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Medicine by the numbers

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Personal Experience Is Not Always Consistent with Published Evidence - Letters to the ...

Jul 15, 2019 - ...to add. For those who have been in medicine long enough to see evidence-based processes be proved wrong with follow-up studies, it is hard to jump on board a change that one's experience also has shown to be false. The good news is that medicine continues to grow and change, and...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0715/p73.html

Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...

Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p119.html

Semaglutide (Ozempic) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2019 - Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0715/p116.html

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes ...

Jul 15, 2019 - In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p120.html

We Can't Leave Health Care Policies to Chance

Jul 12, 2019 - In this Leader Voices Blog post, AAFP President-elect Gary LeRoy, M.D., reflects on a recent visit to the New Jersey AFP's annual meeting and the need for quality measures that make sense.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190712lv-boardwalk.html

Emergency and Urgent Care Self-Study Package -- CME

Jul 12, 2019 - Refine your emergency care skills on topics that include pediatric emergencies, stroke and stroke mimics, vascular emergencies and more.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/er-urgent.html

When It Comes to Hiring Faculty Physicians, Money Talks

Jul 11, 2019 - Results of a survey of family medicine department chairs provide new insight into the factors associated with successfully filling vacancies for faculty physicians.

AAFP News : Physician Education and Development

https://www.aafp.org/news/education-professional-development/20190711facultyhiring.html

Webinar Will Cover Best Practices for Tapering Opioids

Jul 10, 2019 - The National Academy of Medicine will host a free webinar from 3 to 4:30 p.m. EDT on July 22 to discuss best practices and evidence standards on tapering patients off opioids. NAM plans to publish a discussion paper that builds on the webinar early next year.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20190710opioidtaper.html

Learn to Conquer Your EHR System During 'Happy Hour'

Jul 10, 2019 - A recent article in the July/August issue of Annals of Family Medicine describes how implementation of a peer-to-peer learning format has eased physician frustrations with their EHRs.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20190710ehrhappyhour.html

New AAFP Initiative Addresses Rural Health Care Crisis

Jul 9, 2019 - Rural America is suffering from a health care crisis, a product of inadequate funding, economic downturn and lack of an appropriate health care workforce. In response, the AAFP is launching an Academy-wide effort to improve health care in rural communities. In this Leader Voices Blog ...

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

https://www.aafp.org/news/blogs/leadervoices/entry/20190709lv-ruralhealthmatters.html

Primary Care Caucus

Jul 8, 2019 - The Primary Care Caucus focuses its efforts on an approach to advance primary care that is comprehensive, continuous, and connected.

Advocacy : Track and Discuss the Issues

https://www.aafp.org/advocacy/track/primary-care-caucus.html

Fight for Improved Maternal Health Depends on FPs

Jul 3, 2019 - The United States has the worst maternal mortality rate in the industrialized world. Jessica Taylor Goldstein, M.D., urges FPs to join her in a march to better outcomes.

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

https://www.aafp.org/news/opinion/20190703guestedmaternal.html

Revised Poverty Line Could Endanger Millions, AAFP Warns

Jul 2, 2019 - The AAFP has urged the Trump administration to reconsider a proposed recalibration of the federal poverty line that could greatly reduce the number of patients able to qualify for Medicaid and other safety-net programs.

AAFP News : Government and Medicine

https://www.aafp.org/news/government-medicine/20190702revpovertyline.html

Preventing Spontaneous Abortion with Progestin Therapy - Medicine by the Numbers - ...

Jul 1, 2019 - The use of progestin therapy in women with recurrent pregnancy loss appears to reduce the incidence of spontaneous abortion, preterm labor, and stillbirth, and increase the rate of live birth. However, due to issues with the studies the authors were hesitant to give progestin their full...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0701/od1.html

Polypharmacy: Evaluating Risks and Deprescribing - American Family Physician

Jul 1, 2019 - Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. There are several risk factors that can lead to polypharmacy. Patient-related factors include having multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0701/p32.html

Heart Failure - American Family Physician

Jul 1, 2019 - This collection features AFP content on heart failure and related issues, including angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), cardiomyopathy, cardioverter-defibrillators, congestive heart failure, and diastolic and systolic heart failure. This...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=26

Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...

Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0701/p49.html

Medication Management for Chronic Heart Failure with Preserved Ejection Fraction - ...

Jul 1, 2019 - Mineralocorticoid receptor antagonists reduce hospitalizations for patients with HFpEF. Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers have not been shown to change the morbidity or mortality in patients with HFpEF.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0701/p17.html

2019-20 AFP Podcast Team -- American Family Physician

Jul 1, 2019 - The AFP Podcast is a discussion of the key evidence-based learning points from each issue of American Family Physician (AFP). Each episode includes brief summaries of articles and other features.

American Family Physician : AFP Home

https://www.aafp.org/journals/afp/explore/podcast-2019-20.html

Study Compares USPSTF, Other Lung Cancer Screening Guidance

Jun 29, 2019 - A research letter published June 4 in Annals of Internal Medicine discussed a study that analyzed how new risk thresholds could identify more current/former smokers eligible for lung cancer screening.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20190629lungcastudy.html

AAFP Backs Breastfeeding, Lactation for Medical Trainees

Jun 26, 2019 - The AAFP has updated its policy supporting breastfeeding and lactation accommodations for medical trainees, which other medical organizations plan to use as model policy for their members.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20190626breastfeedpolicy.html

Now's the Time: Speak Out to Support Primary Care

Jun 25, 2019 - In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights two primary care issues being debated by Congress and explains how you can help them advance.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190625itt-hcbills.html

Obesity Education in Family Medicine Clerkships Falls Short

Jun 25, 2019 - New research on obesity education in family medicine clerkships shows gaps that may leave future family physicians inadequately prepared to treat patients with this condition.

AAFP News : Physician Education and Development

https://www.aafp.org/news/education-professional-development/20190625obesityeduc.html

Data in (Direct) Primary Care: Striking the Right Balance

Jun 24, 2019 - In this Fresh Perspectives blog post, Allison Edwards, M.D., writes that the health care system has done a poor job of measuring quality overall, but says that direct primary care can start over with a blank slate.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190624fp-dpcmeasures.html

Do Residents' Skills Match Medicare Patients' Needs?

Jun 20, 2019 - New research suggests that family medicine residents' training does not align with the most common procedures that Medicare patients need.

AAFP News : Physician Education and Development

https://www.aafp.org/news/education-professional-development/20190620proceduretraining.html

My Message to Students: Why Family Medicine Matters

Jun 19, 2019 - Marking the sixth anniversary of his graduation from residency, Kurt Bravata, M.D., reflects on what he wishes every first-year medical student knew about family medicine.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20190619fpwhyfm.html

AAFP Delegation Stands Up for Residency Teaching Faculty

Jun 19, 2019 - AAFP delegates supported physicians-in-training during this year's AMA House of Delegates annual meeting as they sought to ensure that their instructors can devote adequate time to teaching duties.

AAFP News : Physician Education and Development

https://www.aafp.org/news/education-professional-development/20190619ama-educ.html

Diabetic Kidney Disease: Diagnosis, Treatment, and Prevention - American Family Physician

Jun 15, 2019 - Globally, approximately 20% of the 400 million individuals with diabetes mellitus have diabetic kidney disease (DKD). DKD is associated with higher cardiovascular and all-cause morbidity and mortality, so timely diagnosis and treatment are critical. Screening for early DKD is best done ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0615/p751.html

Plantar Fasciitis - American Family Physician

Jun 15, 2019 - Plantar fasciitis is a common problem that one in 10 people will experience in their lifetime. Plantar fasciopathy is an appropriate descriptor because the condition is not inflammatory. Risk factors include limited ankle dorsiflexion, increased body mass index, and standing for ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0615/p744.html

Headache - American Family Physician

Jun 15, 2019 - This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type headaches, and treatment of headaches. This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=10

Depression Following Acute Coronary Syndrome Events: Screening and Treatment Guidelines...

Jun 15, 2019 - The purpose of this guideline is to provide recommendations that are relevant to primary care for the screening and treatment of depression in patients following an acute coronary syndrome (ACS) event.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0615/od2.html

Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting - ...

Jun 15, 2019 - When is it safe to treat a patient with community-acquired pneumonia a an outpatient?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0615/p768.html

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...

Jun 15, 2019 - The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.

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

https://www.aafp.org/afp/2019/0615/od1.html

Use of More Specific Terminology May Assist in Better Diagnosis of Abdominal Wall ...

Jun 15, 2019 - ...Based on this premise, the Family Medicine Education Consortium's Interventions to Minimize Preterm and Low Birthweight Infants through Continuous Quality Improvement Techniques Network (www.fmec.net/implicit) developed a proactive approach to interconception care. As a quality...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0615/p731.html

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...

Jun 15, 2019 - A 20-year-old male with a history of exercise-induced asthma presents to your office for his yearly physical. He is a student at the local university and is on the university fencing team. When asked about his classwork, he expresses that college is going okay but can be stressful ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0615/p771.html

H. pylori Screening Before Initiation of Long-term NSAIDs - FPIN's Clinical Inquiries -...

Jun 15, 2019 - Physicians should perform laboratory screening for and eradicate H. pylori before initiating long-term NSAID therapy in NSAID-naive patients to reduce the risk of peptic ulcer disease.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0615/p783.html

Ensuring Primary Care Access in States with an Aging Family Physician Workforce - ...

Jun 15, 2019 - In many states, at least 40% of family physicians are older than 55. Therefore, policymakers should support broad training models that produce enough primary care physicians to meet state population needs.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0615/p743.html

60-Second Survey Gives Insight Into Unmet Social Needs

Jun 12, 2019 - Researchers found that a brief survey administered to patients helped identify obstacles to maintaining good health.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20190612minutesurvey.html

Breastfeeding and Lactation for Medical Trainees

Jun 11, 2019 - Read AAFP's position on breastfeeding and lactation for medical trainees.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/breastfeeding-accommodations-trainees.html

Focusing on Single Issue Guarantees Inaction on Others

Jun 11, 2019 - AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that disagreement on a single issue shouldn't prevent collaboration on others.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190611itt-singleissue.html

Going the Extra Mile for Transgender Patients

Jun 10, 2019 - When Izzy Lowell, M.D., M.B.A., realized how great the need was for transgender care in her region, she created a five-state practice to fill the void.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190610fdf-lowell.html

Study: Talking About Medication Costs Yields Rewards

Jun 5, 2019 - Researchers found that a 60-minute training intervention with physician practices helped increase the frequency of cost-of-medication conversations with patients, which, in turn, enabled clinicians to identify those for whom cost was a specific barrier.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20190605costconversations.html

Academy Lauds Bills Aimed at Curbing Teen Smoking, Vaping

Jun 5, 2019 - The AAFP is voicing support for several recent bills addressing the U.S. epidemic of youth tobacco and nicotine use.

AAFP News : Government and Medicine

https://www.aafp.org/news/government-medicine/20190605tobacco21.html

Questions When Getting Started -- CME

Jun 4, 2019 - Access responses to frequently asked questions regarding AAFP CME Credit Systems, and the application process.

CME : AAFP Credit System

https://www.aafp.org/cme/creditsys/about/faq/getting-started.html

FP Reflects on Service on Front Lines of Family Medicine

Jun 3, 2019 - During a 22-year stint in the Army, including more than a decade serving as a White House physician, Col. Kevin O'Connor, D.O., has found himself continually searching for ways to better serve his patients, whether it's in a classroom, at a hospital or in a war zone.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190603fdf-oconnor.html

Antibiotic Prophylaxis in Patients with COPD - Medicine by the Numbers - American ...

Jun 1, 2019 - This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0601/od1.html

Adolescent Substance Use and Misuse: Recognition and Management - American Family ...

Jun 1, 2019 - Adolescent use of illicit substances imposes an enormous burden on individuals, families, and communities. The types of illicit substances adolescents are using have changed drastically over the past decade with decreases in alcohol use (including binge alcohol use) offset by increases ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p689.html

Caregiver Care - American Family Physician

Jun 1, 2019 - Eighty percent of adults requiring long-term care currently live at home in the community, and unpaid family caregivers provide 90% of their care. Family caregivers serve as a critical extension of the U.S. health care system, and the demand for family caregivers is expected to increase...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p699.html

Chronic Obstructive Pulmonary Disease - American Family Physician

Jun 1, 2019 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32

Coding & Documentation - May-Jun 2019 -- FPM

Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0500/p31.html

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