A Game-Changer to Prevent Cognitive Loss? Maybe Not A Game-Changer to Prevent Cognitive Loss? Maybe Not
Does intensive blood pressure control prevent cognitive loss? Perhaps, but at what cost?Georgetown University Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 15, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care Commentary Source Type: news

Cuba Says USA, Not Canada, Manipulating Diplomat Health Incidents Cuba Says USA, Not Canada, Manipulating Diplomat Health Incidents
Cuba denounced the Trump administration on Thursday for continuing to refer to health incidents among their diplomats in Havana as"attacks" without presenting any evidence, saying it was part of a broader campaign to damage bilateral relations.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 15, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Big Jump in Success for Sickle Cell Transplants
(MedPage Today) -- Small increase in radiation, big boost to engraftment of haploidentical marrow (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 15, 2019 Category: Primary Care Source Type: news

MedPAC: Docs Don't Need Raise in Base Medicare Pay
(MedPage Today) -- Commission agrees with update set by MACRA law (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 15, 2019 Category: Primary Care Source Type: news

2019 NRMP Match Marks Decade of Growth for Family Medicine
The 2019 Match numbers mark a decade of year-over-year growth for family medicine, with a total of 3,848 medical students and graduates matching into the specialty -- 313 more than in 2018. (Source: AAFP News)
Source: AAFP News - March 15, 2019 Category: Primary Care Source Type: news

Medical News Today: CPR steps: A visual guide
Knowing the steps of CPR can help save a person's life. In this article, we look at CPR steps, including how to prepare, when to use it, and which techniques to use. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - March 15, 2019 Category: Consumer Health News Tags: Primary Care / General Practice Source Type: news

Researchers Calculate Medical School Production of FPs
An article published in the March issue ofFamily Medicine identifies factors that contribute to allopathic and osteopathic institutions'output of family physicians over time. (Source: AAFP News)
Source: AAFP News - March 15, 2019 Category: Primary Care Source Type: news

Skin Fibrosis in SSc Predicts Outcome
(MedPage Today) -- Progressive skin involvement in systemic sclerosis linked with lung deterioration, all-cause death (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 15, 2019 Category: Primary Care Source Type: news

Effectiveness of educational interventions on primary care physicians in the prevention of traffic accidents in the elderly - Jim énez Mejías E, Martín de Los Reyes LM, Martínez Ruiz V.
The objective of this study was to assess the effect of the implementation of training programs for Primary Care Physicians for improving their clinical practice as regards the prevention of traffic accidents in the elderly. To do this, a systematic review... (Source: SafetyLit)
Source: SafetyLit - March 15, 2019 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Practice managers call for funding to support set up of PCNs
Practice managers have raised concerns about a lack of funding to support them in setting up primary care networks (PCNs). The additional funding of£1.50 per patient provided as part of the new GP contract will come in from April, after practices have signed up to networks.Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - March 15, 2019 Category: Practice Management Authors: costanzapearce Tags: *** Editor ' s Pick Latest News Source Type: news

30,000-patient networks set to receive £1 per head more than larger networks
Primary care networks with a population size of 30,000 are set to receive£1 per patient more than 50,000-patient networks in 2019/20, according to new guidance from the BMA. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - March 15, 2019 Category: Practice Management Authors: costanzapearce Tags: *** Editor ' s Pick Latest News Source Type: news

Practical support for primary care networks
The “what” of primary care networks is becoming clearer every day, but the “how” will continue to be a perplexing challenge for the vast majority of practices that have yet to make a start. (Source: NHS Networks)
Source: NHS Networks - March 15, 2019 Category: UK Health Source Type: news

Inactive Ingredients in Medications Cause Trouble for Some Inactive Ingredients in Medications Cause Trouble for Some
Most approved medications have inactive ingredients that could cause problems in patients with allergies or sensitivities to those ingredients, researchers found.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 14, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

No Rise in Cancer Risk for RA Patients on Actemra
(MedPage Today) -- Similar to malignancy risk with TNF inhibitors and abatacept (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 14, 2019 Category: Primary Care Source Type: news

WHO: Ebola Outbreak in DRC'Contracting,' But Security Still a Concern
(MedPage Today) -- Despite setbacks from attacks, case numbers shrinking, WHO says (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 14, 2019 Category: Primary Care Source Type: news

Uprooting Sexual Harassment in Medicine
(MedPage Today) -- Reporting incidents is all very well, but wouldn't it be better not to have them at all? (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 14, 2019 Category: Primary Care Source Type: news

Post-Acute Care At Home Tied To More Readmissions Than Skilled Nursing Facilities (CME/CE)
(MedPage Today) -- Readmissions up at 30 days for Medicare patients discharged to home care while total payments down (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 14, 2019 Category: Primary Care Source Type: news

Duration of antibiotic treatment for common infections in English primary care: cross sectional analysis and comparison with guidelines
This journal article concludes that for most common infections treated in primary care, a substantial proportion of antibiotic prescriptions have durations exceeding those recommended in guidelines. Substantial reductions in antibiotic exposure can be accomplished by aligning antibiotic prescription durations with guidelines. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study
This journal article concludes that in elderly patients with a diagnosis of UTI in primary care, no antibiotics and deferred antibiotics were associated with a significant increase in bloodstream infection and all cause mortality compared with immediate antibiotics. In the context of an increase of Escherichia coli bloodstream infections in England, early initiation of recommended first line antibiotics for UTI in the older population is advocated. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Primary care networks
This briefing examines how primary care networks will be formed, funded and held accountable. It also looks at what differences the networks will make for patients. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Physician Loneliness: Just Me and My EHR Physician Loneliness: Just Me and My EHR
Physicians weigh in on the reasons why they think loneliness is more prevalent in their profession.Medscape Family Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - March 14, 2019 Category: Emergency Medicine Tags: Family Medicine/Primary Care Article Source Type: news

GP networks need new leadership, says NHS England lead
Primary care networks typically need a new style of leader, rather than transferring them from clinical commissioning groups or elsewhere, NHS England’s primary care lead has said. (Source: HSJ)
Source: HSJ - March 14, 2019 Category: UK Health Source Type: news

Should You Share Your Own Diagnosis With Patients? Should You Share Your Own Diagnosis With Patients?
A doctor's essay describes how sharing her own diagnosis energized her practice. But she and others say there are questions you should ask yourself before deciding how much to disclose and to whom.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 14, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Chancellor overlooks GP pension tax allowance in Spring Budget statement
The pension tax allowance for general practice failed to get a mention in the Spring Statement.  Outlining the Spring Budget today in the House of Commons, Chancellor Philip Hammond did not speak of the current pension taxation policies and their impact on GPs, despite the Government previously suggesting it would address the issue and the BMA yesterday calling for an announcement in today's Spring Statement. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - March 14, 2019 Category: Practice Management Authors: costanzapearce Tags: *** Editor ' s Pick Latest News Source Type: news

House Lawmakers Criticize Trump's Bid to Cut NIH, CDC Budgets House Lawmakers Criticize Trump's Bid to Cut NIH, CDC Budgets
White House draws bipartisan opposition from House lawmakers on some budget cuts. Democrats raised questions about children separated from parents while trying to cross the border and called for research on gun safety.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 14, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Postconcussion academic support in children who attend a primary care provider follow-up visit after presenting to the emergency department - Snedden TR, Pierpoint LA, Currie DW, Comstock RD, Grubenhoff JA.
OBJECTIVE: To examine whether a primary care provider (PCP) follow-up visit after emergency department evaluation of concussion improved the children's likelihood of receiving academic support. STUDY DESIGN: This was a prospective cohort study. Concussed c... (Source: SafetyLit)
Source: SafetyLit - March 14, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Improving the Triage Amalgamated Dermoscopic Algorithm Improving the Triage Amalgamated Dermoscopic Algorithm
By teaching FPs the clinical and the dermoscopic features of common benign skin lesions, this study sought to improve the diagnostic accuracy of the triage amalgamated dermoscopic algorithm.Journal of the American Board of Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 14, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Doctor video visits increase access to healthcare but could risk fragmentation
(University of Houston) In today's fast-paced digital society, virtual doctor visits are on the rise and offer patients a more convenient way to receive medical care from anywhere. Dr. Winston Liaw from the UH College of Medicine led the first study to examine the relationship between telehealth use and access to primary care. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - March 14, 2019 Category: International Medicine & Public Health Source Type: news

Doctors Are Writing Half as Many New Opioid Prescriptions as They Used To, Study Says
Deaths from opioid overdoses have increased dramatically over the last decade. In 2017, the latest year for which the U.S. government has statistics on the trend, more than 47,000 Americans died of opioid overdoses. One major factor contributing to the rising number of people who get addicted to opioids and die from overdoses is the increasing number of prescriptions written by doctors to treat pain. Overdose deaths related to such prescriptions increased five times from 1999 to 2017. But according to the latest study looking at opioid prescribing patterns, published in the New England Journal of Medicine, recent efforts t...
Source: TIME: Health - March 13, 2019 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized Drugs Source Type: news

Vaccination Webinar Arms FPs for State Policy Fights
The AAFP's Center for State Policy will present a free webinar March 26 to share resources and experiences related to curbing nonmedical vaccine exemptions. (Source: AAFP News)
Source: AAFP News - March 13, 2019 Category: Primary Care Source Type: news

Your Patient Bucks Parents on Vaccine Request. Now What?
With a growing number of measles cases being reported, some children of vaccine-resistant parents are seeking immunizations. Julie Graves, M.D., M.P.H., Ph.D., looks at the challenges and opportunities the situation presents. (Source: AAFP News)
Source: AAFP News - March 13, 2019 Category: Primary Care Source Type: news

CDC: Step Up Prevention of Deadly Staph Infections
A new CDC Vital Signs report and accompanyingMorbidity and Mortality Weekly Report suggest a need for renewed efforts to prevent infections caused byStaphylococcus aureus. (Source: AAFP News)
Source: AAFP News - March 13, 2019 Category: Primary Care Source Type: news

How Healthcare Is Causing'Moral Injury' to Doctors How Healthcare Is Causing'Moral Injury' to Doctors
The pressures, conflicts, and inability to provide healthcare the way they know they should is causing moral transgression--and psychological harm--in some physicians.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 13, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Joint Podcast Covers Youth-to-Adult Care Transition
A new 30-minute podcast breaks down an updated joint clinical report on the health care transition from adolescence to adulthood in the medical home that was released last October. (Source: AAFP News)
Source: AAFP News - March 13, 2019 Category: Primary Care Source Type: news

Is Physician Burnout on the Decline?
Results of a survey of more than 5,900 U.S. physicians found that for many specialties, including family medicine, burnout incidence has decreased in recent years and satisfaction with work-life balance has increased. (Source: AAFP News)
Source: AAFP News - March 13, 2019 Category: Primary Care Source Type: news

Entyvio Tops Humira in Head-to-Head UC trial
(MedPage Today) -- More vedolizumab patients achieved clinical remission, mucosal healing in VARSITY trial (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 13, 2019 Category: Primary Care Source Type: news

An At-home Intestinal Screening Test for C. Difficile An At-home Intestinal Screening Test for C. Difficile
An at-home, self-administered sequencing-based clinical intestinal screening test may be useful for identifying the presence of C. difficile in high risk patients.Journal of Medical Case Reports (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 13, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Morning Break:'Alex, You Got This!'; Claire's Makeup Recall; Oral Sex Has Its Hazards
(MedPage Today) -- Health news and commentary from around the Web gathered by the MedPage Today staff (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 13, 2019 Category: Primary Care Source Type: news

Highmark, Geisinger complete clinical joint venture
Highmark and Geisinger announced Tuesday that they had completed a previously-announced clinical joint venture to improve access to primary care, specialty care and appropriate acute inpatient care in four Pennsylvania counties. The agreement creates a new, non-profit health care organization that includes existing Geisinger locations and developing new facilities in Clinton, Lycoming, Sullivan and Tioga counties. “We always strive to work with forward-thinking provider partners who have a shared… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - March 13, 2019 Category: Pharmaceuticals Authors: Luke Torrance Source Type: news

Primary care networks will not have to be led by GPs, says NHS England
Primary care networks will not have to be led by a GP, with'any clinician' in general practice able to take charge, NHS England has said.  Under the new five-year GP contract, practices will be provided with extra funding to join networks, which will see groups of practices serve 30-50,000 patients.  All networks must appoint an accountable clinical director, who will be responsible for ensuring it delivers local services, by 15 May. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - March 13, 2019 Category: Practice Management Authors: costanzapearce Tags: *** Editor ' s Pick Latest News Source Type: news

Lower BP Linked to Cognitive Decline in Frail Elderly Lower BP Linked to Cognitive Decline in Frail Elderly
For older patients receiving hypertension treatment, a systolic BP below 130 mmHg was linked to added cognitive decline, especially among individuals with complex health problems, a study found.Medscape Medical News (Source: Medscape Cardiology Headlines)
Source: Medscape Cardiology Headlines - March 13, 2019 Category: Cardiology Tags: Family Medicine/Primary Care News Source Type: news

2019 Top 10 List of Patient Safety Concerns 2019 Top 10 List of Patient Safety Concerns
EHR misuse, antibiotic overuse, clinician burnout, mobile monitoring devices, and failure to recognize changes in patient health status are among major safety issues.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 13, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Man Living Last Days Hears Grim News From Doctor Via Video Man Living Last Days Hears Grim News From Doctor Via Video
The news that he would die in days was delivered before his wife arrived. Kaiser expresses regret and vows better practices, but adds that the diagnosis and prognosis were previously discussed in person.Medscape Medical News (Source: Medscape Business of Medicine Headlines)
Source: Medscape Business of Medicine Headlines - March 13, 2019 Category: Pharmaceuticals Tags: Family Medicine/Primary Care News Source Type: news

In Medicine, Always Bring Your'A Game '
(MedPage Today) -- Top-level performance is a requirement for the job, says Suneel Dhand, MD (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 13, 2019 Category: Primary Care Source Type: news

Re-Analysis of SPRINT Shows New Risks for Smokers With HTN (CME/CE)
(MedPage Today) -- Outcomes worse with strict blood pressure targets (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - March 12, 2019 Category: Primary Care Source Type: news

Arizona FPs Tackle Threat to Expand Vaccine Exemptions
Arizona legislators recently introduced three bills that would expand vaccine exemptions and create new challenges for health care professionals who administer vaccines. (Source: AAFP News)
Source: AAFP News - March 12, 2019 Category: Primary Care Source Type: news

Trump Budget Seeks 12% HHS Cut, Medicaid Work Rules, FDA Boost Trump Budget Seeks 12% HHS Cut, Medicaid Work Rules, FDA Boost
The White House on Monday unveiled a budget request that proposes changes in Medicare, including its payment approach for physician services provided in offices owned by hospitals.Medscape Medical News (Source: Medscape Hiv-Aids Headlines)
Source: Medscape Hiv-Aids Headlines - March 12, 2019 Category: Infectious Diseases Tags: Family Medicine/Primary Care News Source Type: news

A'Cruel Tool': Hospital Ads Offering False Hope A'Cruel Tool': Hospital Ads Offering False Hope
Advertisements suggesting that personalized cancer treatment can improve survival or even offer a cure are not realistic for all patients and are unethical.Medscape Business of Medicine (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - March 12, 2019 Category: Allergy & Immunology Tags: Family Medicine/Primary Care Commentary Source Type: news

CCGs are trying to ‘manipulate’ formation of networks, BMA told
CCGs in some areas of England have been trying to‘manipulate’ new primary care networks to ensure they align with their own plans, according to the BMA.  GPs told our sister publication Pulse, where this story was first published, that a number of CCGs have been trying to influence how networks are set-up, including telling practices which GP should become their clinical director. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - March 12, 2019 Category: Practice Management Authors: Angela Sharda Tags: *** Editor ' s Pick Latest News Source Type: news

Tension as practice pharmacists ‘encroach’ on nurse duties
General practice nurses feel threatened by the introduction of pharmacists into their workforce because of the overlap between their roles, a study has found. (Source: Nursing Times)
Source: Nursing Times - March 12, 2019 Category: Nursing Source Type: news