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Medicine by the numbers

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The 2020 Medicare Documentation, Coding, and Payment Update -- FPM

Feb 1, 2020 - The Centers for Medicare and Medicaid Services is trying to make Medicare documentation less burdensome and planning more changes that should result in a pay raise for family physicians in the future.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p8.html

Headache - American Family Physician

Feb 1, 2020 - 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

Menopause - American Family Physician

Feb 1, 2020 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59

Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level ...

Feb 1, 2020 - Some of the top family physicians on social media share their best practices for building a following and avoiding common pitfalls.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p19.html

Skin Conditions - American Family Physician

Feb 1, 2020 - This collection features AFP content on common skin conditions and related issues, including acne, dermatitis, dermatologic emergencies, generalized rash, lichen planus, nail disorders, newborn skin, office procedures, premalignant lesions, and psoriasis. This collection features AFP ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=21

Immunizations (excluding Influenza) - American Family Physician

Feb 1, 2020 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=63

Pneumonia - American Family Physician

Feb 1, 2020 - This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care. This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=22

Improving the Waiting Room Experience -- FPM

Feb 1, 2020 - Adding a touch of tech, a dose of education, and plenty of creature comforts to your waiting room can make it more palatable for patients.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0100/p14.html

Screening for childhood trauma history -- FPM

Jan 24, 2020 - Several screening tools can help you identify patients whose health may be affected by adverse childhood experiences (ACEs).

Family Practice Management : In Practice Blog : FPM Home

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

Publication Ethics in American Family Physician -- American Family Physician

Jan 23, 2020 - afp, american family physician, publication ethics

American Family Physician : AFP Home

https://www.aafp.org/journals/afp/explore/publication-ethics-in-american-family-physician.html

Advanced APM Bonuses Hit New Snag: Missing Payee Data

Jan 22, 2020 - CMS is asking qualifying alternative payment model participants who are still owed advanced APM bonuses for performance year 2017 to verify their payment data by Feb. 28.

AAFP News : Government and Medicine

https://www.aafp.org/news/government-medicine/20200122paymentinfo.html

Burnout by Numbers

Jan 21, 2020 - Recent surveys and studies paint a bleak landscape regarding physician burnout. AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin writes in this In The Trenches blog post that the continued shortcomings of electronic health records are the prime driver.

AAFP News : In the Trenches : Blogs

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

Study: FM Residencies Need More Telehealth Training

Jan 21, 2020 - Armed with survey results that show many residencies use telehealth infrequently, researchers say family medicine residents need more training in telehealth services.

AAFP News : Physician Education and Development

https://www.aafp.org/news/education-professional-development/20200121residenttelehealth.html

Study Shows Ways to Effectively Manage Electronic Messages

Jan 21, 2020 - Two dozen primary care physicians, including several family physicians, share techniques and strategies for electronic messaging and inbox management in a new study.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20200121manageinbox.html

Functional Dyspepsia: Evaluation and Management - American Family Physician

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

American Family Physician : Article

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

Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care - American Family ...

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

American Family Physician : Article

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

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

Jan 15, 2020 - ...America Needs More Family Doctors: 25×2030 Collaborative Aims to Get More Medical Students into Family Medicine JACOB PRUNUSKE, MD, MSPH, Medical College of Wisconsin, Wausau, Wisconsin Am Fam Physician. 2020 Jan 15;101(2):82-83. The United States faces a shortage of primary care...

American Family Physician : Editorials

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

Chronic Obstructive Pulmonary Disease - American Family Physician

Jan 15, 2020 - 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

Atrial Fibrillation - American Family Physician

Jan 15, 2020 - This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, antiplatelet therapy, arrhythmias, and palpitations. This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=33

Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme...

Jan 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0115/p75.html

Pain Medications Before IUD Placement - FPIN's Help Desk Answers - American Family ...

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

American Family Physician : FPIN's Help Desk Answers

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

Try These Tips to Overcome Flu Vaccine Hesitancy

Jan 9, 2020 - During what is shaping up to be a severe flu season, Margot Savoy, M.D., M.P.H., offers tips on vaccinating reluctant patients in this Leader Voices Blog post.

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

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

The Economics of Our Health Care System Are Horrifying

Jan 7, 2020 - Millions of Americans are forgoing health care because of cost while others are accruing staggering debt to pay for care. AAFP Senior Vice President of Advocacy, Practice Management and Policy Shawn Martin examines a growing crisis in this In the Trenches blog post.

AAFP News : In the Trenches : Blogs

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

Health Equity Fellow Targets Obesity in Clinic, Community

Jan 6, 2020 - AAFP Health Equity Fellow Keisha Harvey, M.D., has embarked on a broad campaign to address obesity with efforts in physician offices and throughout the community.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20200106fdf-harvey.html

Adolescent Idiopathic Scoliosis: Common Questions and Answers - American Family Physician

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

American Family Physician : Article

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

Lymphoma: Diagnosis and Treatment - American Family Physician

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

American Family Physician : Article

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

Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ...

Jan 1, 2020 - ...Medicine by the Numbers A Collaboration of TheNNT.com and AFP Branched-chain Amino Acids for Patients with Hepatic Encephalopathy AHMED HAMED, MD; AMIRA HAMED, MD; and KARISSA LAMBERT, MD Am Fam Physician. 2020 Jan 1;101(1):online. Enlarge Print BRANCHED-CHAIN AMINO ACIDS FOR...

American Family Physician : Medicine by the Numbers

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

Musculoskeletal Care - American Family Physician

Jan 1, 2020 - This collection features AFP content on musculoskeletal care and related issues, including fracture management, joint aspiration, joint injections, pain in various parts of the body (foot and ankle; neck and back; hip; knee; arm and shoulder; and wrist and hand). This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=17

Coronary Artery Disease/Coronary Heart Disease - American Family Physician

Jan 1, 2020 - This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and myocardial infarction. This collection features AFP content on coronary artery disease ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=4

Prenatal Care - American Family Physician

Jan 1, 2020 - This collection features AFP content on prenatal care and related issues, including preconception care, folic acid, medication safety, nausea and vomiting, pregnancy complications, and prenatal screening. This collection features AFP content on prenatal care and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=25

Pain: Chronic - American Family Physician

Jan 1, 2020 - This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy. This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=61

Cancer - American Family Physician

Jan 1, 2020 - This collection features AFP content on cancer and related issues, including various types (breast, cervical, childhood, colorectal, lung, oral, ovarian, prostate, skin, testicular, and other types of cancer). This collection features AFP content on cancer and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=31

Hepatitis (and Other Liver Diseases) - American Family Physician

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

American Family Physician : AFP By Topic

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

Intrapartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians...

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

American Family Physician : Cochrane for Clinicians

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

C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ...

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

American Family Physician : POEMs

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

Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...

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

American Family Physician : Cochrane for Clinicians

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

Nodules on the Knuckles - Photo Quiz - American Family Physician

Jan 1, 2020 - ...MICAH PIPPIN, MD, Louisiana State University Health Sciences Center, Family Medicine Residency, Alexandria, Louisiana Am Fam Physician. 2020 Jan 1;101(1):47-48. A 55-year-old man presented with nonpainful, red masses on his knuckles that had been recurring for years. The lesions...

American Family Physician : Photo Quiz

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

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

Jan 1, 2020 - ...Editor’s Note: Dr. Ebell is Deputy Editor for Evidence-Based Medicine for AFP. References 1. Ebell MH, Radke T. Antibiotic use for viral acute respiratory tract infections remains common. Am J Manag Care. 2015;21(10):e567–e575. 2. Van Vugt S, Broekhuizen BD, Lammens C, et al. Use of...

American Family Physician : Letter

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

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

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

American Family Physician : FPIN's Clinical Inquiries

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

Study Highlights Lack of Self-care Among Medical Residents

Dec 24, 2019 - New research indicates that a concerning number of medical residents do not have a routine place for care, making them less likely to utilize valuable preventive screenings and services.

AAFP News : Physician Education and Development

https://www.aafp.org/news/education-professional-development/20191224residentscare.html

Influenza: Diagnosis and Treatment - American Family Physician

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

American Family Physician : Article

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

Cirrhosis: Diagnosis and Management - American Family Physician

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

American Family Physician : Article

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

Hyperlipidemia - American Family Physician

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

American Family Physician : AFP By Topic

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

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

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

American Family Physician : Editorials

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

One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ...

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

American Family Physician : POEMs

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

Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of...

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

American Family Physician : POEMs

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

CDC: Time to Ramp Up HIV Testing, Treatment, Prevention

Dec 11, 2019 - Too many Americans are unaware they have HIV infection, and when they know, they aren't treating it correctly, according to a new CDC report. A separate study found that distributing HIV self-tests increased awareness and prevented transmission.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20191211mmwrhiv.html

Study Examines Factors Linked to FPs' Use of E-Visits

Dec 11, 2019 - New research has found that less than 10% of practicing family physicians offer e-visits, with lack of payment and time thought to be primary factors behind the low adoption rate.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20191211e-visits.html

Reflections on a Decade of Change

Dec 10, 2019 - Positive and sometimes negative, the 2010s saw massive shifts in health policy. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin looks back at the issues he thinks made the biggest impact.

AAFP News : In the Trenches : Blogs

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

AAFP Schools Congressional Task Force on Rural Health

Dec 9, 2019 - In a recent letter, the AAFP advised a House task force on steps to address the nation's rural health crisis with more primary care physicians practicing at their full scope.

AAFP News : Government and Medicine

https://www.aafp.org/news/government-medicine/20191209ruraltaskforce.html

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