy or food allergies by 24 months of age.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p118.html

Increasing the D-dimer Threshold for Patients with Low Clinical Pretest Probability ... Restricted content. Login required.

Jul 15, 2020 - The Pulmonary Embolism Graduated d-Dimer strategy increases the number of patients in the emergency department and outpatient setting who have PE ruled out via d-dimer testing, thus decreasing the need for chest imaging.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p117a.html

Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis - Editorials - ...

Jul 15, 2020 - Family physicians can prevent congenital syphilis by following national screening guidelines; taking accurate, detailed sexual histories; providing evidence-based interventions to people who use injection drugs; and advocating to reduce structural barriers to care.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0715/p78.html

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