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Primary Care First: Practice Assessment Checklist -- FPM Restricted content. Login required.

Feb 1, 2020 - Starting in 2021, PCF will be open to primary care clinicians practicing in 26 participating states and regions. Use this checklist to assess your practice’s readiness to participate in PCF, including care delivery capabilities, data infrastructure, and potential financial impact.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p25.html

Goal-Setting Theory for the New Year -- FPM

Feb 1, 2020 - Research points to four factors that will help make your goals more effective.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0100/p3.html

Listening to the Little Voice Inside -- FPM Restricted content. Login required.

Feb 1, 2020 - That nagging little voice can sometimes save you from a medical mistake, so don’t ignore it.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0100/p38.html

Thank You, FPM Peer Reviewers (2019) -- FPM

Feb 1, 2020 - We would like to thank the following peer reviewers for their valuable contributions to FPM during 2019.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0100/p4.html

Painful Lower Extremity Ulcerations with Hyperpigmentation - Photo Quiz - American ... Restricted content. Login required.

Feb 1, 2020 - << Previous article Next article >> Feb 1, 2020 Issue Photo Quiz Painful Lower Extremity Ulcerations with Hyperpigmentation ERIK A KUMETZ, MD, 36th Medical Group, Andersen Air Force Base, Yigo, Guam NICHOLAS F. LOGEMANN, DO, Walter Reed National Medical Center, Bethesda, Maryland...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0201/p177.html

Five ways to stop making excuses and start practicing self-care -- FPM

You cannot effectively take care of others or sustain a career in medicine unless you take care of yourself. Here are five ways to start.

Family Practice Management : Quick Tips : FPM Home

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

Team documentation: who does what during the visit? -- FPM

Team documentation can boost physician efficiency, but which tasks should you delegate and which tasks should you keep?

Family Practice Management : Quick Tips : FPM Home

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

FPs Are Best Equipped to Tackle Adverse Childhood Experiences

More than 60% of adults report exposure to at least one adverse childhood event, which may affect their long-term physical and mental health. In this Leader Voices Blog post, Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., outlines steps his state is taking to address the issue.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200129lv-aces.html

One thing every physician can do to help change health policy -- FPM

Physicians, who see firsthand the effects poor health policy can have on a community, can be a powerful voice to help bring about change. Here’s how.

Family Practice Management : Quick Tips : FPM Home

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

2020 Annual Reports

The annual leadership reports from elected student and resident leaders, at National Conference in Kansas City.

Events : National Conference of Family Medicine Residents and Students

https://www.aafp.org/events/national-conference/congresses/reports.html

Six ways to make your practice more efficient and your patients more satisfied -- FPM

Tips for making sure patient phone calls are returned, appointment scheduling is user-friendly, insurance changes have been logged, and more.

Family Practice Management : Quick Tips : FPM Home

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

Screening for childhood trauma history -- FPM

Several screening tools can help you identify patients whose health may be affected by adverse childhood experiences (ACEs).

Family Practice Management : Quick Tips : FPM Home

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

CMS testing diagnostic imaging referrals program in preparation for mandate -- FPM

The Appropriate Use Criteria program will require an extra step before ordering advanced imaging starting in 2021, unless it's repealed.

Family Practice Management : Getting Paid : FPM Home

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

New codes for responding to portal messages -- FPM

The 2020 Medicare Physician Fee Schedule update includes new payment opportunities for addressing medical needs through an online patient portal.

Family Practice Management : Quick Tips : FPM Home

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

Lady Gaga, Primary Care for Mental Health Is Part of the Cure

Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that Lady Gaga's recent unfounded comments about mental health and primary care can be harmful to patients, pointing out why -- and how -- the AAFP supports mental health care in the primary care setting.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200122fp-mentalhealth.html

Burnout by Numbers

Recent surveys and studies paint a bleak landscape regarding physician burnout. AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin writes in this In The Trenches blog post that the continued shortcomings of electronic health records are the prime driver.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200121itt-ehr.html

Four things to focus on as you set new goals for the new year -- FPM

Four evidence-based factors can guide you to goals that are attainable and sustainable, but also challenging and meaningful.

Family Practice Management : Quick Tips : FPM Home

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

This app tracks licenses, certifications, and CME -- FPM

This free mobile app can keep track of your state licenses and certifications and send you alerts when they’re close to expiring.

Family Practice Management : Quick Tips : FPM Home

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

A template for referring seniors to community organizations -- FPM

Community partners can help geriatric patients stay healthy. Here’s a ready-made template for referring patients to services offered by organizations near you.

Family Practice Management : Quick Tips : FPM Home

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

Muscle Weakness in Adults: Evaluation and Differential Diagnosis - American Family ... Restricted content. Login required.

Jan 15, 2020 - Although the prevalence of muscle weakness in the general population is uncertain, it occurs in about 5% of U.S. adults 60 years and older. Determining the cause of muscle weakness can be challenging. True muscle weakness must first be differentiated from subjective fatigue or ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0115/p95.html

Functional Dyspepsia: Evaluation and Management - American Family Physician Restricted content. Login required.

Jan 15, 2020 - Functional dyspepsia is defined as at least one month of epigastric discomfort without evidence of organic disease found during an upper endoscopy, and it accounts for 70% of dyspepsia. Symptoms of functional dyspepsia include postprandial fullness, early satiety, and epigastric pain or...

American Family Physician : Article

https://www.aafp.org/afp/2020/0115/p84.html

Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care - American Family ... Restricted content. Login required.

Jan 15, 2020 - Short-term systemic corticosteroids, also known as steroids, are frequently prescribed for adults in the outpatient setting by primary care physicians. There is a lack of supporting evidence for most diagnoses for which steroids are prescribed, and there is evidence against steroid use ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0115/p89.html

Dyspepsia - American Family Physician

Jan 15, 2020 - This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD. This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=8

Management of Atrial Fibrillation: Updated Guidance from the AHA, ACC, and HRS - ... Restricted content. Login required.

Jan 15, 2020 - This guideline on atrial fibrillation (AF) management from the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Rhythm Society (HRS) is an update of the 2014 version and is based on new evidence from clinical trials and the U.S. Food and Drug ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0115/p123.html

Revefenacin (Yupelri) for the Treatment of Chronic Obstructive Pulmonary Disease - ... Restricted content. Login required.

Jan 15, 2020 - Revefenacin is a once-daily nebulized alternative to metered dose long-acting muscarinic antagonists for patients with moderate to severe COPD. Given its expense, complicated administration process, and lack of evidence that it improves key patient-oriented outcomes, its use should be ...

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0115/p121.html

Pain Medications Before IUD Placement - FPIN's Help Desk Answers - American Family ... Restricted content. Login required.

Jan 15, 2020 - Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0115/p119.html

Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement -...

Jan 15, 2020 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

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

https://www.aafp.org/afp/2020/0115/p112.html

Screening for Hepatitis B Virus in Pregnant Women - Putting Prevention into Practice - ... Restricted content. Login required.

Jan 15, 2020 - A 33-year-old U.S.-born pregnant clinician comes to your office for a first prenatal visit. Her most recent menstrual period was six weeks ago, and she has been taking prenatal vitamins for the past eight weeks. She was pregnant once more than two years ago, and at the time she screened...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0115/p115.html

Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme... Restricted content. Login required.

Jan 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/2020/0115/p75.html

Acute Heart Failure in a 39-Year-Old Man - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 15, 2020 - << Previous article Next article >> Jan 15, 2020 Issue Photo Quiz Acute Heart Failure in a 39-Year-Old Man DREW ASHBY, MD; FRANKLIN NIBLOCK, MD, MPH; KENNETH HERRING, MD; and LOGAN MIMS, MD, University of Colorado, Denver, Colorado Am Fam Physician. 2020 Jan 15;101(2):117-118. A...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0115/p117.html

America Needs More Family Doctors: The 25x2030 Collaborative Aims to Get More Medical ...

Jan 15, 2020 - << Previous article Next article >> Jan 15, 2020 Issue Editorials America Needs More Family Doctors: 25×2030 Collaborative Aims to Get More Medical Students into Family Medicine JACOB PRUNUSKE, MD, MSPH, Medical College of Wisconsin, Wausau, Wisconsin Am Fam Physician. 2020 Jan...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0115/p82.html

Lung Cancer Screening Effective for Reducing Cancer Deaths - Letters to the Editor - ...

Jan 15, 2020 - << Previous article Next article >> Jan 15, 2020 Issue Letters to the Editor Lung Cancer Screening Effective for Reducing Cancer Deaths Am Fam Physician. 2020 Jan 15;101(2):70-71. Original Article: Lung Cancer Screening: Pros and Cons [Lown Right Care] Issue Date: June 15, 2019...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0115/p70.html

Identify Patients Likely to Benefit from Lung Cancer Screening - Letters to the Editor ...

Jan 15, 2020 - Jan 15, 2020 Issue Letters to the Editor Identify Patients Likely to Benefit from Lung Cancer Screening Am Fam Physician. 2020 Jan 15;101(2):69-70. Original Article: Lung Cancer Screening: Pros and Cons [Lown Right Care] Issue Date: June 15, 2019 Available at:...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0115/p69.html

Beware Virulent Deer and Confounding EHR Notes

We asked our new physician bloggers about the worst EHR notes they have seen. They shared their experiences 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/20200113fp-ehrnotes.html

Wanted: Bank information to pay APM bonuses -- FPM

The federal government has posted a list of clinicians it owes bonus money. Here's how to find out if you're on it, and how to claim your cash if you are.

Family Practice Management : Getting Paid : FPM Home

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

Try These Tips to Overcome Flu Vaccine Hesitancy

During what is shaping up to be a severe flu season, Margot Savoy, M.D., M.P.H., offers tips on vaccinating reluctant patients in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200109lv-fluvacc.html

The Economics of Our Health Care System Are Horrifying

Millions of Americans are forgoing health care because of cost while others are accruing staggering debt to pay for care. AAFP Senior Vice President of Advocacy, Practice Management and Policy Shawn Martin examines a growing crisis in this In the Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200107itt-economics.html

Small Steps Are Key to Making Resolutions Stick

Most New Year's resolutions fail before February. For this Fresh Perspectives blog post, we asked our new physician bloggers how they help patients make lifestyle changes that last.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200107fp-keepresolutions.html

Burnout prevention: get rid of stupid stuff in your practice -- FPM

Although burnout in health care is largely a system problem, individual physicians can take steps to lighten their burden. Here are five ideas to help you get started.

Family Practice Management : Quick Tips : FPM Home

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

The right way to respond to high-maintenance patients -- FPM

When patients are pushy, needy, or entitled, you may be tempted to give in to their demands or refer them away, but there’s a better way to respond.

Family Practice Management : Quick Tips : FPM Home

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

Four tips for writing visit notes suitable for your patients to see -- FPM

As transparency increases and more patients gain access to their health records, make sure your visit notes follow four best practices.

Family Practice Management : Quick Tips : FPM Home

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

Adolescent Idiopathic Scoliosis: Common Questions and Answers - American Family Physician Restricted content. Login required.

Jan 1, 2020 - Adolescent idiopathic scoliosis affects 1% to 3% of U.S. adolescents. It is defined by a lateral curvature of the spine (Cobb angle) of at least 10 degrees in the absence of underlying congenital or neuromuscular abnormalities. Adolescent idiopathic scoliosis may be detected via the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p19.html

Benign Anorectal Conditions: Evaluation and Management - American Family Physician Restricted content. Login required.

Jan 1, 2020 - Common anorectal conditions include hemorrhoids, perianal pruritus, anal fissures, functional rectal pain, perianal abscess, condyloma, rectal prolapse, and fecal incontinence. Although these are benign conditions, symptoms can be similar to those of cancer, so malignancy should be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p24.html

Lymphoma: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Jan 1, 2020 - Lymphoma is a group of malignant neoplasms of lymphocytes with more than 90 subtypes. It is traditionally classified broadly as non-Hodgkin or Hodgkin lymphoma. Approximately 82,000 new U.S. patients are diagnosed with lymphoma annually. Any tobacco use and obesity are major modifiable ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p34.html

Hepatitis (and Other Liver Diseases) - American Family Physician

Jan 1, 2020 - This collection features AFP content on hepatitis and other liver disease, including cirrhosis, chronic liver failure, hemochromatosis, hepatitis A, hepatitis B, hepatitis C, jaundice, and nonalcoholic fatty liver disease. This collection features AFP content on hepatitis and other ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=38

Sleep Disorders in Adults - American Family Physician

Jan 1, 2020 - Advertisement AFP BY TOPIC Sleep Disorders in Adults Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on sleep disorders in adults and related issues, including continuous positive airway pressure...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=83

Beers Criteria for Inappropriate Medication Use in Older Patients: An Update from the ... Restricted content. Login required.

Jan 1, 2020 - The 2019 American Geriatrics Society update of the Beers Criteria uses the five criteria outlined in 2015; these include medications that should typically be avoided in most older patients, medications that should be avoided in older patients with certain conditions, medications that ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0101/p56.html

PLAC Test for Lp-PLA2 Activity to Predict Coronary Heart Disease - Diagnostic Tests: ... Restricted content. Login required.

Jan 1, 2020 - The PLAC test is a blood test used to measure serum activity of lipoprotein-associated phospholipase A2 (Lp-PLA2), an enzyme that breaks down oxidized low-density lipoprotein in the vascular wall.

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

https://www.aafp.org/afp/2020/0101/p44.html

Tapering Long-Term Opioid Therapy - Curbside Consultation - American Family Physician Restricted content. Login required.

Jan 1, 2020 - My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0101/p49.html

Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ... Restricted content. Login required.

Jan 1, 2020 - Guidelines recommend checking lipid levels in nonfasting patients. They are easier to obtain and are equally predictive of subsequent cardiac events. Although triglyceride levels may be higher in nonfasting patients, cholesterol levels will be similar whether the patient was fasting or ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p53.html

Exercise to Reduce Falls in Older Adults - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Jan 1, 2020 - Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0101/p42.html

Breast Implant—Associated Anaplastic Large Cell Lymphoma - Editorials - American Family...

Jan 1, 2020 - In October 2019, the FDA released draft guidance offering numerous recommendations to help ensure women have access to breast implant benefit and risk information, including that manufacturers incorporate a boxed warning and patient decision checklist in the device’s labeling, and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0101/p8.html

Antepartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians ... Restricted content. Login required.

Jan 1, 2020 - Omega-3 fatty acids, whether taken as supplements or consumed as part of the diet, reduce the risk of preterm birth (number needed to treat = 68) and early preterm birth (number needed to treat = 55).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p17.html

Addition of Steroids Improves Outcomes in Children and Adults with CAP - POEMs - ... Restricted content. Login required.

Jan 1, 2020 - Adding corticosteroid treatment to the management of CAP is beneficial for children and adults. Treatment decreases clinical failures, time in the hospital, and the risk of death in adults with severe pneumonia.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p55.html

Warfarin Dosages, PCOS, Varicose Veins, Gastroenteritis in Children, Plantar Fasciitis ... Restricted content. Login required.

Jan 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/2020/0101/p10.html

C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ... Restricted content. Login required.

Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p54.html

Adding Ultrasonography to Mammography Increases False-Positive Findings Without an ... Restricted content. Login required.

Jan 1, 2020 - Adding ultrasonography to screening mammography in women younger than 50 years at low, intermediate, or high breast cancer risk is not associated with an increase in breast cancer detection. It is associated with increased unnecessary biopsy recommendations and results in more frequent ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p53a.html

Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ... Restricted content. Login required.

Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p16.html

A Shrinking Primary Care Workforce in Puerto Rico - Graham Center Policy One-Pagers - ...

Jan 1, 2020 - In 2018, two-thirds of primary care physicians in Puerto Rico were older than 55 years, compared with 43% nationwide. Meanwhile, only four out of every 10 graduates of family medicine residencies from 2011 to 2017 remained on the island in 2018, placing Puerto Rico’s new family ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2020/0101/p13.html

Nodules on the Knuckles - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 1, 2020 - << Previous article Next article >> Jan 1, 2020 Issue Photo Quiz Nodules on the Knuckles MICAH PIPPIN, MD, Louisiana State University Health Sciences Center, Family Medicine Residency, Alexandria, Louisiana Am Fam Physician. 2020 Jan 1;101(1):47-48. A 55-year-old man presented with...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0101/p47.html

Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ... Restricted content. Login required.

Jan 1, 2020 - << Previous article Next article >> Jan 1, 2020 Issue Medicine by the Numbers A Collaboration of TheNNT.com and AFP Branched-chain Amino Acids for Patients with Hepatic Encephalopathy AHMED HAMED, MD; AMIRA HAMED, MD; and KARISSA LAMBERT, MD Am Fam Physician. 2020 Jan...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0101/od1.html

Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients ...

Jan 1, 2020 - Jan 1, 2020 Issue Letters to the Editor Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients with Acute Cough Am Fam Physician. 2020 Jan 1;101(1):5. Original Article: Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia [Point-of-Care...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p5.html

Physicians Can Help Patients Begin Grieving Process for Loss of a Loved One - Letters ...

Jan 1, 2020 - Jan 1, 2020 Issue Letters to the Editor Physicians Can Help Patients Begin Grieving Process for Loss of a Loved One Am Fam Physician. 2020 Jan 1;101(1):7. Original Article: Helping Patients Cope with Grief [Curbside Consultation] Issue Date: July 1, 2019 See additional reader...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p7.html

Screening for Atrial Fibrillation to Initiate Stroke-Protective Therapy - Letters to ...

Jan 1, 2020 - << Previous article Next article >> Jan 1, 2020 Issue Letters to the Editor Screening for Atrial Fibrillation to Initiate Stroke-Protective Therapy Am Fam Physician. 2020 Jan 1;101(1):6-7. Original Article: Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p6.html

Get the Most Out of Your AAFP Membership

Academy members receive exclusive products, programs, services and discounts totaling more than $4,000 in savings each year. In this Leader Voices Blog post, AAFP President Gary LeRoy, M.D., highlights some perks you might not be aware of.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200101lv-membervalue.html

Lymphoma: Diagnosis and Treatment - American Family Physician

Jan 1, 2020 - << Previous article Next article >> Jan 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/2020/0101/p34-s1.html

The top Medicare changes to know for 2020 -- FPM

The annual Medicare update includes changes to documentation requirements, coding and payment.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_Medicare_update.html

SNAP Work Requirements Won't Work

Kimberly Becher, M.D., writes in this Fresh Perspectives blog post that roughly 10% of her county's population was already receiving assistance from a local food bank before the federal government finalized a rule that will cut Supplemental Nutrition Assistance Program benefits.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191216fp-snap.html

Hyperlipidemia - American Family Physician

Dec 15, 2019 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels. This collection features AFP content on hyperlipidemia ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

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

Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p759.html

Eye and Vision Disorders - American Family Physician

Dec 15, 2019 - This collection features AFP content on eye and vision disorders, including amblyopia, eye examinations, glaucoma, LASIK surgery, ocular emergencies, red eye, vision loss, and vision screening. This collection features AFP content on eye and vision disorders, including amblyopia, eye ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=66

Influenza: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Influenza is an acute viral respiratory infection that causes significant morbidity and mortality worldwide. Three types of influenza cause disease in humans. Influenza A is the type most responsible for causing pandemics because of its high susceptibility to antigenic variation. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p751.html

Amblyopia: Detection and Treatment - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Amblyopia is the leading cause of monocular vision loss in children. Early recognition and treatment are important to prevent vision loss. The U.S. Preventive Services Task Force recommends vision screening for all children at least once between three and five years of age to detect the...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p745.html

Influenza - American Family Physician

Dec 15, 2019 - This collection features AFP content on influenza and related issues, including influenza vaccination and avian influenza. This collection features AFP content on influenza and related issues, including influenza vaccination and avian influenza.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=14

The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...

Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1215/p734.html

Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ... Restricted content. Login required.

Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1215/p782.html

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

Dec 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath 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/2019/1215/p742.html

Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting - Point-of-Care Guides... Restricted content. Login required.

Dec 15, 2019 - What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/1215/p778.html

One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ... Restricted content. Login required.

Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od5.html

Rash on the Ankle - Photo Quiz - American Family Physician Restricted content. Login required.

Dec 15, 2019 - A man presented with a vesicular rash on his ankle in a serpentine-like pattern.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1215/p773.html

Screening for Pancreatic Cancer: Recommendation Statement - U.S. Preventive Services ...

Dec 15, 2019 - The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.

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

https://www.aafp.org/afp/2019/1215/od1.html

Screening for Pancreatic Cancer - Putting Prevention into Practice - American Family ... Restricted content. Login required.

Dec 15, 2019 - A 71-year-old woman comes to your office for a regularly scheduled visit. She has type 2 diabetes mellitus and a 50-pack-year smoking history, and had non-ulcer dyspepsia two years ago. Her body mass index is 32 kg per m2, and her blood pressure is normal.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1215/p771.html

Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of... Restricted content. Login required.

Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od4.html

Augmentation of Antidepressant Treatment Offers Little Benefit - POEMs - American ... Restricted content. Login required.

Dec 15, 2019 - The available evidence that treatment-resistant depression (depression that is unresponsive to two different treatments of adequate dose and length) responds well to augmentation treatment (i.e., adding psychotherapy, lithium, or aripiprazole [Abilify] to current treatment) is weak.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od3.html

Baloxavir Marboxil (Xofluza) for Influenza - STEPS - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Single-dose baloxavir should be limited to ill patients who cannot tolerate or comply with a course of oseltamivir. For otherwise healthy adults with confirmed influenza or influenza-like illness, the high cost of baloxavir may not justify the one-day reduction in symptoms of a ...

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1215/p776.html

Platelet-Rich Plasma is Equal to Saline for Patients with Patellar Tendinopathy - POEMs... Restricted content. Login required.

Dec 15, 2019 - In this study, platelet-rich plasma injections were no better than saline injections in improving pain or activity in patients with patellar tendinopathy. It did not matter whether the plasma was leukocyte rich or leukocyte poor.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od2.html

Peptic Ulcers, Blood Lead Levels in Children, Diabetic Kidney Disease, VTE, Endometrial... Restricted content. Login required.

Dec 15, 2019 - 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/2019/1215/p740.html

Five changes that will affect physician payment and productivity in 2020 and beyond -- FPM

There are new codes for online digital E/M, blood pressure monitoring and other common services.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/medicare_update_2020.html

End-of-life Care Is as Important as All Care Preceding It

In this Leader Voices Blog post, family medicine resident Kelly Thibert, D.O., M.P.H., shares her first experience with helping a terminally ill patient decide how she wanted to live her final days.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191213lv-endoflife.html

Four ways to target blood pressure control -- FPM

Four steps to get your patients on the path to better blood pressure.

Family Practice Management : Quick Tips : FPM Home

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

A quick tip for last-minute gynecologic exams -- FPM

This prep method can save time when a patient needs an unplanned Pap smear.

Family Practice Management : Quick Tips : FPM Home

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

Check your final 2019 MIPS eligibility status -- FPM

The QPP Participation Status Tool tells physicians if they are required to report to the Merit-based Incentive Payment System (MIPS) for the 2019 performance year.

Family Practice Management : Getting Paid : FPM Home

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

Reflections on a Decade of Change

Positive and sometimes negative, the 2010s saw massive shifts in health policy. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin looks back at the issues he thinks made the biggest impact.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20191210itt-lookback.html

In Business -- Including Health Care -- Someone Has To Pay

A group of physicians recently spoke out about their institution's aggressive collections tactics. Allison Edwards, M.D., asks in this Fresh Perspectives post whether anyone will follow their lead in standing up for patients regarding skyrocketing costs in the U.S. health care system.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191209fp-collections.html

Med Student's Rotation Ignites Passion for Rural Care

Medical student Margaret Miller writes in this Leader Voices Blog post that rural clinical experiences have the potential to transform careers.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191209lv-ruralrotation.html

Nine measurements for evaluating the quality of your dementia care -- FPM

A nationally recognized, evidence-based, group of metrics physicians can use to evaluate their current level of dementia care and improve upon it.

Family Practice Management : Quick Tips : FPM Home

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

A basic model for behavioral health integration -- FPM

You can get paid to integrate basic behavioral health check-ins into your practice.

Family Practice Management : Quick Tips : FPM Home

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

FPM/STFM award goes to MedStar Franklin Square for innovative care coordination program...

The 2019 Practice Improvement Award recognizes Medstar Franklin Square Family Health Center for its efforts to improve care and reduce utilization for high-risk patients through intensive care coordination.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/practice_improvement_award_winner_2019.html

Three questions to ask before making a major change -- FPM

Asking these three questions before making a big change in your practice can help everyone affected stay united.

Family Practice Management : Quick Tips : FPM Home

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

New Medicare home health payment feature has implications for physician orders -- FPM

Home health changes coming to Medicare in 2020 won't affect physician payments, but could change how much information home health providers request in physician orders.

Family Practice Management : Getting Paid : FPM Home

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

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