Protecting Family Medicine by Changing the Reimbursement Model Post-COVID-19
J Am Board Fam Med. 2021 Feb;34(Supplement):S10-S12. doi: 10.3122/jabfm.2021.S1.200628.ABSTRACTThe United States spends billions of dollars each year preparing for medical emergencies. Noticeably absent from that budget is an effective process to protect the frontline defenders delivering primary care.PMID:33622809 | DOI:10.3122/jabfm.2021.S1.200628 (Source: American Family Physician)
Source: American Family Physician - February 24, 2021 Category: Primary Care Authors: Guy L Culpepper Source Type: research

A Qualitative Study of Primary Care Physicians' Experiences With Telemedicine During COVID-19
CONCLUSIONS: Physicians reported that telemedicine visits offer new opportunities to improve the quality of patient care but noted changes to their interactions with patients. Many of these changes are positive, but it remains to be seen whether others such as lack of physical examination and loss of physical presence and touch adversely influence provider-patient communication, patient willingness to disclose concerns that may affect their care, and, ultimately, patient health outcomes.PMID:33622820 | DOI:10.3122/jabfm.2021.S1.200517 (Source: American Family Physician)
Source: American Family Physician - February 24, 2021 Category: Primary Care Authors: Teresita Gomez Yohualli B Anaya Kevin J Shih Derjung M Tarn Source Type: research

On the Front (Phone) Lines: Results of a COVID-19 Hotline
CONCLUSIONS AND RELEVANCE: Robust, physician-directed telehealth services can meet a wide range of clinical and social needs during the acute phase of a pandemic, conserving scarce resources such as personal protective equipment and testing supplies and preventing the spread of infections to patients and health care workers.PMID:33622824 | DOI:10.3122/jabfm.2021.S1.200237 (Source: American Family Physician)
Source: American Family Physician - February 24, 2021 Category: Primary Care Authors: David Margolius Mary Hennekes Jimmy Yao Douglas Einstadter Douglas Gunzler Nabil Chehade Ashwini R Sehgal Yasir Tarabichi Adam T Perzynski Source Type: research

Hospital-Based Health Care Worker Perceptions of Personal Risk Related to COVID-19
CONCLUSION: The significant stress burden placed on nurses likely contributes to increased thoughts of job resignation. However, health care providers displayed high levels of altruism during this time of extreme crisis, despite their personal risks of caring for COVID-19 patients.PMID:33622825 | DOI:10.3122/jabfm.2021.S1.200343 (Source: American Family Physician)
Source: American Family Physician - February 24, 2021 Category: Primary Care Authors: Everett Chu Kyung-Min Lee Ronnie Stotts Ivy Benjenk Geoffrey Ho David Yamane Billy Mullins Eric R Heinz Source Type: research

A Stepwise Transition to Telemedicine in Response to COVID-19
J Am Board Fam Med. 2021 Feb;34(Supplement):S152-S161. doi: 10.3122/jabfm.2021.S1.200358.ABSTRACTINTRODUCTION: With the emergence of COVID-19, many primary care offices closed their physical space to limit exposure. Despite decades of telemedicine in clinical practice, it is rare to find it used in small-metro and academic settings. Following the decision to limit face-to-face care, we tracked our practice's transition to telemedicine.METHODS: This was a prospective quality improvement project following Plan-Do-Study-Act (PDSA) cycles to optimize the use of telemedicine (both telephone and video in this practice) encounter...
Source: American Family Physician - February 24, 2021 Category: Primary Care Authors: Sabrina L Silver Meghan N Lewis Christy J W Ledford Source Type: research

A Family Medicine Residency Program's Response to an Impending COVID-19 Surge
J Am Board Fam Med. 2021 Feb;34(Supplement):S217-S221. doi: 10.3122/jabfm.2021.S1.200193.ABSTRACTThe University of Colorado family medicine residency watched along with the rest of the nation as the first cases of COVID-19 were being reported in the United States in March 2020. Concern grew as epidemiological models began to predict alarming hospital bed shortages for the state. Massive scheduling adjustments were needed as faculty and residents found themselves in groups at high risk for severe COVID-19 and residents found themselves dismissed from nonessential learning experiences in an effort to conserve personal protec...
Source: American Family Physician - February 24, 2021 Category: Primary Care Authors: Jessica Devitt Naomi Malam Linda Montgomery Source Type: research

An Overview of Health Care Worker Reported Deaths During the COVID-19 Pandemic
CONCLUSIONS: Among HCWs globally, in the United States there have been more reported deaths of physicians, primary care physicians, males, and HCWs versus opposing groups. Further research is needed to understand relative risks of death due to COVID-19 in each of these demographic groups.PMID:33622846 | DOI:10.3122/jabfm.2021.S1.200248 (Source: American Family Physician)
Source: American Family Physician - February 24, 2021 Category: Primary Care Authors: Divakara Gouda Preet Mohinder Singh Prabhakara Gouda Basavana Goudra Source Type: research

Exploring the Face-to-Face: Revisiting Patient-Doctor Relationships in a Time of Expanding Telemedicine
J Am Board Fam Med. 2021 Feb;34(Supplement):S252-S254. doi: 10.3122/jabfm.2021.S1.200398.ABSTRACTThe patient-doctor relationship lies at the heart of medicine. Confronted with the challenges of COVID-19, we find ourselves unable to provide care and comfort in the same physical space as our patients. As we are forced to reckon with telemedicine visits and contemplate continuing them in a postpandemic future, it is important to understand the difference relationally between telemedicine and face-to-face encounters. I will argue that face-to-face visits remain essential in establishing the most fundamentally human components ...
Source: American Family Physician - February 24, 2021 Category: Primary Care Authors: Jennifer Y C Edgoose Source Type: research

ACIP Approves 2021 Adult and Child/ Adolescent Immunization Schedules
Am Fam Physician. 2021 Feb 15;103(4):250-251.NO ABSTRACTPMID:33587565 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Pamela G Rockwell Source Type: research

Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone
Am Fam Physician. 2021 Feb 15;103(4):249.NO ABSTRACTPMID:33587566 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Nita Shrikant Kulkarni Source Type: research

Bariatric Surgery Associated with Decreased All-Cause Mortality and Lower Rates of Other Obesity-Related Events
Am Fam Physician. 2021 Feb 15;103(4):248-249.NO ABSTRACTPMID:33587567 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Henry C Barry Source Type: research

Bipolar Disorders: Evaluation and Treatment
Am Fam Physician. 2021 Feb 15;103(4):227-239.ABSTRACTBipolar disorders are common, recurrent mental health conditions of variable severity that are difficult to diagnose. Affected individuals have higher rates of other mental health disorders, substance use disorders, and comorbid chronic medical illnesses. New diagnostic criteria and specifiers with attention on mixed features and anxious distress aid the physician in recognizing episode severity and prognosis. Physicians should consider bipolar disorder in any patient presenting with depression. Pharmacotherapy with mood stabilizers, such as lithium, anticonvulsants, and...
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Gabrielle Marzani Amy Price Neff Source Type: research

Breast Cancer Screening, Plantar Warts,  IUD Insertion, Osteoporosis, Anal Fissures
Am Fam Physician. 2021 Feb 15;103(4):207.NO ABSTRACTPMID:33587569 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Source Type: research

Compression Reduces Recurrent Cellulitis in Patients with Chronic Leg Edema
Am Fam Physician. 2021 Feb 15;103(4):247.NO ABSTRACTPMID:33587570 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Mark H Ebell Source Type: research

Negative Colonoscopy Result Predicts No Colon Cancer for More Than 10 Years
Am Fam Physician. 2021 Feb 15;103(4):247-248.NO ABSTRACTPMID:33587571 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Allen F Shaughnessy Source Type: research

Lemborexant (Dayvigo) for the Treatment of Insomnia
Am Fam Physician. 2021 Feb 15;103(4):241-242.NO ABSTRACTPMID:33587572 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Morgan Adams Rhodes Source Type: research

Diary of a Family Physician
Am Fam Physician. 2021 Feb 15;103(4):240.NO ABSTRACTPMID:33587573 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Seiji Hayashi Source Type: research

Frailty: Evaluation and Management
Am Fam Physician. 2021 Feb 15;103(4):219-226.ABSTRACTFrailty, which is a geriatric syndrome that affects 5% to 17% of older adults, is a state of increased vulnerability across multiple health domains that leads to adverse health outcomes. Frail older adults are at increased risk of falls, disability, hospitalizations, and death. Frailty may initially be overlooked or incorrectly identified as part of the normal aging process because of the variable nature of the presentation and diagnosis. Symptoms include generalized weakness, exhaustion, slow gait, poor balance, decreased physical activity, cognitive impairment, and wei...
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Robert Allison Shauna Assadzandi Megan Adelman Source Type: research

Health Maintenance for Women of Reproductive Age
This article focuses mainly on conditions that are more common in women or have a unique impact on female patients. Family physicians should be familiar with evidence-based recommendations for contraception and preconception care and should consider screening patients for pregnancy intention. The American Academy of Family Physicians recommends against screening pelvic examinations in asymptomatic women; the U.S. Preventive Services Task Force (USPSTF) found insufficient evidence to make a recommendation for or against screening pelvic examinations. The USPSTF recommendations for women in this age group include screening f...
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Heather L Paladine Himabindu Ekanadham Daniela C Diaz Source Type: research

Screening for High Blood Pressure in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement
Am Fam Physician. 2021 Feb 15;103(4):Online.NO ABSTRACTPMID:33587576 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Source Type: research

Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults
Am Fam Physician. 2021 Feb 15;103(4):245-246.NO ABSTRACTPMID:33587577 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Kelvin Kwofie Allan B Wolfson Source Type: research

Performance-Enhancing Drug Use in Recreational Athletes
Am Fam Physician. 2021 Feb 15;103(4):203-204.NO ABSTRACTPMID:33587578 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Tobie Smith Matthew Fedoruk Amy Eichner Source Type: research

Severely Pruritic, Whip-like Dermatitis
Am Fam Physician. 2021 Feb 15;103(4):243-244.NO ABSTRACTPMID:33587579 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Daniel Jason Frasca Jacqueline Mulhall Anna Elseth Source Type: research

Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical Society
Am Fam Physician. 2021 Feb 15;103(4):252-253.NO ABSTRACTPMID:33587580 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Christopher E Jonas Michael J Arnold Source Type: research

Broad Screening Is Needed for All Patients at Risk of Syphilis
Am Fam Physician. 2021 Feb 15;103(4):199-200.NO ABSTRACTPMID:33587581 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Paula Amin Source Type: research

Case Report: Back Pain as a Presenting Symptom of Systemic Mastocytosis
Am Fam Physician. 2021 Feb 15;103(4):200-201.NO ABSTRACTPMID:33587582 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Carmen Marcos Alonso Joaqu ín Batista Cruzado Source Type: research

Case Report: Limitations of Virtual Care in Older Adults with Functional and Cognitive Impairment
Am Fam Physician. 2021 Feb 15;103(4):201.NO ABSTRACTPMID:33587583 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Evan S Morrison Shenbagam Dewar Source Type: research

Case Report: DKA with Lower-than-Expected Blood Glucose in the Setting of SGLT2 Inhibitor Use
Am Fam Physician. 2021 Feb 15;103(4):200.NO ABSTRACTPMID:33587584 (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Armen Voskertchian Liana Milanes Source Type: research

ACIP Approves 2021 Adult and Child/ Adolescent Immunization Schedules.
PMID: 33587565 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Rockwell PG Tags: Am Fam Physician Source Type: research

Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone.
PMID: 33587566 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Shrikant Kulkarni N Tags: Am Fam Physician Source Type: research

Bariatric Surgery Associated with Decreased All-Cause Mortality and Lower Rates of Other Obesity-Related Events.
PMID: 33587567 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Barry HC Tags: Am Fam Physician Source Type: research

Bipolar Disorders: Evaluation and Treatment.
Abstract Bipolar disorders are common, recurrent mental health conditions of variable severity that are difficult to diagnose. Affected individuals have higher rates of other mental health disorders, substance use disorders, and comorbid chronic medical illnesses. New diagnostic criteria and specifiers with attention on mixed features and anxious distress aid the physician in recognizing episode severity and prognosis. Physicians should consider bipolar disorder in any patient presenting with depression. Pharmacotherapy with mood stabilizers, such as lithium, anticonvulsants, and antipsychotics, is a first-line tr...
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Marzani G, Price Neff A Tags: Am Fam Physician Source Type: research

Breast Cancer Screening, Plantar Warts,  IUD Insertion, Osteoporosis, Anal Fissures.
Breast Cancer Screening, Plantar Warts, IUD Insertion, Osteoporosis, Anal Fissures. Am Fam Physician. 2021 Feb 15;103(4):207 Authors: PMID: 33587569 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Tags: Am Fam Physician Source Type: research

Compression Reduces Recurrent Cellulitis in Patients with Chronic Leg Edema.
PMID: 33587570 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Negative Colonoscopy Result Predicts No Colon Cancer for More Than 10 Years.
PMID: 33587571 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Shaughnessy AF Tags: Am Fam Physician Source Type: research

Lemborexant (Dayvigo) for the Treatment of Insomnia.
PMID: 33587572 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Rhodes MA Tags: Am Fam Physician Source Type: research

Diary of a Family Physician.
PMID: 33587573 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Hayashi S Tags: Am Fam Physician Source Type: research

Frailty: Evaluation and Management.
Abstract Frailty, which is a geriatric syndrome that affects 5% to 17% of older adults, is a state of increased vulnerability across multiple health domains that leads to adverse health outcomes. Frail older adults are at increased risk of falls, disability, hospitalizations, and death. Frailty may initially be overlooked or incorrectly identified as part of the normal aging process because of the variable nature of the presentation and diagnosis. Symptoms include generalized weakness, exhaustion, slow gait, poor balance, decreased physical activity, cognitive impairment, and weight loss. There is no current recom...
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Allison R, Assadzandi S, Adelman M Tags: Am Fam Physician Source Type: research

Health Maintenance for Women of Reproductive Age.
This article focuses mainly on conditions that are more common in women or have a unique impact on female patients. Family physicians should be familiar with evidence-based recommendations for contraception and preconception care and should consider screening patients for pregnancy intention. The American Academy of Family Physicians recommends against screening pelvic examinations in asymptomatic women; the U.S. Preventive Services Task Force (USPSTF) found insufficient evidence to make a recommendation for or against screening pelvic examinations. The USPSTF recommendations for women in this age group include screening f...
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Paladine HL, Ekanadham H, Diaz DC Tags: Am Fam Physician Source Type: research

Screening for High Blood Pressure in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement.
Authors: PMID: 33587576 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Tags: Am Fam Physician Source Type: research

Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults.
PMID: 33587577 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Kwofie K, Wolfson AB Tags: Am Fam Physician Source Type: research

Performance-Enhancing Drug Use in Recreational Athletes.
PMID: 33587578 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Smith T, Fedoruk M, Eichner A Tags: Am Fam Physician Source Type: research

Severely Pruritic, Whip-like Dermatitis.
PMID: 33587579 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Frasca DJ, Mulhall J, Elseth A Tags: Am Fam Physician Source Type: research

Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical Society.
PMID: 33587580 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Jonas CE, Arnold MJ Tags: Am Fam Physician Source Type: research

Broad Screening Is Needed for All Patients at Risk of Syphilis.
PMID: 33587581 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Amin P Tags: Am Fam Physician Source Type: research

Case Report: Back Pain as a Presenting Symptom of Systemic Mastocytosis.
PMID: 33587582 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Marcos Alonso C, Batista Cruzado J Tags: Am Fam Physician Source Type: research

Case Report: Limitations of Virtual Care in Older Adults with Functional and Cognitive Impairment.
PMID: 33587583 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Morrison ES, Dewar S Tags: Am Fam Physician Source Type: research

Case Report: DKA with Lower-than-Expected Blood Glucose in the Setting of SGLT2 Inhibitor Use.
PMID: 33587584 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - February 15, 2021 Category: Primary Care Authors: Voskertchian A, Milanes L Tags: Am Fam Physician Source Type: research

Chronic Pelvic Pain in Women: ACOG Updates Recommendations.
PMID: 33507045 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - January 30, 2021 Category: Primary Care Authors: Arnold MJ, Osgood AT, Aust A Tags: Am Fam Physician Source Type: research

Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type Dementia.
PMID: 33507046 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - January 30, 2021 Category: Primary Care Authors: Saguil A, Buck E Tags: Am Fam Physician Source Type: research