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A Year in Review at ACP
(MedPage Today) -- Playing defense on ACA, big wins in tax reform legislation, fighting paperwork overload (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - January 10, 2018 Category: Primary Care Source Type: news

Understand Compensation, Employment Contracts
On Jan. 31, the AAFP will present a live webinar to help family physicians better understand compensation and employment contracts. (Source: AAFP News)
Source: AAFP News - January 10, 2018 Category: Primary Care Source Type: news

Radiation OK for Breast Ca Patients with Scleroderma (CME/CE)
(MedPage Today) -- Acute toxicity and disease flares were rare (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - January 10, 2018 Category: Primary Care Source Type: news

What are ACOs and what do they mean for GPs?
Plans to develop accountable care organisations (ACOs) in the NHS have proven controversial. GPonline looks at whether they are simply a pragmatic way to facilitate NHS integration, or a one-way ticket to NHS privatisation. (Source: GP Online News)
Source: GP Online News - January 10, 2018 Category: Primary Care Tags: Practice News Source Type: news

Guidance update: latest NICE guidelines on chest pain
Dr Ivan Benett and Dr Toni Hazell offer a free module on how to implement NICE guidance on chest pain of recent origin. (Source: GP Online Education)
Source: GP Online Education - January 10, 2018 Category: Primary Care Tags: 15.1 Cardiovascular Problems Source Type: news

Minority AIDS Initiative - Service Integration
The purpose of this program is to integrate evidence-based, culturally competent mental and substance use disorder treatment with HIV primary care and prevention services. The population of focus is individuals with a serious mental illness or co-occurring disorder living with or at risk for HIV and/or hepatitis in at-risk populations, including racial and ethnic minority communities. (Source: PHPartners.org)
Source: PHPartners.org - January 10, 2018 Category: International Medicine & Public Health Source Type: news

Are Doctors Causing Trouble by Tweeting at Conventions? Are Doctors Causing Trouble by Tweeting at Conventions?
Tweeting from conventions has become widespread, but some say attendees post information that should not yet be disseminated. How is Twitter affecting the presentation of scientific information?Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - January 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

How Happy Are Doctors Outside of Work? Survey Reveals Latest How Happy Are Doctors Outside of Work? Survey Reveals Latest
Allergists and immunologists are happiest while cardiologists were the least happy in the 2018 Medscape lifestyle survey. Most take at least 3 weeks'vacation and are in committed relationships.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Longer placements in general practice encourage doctors to choose GP careers
The majority of medical trainees who undertake additional training placements in general practice ultimately choose a career in the profession, a Swiss study has found. (Source: GP Online News)
Source: GP Online News - January 10, 2018 Category: Primary Care Tags: Practice News Source Type: news

Trajectory of Body Shape and Cardiometabolic Disease Risk Trajectory of Body Shape and Cardiometabolic Disease Risk
This study examined trajectory patterns of long-term change in body shape from childhood to midlife in relation to subsequent risk of diabetes and cardiovascular disease.American Journal of Epidemiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - January 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

A Standardized Medication Therapy Management Plus Approach A Standardized Medication Therapy Management Plus Approach
This study investigated the feasibility of an enhanced, clinical pharmacist-led medication therapy management service in the primary care setting.Journal of the American Board of Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - January 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Stigma continues to hamper response to opioid epidemic
(Oregon Health& Science University) Efforts to reverse the nation's opioid epidemic remain beset by the stigma associated with drug use, a group of OHSU researchers write in a year-end review. The researchers emphasize the need for the American health care system to embrace medications such as methadone to treat opioid use disorder, provide addiction treatment in primary care clinics and develop non-addictive alternatives for chronic pain. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 10, 2018 Category: International Medicine & Public Health Source Type: news

Potential Alzheimer's Treatment Fails to Slow Cognitive Decline
The investigational drug idalopirdine doesn't seem to be effective in reducing cognitive decline in patients with Alzheimer disease, according to findings from three phase III... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

Ibuprofen Linked to Male Infertility in Small Study
Patients may ask about a widely reported study linking ibuprofen use to male infertility. The findings appear in the Proceedings of the National Academy of... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

Final USPSTF Recommendation Says Not Enough Evidence For or Against Scoliosis Screening
There's not enough evidence to weigh the benefits and harms of screening for idiopathic scoliosis in youth aged 10 to 18 years, according to a... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: Medical Training & MD Burnout / Team-Based BP Control / New Hampshire FM Opportunities
Here's what we chose for you from NEJM Group today: NEJM Catalyst: Any rational actor in today's medical industrial complex wonders, at times, whether the... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

Unsafe Infant Sleep Practices Like Bed-Sharing Still Common in U.S.
Unsafe infant sleep habits are still common, according to new data from the CDC published in MMWR Vital Signs. Using 2015 survey data from 32... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

General practice set to get more pharmacists
Nearly 34 million patients will benefit from improved GP services as NHS England boosts the number of surgery-based clinical pharmacists that can offer expert medication and treatment. (Source: NHS Networks)
Source: NHS Networks - January 10, 2018 Category: UK Health Source Type: news

HHS Nominee Azar Questioned on Drug Pricing, Medicaid HHS Nominee Azar Questioned on Drug Pricing, Medicaid
Some Democrats on the Senate Finance Committee appeared to be poised to vote against Azar, but Republicans will likely confirm him.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Mercy to Begin Construction of 6th Bentonville Clinic
Mercy says it will begin construction next week on a $4.1 million, 7,400-SF primary care clinic to serve north Bentonville. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - January 9, 2018 Category: American Health Source Type: news

EveryONE Project Unveils Social Determinants of Health Tools
The EveryONE Project has launched an initial screening toolkit to help physicians identify and respond to social determinants of health that affect their patients. (Source: AAFP News)
Source: AAFP News - January 9, 2018 Category: Primary Care Source Type: news

Older Patients' QOL: Oncotherapy Network & Cancer Network
(MedPage Today) -- Also, how beneficial is a risk-based approach to lung cancer screening? (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - January 9, 2018 Category: Primary Care Source Type: news

Praise and Concern for Azar's Pharma Background
(MedPage Today) -- HHS secretary nominee has GOP backers; Dems remain skeptical (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - January 9, 2018 Category: Primary Care Source Type: news

OK, You Made a Mistake. Get Over It
(MedPage Today) -- Edwin Leap, MD, wants you to remember that you're only human (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - January 9, 2018 Category: Primary Care Source Type: news

US Infant, Child Mortality Higher Than in Other Wealthy Nations US Infant, Child Mortality Higher Than in Other Wealthy Nations
The mortality rate remained dramatically higher for infants and youths aged 1 to 19 years in the United States compared with 19 other countries.Medscape Medical News (Source: Medscape Pediatrics Headlines)
Source: Medscape Pediatrics Headlines - January 9, 2018 Category: Pediatrics Tags: Family Medicine/Primary Care News Source Type: news

US Infant, Child Mortality Higher Than Other Wealthy Nations US Infant, Child Mortality Higher Than Other Wealthy Nations
The mortality rate remained dramatically higher for infants and youths aged 1 to 19 years in the United States compared with 19 other countries.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

New Content Added to Physician Compare Website
CMS recently added 2016 performance information and some star ratings to the Physician Compare website to help patients and caregivers choose physicians. (Source: AAFP News)
Source: AAFP News - January 9, 2018 Category: Primary Care Source Type: news

Should Doctors Embrace or Reject Alternative Treatments? Should Doctors Embrace or Reject Alternative Treatments?
Physicians increasingly are dealing with patients who want alternative treatments, many of which are untested or not approved. Should doctors embrace or reject these treatments?Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - January 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Opioids Associated With Higher Satisfaction With Care Opioids Associated With Higher Satisfaction With Care
Among people with musculoskeletal conditions, those who received opioids were more satisfied with their care, a study found.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Context Is Key When Nonpatients Ask for Medical Advice Context Is Key When Nonpatients Ask for Medical Advice
Guidelines that discourage physicians from giving medical advice to family, friends are not feasible to follow, and physicians need experience to negotiate these complex issues safely, a study suggests.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

A qualitative study on older primary care patients' perspectives on depression and its treatments - potential barriers to and opportunities for managing depression - Stark A, Kaduszkiewicz H, Stein J, Maier W, Heser K, Weyerer S, Werle J, Wiese B, Mamone S, K önig HH, Bock JO, Riedel-Heller SG, Scherer M.
BACKGROUND: Depression is one of the most common mental disorders in old age and is associated with various negative health consequences for the affected individual. Studies suggest that patients' views on depression have an impact on help-seeking behaviou... (Source: SafetyLit)
Source: SafetyLit - January 9, 2018 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Study Links Ibuprofen With Male Infertility
Title: Study Links Ibuprofen With Male InfertilityCategory: Health NewsCreated: 1/9/2018 12:00:00 AMLast Editorial Review: 1/9/2018 12:00:00 AM (Source: MedicineNet Mens Health General)
Source: MedicineNet Mens Health General - January 9, 2018 Category: Primary Care Source Type: news

Controlling Chronic Diseases Through EBDM Controlling Chronic Diseases Through EBDM
Can providing training and other support to state health departments increase the use of evidence-based decision-making at both the individual and organization level?Preventing Chronic Disease (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - January 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

HRSA: Agency Information Collection Activities: Proposed Collection: Public Comment Request Information Collection Request Title: Small Health Care Provider Quality Improvement Program, OMB No. 0915-0387-Revision.
Notice of intent from the Health Resources and Services Administration (HRSA) to collect information as part of the Small Health Care Provider Quality Improvement Grant (Rural Quality) Program, which provides support to rural primary care providers for implementation of quality improvement activities. Information collected will help the Federal Office of Rural Health Policy (FORHP) measure the impact of the grant funding on access to rural healthcare, quality of services, and improvement of health outcomes. Comments regarding the proposed information collection activities must be submitted no later than March 12, 2018. (So...
Source: Federal Register updates via the Rural Assistance Center - January 9, 2018 Category: Rural Health Source Type: news

Strengths and challenges in interactions with newly diagnosed diabetes patients
(American Academy of Family Physicians) When patients are diagnosed with diabetes, primary care clinicians display high levels of technical knowledge and communication skill, but initial consultations are often driven by biomedical explanations out of context from patient experience. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 9, 2018 Category: International Medicine & Public Health Source Type: news

Public health-primary care testing has high uptake, doesn't identify hidden hepatitis C
(American Academy of Family Physicians) A strategy to test the general population for hepatitis B and C viruses in areas of high prevalence had high test uptake but did not detect hidden chronic hepatitis C infections. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 9, 2018 Category: International Medicine & Public Health Source Type: news

Childhood trauma, social networks, and the mental health of adult survivors - Schneider FD, Loveland Cook CA, Salas J, Scherrer J, Cleveland IN, Burge SK.
The purpose of this study was to investigate the relationship of childhood trauma to the quality of social networks and health outcomes later in adulthood. Data were obtained from a convenience sample of 254 adults seen in one of 10 primary care clinics in... (Source: SafetyLit)
Source: SafetyLit - January 9, 2018 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Percutaneous PFO Closure Tied to Lower Risk for Recurrent Stroke
Patent foramen ovale (PFO) closure is associated with reduced risk for recurrent stroke among patients with cryptogenic stroke, according to two meta-analyses in the... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 9, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: Diarrhea, Nausea & Weight Loss / Follow-Up Culture for Gram-Negative Bacteremia? / California Hospitalist Opportunities
Take a look at today's offering from NEJM Group: NEJM Clinical Practice Center: Clinical Problem-Solving: A 70-year-old man presented to the emergency... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 9, 2018 Category: Primary Care Source Type: news

Physical Activity Benefits Both Frail and Nonfrail Elders
Both frail and nonfrail older adults can benefit from a moderate-intensity physical activity program, finds a secondary analysis from a randomized trial in the... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 9, 2018 Category: Primary Care Source Type: news

Higher Use of CT Pulmonary Angiogram Tied to Lower PE Diagnostic Yield
Greater use of computed tomographic pulmonary angiogram (CTPA) is associated with lower diagnostic yield for pulmonary embolism, according to a research letter in JAMA Internal... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 9, 2018 Category: Primary Care Source Type: news

Optimizing EHRs for PAs: HealthLeaders Media
(MedPage Today) -- Also, uncertainty for health plans this year (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - January 9, 2018 Category: Primary Care Source Type: news

Sustainability and beyond: supporting your practices to develop
The GP forward view sets out a vision for general practice that starts with practical steps to free up GP time, improve efficiency and make better use of the skills available in the workforce. It recognises that general practice needs to be strong, healthy and sustainable to survive. (Source: NHS Networks)
Source: NHS Networks - January 9, 2018 Category: UK Health Source Type: news

How vanguards are increasing healthy life expectancy in Nottinghamshire
Eleanor Pearce-Willis sheds light on how lessons learned from vanguard programmes across Nottinghamshire are being applied to the development of the area ’s accountable care system Related items fromOnMedica Give public say on US style make-over of healthcare, Hunt urged GPs need to prioritise mental health more, say experts Stick with STPs, government and NHS urged CQC head calls for better GP-hospital-care home integration (Source: OnMedica Views)
Source: OnMedica Views - January 9, 2018 Category: Primary Care Source Type: news

Nearly 6% of Family Physicians Do Not Try to Recertify Nearly 6% of Family Physicians Do Not Try to Recertify
Those leaving the certification process were more likely to be men, international medical graduates, and physicians practicing in the South, a study found.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 8, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Was Matt Lauer Too Naive About Patient-Doctor Confidentiality? Was Matt Lauer Too Naive About Patient-Doctor Confidentiality?
When someone discusses sensitive matters, such as sex, with a physician or therapist outside of the office and asks for privacy, does patient confidentiality apply?Medscape Business of Medicine (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - January 8, 2018 Category: Primary Care Tags: Family Medicine/Primary Care Commentary Source Type: news

Should a Therapist Have Kept Matt Lauer ’ s Secrets? Should a Therapist Have Kept Matt Lauer ’ s Secrets?
When someone discusses sensitive matters, such as sex, with a physician or therapist outside of the office and asks for privacy, does patient confidentiality apply?Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - January 8, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Commentary Source Type: news

FDA Proposes New Approach to Regulating Homeopathic Drugs
The FDA has proposed new draft guidance for a risk-based enforcement approach to regulating drug products labeled as homeopathic. The agency plans to prioritize enforcement and regulatory actions for unapproved homeopathic drug products that have the greatest potential risk for consumers. (Source: AAFP News)
Source: AAFP News - January 8, 2018 Category: Primary Care Source Type: news

Structured Exercise Program Benefits Seniors (CME/CE)
(MedPage Today) -- Moderate-intensity intervention found effective irrespective of frailty status (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - January 8, 2018 Category: Primary Care Source Type: news

Integration of Frontline Health Workforce Will Determine Success of SDGs, Universal Health Coverage in 2018 and Beyond
January 08, 2018What will it take to offer true  patient-centered care?As 2018 begins with the clock already ticking on the 2030 Sustainable Development Goal  (SDG) targets, the heroic, sometimes harrowing, and heartwarming stories of six frontline health workers from four continents delivered on a crisp November evening in Dublin reflect both the promise and the tangled reality of the policy planning and program implementation needed to fulfill the promise of unprecedented global consensus on health and development.What I hope stuck in the minds of thousands of the top global health experts that h...
Source: IntraHealth International - January 8, 2018 Category: International Medicine & Public Health Authors: mnathe Source Type: news