As Melatonin Use Rises, So Do Safety Concerns As Melatonin Use Rises, So Do Safety Concerns
Although the use of melatonin offers benefits, calls to poison centers about melatonin have increased, and it can make some drugs less effective, including antihypertensive medications.WebMD Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 13, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

All adults should be screened for unhealthy alcohol use, new guidelines say
You can expect a "drinking checkup" when you visit the doctor. All adults, including pregnant women, should be screened for unhealthy alcohol use by their primary care physicians, the United States Preventive Services Task Force advises. For those patients who drink above the recommended limits, doctors should provide brief counseling to help them reduce their drinking, according to the new task force statement published Tuesday in the medical journal JAMA. (Source: CNN.com - Health)
Source: CNN.com - Health - November 13, 2018 Category: Consumer Health News Source Type: news

Should You Opt Out of Medicare? Pros and Cons Should You Opt Out of Medicare? Pros and Cons
Many physicians are fed up with Medicare's rules, reimbursement, and reporting requirements. But before letting your patient panel go, consider the possible benefits and risks.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 13, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

This NC school is one of the leaders for producing most family physicians
When it comes to family physicians, East Carolina University is producing more than its fair share. Last week, the American Academy of Family Physicians (AAFP) and the North Carolina Academy of Family Physicians (NCAFP) recognized the Brody School of Medicine for producing the highest percentage of family doctors in the last decade of any medical school in the state. Primary care physicians ar e in rare supply. According to the AAFP, the nation is struggling with a current physician deficit that… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - November 13, 2018 Category: Health Management Authors: Seth Gulledge Source Type: news

This NC school is one of the leaders for producing most family physicians
When it comes to family physicians, East Carolina University is producing more than its fair share. Last week, the American Academy of Family Physicians (AAFP) and the North Carolina Academy of Family Physicians (NCAFP) recognized the Brody School of Medicine for producing the highest percentage of family doctors in the last decade of any medical school in the state. Primary care physicians ar e in rare supply. According to the AAFP, the nation is struggling with a current physician deficit that… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 13, 2018 Category: Biotechnology Authors: Seth Gulledge Source Type: news

Primary care merger halted after 'fierce' criticism of CCG leaders
The establishment of a new primary care organisation in Greater Manchester has been halted after an independent review heard “fierce” criticism of those leading the project. (Source: HSJ)
Source: HSJ - November 13, 2018 Category: UK Health Source Type: news

Flipped Discharge Model May Decrease Hospital Stay: HealthLeaders Media
(MedPage Today) -- Also, reasons to start an asthma initiative (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

Deprivation cuts 10 years off healthy life in England
Having four or more health conditions triples number of primary care appointments per year Related items fromOnMedica Patients with multiple health problems make up most GP consultations People with multiple health conditions get raw deal, says report Deprivation cuts chance of recovering from mental illness Deprivation strongly linked to mortality, report shows Deaths among under-fives more likely in England than in Sweden (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 13, 2018 Category: UK Health Source Type: news

Most GPs in Wales concerned about patient care this winter
GPs say increasing workload will negatively affect ability of stretched workforce to deliver patient care Related items fromOnMedica Boards overspend to operate managed GP practices Report into failings of Welsh NHS digital systems is ‘wake-up call’ GP out-of-hours service in Wales floundering GPs demand funding 'step change' for sustainable primary care Wales gets early cash boost to ease winter pressures (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 13, 2018 Category: UK Health Source Type: news

On and on and on
NHS England ’s Personalised Care Group clinical director gives his view on how a personalised self care approach makes self-management achievable and rewarding Related items fromOnMedica Four factors to deal with the problem of long-term health conditions Over 90% of people recognise importance of self-care Self-care: a win-win scenario Urging GPs towards prevention and self-care (Source: OnMedica Views)
Source: OnMedica Views - November 13, 2018 Category: Primary Care Source Type: news

Patients Have at Least One Prescription for Longer Than Needed Patients Have at Least One Prescription for Longer Than Needed
Nearly half of primary care patients were prescribed any of three common drug types for longer than necessary, contributing to a form of inappropriate polypharmacy termed'legacy prescribing. 'Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Nearly Half of Patients Have Rx Longer Than Needed Nearly Half of Patients Have Rx Longer Than Needed
Nearly half of primary care patients were prescribed any of three common drug types for longer than necessary, contributing to a form of inappropriate polypharmacy termed'legacy prescribing. 'Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Most, Not All, PCPs Willing to See Transgender Patients Most, Not All, PCPs Willing to See Transgender Patients
Age, experience predict physicians'comfort with transgender patients; clinicians and office staff should learn sensitive ways of communicating with this population, expert says.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

House Dems in New Seats of Power Will Steer Health Policy House Dems in New Seats of Power Will Steer Health Policy
Democrats owe much of their midterm takeback to healthcare issues and have trained their sights on skyrocketing drug prices, among other policy conundrums.Kaiser Health News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - November 12, 2018 Category: Primary Care Tags: Family Medicine/Primary Care News Source Type: news

Enough With Celebrities in Drug Ads on TV! Enough With Celebrities in Drug Ads on TV!
Ethics expert Art Caplan says medication information should come from doctors, not celebrities.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Commentary Source Type: news

A Champion for Diversity, Equity and Inclusivity
When Jennifer Edgoose, M.D., M.P.H., objected to the lack of diversity in her residency program, her department chair challenged her to do something about it. She didn't stop there. (Source: AAFP News)
Source: AAFP News - November 12, 2018 Category: Primary Care Source Type: news

AHA: CABG Still Better for Multivessel Disease in Diabetes
(MedPage Today) -- FREEDOM trial extension suggests lower long-term mortality vs stents (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 12, 2018 Category: Primary Care Source Type: news

Nurse Practitioners: Solution to the Primary Care Shortage Nurse Practitioners: Solution to the Primary Care Shortage
Primary care access for the underserved could be improved if barriers to nurse practitioner practice were removed.Medscape Nurses (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 12, 2018 Category: Consumer Health News Tags: Nursing Article Source Type: news

Viewpoint: Integrating oral health and primary care programs can save lives
By integrating hypertension screenings into dental settings, dentists play an integral role in efforts to reduce hypertension and stem heart disease. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 12, 2018 Category: American Health Authors: Debony Hughes Source Type: news

Genetic Variants May Be Tied to Otitis Media Risk Genetic Variants May Be Tied to Otitis Media Risk
Population-specific FUT2 variants appear to confer risk for otitis media susceptibility in multiple cohorts of different ethnicity, according to a multinational group of researchers.Reuters Health Information (Source: Medscape Pathology Headlines)
Source: Medscape Pathology Headlines - November 12, 2018 Category: Pathology Tags: Family Medicine/Primary Care News Source Type: news

Primary care clinicians' willingness to care for transgender patients
(American Academy of Family Physicians) A new survey finds that most family medicine and general internal medicine clinicians are willing to provide routine care for transgender patients. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - November 12, 2018 Category: International Medicine & Public Health Source Type: news

Urging GPs towards prevention and self-care
A GP who represents primary care providers on Gloucestershire ’s integrated care services delivery board, discusses the county’s social prescribing initiative. (Source: NHS Networks)
Source: NHS Networks - November 12, 2018 Category: UK Health Source Type: news

A hub for respiratory care commissioning
The Primary Care Respiratory Academy Commissioning Platform aims to offer the tools and resources you need to optimise respiratory outcomes in your population. (Source: NHS Networks)
Source: NHS Networks - November 12, 2018 Category: UK Health Source Type: news

UK traveller dies from rabies
Traveller became infected in Morocco after being bitten by a cat Related items fromOnMedica Travel health clinics in general practice Rabies (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 12, 2018 Category: UK Health Source Type: news

This is good news for patients and GPs
Deputy chief pharmaceutical officer Dr Bruce Warner looks at the benefits of relaxing the current criteria for clinical pharmacists in general practice Related items fromOnMedica Qualms about data sharing hampering pharmacists ’ palliative care role Still no plan for joined-up care, MPs warn in report New system launched to detect and prevent medication errors NHS England will recruit 240 pharmacists for care homes Practice-based pharmacists free up GP time (Source: OnMedica Views)
Source: OnMedica Views - November 12, 2018 Category: Primary Care Source Type: news

Reducing Diagnostic Errors Through Patient Engagement
(MedPage Today) -- Embracing patient-centered communication can help avoid diagnostic errors (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 11, 2018 Category: Primary Care Source Type: news

Guidelines for Patellofemoral Pain
(MedPage Today) -- Experts outline the recommended treatment plan (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 10, 2018 Category: Primary Care Source Type: news

iMedicalApps: Top Picks for Android
(MedPage Today) -- This week's best downloads (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 9, 2018 Category: Primary Care Source Type: news

Most 2017 Participants in MIPS Qualified for Small Bonus Most 2017 Participants in MIPS Qualified for Small Bonus
CMS says over 90% of clinician participants in MIPS in 2017 earned positive ratings.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Review AAFP Summary of 2019 Medicare Physician Fee Schedule
The AAFP has created a summary of the 2019 final Medicare physician fee schedule that highlights the elements that will most affect family physicians'practices in the coming year and beyond. (Source: AAFP News)
Source: AAFP News - November 9, 2018 Category: Primary Care Source Type: news

Universal HCV Screening on the Way?
(MedPage Today) -- Move afoot to recommend testing for everyone regardless of perceived risk (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 9, 2018 Category: Primary Care Source Type: news

People in the News/Awards -- October
A number of AAFP members received various honors or recognition in October 2018. In addition, one family medicine academic department was named the recipient of a national award. (Source: AAFP News)
Source: AAFP News - November 9, 2018 Category: Primary Care Source Type: news

Rural Poverty is Independent COPD Risk Factor
(MedPage Today) -- Adds to smoking and other known risks (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 9, 2018 Category: Primary Care Source Type: news

Study Reveals Troubling Test Scores of Assistant Physicians
Researchers found that a new category of medical licensure in Missouri drew individuals with lower pass rates on standard licensing exams and did not adequately address the problem of medically underserved areas. (Source: AAFP News)
Source: AAFP News - November 9, 2018 Category: Primary Care Source Type: news

Weekly Postings
See something of interest? Please share our postings with colleagues in your institutions! Spotlight The MAReport: read the Summer/Fall 2018 issue of the MAReport newsletter! Have you had the chance to meet our Health Programming Coordinator? Learn more about the newest member of the MAR team, Michael Balkenhol! DOCLINE users! Please review the DOCLINE 6.0 Preview Checklist. Questions or concerns? Contact the DOCLINE Coordinating Office (NDCO) via email: DOCLINE@hshsl.umaryland.edu or telephone: (410) 706-4173. National Network of Libraries of Medicine News NNLM All of Us Community Engagement Awards: NNLM MAR is accep...
Source: NN/LM Middle Atlantic Region Blog - November 9, 2018 Category: Databases & Libraries Authors: Hannah Sinemus Tags: Weekly Postings Source Type: news

Obscure Medical Terms: How Well Do You'Speak Medicine'? Obscure Medical Terms: How Well Do You'Speak Medicine'?
How well do you identifying the most obscure of medical terminology? Test yourself on the meanings of these little-used terms.Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Interactive Quiz Source Type: news

A Well-Being Continuum: Broadening the Burnout Conversation A Well-Being Continuum: Broadening the Burnout Conversation
The authors propose a shift in our current view of physician well-being: from the current dichotomy of"burned out" or"well" to a more comprehensive, dynamic continuum.Southern Medical Journal (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Cells to Society: $3.4 Million in Grants / New FAANs / Research News
This study explores survivors’ perspectives on secondary prevention of campus sexual assault and effective strategies for intervention.     Read more   Mental Health ...
Source: Johns Hopkins University and Health Systems Archive - November 9, 2018 Category: Nursing Source Type: news

Primary care contract reviews
Ever changing commissioning arrangements have taken their toll in terms of continuity, capacity and organisational memory. (Source: NHS Networks)
Source: NHS Networks - November 9, 2018 Category: UK Health Source Type: news

Five Ways the Midterms Changed Healthcare Five Ways the Midterms Changed Healthcare
Three red states approved Medicaid expansion, Utah and Missouri legalized medical marijuana, and ACA changes are likely on hold for at least 2 years.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 8, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Pain in OA: Cause or Effect? (CME/CE)
(MedPage Today) -- Knee pain is a consequence of structural deterioration but also contributes to structural progression (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 8, 2018 Category: Primary Care Source Type: news

UMd. Upper Chesapeake Health System plans hospital campus in Aberdeen
University of Maryland Upper Chesapeake Health is planning a new medical campus in Aberdeen. The health system's board of directors announced its plans Thursday, to move services from the existing University of Maryland Harford Memorial Hospital to the new location. Upper Chesapeake had already announced plans to replace the aging Harford Memorial buildings and services. The new site wil l house a psychiatric facility, a medical office for outpatient and primary care and a freestanding medical facility… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 8, 2018 Category: Biotechnology Authors: Morgan Eichensehr Source Type: news

Cigarette Smoking at Lowest Level Recorded Among US Adults Cigarette Smoking at Lowest Level Recorded Among US Adults
Cigarette smoking among US adults has fallen to the lowest level ever recorded, according to a report from the CDC, the FDA, and the NCI; however, 1 in 5 US adults still used a tobacco product in 2017.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - November 8, 2018 Category: Internal Medicine Tags: Family Medicine/Primary Care News Source Type: news

Improving access and continuity in general practice
This report provides a series of recommendations for commissioners and policy-makers and sets out the evidence on continuity of care, its impact on clinical outcomes and wider health services and its importance to patients and GPs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 8, 2018 Category: Consumer Health News Source Type: news

When the Dead Need a Primary Care Physician
(MedPage Today) -- For some people, the medical examiner may be their only doctor (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - November 8, 2018 Category: American Health Source Type: news

Report into failings of Welsh NHS digital systems is ‘wake-up call’
Unclear accountability, widespread dissatisfaction, outdated systems – and unjustified optimism in NWIS Related items fromOnMedica Wealthy tech companies creating ‘digital divide’ in health CCGs free to choose own tech for new NHS digital systems GPs demand funding 'step change' for sustainable primary care Wales gets early cash boost to ease winter pressures Wales announces £3m to improve access to health IT (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 8, 2018 Category: UK Health Source Type: news

Head & Neck Cancer: Mixed Results with Intensified Therapy
(MedPage Today) -- Concurrent chemo with cetuximab-RT improves PFS but not induction (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 7, 2018 Category: Primary Care Source Type: news

Lay Counseling Could Reduce Late-Life Depression in Resource-Scarce Settings
(MedPage Today) -- May be prevention option in low- and middle-income countries (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 7, 2018 Category: Primary Care Source Type: news

Give Patients More Opioid Pills After Surgery, They'll Take More
(MedPage Today) -- Prescription size outweighed pain scores and other factors (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 7, 2018 Category: Primary Care Source Type: news

LGBT+ People Erased From Books in Russia With'Gay Propaganda' Law LGBT+ People Erased From Books in Russia With'Gay Propaganda' Law
Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 7, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news