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Medicine by the numbers

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Increased Quantity but Not Proportion: U.S. Medical Schools and Family Medicine Entry ...

Feb 1, 2019 - Expansion in the number of American medical schools since 2005 led to an absolute increase in graduates matching into family medicine (FM) residency programs from 2008 to 2018. Proportionally, however, FM training has become increasingly reliant on osteopathic physicians and U.S. ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0201/p153.html

Point-of-Care Ultrasonography: An Effective Tool When Used Appropriately - Letters to ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p143.html

The 2019 Medicare Documentation, Coding, and Payment Update -- FPM

Feb 1, 2019 - This year’s changes include some welcome documentation relief, new codes for portal and telephone encounters, and much more.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p23.html

Physicians, Medical Educators, Community Health Centers Strongly Support Training the ...

Feb 1, 2019 - Physicians, Medical Educators, Community Health Centers Strongly Support Training the Next Generation of Primary Care Doctors Act of 2019

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2019/training-next-generation-of-primary-care-doctors.html

Complementary and Integrative Treatments for Pain Management in Labor - Cochrane for ...

Feb 1, 2019 - There is evidence that all of the studied interventions have some benefit in labor, but the evidence is of low to very low quality. Massage, thermal interventions (warm and cold packs), relaxation techniques, yoga, and music reduce pain during latent labor, but not during active labor.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0201/p154.html

Using Empowered CMAs and Nursing Staff to Improve Team-based Care -- FPM

Feb 1, 2019 - Highly trained workers can perform more visit-related tasks, boosting care quality and reducing physician burnout.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p17.html

Tools for Better Dementia Care -- FPM

Feb 1, 2019 - Quality measures and clinical tools can bring focus and clarity to caring for patients with cognitive impairment and supporting their caregivers.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p11.html

Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor ...

Feb 1, 2019 - This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA because this is when the greatest benefit occurs. Harms were spread fairly evenly throughout the study period.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188a.html

Antibiotic Prophylaxis for UTIs in Patients with Neurogenic Bladder - FPIN's Help Desk ...

Feb 1, 2019 - Daily antibiotic prophylaxis should not be used in patients with acute and nonacute spinal cord injuries.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0201/p186.html

Chronic Sinusitis: Saline Irrigation Helps Somewhat; Steroid Does Not Add More Benefit ...

Feb 1, 2019 - This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188.html

Prevent Newborns' Eye Infection With Antibiotic Ointment

Jan 30, 2019 - The U.S. Preventive Services Task Force issued a final recommendation statement on applying prophylactic ocular topical medication for all newborns.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20190130uspstfgon.html

Accountable Care Organizations (ACOs)

Jan 24, 2019 - The AAFP supports the ACO model, and promotes benchmarks, information systems, and payment regulations that protect both patients and family physicians.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/delivery/acos.html

AAFP Seeks Flexibility in Medicare GME Funding Cap

Jan 24, 2019 - The AAFP asked CMS to allow more flexibility in the cap on Medicare support for graduate medical education to help offset the shortage of family physicians.

AAFP News : Government and Medicine

https://www.aafp.org/news/government-medicine/20190124gmecap.html

AAFP Weighs in With Its 'Vision for the Future'

Jan 23, 2019 - The AAFP responded to a draft report by the American Board of Medical Specialties Vision for the Future Commission with recommendations to make continuing board certification work for family physicians.

AAFP News : Physician Education and Development

https://www.aafp.org/news/education-professional-development/20190123visioncomments.html

FAQ on Transitional Care Management (TCM) -- Physician Payment

Jan 22, 2019 - Frequently asked questions about transitional care management, including what it is, how and when to bill for it, and what services are covered.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/medicare-coordination-services/tcm/tcmfaq.html

New Research Finds Rise in Pediatric Deaths From Opioids

Jan 18, 2019 - Findings from an analysis of CDC mortality data suggest that the number of opioid-related deaths in children each year may be much higher than previously reported.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20190118pedopioids.html

Family Medicine Board Review | Pass Your ABFM Exam -- CME

Jan 17, 2019 - Stay current and prepare for the ABFM board exam in all aspects of family medicine with this interactive, in-depth review. Approved for up to 52 AAFP Prescribed credits for CME. Family Medicine Board Review self-study offerings from AAFP.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/bd-review-selfstudy.html

Study: EHRs Contribute to Family Physician Stress, Burnout

Jan 16, 2019 - A survey of nearly 1,800 physicians in Rhode Island found that the use of electronic health records contributes significantly to stress and burnout among physicians.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20190116ehrstudy.html

Primary Care for Persons Who Inject Drugs - American Family Physician

Jan 15, 2019 - More than 750,000 persons in the United States inject opioids, methamphetamine, cocaine, or ketamine, and that number is increasing because of the current opioid epidemic. Persons who inject drugs (PWID) are at higher risk of infectious and noninfectious skin, pulmonary, cardiac, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0115/p109.html

Neuropsychological Evaluations in Adults - American Family Physician

Jan 15, 2019 - Neuropsychologists provide detailed assessments of cognitive and emotional functioning that often cannot be obtained through other diagnostic means. They use standardized assessment tools and integrate the findings with other data to determine whether cognitive decline has occurred, to ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0115/p101.html

Asthma - American Family Physician

Jan 15, 2019 - This collection features AFP content on asthma and related issues, including allergens, beta agonists, chronic cough, exercise-induced bronchoconstriction, inhalers, and wheezing. This collection features AFP content on asthma and related issues, including allergens, beta agonists, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=3

Intravenous Magnesium Sulfate for Acute Asthma Exacerbations - FPIN's Clinical ...

Jan 15, 2019 - Patients presenting to the emergency department with an acute asthma exacerbation that has not responded to first-line therapy (bronchodilators and corticosteroids) can be treated effectively with intravenous magnesium sulfate.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0115/p127.html

Prasterone (Intrarosa) for Dyspareunia - STEPS - American Family Physician

Jan 15, 2019 - Prasterone is similarly effective to nonprescription options for treating vaginal dryness and itching associated with menopause and may offer a small benefit in the treatment of dyspareunia.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0115/p117.html

No Margin, No Mission: Better Physician Pay = Better Patient Care

Jan 8, 2019 - AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines six areas of focus where the Academy's advocacy work is aimed at improving payment for primary care.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190108itt-betterpayment.html

Transitional Care Management Boosts Outcomes, Satisfaction

Jan 7, 2019 - Marc Price, D.O., writes that embracing transitional care management gave his practice a modest boost in revenue, better outcomes, and significant improvements in patient and staff satisfaction.

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

https://www.aafp.org/news/opinion/20190107guested-tcm.html

Model Legislation

Jan 4, 2019 - Use the AAFP’s Model Legislation Library to access examples of legislation created by other organizations for your use in creating state policy laws.

Advocacy : On the State Front

https://www.aafp.org/advocacy/states/model-legislation.workforce.0.html

Tiered and Narrowed Physician Networks

Jan 3, 2019 - Read the AAFP's position on the use of tiered and narrowed primary care physician networks and its effect on family medicine.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/physician-networks.html

New Research Examines Diversity in Family Medicine

Jan 2, 2019 - New research shows that although the family physician workforce has diversified over the past 30 years, some racial and ethnic minorities remain underrepresented.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20190102jabfmdiversity.html

Physician Well-being: Building on a Strong Foundation

Jan 2, 2019 - AAFP News spoke with AAFP Senior Vice President for Education Clif Knight, M.D., about the Academy's ongoing plans to address family physicians' risk for burnout and promote physician well-being and resilience.

AAFP News : Focus on Physician Well-being

https://www.aafp.org/news/focus-on-physician-well-being/20190102physwellbeing.html

Liberal vs. Conservative Oxygen Therapy in the Acutely Ill - Medicine by the Numbers - ...

Jan 1, 2019 - This review compares liberal and conservative oxygen therapy in acutely ill adults and their effect on mortality (in-hospital, 30-day, and longest follow-up) and morbidity (disability at longest follow-up, risk of hospital-acquired pneumonia, any hospital-acquired infection, and length ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0101/od1.html

Migraine Headache Prophylaxis - American Family Physician

Jan 1, 2019 - Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0101/p17.html

Urine Drug Tests: Ordering and Interpreting Results - American Family Physician

Jan 1, 2019 - Urine drug testing is an essential component of monitoring patients who are receiving long-term opioid therapy, and it has been suggested for patients receiving long-term benzodiazepine or stimulant therapy. Family physicians should be familiar with the characteristics and capabilities ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0101/p33.html

Inborn Errors of Metabolism: From Preconception to Adulthood - American Family Physician

Jan 1, 2019 - Inborn errors of metabolism (IEM), although individually rare, occur in 1 out of every 1,500 births. The first opportunity to detect IEM occurs during preconception counseling, when pregnant women and couples considering future pregnancies can undergo carrier screening. For individuals ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0101/p25.html

Prophylactic Vaccination Against Human Papillomavirus to Prevent Cervical Cancer and ...

Jan 1, 2019 - HPV vaccination in women 15 to 26 years of age prevents the development of cervical intraepithelial neoplasia (CIN) 2 and CIN 3 in women regardless of previous HPV exposure (number needed to treat [NNT] = 39). No serious adverse effects are associated with administration of the HPV ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0101/p15.html

Deprescribing Is an Essential Part of Good Prescribing - Editorials - American Family ...

Jan 1, 2019 - There are four important medication issues to discuss with patients as they get older. Find out more and learn the five steps to individualize deprescribing practices for each patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0101/p7.html

Correction - Corrections - American Family Physician

Jan 1, 2019 - ...Incorrect vaccine recommendations. The Medicine by the Numbers Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease (April 1, 2018, p. 463) included inaccurate details regarding the recommendations for administering pneumococcal vaccinations in patients with chronic...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0101/p5a.html

LABA Plus Inhaled Corticosteroid Reduces Exacerbations, But Not Hospitalizations - ...

Jan 1, 2019 - Adding a LABA to an inhaled corticosteroid is safe but does not reduce the likelihood of a serious exacerbation requiring hospitalization. There is a small reduction in nonsevere asthma exacerbations, with one fewer exacerbation for every 53 patients treated for six months.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p53.html

Performance Measures Criteria

Dec 20, 2018 - Learn about the AAFP's position on performance measure criteria including its measurability and achievability.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/performance-measures.html

The Adult Well-Male Examination - American Family Physician

Dec 15, 2018 - The adult well-male examination should provide evidence-based guidance toward the promotion of optimal health and well-being. The medical history should focus on tobacco and alcohol use, risk of human immunodeficiency virus and other sexually transmitted infections, and diet and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1215/p729.html

School Absenteeism in Children and Adolescents - American Family Physician

Dec 15, 2018 - Frequent school absenteeism has immediate and long-term negative effects on academic performance, social functioning, high school and college graduation rates, adult income, health, and life expectancy. Previous research focused on distinguishing between truancy and anxiety-driven ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1215/p738.html

Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...

Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/1215/p751.html

Why Are We So Slow to Adopt Some Evidence-Based Practices? - Editorials - American ...

Dec 15, 2018 - Physicians must accept that change is uncomfortable, recognizing the pain of giving up an old idea or practice as medical knowledge evolves around us. We need to remain flexible in our thinking if we are to meet our goal of doing our best when caring for every patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1215/p709.html

AAFP News - Dec 15, 2018 - American Family Physician

Dec 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1215/p707.html

Survey Breaks Down Clinicians' Views on Transgender Care

Dec 14, 2018 - A new report in the Annals of Family Medicine indicates that most -- but not all -- primary care clinicians are willing to provide care for transgender patients, but some feel unprepared to do so.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20181214transgendercare.html

Researchers Make the Case for Home-based Medical Care

Dec 12, 2018 - Noting an increase in the use of home-based medical care in the United States, researchers conclude that more primary care clinicians willing to provide this type of care are needed, and they call for improvements in value-based payment to help fill that gap.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20181212homecare.html

Why I Love Working in a Community Health Center

Dec 11, 2018 - Luis Garcia, M.D., spoke with several colleagues who work in community health centers, as he does, about what makes these practices so rewarding for family physicians.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20181211fp-chc.html

AAFP Offers Senate Suggestions for Improved Primary Care

Dec 10, 2018 - The AAFP recently advised a Senate committee to support work on advanced primary care, social determinants of health, direct primary care and CMS' Independence at Home demonstration project.

AAFP News : Government and Medicine

https://www.aafp.org/news/government-medicine/20181210senatetestimony.html

Academy Objects to Harmful 'Public Charge' Rule Change

Dec 6, 2018 - In a Dec. 3 letter, the AAFP signaled its strong opposition to a proposed change to the so-called public charge rule, which it said would endanger public health.

AAFP News : Government and Medicine

https://www.aafp.org/news/government-medicine/20181206publicchargeletter.html

Teaching Health Centers Funding a Top Priority for 2019

Dec 4, 2018 - AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that securing funding for the teaching health center program will be a top priority for the Academy when the new Congress convenes.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181204itt-thcgme.html

Early Invasive Management of Acute Coronary Syndromes - Medicine by the Numbers - ...

Dec 1, 2018 - Does early invasive management help patients with unstable angina or acute non–ST-segment elevation myocardial infarction (NSTEMI) in reducing occurence of death, myocardial infarction, angina symptoms, and rehospitalization at six- to 12-month follow-up? Find out.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1201/od1.html

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