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Misconceptions About Antibiotics for Children's ARIs Persist
Misconceptions About Antibiotics for Children's ARIs Persist
Children typically experience four to 12 acute respiratory infections (ARIs) a year, and many times, they are prescribed antibiotics despite evidence that, at best, the drugs provide only marginal benefits and, at worst, they may actually cause harm.
Evidence Lacking to Support Screening for Celiac Disease
Evidence Lacking to Support Screening for Celiac Disease
The USPSTF said it did not review evidence on nonceliac gluten sensitivity because the condition is defined based on the presence of symptoms rather than diagnostic test results, and it is not known to lead to health complications associated with celia...
Hospital Shooting Raises Questions About Safety, Mental Health
Hospital Shooting Raises Questions About Safety, Mental Health
I can still feel the sense of shock and horror I experienced recently when I heard that a disgruntled physician had killed another doctor and wounded six others(www.nytimes.com) at Bronx-Lebanon Hospital Center in New York.
Primary Care Needs -- and Deserves -- More Research Dollars
Primary Care Needs -- and Deserves -- More Research Dollars
My patient wanted to discuss two things: 1) an article he read online about a miracle back surgery that could cure chronic pain and 2) golfer Tiger Woods. This conversation took place in the aftermath of Woods' fourth back surgery in three years and a ...
Patients Trust Social Media, so Be Their Trusted Source
Patients Trust Social Media, so Be Their Trusted Source
Some people still don't grasp the utility of social media in the medical landscape. However, more than 2.5 billion people are using social platforms worldwide(www.statista.com), and the percentage of Americans using social media has increased from 24 p...
Delegates Focus on Improving Health Equity
Delegates Focus on Improving Health Equity
During the 2017 National Conference of Constituency Leaders (NCCL) held here April 27-29, AAFP members from the five constituency groups -- women; minorities; new physicians; international medical graduates (IMGs); and lesbian, gay, bisexual and transg...
Despite Narrowing Gap, Racial Health Disparities Remain
Despite Narrowing Gap, Racial Health Disparities Remain
The good news is that the death rate for African-Americans declined 25 percent between 1999 and 2015, according to a newly released CDC Morbidity and Mortality Weekly Report.
AMA Opioid Task Force Issues Safe Storage, Disposal Resource
AMA Opioid Task Force Issues Safe Storage, Disposal Resource
The AMA Task Force to Reduce Opioid Abuse, of which the AAFP is a member, has released a new resource family physicians can use to promote safe use, storage and disposal of opioids and other medications.
Study Finds Even Split Between 'Desktop Medicine,' Office Visits
Study Finds Even Split Between 'Desktop Medicine,' Office Visits
Primary care physicians treat patients in more ways than just via face-to-face office visits, and now researchers have gathered more evidence to show that payment should reflect this reality.
Get Paid for Giving Feedback on CMS' QPP Website
Get Paid for Giving Feedback on CMS' QPP Website
CMS wants to improve its Quality Payment Program (QPP) website(qpp.cms.gov) and make it more useful by creating a streamlined system for CMS staff to manage information for physicians and their practices.
A Year's Reprieve in New Zealand Gives FP Fresh Perspective
A Year's Reprieve in New Zealand Gives FP Fresh Perspective
In 2004, family physician Wayne Strouse, M.D., temporarily shuttered his practice in Penn Yan, N.Y., packed up his family and moved to New Zealand. It would have been his ninth year as a rural doctor, but Strouse sought refuge from burnout in his famil...
Quality Payment Program Early Review Shows Progress, Pitfalls
Quality Payment Program Early Review Shows Progress, Pitfalls
Many family physicians across the country are busy taking care of patients while simultaneously working to understand the regulations controlling CMS' new Quality Payment Program (QPP)
AAFP Recommends Against Pelvic Exams in Asymptomatic Women
AAFP Recommends Against Pelvic Exams in Asymptomatic Women
�On March 7, the U.S. Preventive Services Task Force published its final recommendation statement and evidence review on screening asymptomatic, nonpregnant adult women for gynecologic conditions using pelvic examination.
Ongoing FDA Review of Fluoroquinolones Downplays Concerns
Ongoing FDA Review of Fluoroquinolones Downplays Concerns
FDA officials announced(www.fda.gov) May 10 that previous concerns about fluoroquinolone use boosting the risk for retinal detachment and aortic dissection or aneurysm have not been borne out by patient case data and published studies the agency has ex...
VA Offers Funding for Residency Program Expansion
VA Offers Funding for Residency Program Expansion
Two family physicians who currently hold positions with the Department of Veterans Affairs (VA) recently spent some time at the AAFP's Program Directors Workshop in Kansas City, Mo., drumming up enthusiasm about a VA program that could prove very benef...
Have You Mastered Patient, Family Engagement?
Have You Mastered Patient, Family Engagement?
When family physicians are able to engage patients and their families as partners in making health care decisions, magic happens. Research has shown that health outcomes improve, patient satisfaction goes up, and health care costs go down.
Sorry, I'm Too Busy for Your Busy Work
Sorry, I'm Too Busy for Your Busy Work
A few months ago, I wrote about "hitting the wall" in medicine -- reaching a point of exhaustion and work fatigue that led to depression. Since then, I have found myself having conversations with physicians -- both in and out of family medicine -- abou...
FP Experts Offer Perspective on Incarceration and Health
FP Experts Offer Perspective on Incarceration and Health
The United States has the highest incarceration rate in the world.(www.prisonpolicy.org) The U.S. Bureau of Justice Statistics estimated that more than 6.7 million people(www.bjs.gov) were being supervised by the nation's adult correctional systems as ...
Broader Look Shows How PCMH Touches Practices, Patients
Broader Look Shows How PCMH Touches Practices, Patients
Dozens of articles each year evaluate progress of the patient-centered medical home (PCMH), but a new report takes a broader view to examine how elements of the model in both medical home and nonmedical home practices affect cost, quality and utilization.
CMS Selects Four New Regions to Expand CPC+ Initiative
CMS Selects Four New Regions to Expand CPC+ Initiative
CMS Selects Four New Regions to Expand CPC+ Initiative
New CMS Resources Aim to Guide Physicians Through MIPS
New CMS Resources Aim to Guide Physicians Through MIPS
CMS recently added three new online resources to assist physicians who already are participating in the Merit-based Incentive Payment System (MIPS) in 2017 or perhaps are just now exploring the opportunities available.
USPSTF: Screen for Pre-eclampsia Using BP Throughout Pregnancy
USPSTF: Screen for Pre-eclampsia Using BP Throughout Pregnancy
On April 25, the U.S. Preventive Services Task Force (USPSTF) published its final recommendation statement and final evidence summary on screening for pre-eclampsia.
AAFP Crafts QPP Executive Summary to Inform Family Physicians
AAFP Crafts QPP Executive Summary to Inform Family Physicians
The AAFP has posted for family physicians' review a two-page executive summary(2 page PDF) that highlights some key provisions of CMS' recently proposed updates to the 2018 Quality Payment Program (QPP).
Stay Kind, Stay Connected, Stay Well: Advice for New Residents
Stay Kind, Stay Connected, Stay Well: Advice for New Residents
I helped deliver a baby my intern year. It was an easy delivery with a loving, relaxed couple. The dad later asked me to stage a photo with me holding his son high in the air, mimicking a scene from The Lion King, while the nurses pretended to be anima...
Learn About Assuming Risk in Advanced Alternative Payment Models
Learn About Assuming Risk in Advanced Alternative Payment Models
For some, the word "risk" can evoke images of loss, damage and danger and may cause a person to take a different course of action. But risk-taking doesn't have to be scary and, in fact, can prove beneficial if a particular risk is understood, evaluated...
Meridian Expands EpiPen Recall to Include U.S.
Meridian Expands EpiPen Recall to Include U.S.
Meridian Medical Technologies last week announced that it was expanding a voluntary recall of its EpiPen and EpiPen Jr. epinephrine auto-injector products to include 13 U.S. lots distributed between December 2015 and July 2016. At issue is a possible d...
Engage With Your Senators on Health Care Legislation
Engage With Your Senators on Health Care Legislation
The AAFP has for months warned that the American Health Care Act (AHCA) recently passed by the U.S. House to replace the Patient Protection and Affordable Care Act (ACA) would, if enacted, result in millions of newly insured Americans losing their cove...
Disease Outbreak Shows What -- and Why -- We Can Learn From Mistakes
Disease Outbreak Shows What -- and Why -- We Can Learn From Mistakes
Many times during the course of my three-year family medicine residency, I watched one of my attendings do something well that I've struggled with my entire life: telling someone they're wrong in a caring and considerate but firm way -- that is, instru...
Secure Benefits of Annual Wellness Visit for Practices, Patients
Secure Benefits of Annual Wellness Visit for Practices, Patients
Does your practice offer the Medicare annual wellness visit (AWV) to eligible patients?
Congress of Delegates Convenes Sept. 11-13 in San Antonio
Congress of Delegates Convenes Sept. 11-13 in San Antonio
Make the trek to Alamo City for this year's AAFP Congress of Delegates (COD), which will meet Sept. 11-13 in the Texas Ballroom of the Grand Hyatt San Antonio. The COD will convene in conjunction with the AAFP Family Medicine Experience, which is sched...
Broad Physician Coalition Pushes Senate for Better Health Legislation
Broad Physician Coalition Pushes Senate for Better Health Legislation
Before senators cast a significant vote affecting the nation's health care policy, leaders from the AAFP and a coalition of other national physician organizations met in Senate offices to emphasize the importance of expanded access to health insurance ...
AAFP, Other Groups Collaborate to Enhance Women's Health
AAFP, Other Groups Collaborate to Enhance Women's Health
Providing health care for women at all stages of life is a key part of family medicine, so it should come as no surprise that the AAFP is partnering with the American College of Obstetricians and Gynecologists (ACOG), the American College of Physicians...
National Survey Reveals Positive Attitudes Toward Primary Care
National Survey Reveals Positive Attitudes Toward Primary Care
The Health is Primary(healthisprimary.org) campaign from Family Medicine for America's Health (FMAHealth)(fmahealth.org) has released data from an extensive survey(data.healthisprimary.org) it conducted on public attitudes toward and opinions of primar...
Despite Interest, FPs Cite Barriers to Use of Telehealth
Despite Interest, FPs Cite Barriers to Use of Telehealth
Telehealth offers the promise of expanding access to health care, but its use remains limited among family physicians, some of whom report barriers to greater adoption, according to a recent survey.
CDC: HPV Infection Rates Remain High in Both Men, Women
CDC: HPV Infection Rates Remain High in Both Men, Women
Although previous research has shown declines in the prevalence of vaccine-type HPV infection and genital warts among young U.S. females after introduction of the HPV vaccination program, overall infection rates in both women and men remain unacceptabl...
Resident Confronts Burnout by Launching Wellness Program
Resident Confronts Burnout by Launching Wellness Program
As the AAFP takes on the challenge of combating professional burnout and cultivating physician wellness, Kristina Dakis, M.D., a second-year resident in the University of Illinois at Chicago (UIC) Family Medicine Residency Program, recently gave AAFP N...
Need Help Implementing Chronic Care Management Services?
Need Help Implementing Chronic Care Management Services?
CMS recently announced the launch of a new educational initiative aimed at raising awareness of the benefits chronic care management (CCM) services can bring to Medicare patients.
New Journal Feature Spotlights Practice Innovations
New Journal Feature Spotlights Practice Innovations
Given the importance of primary care and the changes being made in this era of payment reform, practice innovation has become essential.
AAFP Joins House Members to Spark Burnout Awareness
AAFP Joins House Members to Spark Burnout Awareness
Amid growing concerns about physician burnout and the toll it's taking on the nation's physician workforce, one physician House member recently brought his medical colleagues together to raise awareness about the issue.
CDC Warns of Recent Jump in Cryptosporidiosis Outbreaks
CDC Warns of Recent Jump in Cryptosporidiosis Outbreaks
Each year, Memorial Day signals the unofficial start of summer, with swimming pools, water parks and other aquatic attractions opening all across country. To ensure fun in the sun doesn't turn into a trip to the doctor's office -- or worse -- the CDC i...
AAFP Presses CMS to Make MACRA Easier on Physicians
AAFP Presses CMS to Make MACRA Easier on Physicians
�On Jan. 30, President Donald Trump signed an executive order titled "Reducing Regulation and Controlling Regulatory Costs."
Don't Screen Average-risk Women for Ovarian Cancer
Don't Screen Average-risk Women for Ovarian Cancer
On July 18, the U.S. Preventive Services Task Force (USPSTF) released a draft recommendation statement and draft evidence review assessing the benefits and harms of screening ovarian cancer.
Two Common-sense Interventions Could Prevent Gun-related Deaths
Two Common-sense Interventions Could Prevent Gun-related Deaths
Let me start by saying that I own a gun. OK, full disclosure: It's just a pellet gun, but I love to target-shoot, and I intend to learn to hunt (with a real gun) this year.
It's Complicated: What We Wish Legislators Knew About Health Care
It's Complicated: What We Wish Legislators Knew About Health Care
As physicians, we hear stories about people's lives that no one wants to talk about publicly. We discover embarrassing facts that no one would want to share in a Senate hearing.
Maryland FP Leads Efforts to Improve Minority Health
Maryland FP Leads Efforts to Improve Minority Health
April is National Minority Health Month, and for 2017, the theme is "bridging health equity across communities." The AAFP has created a resource page to support this initiative, which emphasizes collaborative, community-level work being done across the...
CDC: Stronger Effort Needed to Fight Tuberculosis
CDC: Stronger Effort Needed to Fight Tuberculosis
Although preliminary tuberculosis (TB) surveillance data for 2016 demonstrate slight declines in the number and incidence of U.S. TB cases since 2015 (a drop of 2.7 percent in the number of reported cases and a 3.4 percent drop in incidence, or number ...
Family Physicians Get Fired Up About Training Issues, Patient Care
Family Physicians Get Fired Up About Training Issues, Patient Care
A large group of family physicians devoted to their specialty flocked here to attend the AAFP's 2017 National Conference of Constituency Leaders (NCCL) April 27-29. They spent many hours discussing a wide range of topics that affect the ability of phys...
Panel Describes Population Health Collaboration That Works
Panel Describes Population Health Collaboration That Works
Physicians can counsel patients to make healthier decisions, but some things that affect their health are entirely outside an individual patient's control.
Putting Patients at the Center of My 'Clinic of the Future'
Putting Patients at the Center of My 'Clinic of the Future'
About one year ago, I realized that my practice had reached its limits within the space we then occupied. Although my clinic had suited our needs for more than five years, I had built my practice panel to more than 600 patients, and that location would...
Bipartisan Teaching Health Center Bill Is Vital to Workforce
Bipartisan Teaching Health Center Bill Is Vital to Workforce
At a time when members of Congress can't seem to agree on much related to health care, a bill introduced this week in the House has -- and deserves -- strong bipartisan support.