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COVID-19 Shows What Is Truly Valuable in Health Care

The financial burden that the COVID-19 pandemic has put on family physicians must be addressed as a threat to the very foundation of the U.S. health care system, Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., writes in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200423lv-familymedicinevalue.html

The Immeasurable, Cascading Effects of Primary Care

Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that family physicians in outpatient settings are playing a vital role during the pandemic by keeping patients out of hospitals.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200422fp-covidprimarycare.html

New codes for COVID-19 antibody tests -- FPM

Antibody tests could play a role in determining the true prevalence of the illness in a given area and determining who can return to normal activities as states gradually begin to lift lockdowns.

Family Practice Management : Getting Paid : FPM Home

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

CMS waives telehealth restrictions for FQHC and RHC physicians -- FPM

Under the new guidelines, there are no restrictions on where telehealth service is provided, meaning physicians or practitioners may provide the service from their homes.

Family Practice Management : Getting Paid : FPM Home

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

When Quarantining at Home Puts Families at Risk

MaryAnn Dakkak, M.D., M.S.P.H., writes in this Fresh Perspectives post that quarantining at home is not a safe option for patients with COVID-19 who live in close quarters, and the approach is putting minority communities at risk.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200420fp-coviddisparities.html

Six things to know about the CARES Act provider relief fund payments -- FPM

The federal government recently started doling out an initial $30 billion in COVID-19 aid payments to Medicare fee-for-service providers. Here's what physicians should know about them.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/COVID19_relief_payments.html

Four principles for handling stress during a crisis -- FPM

In times of crisis, such as the COVID-19 public health emergency, stress can be heightened by factors such as secondary trauma, fatigue, and lack of control. To deal with the added stress you might be feeling right now, focus on four principles.

Family Practice Management : Quick Tips : FPM Home

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

Chronic Diarrhea in Adults: Evaluation and Differential Diagnosis - American Family ... Restricted content. Login required.

Apr 15, 2020 - Chronic diarrhea is defined as a predominantly loose stool lasting longer than four weeks. A patient history and physical examination with a complete blood count, C-reactive protein, anti-tissue transglutaminase immunoglobulin A (IgA), total IgA, and a basic metabolic panel are useful ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0415/p472.html

Seizure Disorders - American Family Physician

Apr 15, 2020 - This collection features AFP content on seizure disorders, including antiepileptic medications, epilepsy, febrile seizures, nonepileptic seizures, seizures in the elderly, and status epilepticus. This collection features AFP content on seizure disorders, including antiepileptic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=80

Fetal Aneuploidy: Screening and Diagnostic Testing - American Family Physician Restricted content. Login required.

Apr 15, 2020 - Aneuploidy is the presence of one or more extra chromosomes or the absence of one or more chromosomes. The risk of fetal aneuploidy rises with increasing maternal age. Because fetal aneuploidy can affect any pregnancy, all pregnant women should be offered screening. First-trimester ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0415/p481.html

Outpatient Burn Care: Prevention and Treatment - American Family Physician Restricted content. Login required.

Apr 15, 2020 - Most patients with burn injuries are treated as outpatients. Two key determinants of the need for referral to a burn center are burn depth and percentage of total body surface area involved. All burn injuries are considered trauma, prompting immediate evaluation for concomitant ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0415/p463.html

Pain: Chronic - American Family Physician

Apr 15, 2020 - This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy. This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=61

Travel Medicine - American Family Physician

Apr 15, 2020 - This collection features AFP content on travel medicine and related issues, including malaria, traveler’s diarrhea, pretravel consultation, and travel immunizations. This collection features AFP content on travel medicine and related issues, including malaria, traveler’s diarrhea, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=70

Oral and Dental Conditions - American Family Physician

Apr 15, 2020 - This collection features AFP content on oral and dental conditions and related issues, including temporomandibular disorders, smell and taste disorders, dental infections, and salivary gland disorders. This collection features AFP content on oral and dental conditions and related ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=108

Genetics - American Family Physician

Apr 15, 2020 - This collection features AFP content on genetics and related issues, including family medical history, genetic testing, and specific syndromes (fetal alcohol spectrum disorders, fragile X syndrome, Down Syndrome, Klinefelter syndrome, Prader-Willi syndrome, Turner syndrome). This ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=56

Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness... Restricted content. Login required.

Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0415/p505.html

Hyperpigmentation of the Tongue and Systemic Symptoms - Photo Quiz - American Family ... Restricted content. Login required.

Apr 15, 2020 - A woman presents with darkening of her skin, tongue, and lips.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0415/p499.html

Screening for Asymptomatic Bacteriuria in Adults: Recommendation Statement - U.S. ...

Apr 15, 2020 - The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons. The USPSTF recommends against screening for asymptomatic bacteriuria in nonpregnant adults.

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

https://www.aafp.org/afp/2020/0415/p489.html

Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...

Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0415/p458.html

Predicting the Likelihood of a Recurrent Febrile Seizure - Point-of-Care Guides - ... Restricted content. Login required.

Apr 15, 2020 - In children presenting with a simple febrile seizure, is it possible to determine the likelihood of a recurrent febrile seizure?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0415/p497.html

Ketorolac vs. Morphine for Pain Relief After Fractures - FPIN's Help Desk Answers - ... Restricted content. Login required.

Apr 15, 2020 - Parenteral ketorolac is as effective as parenteral morphine for short-term pain relief in patients with long bone fractures, and it results in fewer adverse effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0415/p495.html

Screening for Asymptomatic Bacteriuria in Adults - Putting Prevention into Practice - ... Restricted content. Login required.

Apr 15, 2020 - A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0415/p493.html

Galcanezumab (Emgality) for Migraine and Cluster Headaches - STEPS - American Family ... Restricted content. Login required.

Apr 15, 2020 - In otherwise healthy adults with severe and frequent migraine or cluster headaches, galcanezumab may provide a modest reduction in debilitating headache frequency in the short term.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0415/p502.html

Hypertension, Pregnancy, Prostate Cancer, Short-Course Antibiotics, Anticonvulsants - ... Restricted content. Login required.

Apr 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/2020/0415/p460.html

Oral Health Care Is an Important Issue for Military Veterans - Letters to the Editor - ...

Apr 15, 2020 - << Previous article Next article >> Apr 15, 2020 Issue Letters to the Editor Oral Health Care Is an Important Issue for Military Veterans Am Fam Physician. 2020 Apr 15;101(8):452. Original Article: Care of the Military Veteran: Selected Health Issues Issue Date: November 1, 2019...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0415/p452.html

Postpartum Relapse Prevention: The Family Physician's Role - Letters to the Editor - ...

Apr 15, 2020 - Apr 15, 2020 Issue Letters to the Editor Postpartum Relapse Prevention: The Family Physician's Role Am Fam Physician. 2020 Apr 15;101(8):452-453. Original Article: Postpartum Care: An Approach to the Fourth Trimester Issue Date: October 15, 2019 Available at:...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0415/p452a.html

Unease During Pandemic Offers a Lesson in Understanding

Stewart Decker, M.D., writes in this Fresh Perspectives blog post that when physicians treat patients with anxiety after the COVID-19 crisis is over, they should remember how they felt during the pandemic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200415fp-covidanxiety.html

Chronic Diarrhea - American Family Physician

Apr 15, 2020 - << Previous article Next article >> Apr 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/2020/0415/p472-s1.html

Burn Injuries: What You Should Know - American Family Physician

Apr 15, 2020 - << Previous article Next article >> Apr 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/2020/0415/p463-s1.html

Testing for Fetal Aneuploidy - American Family Physician

Apr 15, 2020 - << Previous article Next article >> Apr 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/2020/0415/p481-s1.html

Carpe Diem: It's Time to Fix Our Broken Health Care System

AAFP Senior VP for Advocacy, Practice Advancement and Policy Shawn Martin writes in this In the Trenches blog post that the current health crisis presents an opportunity to drastically improve the U.S. health care system.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200414itt-fixsystem.html

Telemedicine: The Good, the Bad, the Pleasantly Surprising

With family physicians transitioning more patient visits to telemedicine during the pandemic, we asked our new physician bloggers to share how they are handling the adjustment in this Fresh Perspectives blog post.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200414fp-covidtelemedicine.html

CMS provides more information on patients’ eligibility for pneumonia vaccines -- FPM

A change in Medicare reporting should make it easier to identify when a patient is eligible for a pneumococcal pneumonia vaccine.

Family Practice Management : Getting Paid : FPM Home

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

COVID-19: CARES Act Provider Relief Fund

More information on how grant money from the CARES Act will be dispersed to family physicians and health care providers during the COVID-19 pandemic.

Patient Care : Public Health Emergencies

https://www.aafp.org/patient-care/emergency/2019-coronavirus/financial-relief/provider-relief-fund.html

What coding modifiers to use for Medicare telehealth services and COVID-19 testing -- FPM

Recent regulatory changes affect how you should code for telehealth services and COVID-19 testing when billing Medicare.

Family Practice Management : Getting Paid : FPM Home

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

How to access small business loans for COVID-19 financial relief -- FPM

Some of the loans now available offer 1% interest or even full loan forgiveness if you keep your employees on the payroll.

Family Practice Management : Getting Paid : FPM Home

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

We Are All Vulnerable: Our Strength Is in Our Communities

Moazzum Bajwa, M.D., M.P.H., M.Sc., writes in this Fresh Perspectives post about steps that people can take throughout their communities to protect the most vulnerable populations during the COVID-19 pandemic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200406fp-covidvulnerable.html

Resources Help FPs Clear New Hurdles Posed by COVID-19

Dennis Gingrich writes in this Leader Voices Blog post that the COVID-19 pandemic is straining family physicians' ingrained abilities to multitask, but he highlights numerous resources from the AAFP and others that can help.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200407lv-multitaskresources.html

Medicare provides more regulatory relief in response to COVID-19 -- FPM

The Centers for Medicare and Medicaid Services issued an interim final rule that made many significant Medicare payment policy changes effective March 1, 2020, and for the duration of the COVID-19 public health emergency.

Family Practice Management : Getting Paid : FPM Home

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

10 communication tips for physician phone visits during COVID-19 -- FPM

Telephone visits may pose fewer technology challenges than telehealth (video) visits, but they present unique communication challenges of their own as a result of the lack of face-to-face communication.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/telephone_visit_tips_2.html

Pandemic Highlights the Need for Full-scope FPs

In this Fresh Perspectives blog post, family physician MaryAnn Dakkak, M.D., M.S.P.H., describes a day on the front lines of the COVID-19 pandemic in a safety-net hospital.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200406fp-covidhospital.html

Headache - American Family Physician

Apr 1, 2020 - This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type headaches, and treatment of headaches. This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=10

Frequent Headaches: Evaluation and Management - American Family Physician Restricted content. Login required.

Apr 1, 2020 - Most frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. Repeated headaches can induce central sensitization and transformation to chronic headaches that are intractable, are difficult to treat, and cause significant ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p419.html

Sepsis: Diagnosis and Management - American Family Physician Restricted content. Login required.

Apr 1, 2020 - Guidelines published in 2016 provide a revised definition of sepsis: life-threatening organ dysfunction caused by a dysregulated host response to infection. The guidelines define septic shock as sepsis with circulatory, cellular, and metabolic dysfunction that is associated with a ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p409.html

Cutaneous Cryosurgery for Common Skin Conditions - American Family Physician Restricted content. Login required.

Apr 1, 2020 - Cryosurgery is the application of freezing temperatures to achieve the destruction of tissue. Cutaneous cryosurgery has become a commonly performed outpatient procedure because of the combination of its safety, effectiveness, low cost, ease of use, lack of need for injectable ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p399.html

Anxiety Disorders - American Family Physician

Apr 1, 2020 - Advertisement AFP BY TOPIC Anxiety Disorders Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on anxiety disorders and related issues, including acute stress disorder, depressive disorders, excessive...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=85

Coding for Hypertension: Painting a Picture of the Severity of Illness -- FPM Restricted content. Login required.

Apr 1, 2020 - As risk-adjustment scoring increases, the pressure is on to code hypertension correctly. Here’s an overview using common patient scenarios.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p23.html

Benzodiazepines for Panic Disorder in Adults - Medicine by the Numbers - American ... Restricted content. Login required.

Apr 1, 2020 - Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0401/od1.html

Caring for Me Is Caring for You: The Power of Self-Care and Personal Transformation -- FPM Restricted content. Login required.

Apr 1, 2020 - Want to see change in your team, your organization, or beyond? Start by filling your own tank.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p17.html

Is This Some Kind of Joke? Understanding and Using Humor in the Clinical Setting -- FPM Restricted content. Login required.

Apr 1, 2020 - The wrong joke at the wrong time can shatter the doctor-patient relationship, but humor used wisely has health benefits and strengthens bonds in stressful situations.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p11.html

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