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Office Spirometry: Indications and Interpretation - American Family Physician Restricted content. Login required.

Mar 15, 2020 - High-quality, office-based spirometry provides diagnostic information as useful and reliable as testing performed in a pulmonary function laboratory. Spirometry may be used to monitor progression of lung disease and response to therapy. A stepwise approach to spirometry allows for ease ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0315/p362.html

Genital Ulcers: Differential Diagnosis and Management - American Family Physician Restricted content. Login required.

Mar 15, 2020 - Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. Herpes simplex virus is the most common cause of genital ulcers in the United States. A diagnosis of genital herpes simplex virus infection is made through ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0315/p355.html

Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ... Restricted content. Login required.

Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0315/p339.html

Fracture Prevention in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ... Restricted content. Login required.

Mar 15, 2020 - 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/2020/0315/p370.html

Medication Use to Reduce Risk of Breast Cancer: Recommendation Statement - U.S. ...

Mar 15, 2020 - The USPSTF recommends that clinicians offer to prescribe risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors, to women who are at increased risk for breast cancer and at low risk for adverse medication effects.

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

https://www.aafp.org/afp/2020/0315/od1.html

Group B Streptococcus Disease: AAP Updates Guidelines for the Management of At-Risk ... Restricted content. Login required.

Mar 15, 2020 - The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have updated guidelines for management of early- and late-onset group B streptococcus disease in infants.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0315/p378.html

Integrating Breast Cancer Risk Management into Primary Care - Editorials - American ...

Mar 15, 2020 - It is important that primary care physicians have the ability and resources to identify women eligible for genetic counseling and testing for breast cancer.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0315/p330.html

Medication Use to Reduce Risk of Breast Cancer - Putting Prevention into Practice - ... Restricted content. Login required.

Mar 15, 2020 - E.F., a 40-year-old woman, comes to your office for a routine gynecologic visit. She is not taking any medications and is generally healthy. She is sexually active, and her last menstrual period started 10 days ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0315/p373.html

Common Cold, IV Fluids for Children, e-Cigarettes, Postpartum Depression, Actinic ... Restricted content. Login required.

Mar 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/2020/0315/p332.html

Conjunctival Lesion in a 10-Year-Old Girl - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 15, 2020 - << Previous article Next article >> Mar 15, 2020 Issue Photo Quiz Conjunctival Lesion in a 10-Year-Old Girl MATTHEW HAWKS, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland MEGAN COOK, DO, Nellis Family Medicine Residency, Las Vegas, Nevada Am Fam...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0315/p375.html

Evidence Lacking That Acupuncture Is More Effective Than Placebo - Letters to the ...

Mar 15, 2020 - << Previous article Next article >> Mar 15, 2020 Issue Letters to the Editor Evidence Lacking That Acupuncture Is More Effective Than Placebo Am Fam Physician. 2020 Mar 15;101(6):325-326. Original Article: Acupuncture for Pain Issue Date: July 15, 2019 See additional reader comments...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0315/p325.html

Acupuncture Not Supported By Strong Scientific Evidence - Letters to the Editor - ...

Mar 15, 2020 - Mar 15, 2020 Issue Letters to the Editor Acupuncture Not Supported By Strong Scientific Evidence Am Fam Physician. 2020 Mar 15;101(6):326-328. Original Article: Acupuncture for Pain; and Integrating Medical Acupuncture into Family Medicine Practice [Editorial] Issue Date: July 15,...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0315/p326.html

Genital Ulcers: What Causes Them? - American Family Physician

Mar 15, 2020 - << Previous article Next article >> Mar 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/2020/0315/p355-s1.html

New code for vaping-related illness may require a billing system update -- FPM

Update your electronic health record and billing systems for a new diagnosis code for vaping-related illness that takes effect April 1.

Family Practice Management : Getting Paid : FPM Home

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

Coronavirus (COVID-19): new telehealth rules and procedure codes for testing -- FPM

CMS has loosened restrictions on telehealth reimbursement for areas where the spread of the new coronavirus has been deemed an emergency.

Family Practice Management : Getting Paid : FPM Home

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

Tips for Landing Grants to Help Offer Mental Health Care

Grant funding can make a big difference in delivering mental health care. In this Fresh Perspectives blog post, Kurt Bravata, M.D., shares lessons learned from successes and failures in pursuing funding.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200310fp-grants.html

Chronic care management coding updates for 2020 -- FPM

Chronic care management has been hampered by reimbursements that don't match costs and complex rules for care plans. Some relief is coming this year.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/ccm_changes_2020.html

AAFP Goals Support Award-winning Primary Care From FPs

Gary LeRoy, M.D., outlines in this Leader Voices Blog post the Academy's strategic priorities to support primary care's award-winning formula of first contact, coordination, comprehensiveness and continuity.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200309lv-egot.html

Coding for the new coronavirus and COVID-19 illness -- FPM

There is no specific diagnosis code in the U.S. yet for COVID-19. Here's what to use instead.

Family Practice Management : Getting Paid : FPM Home

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

When you’re more current than Medicare -- FPM

Claims getting denied because of Medicare's outdated national coverage determination codes? Here's what to do.

Family Practice Management : Getting Paid : FPM Home

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

Respond to Coronavirus (COVID-19)

Family physicians need the latest information to manage their practice and patient care during coronavirus (COVID-19) pandemic.

Patient Care : Public Health Emergencies

https://www.aafp.org/patient-care/emergency/2019-coronavirus.html

Here's Why LGBTQ Physicians Should Self-Identify

The medical community advocates for a diverse workforce that reflects the diverse communities it serves, but Kyle Leggott, M.D., writes in the Fresh Perspectives blog that the dearth of information regarding LGBTQ physicians makes it difficult to know how well this community is ...

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200303fp-lgbtqphysicians.html

Deadline to submit MIPS data fast approaching -- FPM

Failure to report Merit-based Incentive Payment System (MIPS) data will result in a -7% adjustment to Medicare claims.

Family Practice Management : Getting Paid : FPM Home

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

Upper Gastrointestinal Bleeding in Adults: Evaluation and Management - American Family ... Restricted content. Login required.

Mar 1, 2020 - Upper gastrointestinal (GI) bleeding is defined as hemorrhage from the mouth to the ligament of Treitz. Common risk factors for upper GI bleeding include prior upper GI bleeding, anticoagulant use, high-dose nonsteroidal anti-inflammatory drug use, and older age. Causes of upper GI ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p294.html

HIV/AIDS - American Family Physician

Mar 1, 2020 - This collection features AFP content on human immunodeficiency virus (HIV) and AIDS and related issues, including antiretroviral therapy, behavioral counseling, HIV testing, sexually transmitted diseases, and infection prevention. This collection features AFP content on human ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=11

Point-of-Care Ultrasonography - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p275.html

Sexual Health History: Techniques and Tips - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Family physicians should use a proactive, integrated, patient-centered approach to sexual health that includes, but is not limited to, disease identification and treatment. Successfully delivering positive, affirming, nonjudgmental sexual health care requires intentionally creating safe...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p286.html

IDx-DR for Diabetic Retinopathy Screening - Diagnostic Tests: What Physicians Need to ... Restricted content. Login required.

Mar 1, 2020 - IDx-DR is a reliable screening tool used to diagnose diabetic retinopathy in the primary care office and may reduce barriers to screening and improve gaps in eye care for those with diabetes.

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

https://www.aafp.org/afp/2020/0301/p307.html

Tuberculosis Screening, Testing, and Treatment in U.S. Health Care Professionals: CDC ... Restricted content. Login required.

Mar 1, 2020 - According to 1995–2007 surveillance data reported to the Centers for Disease Control and Prevention and National Tuberculosis Controllers Association work group, tuberculosis incidence rates in health care professionals were similar to those in the general population.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0301/p312.html

Emotional Support Animals: Considerations for Documentation - Curbside Consultation - ... Restricted content. Login required.

Mar 1, 2020 - Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0301/p302.html

Guideline for Chronic Diarrhea: Screening for IBD and Celiac Disease Is In, Screening ... Restricted content. Login required.

Mar 1, 2020 - Although an algorithm to guide the workup is not offered, the American Gastroenterological Association suggests the following tests for patients with chronic diarrhea (i.e., watery diarrhea for at least four weeks): fecal calprotectin or fecal lactoferrin to screen for inflammatory ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p310a.html

Vitamin and Mineral Supplementation for Maintaining Cognitive Functioning in ... Restricted content. Login required.

Mar 1, 2020 - Vitamin and mineral supplementation has little to no beneficial effect on preserving cognitive functioning or preventing dementia in cognitively healthy adults 40 years and older.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0301/p272.html

Tense Bullae and Pruritus - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 1, 2020 - A 72-year-old man presents with a two-month history of worsening pruritic rash and painful blisters on his trunk, bilateral upper and lower extremities, face, and groin.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0301/p305.html

Music Therapy for Depression - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Moderate-quality evidence shows that music therapy added to standard care is more effective in the first three months than standard care alone for depressive symptoms based on clinician-rated outcomes and patient-reported outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0301/p273.html

Fewer Severe Exacerbations in Patients with Mild to Moderate Asthma Treated with ... Restricted content. Login required.

Mar 1, 2020 - Patients with mild to moderate asthma only need relief treatment. In this study, patients taking the combination of budesonide/formoterol (Symbicort) as needed had slightly fewer severe exacerbations than patients treated with twice daily budesonide (Pulmicort).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p310.html

HIV Status, Preexposure Prophylaxis, Sexual Health, and the Critical Role of Family ...

Mar 1, 2020 - Family physicians play a key role in expanding HIV testing and treatment, as well as providing sexual health services in areas where specialty sexual health services are not readily available.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0301/p262.html

Thromboembolism Recurrence Likely; Consider It a Chronic Disease - POEMs - American ... Restricted content. Login required.

Mar 1, 2020 - Perhaps it is time to start thinking about VTE as a chronic disease. Approximately one in 10 patients that have a VTE will have a second VTE over the next 12 months and almost four in 10 will have a second VTE over 10 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p309.html

Colorectal Cancer Screening, Breastfeeding, Miscarriage, Eczema, Routine Screening for ... Restricted content. Login required.

Mar 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/2020/0301/p270.html

Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ... Restricted content. Login required.

Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p309a.html

Tai Chi for Fibromyalgia - FPIN's Clinical Inquiries - American Family Physician Restricted content. Login required.

Mar 1, 2020 - The practice of Yang-style tai chi for one hour twice weekly for 12 to 24 weeks is moderately effective in improving quality of life in patients with fibromyalgia.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0301/od1.html

Probiotics to Prevent Antibiotic-Associated Diarrhea in Children - Medicine by the ... Restricted content. Login required.

Mar 1, 2020 - << Previous article Next article >> Mar 1, 2020 Issue Medicine by the Numbers A Collaboration of TheNNT.com and AFP Probiotics to Prevent Antibiotic-Associated Diarrhea in Children ELIZABETH A. SUNIEGA, MAJ, MC, USA; and D. JASON FRASCA, CPT, MC, USA Am Fam Physician. 2020 Mar...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0301/od2.html

Women Have Closed Med School Enrollment Gap; Others Remain

For the first time, women make up the majority of students in U.S. medical schools. Ada Stewart, M.D., writes in this Leader Voices Blog post that although women physicians are making gains in leadership and other roles, they still have work to do to achieve equity in their field.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200228lv-diversity.html

Coronavirus: six ways to prepare your practice now -- FPM

After months of successful containment, officials with the Centers for Disease Control and Prevention said they expect to see widespread transmission of the illness known as COVID-19 in the United States soon

Family Practice Management : Quick Tips : FPM Home

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

A checklist for starting virtual visits -- FPM

The ability to see patients virtually can be useful, especially during outbreaks of infectious disease. Here’s how to get started.

Family Practice Management : Quick Tips : FPM Home

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

Learn more about electronic attachments for claims -- FPM

Electronic attachments can simplify and optimize revenue cycle management by reducing payment time cycles.

Family Practice Management : Getting Paid : FPM Home

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

Two reasons to provide Medicare annual wellness visits -- FPM

With less than 16 percent of eligible patients receiving a Medicare annual wellness visit, patients and practices are missing out on two key benefits.

Family Practice Management : Quick Tips : FPM Home

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

The Lady With Lavender Essential Oils Is the New Dr. Google

Natasha Bhuyan, M.D., writes in this Fresh Perspectives post that patients will be the casualties of the war on science if doctors don't speak out about misinformation and false claims.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200224fp-media.html

Physician autonomy: the missing ingredient for motivation at work -- FPM

Research suggests that professionals are primarily motivated by three things at work: purpose, mastery, and autonomy. But for most physicians, self-directing their work is a struggle because their organizations don’t make it easy. Here’s what groups should do.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/physician_autonomy1.html

CMS reiterates physicians’ central role in home health planning -- FPM

The agency's guidance comes as it implements a new home health payment system called the Patient-Driven Groupings Model.

Family Practice Management : Getting Paid : FPM Home

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

Unhealthy family dynamics in the exam room: how to respond -- FPM

When family members complicate a patient visit, consider these five questions to get to the root of the problem and respond appropriately.

Family Practice Management : Quick Tips : FPM Home

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

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