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Dept. Collections -- American Family Physician

Jun 13, 2013 - Search Department collections from past and current issues of AFP, the peer-reviewed clinical journal of the American Academy of Family Physicians.

American Family Physician

AAFP Disagrees With Justice Department Blockade of OTC Access to Plan B One-Step -- ...

May 8, 2013 - The AAFP has weighed in on the legal battle regarding emergency contraception now playing out in the nation's courts. In a prepared statement issued May 6, Academy Board Chair Glen Stream, M.D., M.B.I., of Spokane, Wash., disagreed with the U.S. Department of Justice's May 1 appeal of a...

AAFP News : Health of the Public

HHS Blocks Expanded OTC Access to Plan B One-Step -- AAFP News

Dec 13, 2011 - HHS Secretary Kathleen Sebelius' recent decision to countermand FDA approval of OTC access to a specific emergency contraceptive for girls younger than 17 may have closed the door for now on the regulatory aspects of this issue, but it has reopened discussion of the topic among some ...

AAFP News : Health of the Public

From The Editor: Step-by-Step Practice Transformation - Family Practice Management

Dec 1, 2009 - Clearly, it's possible to improve your practice one piece at a time. But can you ever achieve radical practice redesign by this route? The author introduces an article by Anton Kuzel, MD, MHPE, which proposes a step-by-step plan for revolutionizing your practice.

Family Practice Management : Opinion

Appropriate Prescribing of Medications: An Eight-Step Approach - American Family ...

Jan 15, 2007 - A systematic approach advocated by the World Health Organization can help minimize poor-quality and erroneous prescribing. This six-step approach to prescribing suggests that the physician should (1) evaluate and dearly define the patient's problem; (2) specify the therapeutic ...

American Family Physician : Article

Ten Steps to a Patient-Centered Medical Home - Family Practice Management

Dec 1, 2009 - The author recommends an organized, step-by-step approach to converting a typical family medicine practice to a patient-centered medical home.

Family Practice Management : Articles

Eight Steps to a Chart Audit for Quality - Family Practice Management

Aug 1, 2008 - The article describes a step-by-step process to performing chart audits for assessing quality of care in a practice.

Family Practice Management : Articles

Five Steps to a Performance Evaluation System - Family Practice Management

Mar 1, 2003 - The author provides a step-by-step approach to developing and implementing a fair and consistent employee performance evaluation system.

Family Practice Management : Articles

10 Steps to Preparing Your Office for ICD-10 -- Now - Family Practice Management

Feb 1, 2014 - ICD-10 will go into effect on Oct. 1, 2014, for services provided on or after that date. The transition to ICD-10 will be significant and requires proper planning and preparation. First steps include obtaining a copy of the ICD-10 code book and orienting yourself to the new code set, ...

Family Practice Management : Articles

AAFP Task Force Takes Steps to Better Value Primary Care -- AAFP News

Aug 23, 2011 - The newly formed AAFP Primary Care Valuation Task Force reached consensus on two key points during its first meeting here on Aug. 22: Medicare should pay more for primary care services, while also taking steps to better compensate high-functioning primary care practices.

AAFP News : Government and Medicine

From The Editor: Climbing One Step at a Time - Family Practice Management

Feb 1, 2010 - Practice redesign is a huge, daunting task that becomes more manageable if you take it one step at a time -- and not just because you're tackling it piecemeal. There's some synergy at work.

Family Practice Management : Opinion

The Last Word: Five Steps for Building Your Leadership Skills - Family Practice ...

Oct 1, 2014 - Physicians are already considered leaders inside the exam room but may need to hone their leadership skills outside of the exam room. This article describes five steps physicians can take to increase their leadership skills, from taking an interest in staff members' personal lives to ...

Family Practice Management : Articles

Step-off Approach to LABA Therapy May Prove Risky, Study Finds -- AAFP News

Sep 11, 2012 - According to an Archives of Internal Medicine study published online Aug. 27, stopping long-acting beta-2 agonist (LABA) therapy in adults and older children who have asthma controlled by a combination of LABAs and inhaled corticosteroids (ICSs) results in increased asthma-related ...

AAFP News : Health of the Public

STEPS: Dabigatran (Pradaxa) for Prevention of Stroke in Atrial Fibrillation - ...

Dec 15, 2011 - Dabigatran is superior to warfarin for stroke prevention in patients with atrial fibrillation, with similar rates of major bleeding. Because it does not require laboratory monitoring, dabigatran therapy is less complicated than warfarin therapy, but it costs significantly more.

American Family Physician : STEPS

STEPS: Dapsone (Aczone) 5% Gel for the Treatment of Acne - American Family Physician

Feb 15, 2010 - Topical dapsone gel will decrease the percentage of lesions in patients with mild to moderate acne, especially inflammatory lesions. Although not directly compared, dapsone gel has lower response rates than currently available topical treatments that are less expensive.

American Family Physician : STEPS

STEPS: Saxagliptin (Onglyza) for Type 2 Diabetes Mellitus - American Family Physician

Jun 15, 2010 - Saxagliptin lowers A1C levels to a lesser extent and is much more expensive than first-line therapy with metformin. Its ability to decrease diabetes-related complications, including mortality, is not known. It is a DPP-4 inhibitor that has a more significant drug interaction profile ...

American Family Physician : STEPS

STEPS: Bivalent HPV Recombinant Vaccine (Cervarix) for the Prevention of Cervical ...

Dec 15, 2010 - Cervarix is effective in preventing known cytologic and histologic precursors of cervical cancer, although, as with Gardasil, it has not been shown to decrease rates of cervical cancer. This protection has been shown to last for six years, but it is unclear if a booster dose is needed.

American Family Physician : STEPS

STEPS: Guanfacine (Intuniv) for Attention-Deficit/Hyperactivity Disorder - American ...

Feb 15, 2011 - Guanfacine is an effective short-term treatment option for ADHD in children six to 12 years of age. Sedation is a marked problem in many children. Patients should take the medication daily to avoid adverse effects that occur with abrupt discontinuation or when the guanfacine is restarted.

American Family Physician : STEPS

STEPS: Adapelene/Benzoyl Peroxide (Epiduo) for Acne Vulgaris - American Family ...

Jun 15, 2011 - Adapalene/benzoyl peroxide is as effective as other combination products for the treatment of acne. Once-daily application is an advantage in terms of simplicity and adherence to therapy, but the cost is much higher than that of the individual components sold separately; this may create...

American Family Physician : STEPS

STEPS: Doxepin (Silenor) for Insomnia - American Family Physician

Aug 15, 2011 - In older patients with primary insomnia, Silenor can increase duration of sleep without next-day effects. However, it does not significantly decrease the time to sleep onset, and it is less effective in younger adults.

American Family Physician : STEPS

STEPS: Tranexemic Acid (Lysteda) for Cyclic Heavy Menstrual Bleeding - American ...

Oct 15, 2011 - Tranexamic acid is a nonhormonal option that reduces menstrual blood loss and improves quality of life in patients with heavy menstrual bleeding. It is more expensive than nonsteroidal anti-inflammatory drugs and hormonal therapies, but is an option when these treatments are not desired...

American Family Physician : STEPS

STEPS: Denosumab (Prolia) for Treatment of Postmenopausal Osteoporosis - American ...

Feb 15, 2012 - Prolia is an expensive method of preventing osteoporotic hip fractures, and is associated with significant adverse effects. Safer, less expensive options exist for preventing fracture in high-risk women.

American Family Physician : STEPS

STEPS: Ulipristal (Ella) for Emergency Contraception - American Family Physician

Aug 15, 2012 - Ulipristal is a prescription-only emergency contraceptive. It is at least as effective as levonorgestrel when administered within 72 hours of unprotected sexual intercourse, and is more effective than levonorgestrel in the 72- to 120-hour window.

American Family Physician : STEPS

STEPS: Rivaroxaban (Xarelto) for Prevention of Thromboembolic Events - American ...

Oct 15, 2012 - In patients at high risk of stroke because of nonvalvular atrial fibrillation, rivaroxaban is as safe and effective as warfarin. However, it should not be used in patients at risk of stroke for reasons other than nonvalvular atrial fibrillation until research shows its relative safety ...

American Family Physician : STEPS

STEPS: Linagliptin (Tradjenta) for the Treatment of Diabetes Mellitus - American ...

Dec 15, 2012 - Linagliptin reduces A1C levels to a lesser extent than first-line therapy (metformin) and is significantly more expensive than metformin and sulfonylureas. Importantly, its ability to affect diabetes-related morbidity and mortality is not known.

American Family Physician : STEPS

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