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Taking Sexual History in Primary Care Settings: Where to Start?

Mar 1, 2017 - As a physician, you know what questions to ask when taking a sexual history, but are you comfortable asking them? Donna Sweet, M.D., outlines how to get the information needed to ensure appropriate care.

AAFP News : As We See It: Voices From the AAFP

Out of Control: What I Learned From 36 Hours in Labor

Feb 21, 2017 - Physicians like to be in control in health care settings, but Beth Oller, M.D., says doctors -- like all patients -- relinquish much control when they are admitted to a hospital.

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

Proteinuria in Children: Evaluation and Differential Diagnosis - American Family Physician

Feb 15, 2017 - Although proteinuria is usually benign in the form of transient or orthostatic proteinuria, persistent proteinuria may be associated with more serious renal diseases. Proteinuria may be an independent risk factor for the progression of chronic kidney disease in children. Mechanisms of ...

American Family Physician : Article

Acute Coronary Syndrome: Current Treatment - American Family Physician

Feb 15, 2017 - Acute coronary syndrome continues to be a significant cause of morbidity and mortality in the United States. Family physicians need to identify and mitigate risk factors early, as well as recognize and respond to acute coronary syndrome events quickly in any clinical setting. Diagnosis ...

American Family Physician : Article

New On-Demand Videos Highlight CPC Practice Achievements

Feb 15, 2017 - CMS' Center for Medicare and Medicaid Innovation has posted new videos that highlight innovations in three primary care practices.

AAFP News : Practice and Professional Issues

AAFP Webinar: Educating Patients on OTC Drug Safety

Feb 8, 2017 - The AAFP will host a free webinar on Feb. 16 from 8-9 p.m. CST that will focus on how to best educate patients about the safety of OTC analgesics.

AAFP News : Health of the Public

Top Preventive Services Recommendations Ranked by Relative Efficacy

Feb 3, 2017 - The National Commission on Prevention Priorities has updated its clinical preventive services rankings and has published them in the January/February issue of Annals of Family Medicine.

AAFP News : Health of the Public

Dizziness: Approach to Evaluation and Management - American Family Physician

Feb 1, 2017 - Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient’s history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have ...

American Family Physician : Article

Acute Coronary Syndrome: Diagnostic Evaluation - American Family Physician

Feb 1, 2017 - Myocardial infarction (MI), a subset of acute coronary syndrome, is damage to the cardiac muscle as evidenced by elevated cardiac troponin levels in the setting of acute ischemia. Coronary artery disease is the leading cause of mortality in the United States. Chest pain is a common ...

American Family Physician : Article

The Health Hazards of Air Pollution—Implications for Your Patients - Editorials - ...

Feb 1, 2017 - Air pollution has many deleterious health effects. Physicians can encourage their patients to recognize the health cobenefits of actions to support the environment.

American Family Physician : Editorials

National Heart Month 2017: Family Physicians Address the Heart of the Matter

Feb 1, 2017 - National Heart Month 2017: Family Physicians Address the Heart of the Matter

Press Center : Media Kits

AAFP, ACP: Lower Older Adultsand#8217; SBP to Below 150 mm Hg

Jan 18, 2017 - The AAFP and the American College of Physicians published a joint guideline on appropriate systolic blood pressure targets for patients 60 and older who have hypertension.

AAFP News : Health of the Public

Big Drop Seen in Diabetes-related Kidney Disease in Native Americans

Jan 18, 2017 - A recently released Morbidity and Mortality Weekly Report showed diabetes-related end-stage renal disease among Native American adults decreased 54 percent from 1996 to 2013.

AAFP News : Health of the Public

ACP and AAFP Release Guideline for Treatment of Hypertension in Adults 60 Years Old and...

Jan 17, 2017 - ACP and AAFP Release Guideline for Treatment of Hypertension in Adults 60 Years Old and Older

Press Center : News Releases and Statements

Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: ...

Jan 15, 2017 - The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are ...

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

Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults - American Family ...

Jan 15, 2017 - Guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) and the U.K. National Institute for Health and Care Excellence (NICE) indicate that lipid-lowering drugs have benefit for primary and secondary prevention of atherosclerotic cardiovascular disease ...

American Family Physician : Article

Taking Care of Disadvantaged Patients - Curbside Consultation - American Family Physician

Jan 15, 2017 - No single person can be responsible for the health of a population. However, there are a number of strategies for taking care of members of disadvantaged populations. These range from targeted compassion and interventions for the individual patient to broad advocacy for disadvantaged ...

American Family Physician : Curbside Consultation

Hypertension in Adults Over 60 -- Clinical Recommendation

Jan 9, 2017 - Access the AAFP clinical practice guideline on treatment of hypertension in adults over age 60.

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

2017 American Family Physician -- American Family Physician

Jan 4, 2017 - Search 2017 issues of American Family Physician, a publication of the American Academy of Family Physicians.

American Family Physician : AFP Home

Tools From Health is Primary Help Keep Patients Engaged

Jan 4, 2017 - The Health is Primary campaign from Family Medicine for America's Health has developed tools to promote family medicine's foundational role in health care.

AAFP News : Resources and Tools for Members in 2017

ADA Updates Standards of Medical Care for Patients with Diabetes Mellitus - Practice ...

Jan 1, 2017 - The American Diabetes Association (ADA) recently updated its standards of care to provide the components of diabetes care, general treatment goals, and tools to evaluate the quality of care. Key changes in the 2016 update include new screening recommendations, clarification of ...

American Family Physician : Practice Guidelines

Autism Spectrum Disorder: Primary Care Principles - American Family Physician

Dec 15, 2016 - Autism spectrum disorder is characterized by difficulty with social communication and restricted, repetitive patterns of behavior, interest, or activities. The Diagnostic and Statistical Manual of Mental Disorders, 5th ed., created an umbrella diagnosis that includes several previously ...

American Family Physician : Article

Diabetes Mellitus: Management of Gastrointestinal Complications - American Family ...

Dec 15, 2016 - Gastrointestinal disorders are common complications of diabetes mellitus and include gastroparesis, nonalcoholic fatty liver disease, gastroesophageal reflux disease, and chronic diarrhea. Symptoms of gastroparesis include early satiety, postprandial fullness, nausea, vomiting of ...

American Family Physician : Article

Screening for Lipid Disorders in Children and Adolescents: Recommendation Statement - ...

Dec 15, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for lipid disorders in children and adolescents 20 years or younger.

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

Tailor CVD Prevention Counseling Decisions for Low-, Average-risk Adults

Dec 2, 2016 - A draft U.S. Preventive Services Task Force statement recommends that physicians consider offering or referring adults at low or average cardiovascular disease (CVD) risk to counseling to promote a healthy diet and physical activity to prevent CVD.

AAFP News : Health of the Public

Hormone Therapy and Other Treatments for Symptoms of Menopause - American Family Physician

Dec 1, 2016 - The results of large clinical trials have led physicians and patients to question the safety of hormone therapy for menopause. In the past, physicians prescribed hormone therapy to improve overall health and prevent cardiac disease, as well as for symptoms of menopause. Combined ...

American Family Physician : Article

Prescribe Statins for Adults With CVD Risk Factor, Heightened 10-year Risk

Nov 16, 2016 - On Nov. 13, the U.S. Preventive Services Task Force published a final recommendation statement and evidence summary on statin use for the primary prevention of cardiovascular disease in adults.

AAFP News : Health of the Public

FP Credits CPC Initiative With Practice Turnaround

Nov 16, 2016 - After a family physician's positive experience with CMS' Comprehensive Primary Care initiative, he is urging his colleagues to apply for future iterations of the program.

AAFP News : MACRA Ready

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common, affecting at least 12 million U.S. men. The five-question International Index of Erectile Function allows rapid clinical assessment of ED. The ...

American Family Physician : Article

Acute Monoarthritis: Diagnosis in Adults - American Family Physician

Nov 15, 2016 - Acute monoarthritis can be the initial manifestation of many joint disorders. The most common diagnoses in the primary care setting are osteoarthritis, gout, and trauma. It is important to understand the prevalence of specific etiologies and to use the appropriate diagnostic modalities....

American Family Physician : Article

USPSTF: Screen Children, Adolescents for Obesity

Nov 8, 2016 - The U.S. Preventive Services Task Force recommends screening children and teens for obesity and offering or referring those with a positive result to intensive behavioral interventions.

AAFP News : Health of the Public

AAFP Supports FDA's Voluntary Sodium Reduction Goals

Nov 2, 2016 - The Academy recently sent a letter to the FDA supporting the agency's draft guidance on voluntary sodium reduction goals for commercial food producers.

AAFP News : Health of the Public

Initial Management of Patients with HIV Infection - American Family Physician

Nov 1, 2016 - Human immunodeficiency virus (HIV) infection has become a treatable chronic disease with near-normal life expectancy when patients receive antiretroviral therapy (ART). Family physicians and other primary care clinicians commonly provide long-term comprehensive care for persons with HIV...

American Family Physician : Article

Hypertensive Urgency Not Really an Urgent Problem - POEMs - American Family Physician

Nov 1, 2016 - It seems that rapid treatment of patients with hypertensive urgency is unsuccessful and unnecessary. In this study of almost 60,000 patients, 80% did not have controlled blood pressure (less than 140/90 mm Hg) after one month of treatment, including patients who were hospitalized. On ...

American Family Physician : POEMs

Primary Care for Patients with HIV Infection: It’s Not Who Should Provide It, It’s How ...

Nov 1, 2016 - The major challenge is not to address whether primary care clinicians without substantial HIV experience should provide HIV care, but to create a framework that allows all primary care clinicians to provide the best possible care for their patients living with HIV infection.

American Family Physician : Editorials

High-Deductible Plans May Reduce Ambulatory Care Use - Graham Center Policy One-Pagers ...

Nov 1, 2016 - Although rates of uninsured Americans are declining because of the Affordable Care Act (ACA), there is growing concern about out-of-pocket expenditures associated with private high-deductible insurance plans.

American Family Physician : Graham Center Policy One-Pagers

FP Essentials Editions by Clinical Topic -- FP Essentials

Oct 18, 2016 - View current and past editions of this monthly family medicine monograph series from the AAFP. Subscribe to receive monthly or purchase individual issues. Available in-print and online.

CME | FP Essentials : Subscriptions

Prescribing for Opioid Addiction Is My Responsibility

Oct 17, 2016 - Federal law requires physicians to pass an eight-hour course and apply for a waiver to prescribe buprenorphine. Alan Schwartzstein, M.D., explains why he thinks it's a worthwhile investment.

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

The Pretravel Consultation - American Family Physician

Oct 15, 2016 - Key components of the pretravel consultation include intake questions regarding the traveler’s anticipated itinerary and medical history; immunizations; malaria prophylaxis; and personal protection measures against arthropod bites, traveler’s diarrhea, and injury. Most vaccinations that...

American Family Physician : Article

ACE Inhibitors or ARBs to Prevent CKD in Patients with Microalbuminuria - FPIN's ...

Oct 15, 2016 - ACE inhibitors reduce the risk of progression to macroalbuminuria in normotensive patients with microalbuminuria and type 1 diabetes mellitus.

American Family Physician : FPIN's Clinical Inquiries

Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer:...

Oct 15, 2016 - The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) in adults aged 50 to 59 years who have a 10% or greater 10-year CVD risk, are not at increased risk for bleeding, have a life expectancy of at ...

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

Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer ...

Oct 15, 2016 - S.L. is a 55-year-old man who presents to your office for a routine refill of his antihypertension medication. He also takes a statin and an antidepressant. Although he smokes, his blood pressure and cholesterol are well controlled. His history and physical examination are unremarkable.

American Family Physician : Putting Prevention into Practice

ACIP Updates Influenza Vaccination Recommendations for 2016-2017 - Practice Guidelines ...

Oct 15, 2016 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its annual recommendations for routine influenza vaccination in the 2016–2017 season.

American Family Physician : Practice Guidelines

Review for ABFM Board Exam with an AAFP Live Course -- CME

Oct 10, 2016 - Get everything you need to pass the ABFM Board exam when you attend this dynamic 3-1/2 day live course. Learn from case studies and 400-plus Board-style questions condensed into quick, 30- to 45-minute lectures by Board-certified physicians.

CME : CME by Topic

Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign - ...

Oct 1, 2016 - The authors applied a novel method to identify recent clinical studies that showed results consistent with the principles of the Choosing Wisely campaign. The method, based on crowdsourcing studies known as POEMs (patientoriented evidence that matters), involved analyzing POEM ratings ...

American Family Physician : Article

Practical Ways to Improve Medication Adherence -- FPM

Oct 1, 2016 - Half of our patients do not take their medications, but we can change that.

Family Practice Management : The Last Word

Exercise Is Effective Therapy for Chronic Nonbacterial Prostatitis and Chronic Pelvic ...

Oct 1, 2016 - ...CNP/CPPS; men with this condition at the start of the surveys in 1986 were excluded. The surveys also included questions on tobacco use, hypertension, duration of weekly screen time in 1988, amount of physical activity, and type of physical activity. Based on symptoms, 689 men...

American Family Physician : Letter

USPSTF: Screen Pregnant Women for Pre-eclampsia Using BP

Sep 30, 2016 - The U.S. Preventive Services Task Force posted a draft recommendation statement calling for pregnant women to be screened for pre-eclampsia with blood pressure measurements throughout pregnancy.

AAFP News : Health of the Public

Keynote Speaker -- a Surgeon -- Sings Family Medicine's Praises

Sep 26, 2016 - Family Medicine Experience keynoter and surgeon Atul Gawande, M.D., applauded family physicians' ability to work collaboratively with patients to tackle complex medical problems.

AAFP News : News From 2016 COD and FMX

Pulmonary Hypertension: Diagnosis and Treatment - American Family Physician

Sep 15, 2016 - Pulmonary hypertension is a common, complex group of disorders that result from different pathophysiologic mechanisms but are all defined by a mean pulmonary arterial pressure of 25 mm Hg or greater. Patients often initially present to family physicians; however, because the symptoms ...

American Family Physician : Article

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