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Harness AI to Enable Family Medicine's Health Care Vision

Artificial intelligence is undeniably part of medicine's future. Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., writes in this Leader Voices Blog post that family physicians must be prepared to take advantage of the opportunities AI presents.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191204lv-ai.html

Patients Need to Know the True Cost of 'Free' Screenings

Natasha Bhuyan, M.D., writes in this Fresh Perspectives blog post that free health screenings often come at a high cost and overshadow what patients actually need: prevention.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191203fp-screening.html

Five reasons you can’t get things done in your organization -- FPM

Author Peter Senge offers several laws that govern organizational behavior. Five of them are particularly apropos to physicians who are trying to build something new within their organizations but facing resistance.

Family Practice Management : Quick Tips : FPM Home

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

Acute Kidney Injury: Diagnosis and Management - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Acute kidney injury is a clinical syndrome characterized by a rapid decline in glomerular filtration rate and resultant accumulation of metabolic waste products. Acute kidney injury is associated with an increased risk of mortality, cardiovascular events, and progression to chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p687.html

Kidney Disease - American Family Physician

Dec 1, 2019 - This collection features AFP content on kidney disease and related issues, including acute renal failure, chronic kidney disease, dialysis, hematuria, proteinuria, and renal disease. This collection features AFP content on kidney disease and related issues, including acute renal ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=15

Nonspecific Low Back Pain and Return To Work - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Nonspecific low back pain refers to a condition without a distinct etiology to explain its associated symptoms. This pain may become chronic and is a major cause of work loss around the world. Without a specific explanation for a patient’s symptoms, the family physician is charged with ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p697.html

Hypothermia and Cold Weather Injuries - American Family Physician Restricted content. Login required.

Dec 1, 2019 - Hypothermia, frostbite, and nonfreezing cold injuries predominantly affect older adults, homeless or intoxicated people, adventurers, and military personnel. Prevention begins with clothing that is clean, layered, and loose to promote circulation. Base layers made of moisture-wicking ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p680.html

Occupational Health - American Family Physician

Dec 1, 2019 - Advertisement AFP BY TOPIC Occupational Health Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on occupational health, including back pain and injuries, impairment and disability evaluations,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=89

Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...

Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1201/p672.html

The Right-Sized Patient Panel: A Practical Way to Make Adjustments for Acuity and ... Restricted content. Login required.

Dec 1, 2019 - Do you have the right number of patients on your panel? Here’s a process and a spreadsheet for calculating and adjusting your panel based on actual patient behavior.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p23.html

Diagnosing VTE: Guidelines from the American Society of Hematology - Practice ... Restricted content. Login required.

Dec 1, 2019 - The American Society of Hematology has published recommendations for determining the optimal diagnostic strategy based on pretest risk.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1201/p716.html

General Health Checks in Adults for Reducing Disease-Related Morbidity and Mortality - ... Restricted content. Login required.

Dec 1, 2019 - General health check visits have no benefit on cardiovascular morbidity or on total, cardiovascular, or cancer-related mortality. There is also no evidence that they cause patient harm.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p676.html

Advance Care Planning: How to Have the Conversation You Want With Your Patients -- FPM Restricted content. Login required.

Dec 1, 2019 - More patients are receiving intensive care in their last days of life, even though studies show that most don’t want it. Family physicians are uniquely positioned to make sure patients’ wishes are recorded and respected.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p18.html

Empiric Treatment for Acute Pharyngitis - Photo Quiz - American Family Physician Restricted content. Login required.

Dec 1, 2019 - A woman presented with fever and throat pain, with vesicular lesions over the soft palate and uvula.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1201/p713.html

Practical Ways to Address Physician Burnout and Improve Joy in Practice -- FPM Restricted content. Login required.

Dec 1, 2019 - It starts with one simple principle: Get rid of stupid stuff in your practice. Here’s how.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p7.html

Alpha Blockers for Nephrolithiasis - FPIN's Clinical Inquiries - American Family Physician Restricted content. Login required.

Dec 1, 2019 - The alpha blocker tamsulosin (Flomax) can be used to improve clearance of stones larger than 5 mm, shorten expulsion times, and reduce hospitalization.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1201/p710.html

Bringing Behavioral Health Into Your Practice Through a Psychiatric Collaborative Care ... Restricted content. Login required.

Dec 1, 2019 - Learn how to implement an integrated behavioral health program that will more than pay for itself while increasing patients’ access to care.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p11.html

Combined Hormonal Contraceptives for Heavy Menstrual Bleeding - Cochrane for Clinicians... Restricted content. Login required.

Dec 1, 2019 - Combined oral contraceptives decrease the number of women reporting menorrhagia over six months compared with placebo (absolute risk reduction = 36.7%; number needed to treat = 2.7).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p677.html

Coding & Documentation - Nov-Dec 2019 -- FPM Restricted content. Login required.

Dec 1, 2019 - Work relative value units | Vaccination refusal | Marijuana use | Lesion treatment for new patients | Patient discharge without seeing patient

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/1100/p30.html

Taking the Fear Out of Error Disclosure -- FPM Restricted content. Login required.

Dec 1, 2019 - What if we could talk about medical mistakes without fear of judgment or punishment?

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2019/1100/p36.html

A Devoted Couple - Close-ups - American Family Physician

Dec 1, 2019 - Life-long devotion and a mind-body mortality link between spouses.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/1201/p709.html

A Jury of One's Peers -- FPM

Dec 1, 2019 - FPM depends on readers like you to review submitted manuscripts and help us deliver useful, high-quality content.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/1100/p6.html

Statin Treatment, Early Pregnancy Loss, Ingrown Toenails, Blood Pressure, ADHD, ... Restricted content. Login required.

Dec 1, 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/2019/1201/p671.html

Practice Pearls - Nov-Dec 2019 -- FPM Restricted content. Login required.

Dec 1, 2019 - Liven up your exam rooms | Be prepared for last-minute gynecologic exams | Use nudges to encourage behavior change

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/1100/p31.html

Pelvic Floor Muscle Training for Treatment of Urinary Incontinence in Women - Medicine ... Restricted content. Login required.

Dec 1, 2019 - << Previous article Next article >> Dec 1, 2019 Issue Medicine by the Numbers A Collaboration of TheNNT.com and AFP Pelvic Floor Muscle Training for Treatment of Urinary Incontinence in Women DONALD M. CHAFFEE, MD, and ELIZABETH T. HARPSTER, MD Am Fam Physician. 2019 Dec...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1201/od1.html

A tool for calculating the right-sized patient panel -- FPM

Here's a five-step method for right-sizing your patient panel.

Family Practice Management : Quick Tips : FPM Home

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

How to respond if a teen patient’s parent wants access to records -- FPM

If the parent of an adolescent patient contacts you or your staff wanting to know why the teen visited your practice, the teen patient’s information must be kept private if any of these situations apply.

Family Practice Management : Quick Tips : FPM Home

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

You Earned That Raise; Here's How to Keep It

Subspecialists are fighting a CMS final rule that would boost Medicare primary care payment by 12%. In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin asks family physicians to join the Academy in protecting the win.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20191126itt-payincrease.html

How Much Will This Cost, Doc?

Allison Edwards, M.D., writes in this Fresh Perspectives blog post that CME can arm physicians with new approaches to treatment, but too often discussions leave out the aspect of cost and value.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191126fp-cost.html

Time to choose your Medicare status for 2020 -- FPM

Physicians have until Dec. 31 to decide how they plan to participate in Medicare in 2020.

Family Practice Management : Getting Paid : FPM Home

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

AAFP Leaders Give Thanks for Paths to Family Medicine

With Thanksgiving approaching, we asked some members of the AAFP Board of Directors why they're glad they chose family medicine. They shared their answers in this Leader Voices Blog post.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191125lv-thankgiving.html

Four reasons your team doesn't get along -- FPM

Health care can be a high-stress environment, but if infighting, negativity, cliques, and back-biting are pervasive, the underlying issues need to be identified and addressed.

Family Practice Management : Quick Tips : FPM Home

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

Three quick tips for exam room safety -- FPM

You don't typically enter the exam worried about the potential for violence, but increased awareness of your surroundings can help keep you safe during visits.

Family Practice Management : Quick Tips : FPM Home

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

When should you code for marijuana use? -- FPM

If patients report marijuana use in their social history, but have no related complaints, should you list an ICD-10 code for it?

Family Practice Management : Quick Tips : FPM Home

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

Meth Use: The Most Challenging Chronic Disease I've Met

As her state deals with a new level of methamphetamine abuse, Kimberly Becher, M.D., writes in this Fresh Perspectives blog post that she's confronting a wave of poor health outcomes related to the epidemic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191120fp-meth.html

What to do when an MBI changes -- FPM

It's time to start using Medicare Beneficiary Identifiers, if you aren't already. But how will you know if a patient's MBI changes?

Family Practice Management : Getting Paid : FPM Home

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

A technique for easing advance care planning conversations -- FPM

Advance care planning conversations can get emotional. Here's one way to prepare.

Family Practice Management : Quick Tips : FPM Home

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

Depression in Children and Adolescents: Evaluation and Treatment - American Family ... Restricted content. Login required.

Nov 15, 2019 - The prevalence of major unipolar depression in children and adolescents is increasing in the United States. In 2016, approximately 5% of 12-year-olds and 17% of 17-year-olds reported experiencing a major depressive episode in the previous 12 months. Screening for depression in ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p609.html

Specific Learning Disabilities: The Family Physician's Role - American Family Physician Restricted content. Login required.

Nov 15, 2019 - Academic underachievement, such as failing a class and the threat of being held back because of academic issues, is common. Family physicians can provide support and guidance for families as they approach their child’s unique academic challenges. Specific learning disabilities are a ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p628.html

The Changing Climate: Managing Health Impacts - American Family Physician Restricted content. Login required.

Nov 15, 2019 - Concentrations of greenhouse gases continue to accumulate in the atmosphere at increasing rates, heating the Earth’s surface and destabilizing climate. Health impacts from climate change may include increased morbidity and mortality from worsening cardiopulmonary health, worsening ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p618.html

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ... Restricted content. Login required.

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

Hydrogen Peroxide 40% (Eskata) for Seborrheic Keratosis - STEPS - American Family ... Restricted content. Login required.

Nov 15, 2019 - Hydrogen peroxide 40% topical solution is not particularly effective for removing seborrheic keratosis lesions, and skin reactions are common.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1115/p643.html

Preexposure Prophylaxis for the Prevention of HIV Infection: Recommendation Statement -...

Nov 15, 2019 - The USPSTF recommends that clinicians offer preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition.

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

https://www.aafp.org/afp/2019/1115/od1.html

Screening for HIV Infection: Recommendation Statement - U.S. Preventive Services Task ...

Nov 15, 2019 - The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk of infection should also be screened.

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

https://www.aafp.org/afp/2019/1115/od2.html

Screening for HIV Infection and Preexposure Prophylaxis for the Prevention of HIV ... Restricted content. Login required.

Nov 15, 2019 - J.S., a 29-year-old transgender woman, presents for her first maintenance visit with a new family physician. It has been three years since her previous visit with a primary care physician. She has no chronic illnesses, stopped using tobacco products four years ago, and reports that she ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1115/p637.html

Climate Change Health Impacts: A Role for the Family Physician - Editorials - American ...

Nov 15, 2019 - Why is climate change a matter of such importance to us as health care professionals, and why must we act?

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1115/p602.html

Fully Automated Blood Pressure Measurement Is the Way to Go in the Office - POEMs - ... Restricted content. Login required.

Nov 15, 2019 - automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646.html

As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients... Restricted content. Login required.

Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646a.html

Platelet-Rich Plasma Injection Not Beneficial for Nonoperative Treatment of Rotator ... Restricted content. Login required.

Nov 15, 2019 - The review found no evidence that supports any additional benefit of platelet-rich plasma injections compared with various control interventions, including saline placebo, in the non-operative treatment of rotator cuff disease in adults.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p647.html

Climate Change: What the Science Tells Us - Editorials - American Family Physician

Nov 15, 2019 - The sounds of alarm increasingly manifested across multiple sectors around the globe are warranted, and the science shows why.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1115/od3.html

Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ... Restricted content. Login required.

Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p648.html

Aspirin for CVD, Scabies, Intimate Partner Violence, Maternal Vaccines, Caregiver ... Restricted content. Login required.

Nov 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/2019/1115/p606.html

Potential Drug Interactions in Patients Taking Oral Contraceptive Pills - Letters to ...

Nov 15, 2019 - Nov 15, 2019 Issue Letters to the Editor Potential Drug Interactions in Patients Taking Oral Contraceptive Pills Am Fam Physician. 2019 Nov 15;100(10):599-600. Original Article: Clinically Relevant Drug-Drug Interactions in Primary Care Issue Date: May 1, 2019 See additional reader...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p599.html

Seizure with Brain Lesions - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 15, 2019 - << Previous article Next article >> Nov 15, 2019 Issue Photo Quiz Seizure with Brain Lesions MERIMA BUCAJ, DO; HENNA PARMAR, MD; and PHILIPPE BIERNY, MD, Abrazo Community Health Network, Phoenix, Arizona Am Fam Physician. 2019 Nov 15;100(10):639-641. A 42-year-old man presented after...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1115/p639.html

Spinosad: A Low-Risk, Effective Treatment for Lice - Letters to the Editor - American ...

Nov 15, 2019 - << Previous article Next article >> Nov 15, 2019 Issue Letters to the Editor Spinosad: A Low-Risk, Effective Treatment for Lice Am Fam Physician. 2019 Nov 15;100(10):601. Original Article: Lice and Scabies: Treatment Update Issue Date: May 15, 2019 Available online at:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p601.html

Electronic Cigarettes: More Questions Than Answers - Letters to the Editor - American ...

Nov 15, 2019 - Nov 15, 2019 Issue Letters to the Editor Electronic Cigarettes: More Questions Than Answers Am Fam Physician. 2019 Nov 15;100(10):600-601. Original Article: Electronic Cigarettes: Common Questions and Answers Issue Date: August 15, 2019 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p600.html

Let People Taste Family Medicine and They'll See Our Value

AAFP President Gary LeRoy, M.D., writes in this Leader Voices Blog post that family medicine has been undervalued too long, a perception that the Academy is taking big steps to change.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191115lv-lobster.html

What can a care team coordinator do for you? -- FPM

In some practices coordinators lighten the load by taking on administrative and clinical duties so physicians can focus on patients.

Family Practice Management : Quick Tips : FPM Home

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

Depression in Children and Teens - American Family Physician

Nov 15, 2019 - << Previous article Next article >> Nov 15, 2019 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/2019/1115/p609-s1.html

Behavioral Health -- FPM Topic Collection

Nov 14, 2019 - Advertisement Topic Collection Behavioral Health Editors' Choice of Best Available Content This article collection features popular FPM content on topics such as substance use disorders or other addictions and mental health conditions. Categories Mental Health...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=111

Five ways to orbit the "hairball" of red tape and regulations -- FPM

Within your organizational boundaries, try to find new, invigorating, and satisfying ways to practice medicine.

Family Practice Management : Quick Tips : FPM Home

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

My Rx Is Simple: Do Less

Margaux Lazarin, D.O., M.P.H., writes in this Fresh Perspectives blog post that free time is undervalued in our society and that it's OK to say no to things that might overwhelm our schedules.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191113fp-doless.html

Time is running out to transition to new Medicare numbers -- FPM

Effective Jan. 1, 2020, you must use Medicare Beneficiary Identifiers (MBIs) when billing Medicare, regardless of the date of service.

Family Practice Management : Getting Paid : FPM Home

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

HHS taking applications for Primary Care First alternative payment model -- FPM

The bundled services model will offer performance bonuses of up to 50%, with downside risk of just -10%.

Family Practice Management : Getting Paid : FPM Home

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

Here's What You Need to Know About Primary Care First

In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin summarizes key points of the new Primary Care First program.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20191112itt-PCF.html

Share the Art of Medicine by Embracing the Role of Mentor

As the breadth of medical education expands, Alan Schwartzstein, M.D., writes in this Leader Voices Blog post that physicians should make time to teach students the basic skill of building relationships with patients.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191107lv-precepting.html

Should Appearance Matter in Medicine?

When we asked our new physician bloggers for their opinions on a recent survey regarding physician footwear, the conversation quickly broadened to take in attire, appearance and professionalism. Read more in this Fresh Perspectives post.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191106fp-attire.html

Medicare finalizes physician fee schedule and Quality Payment Program for 2020 -- FPM

Highlights from the 2020 Medicare physician fee schedule include new codes for chronic care management and principal care management.

Family Practice Management : Getting Paid : FPM Home

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

Hidradenitis Suppurativa: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Nov 1, 2019 - Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. Additional risk factors include family history, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p562.html

Care of the Military Veteran: Selected Health Issues - American Family Physician Restricted content. Login required.

Nov 1, 2019 - According to the U.S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. Less than one-half of all veterans receive care at a Veterans Health Administration or military treatment facility, leaving most to receive services from...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p544.html

Stuttering: Understanding and Treating a Common Disability - American Family Physician Restricted content. Login required.

Nov 1, 2019 - Childhood-onset fluency disorder, the most common form of stuttering, is a neurologic disability resulting from an underlying brain abnormality that causes disfluent speech. Stuttering can lead to significant secondary effects, including negative self-perception and negative perception ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p556.html

Pilonidal Disease Management: Guidelines from the ASCRS - Practice Guidelines - ... Restricted content. Login required.

Nov 1, 2019 - The American Society of Colon and Rectal Surgeons (ASCRS) has released a clinical practice guideline to provide physicians with diagnosis and treatment options of pilonidal disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1101/p582.html

The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ... Restricted content. Login required.

Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/1101/p575.html

Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ... Restricted content. Login required.

Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1101/p540.html

Aspirin for Colon Cancer Risk Prevention - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Nov 1, 2019 - Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1101/od2.html

Foot Blisters in a 30-Pack-Year Smoker - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 1, 2019 - A woman presented with blisters on the sole of her foot.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1101/p579.html

Oral H1 Antihistamines as Add-on Therapy to Topical Treatment for Eczema - Cochrane for... Restricted content. Login required.

Nov 1, 2019 - In children with eczema, there is no evidence to support the addition of oral H1 antihistamines to standard treatment regimens. In adults, the use of fexofenadine (Allegra), 120 mg per day, improves patient-assessed eczema symptoms compared with placebo (number needed to treat = 11; 95%...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1101/p541.html

Ticagrelor Compared to Clopidogrel in Acute Coronary Syndrome and Stable Coronary ... Restricted content. Login required.

Nov 1, 2019 - The authors determined there is no benefit from the use of ticagrelor in patients with acute coronary syndrome and stable coronary artery disease because of the uncertainty about benefits and evidence of potential harms.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1101/od1.html

Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ... Restricted content. Login required.

Nov 1, 2019 - The allopurinol hypersensitivity assay, or HLA-B*58:01 test, is a blood test to detect the presence of a human leukocyte antigen B (HLA-B) genetic variant that increases the risk of life-threatening, severe cutaneous adverse reactions in patients taking allopurinol.

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

https://www.aafp.org/afp/2019/1101/p530.html

Physician Burnout and Stress While Interacting with Patients - Curbside Consultation - ... Restricted content. Login required.

Nov 1, 2019 - Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/1101/p537.html

Military Health History: Resources for Use at the Point of Care - Editorials - American...

Nov 1, 2019 - Many clinicians outside of the VA or military are unaware of the importance of specific aspects of the military health history. The clinical expertise of health care professionals in the VA and military health systems can be leveraged to expand training opportunities.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1101/p523.html

Breast Problems, Pelvic Pain, Allergic Rhinitis, Polypharmacy, Peripheral Artery ... Restricted content. Login required.

Nov 1, 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/2019/1101/p526.html

What Role Do Benzodiazepines Have in Treating Patients with Anxiety? - Letters to the ...

Nov 1, 2019 - << Previous article Next article >> Nov 1, 2019 Issue Letters to the Editor What Role Do Benzodiazepines Have in Treating Patients with Anxiety? Am Fam Physician. 2019 Nov 1;100(9):520. To the Editor: As a psychiatrist embedded within a family practice setting, I have found that many...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1101/p520.html

Benefits of Preparticipation Evaluation Extend Beyond Cardiac Screening - Letters to ...

Nov 1, 2019 - Nov 1, 2019 Issue Letters to the Editor Benefits of Preparticipation Evaluation Extend Beyond Cardiac Screening Am Fam Physician. 2019 Nov 1;100(9):520-521. Original Article: Right Care for Children: Top Five Do's and Don'ts Issue Date: March 15, 2019 See additional reader comments...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1101/p520a.html

Five Books, Five Podcasts for Every Medical Student

Margaret Miller's peers asked her for recommendations on books and podcasts that can benefit medical students. In this Leader Voices Blog post, she picks her top five in both categories.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190101lv-studentmedia.html

Two tasks highly efficient practices delegate to their patients -- FPM

Achieving greater practice efficiency often requires addressing key workflows, rethinking who does what, and delegating appropriately. In some instances, this can mean delegating tasks to patients.

Family Practice Management : Quick Tips : FPM Home

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

Understanding and Treating Childhood-Onset Stuttering - American Family Physician

Nov 1, 2019 - << Previous article Next article >> Nov 1, 2019 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/2019/1101/p556-s1.html

Veterans: What to Expect When You Return from Deployment - American Family Physician

Nov 1, 2019 - << Previous article Next article >> Nov 1, 2019 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/2019/1101/p544-s1.html

Talking with patients about risks: do's and don'ts -- FPM

To improve your communication with patients about risk, follow these do's and don'ts.

Family Practice Management : Quick Tips : FPM Home

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

Let's Fix Rural Americans' Inadequate Access to Care

It's no surprise that rural communities are suffering from health disparities, Kyle Leggott, M.D., writes in this Fresh Perspectives blog post. Although 20% of Americans live in rural areas, only 12% of primary care physicians practice there.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20191030fp-ruraltraining.html

Three practical skills that can help you be a better doctor -- FPM

Good doctors have not only excellent clinical skills but also practical skills they likely learned outside of medical school.

Family Practice Management : Quick Tips : FPM Home

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

Speak Out for Teaching Health Centers Today

Funding for the Teaching Health Center Graduate Medical Education program runs out Nov. 21. In this Leader Voices Blog post, John Cullen, M.D., asks AAFP members to join efforts to reauthorize funding and expand the program.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20191029lv-thcgme.html

Closing Down Tobacco Road

In his latest In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights the Academy's advocacy efforts related to tobacco and nicotine regulation and tells family physicians how to learn more about a new payment model.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20191029itt-tobacco.html

Productivity -- FPM Toolbox

Oct 28, 2019 - Download worksheets to help you calculate panel size and distribute call more equitably.

Family Practice Management : FPM Toolbox : Productivity

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=25

Career Management -- FPM Toolbox

Oct 28, 2019 - Download tools to help you plan and manage your career.

Family Practice Management : FPM Toolbox : Career Management

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=3

Medicare resolves beneficiary entitlement date errors -- FPM

CMS has fixed an issue with beneficiary entitlement date errors that caused improper claim denials and is reprocessing affected claims.

Family Practice Management : Getting Paid : FPM Home

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

AAFP Global Health Summit

Discover international family medicine activities, share your experiences and learn from others at the AAFP Global Health Summit, September 17-19, 2020

Events : Global Health Summit

https://www.aafp.org/events/global-health.html

Four quick tips for bringing humor to your practice -- FPM

Medicine is serious business. Some comic relief may be just what you and those around you need to get through a tough day.

Family Practice Management : Quick Tips : FPM Home

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

ICD-10-CM vaping coding guidance -- FPM

The CDC has issued supplemental ICD-10 guidance to help physicians submit claims for services provided to patients with vaping-related lung injuries.

Family Practice Management : Getting Paid : FPM Home

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

Decoding the CPT midpoint rule -- FPM

If the time of service listed in a CPT code descriptor exceeds the time you spend providing the service, you may still be able to bill for it.

Family Practice Management : Quick Tips : FPM Home

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

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