Identifying opportunities to improve intimate partner violence screening in a primary care system - Sharples L, Nguyen C, Singh B, Lin S.
BACKGROUND AND OBJECTIVES: Intimate partner violence (IPV) is a silent epidemic affecting one in three women. The US Preventive Services Task Force recommends routine IPV screening for women of childbearing age, but actual rates of screening in primary car... (Source: SafetyLit)
Source: SafetyLit - October 15, 2018 Category: International Medicine & Public Health Tags: Program and Other Evaluations, Effectiveness Studies Source Type: news

Opioid and cocaine use among primary care patients on buprenorphine-self-report and urine drug tests - Bagley SM, Cheng DM, Winter M, Alford DP, LaBelle C, Walley AY, Samet JH.
BACKGROUND: Urine drug tests (UDTs) are recommended to monitor patients treated for opioid use disorder in primary care. The aims are to (1) estimate the frequency of self-report and UDT results of opioid and cocaine use and (2) evaluate the association be... (Source: SafetyLit)
Source: SafetyLit - October 15, 2018 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Factors associated with rapidly repeated acute poisoning by substances of abuse: a prospective observational cohort study - Vallersnes OM, Jacobsen D, Ekeberg Ø, Brekke M.
OBJECTIVE: We have previously found that 9% of patients treated for acute poisoning by substances of abuse in a primary care emergency outpatient setting presented with a new poisoning within a week. We now identify factors associated with rapidly repeated... (Source: SafetyLit)
Source: SafetyLit - October 15, 2018 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Older adult fall prevention practices among primary care providers at accountable care organizations: a pilot study - Howland J, Hackman H, Taylor A, O'Hara K, Liu J, Brusch J.
BACKGROUND: Falls are a serious and common problem among older adults. Low-tech, inexpensive, community-based fall prevention programs have been shown to be both effective and cost effective, however, these programs are not well-integrated into clinical pr... (Source: SafetyLit)
Source: SafetyLit - October 15, 2018 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Radiologists influence cost of incidental MRI follow-up
When radiologists find incidental pancreatic cysts on MRI scans, patients can...Read more on AuntMinnie.comRelated Reading: Contrast US more accurately types pancreatic lesions Incidental imaging findings boost healthcare costs USPSTF seeks comment on pancreatic cancer guidance PET/MRI head scans reveal important incidental findings Primary care doctors want help with incidental findings (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - October 15, 2018 Category: Radiology Source Type: news

IL-6 for Adult Still's: A New Option? (CME/CE)
(MedPage Today) -- Some benefits seen, but primary endpoint not met (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 14, 2018 Category: Primary Care Source Type: news

' Innovative' Nursing Honors Veterans
(MedPage Today) -- Beth Abele, RN, MSN, CNL, discusses ways to better care for vets (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 14, 2018 Category: Primary Care Source Type: news

Understanding Neuropathic-Like Knee Pain
(MedPage Today) -- Central risk factors may contribute to the condition, study shows (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 13, 2018 Category: Primary Care Source Type: news

Mental Exercises for Training Your Brain
(MedPage Today) -- Must reads about the latest news and trends in healthcare careers (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 13, 2018 Category: Primary Care Source Type: news

FDA Panel Backs Powerful Opioid Pills for Emergency Pain
(MedPage Today) -- Sufentanil up to 10 times more potent than fentanyl, but REMS would mitigate risks (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 12, 2018 Category: Primary Care Source Type: news

Physicians See the Need, Not the Pay for Mental Healthcare Physicians See the Need, Not the Pay for Mental Healthcare
Frustrated physicians describe family practices overwhelmed with patients needing mental health services, and say they see no relief in sight for reimbursement reform.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

FPs Tackle Primary Care Spending, Other Weighty Topics
The 2018 AAFP Congress of Delegates'Reference Committee on Advocacy considered a number of resolutions important to family physicians and their patients, including primary care spending and single payer options. (Source: AAFP News)
Source: AAFP News - October 12, 2018 Category: Primary Care Source Type: news

Undeclared Drugs Common in OTC Supplements, FDA Data Show Undeclared Drugs Common in OTC Supplements, FDA Data Show
A new study highlights the frequency with which unauthorized ingredients are found in over-the-counter dietary supplements and sheds light on the FDA's response to these findings.Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

High Prolactin Tied to Lower T2D Risk in Women (CME/CE)
(MedPage Today) -- Risk fell by 27% in women with highest, though normal, levels (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 12, 2018 Category: Primary Care Source Type: news

Forms of Sleep Disturbances Increase as Parkinson's Progresses Forms of Sleep Disturbances Increase as Parkinson's Progresses
Sleep disturbances are common across the stages of Parkinson's disease and increase with disease progression. A study suggests that because there is little overlap, they may have different etiologies.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Balanitis (Inflammation of the Head of the Penis)
Title: Balanitis (Inflammation of the Head of the Penis)Category: Diseases and ConditionsCreated: 6/24/2013 12:00:00 AMLast Editorial Review: 10/12/2018 12:00:00 AM (Source: MedicineNet Mens Health General)
Source: MedicineNet Mens Health General - October 12, 2018 Category: Primary Care Source Type: news

Parental Unemployment and Offspring Psychotropic Medication Purchases Parental Unemployment and Offspring Psychotropic Medication Purchases
A father's unemployment may affect the mental health of adolescent offspring.American Journal of Epidemiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

The EveryONE Project Unveils Latest Toolkit
The EveryONE Project from the AAFP has launched the latest iteration of its comprehensive toolkit to help family physicians address social determinants of health in their practices and communities. (Source: AAFP News)
Source: AAFP News - October 11, 2018 Category: Primary Care Source Type: news

FDA Says Vape Liquid Contains Erectile Dysfunction Drug
(MedPage Today) -- Company warned to stop selling the illegal products (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 11, 2018 Category: Primary Care Source Type: news

Pregnancy Rates Increasing in Women With Multiple Sclerosis Pregnancy Rates Increasing in Women With Multiple Sclerosis
Pregnancy rates in women with MS are increasing, confirming the well-established'down-up trend'for reduced relapse risk during pregnancy and the abrupt increase in relapse risk after delivery, new research shows.Medscape Medical News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - October 11, 2018 Category: Primary Care Tags: Neurology & Neurosurgery News Source Type: news

Rare HIV PrEP Failure Reported in San Francisco
(MedPage Today) -- Truvada for pre-exposure prophylaxis remains highly effective, experts say (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 11, 2018 Category: Primary Care Source Type: news

Compassion, Faith Drive FPOY to Help Patients, Community
Will Cooke, M.D., a family physician from Austin, Ind., who took on disease outbreaks caused by injection drug use in his small rural community, has been named the AAFP's 2019 Family Physician of the Year. (Source: AAFP News)
Source: AAFP News - October 11, 2018 Category: Primary Care Source Type: news

Study: Men Who Smoke Unaware of Erectile Dysfunction Risk
(MedPage Today) -- Impotence warnings might motivate men to kick the habit (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 11, 2018 Category: Primary Care Source Type: news

CQC: practices'improve patient safety' despite'increasingly stretched' workforce
The overall safety of GP practices in England is improving, although there is a concern about the‘stretched’ GP workforce going forward, the CQC has said.  Its annual State of Care report said that in the safety category, 93% of GP practices were rated as good at 31 July 2018 compared with 88% at the same time in 2017.  Overall, across all inspection areas, 91% of GP surgeries were rated as good and 5% as outstanding, with 1% rated as inadequate and 4% as requires improvement. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - October 11, 2018 Category: Practice Management Authors: Angela Sharda Tags: *** Editor ' s Pick Latest News Source Type: news

GP Partnership Review: interim report
This report starts to explore the potential solutions that will revitalise the partnership model of general practice. It invites GPs and others with an interest to continue to get involved with the review by sharing their experiences and ideas. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 11, 2018 Category: Consumer Health News Source Type: news

Effectiveness of a multifactorial intervention for dizziness in older people in primary care: A cluster randomised controlled trial - Stam H, van der Wouden JC, Hugtenburg JG, Twisk JWR, van der Horst HE, Maarsingh OR.
OBJECTIVES: Dizziness is common in older people. Physicians are often unable to identify a specific cause for dizziness in older people, even after an extensive diagnostic work-up. A prognosis-oriented approach, i.e. treating modifiable risk factors for an... (Source: SafetyLit)
Source: SafetyLit - October 11, 2018 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Popular'Club Drug' Tied to Brain, Cognitive Changes Popular'Club Drug' Tied to Brain, Cognitive Changes
Gamma-hydroxybutyrate, which is widely used as a'party drug,'causes functional brain changes, especially after drug-related comas, Dutch researchers have shown for the first time.Medscape Medical News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - October 11, 2018 Category: Primary Care Tags: Psychiatry News Source Type: news

Opioid crisis coupled with doctor shortage leaves chronic pain patients desperate
In northwestern Ontario where thousands of people don't have a primary care provider, patients taking painkillers often aren't at the top of family doctors' waiting lists. (Source: CBC | Health)
Source: CBC | Health - October 11, 2018 Category: Consumer Health News Tags: News/Canada/Thunder Bay Source Type: news

CVS, Aetna Win U.S. Approval for $69 Bln Merger CVS, Aetna Win U.S. Approval for $69 Bln Merger
Pharmacy chain CVS Health Corp won U.S. antitrust approval for its $69 billion acquisition of health insurer Aetna Inc, the Justice Department said on Wednesday, paving the way for a combination the companies say can help cut soaring U.S. healthcare costs.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 11, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Lack of Communication About Medical Marijuana With Patients Lack of Communication About Medical Marijuana With Patients
Medical marijuana is widely available, but are physicians aware if their patients are using it?Journal of the American Board of Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 11, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Gout Tx and CV Death Risk: Pain Medicine News Report
(MedPage Today) -- Also, the plight of adolescents with chronic pain (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 11, 2018 Category: Primary Care Source Type: news

No two primary care networks are the same - nor is our support
Primary care networks are starting to emerge across the country to meet the need for locally-determined solutions to the challenges of scale and collaboration. (Source: NHS Networks)
Source: NHS Networks - October 11, 2018 Category: UK Health Source Type: news

Boards overspend to operate managed GP practices
Welsh health boards overspent by more than £1m Related items fromOnMedica All GP training places filled in Wales GPs warn government: fund service properly or it will collapse GP out-of-hours service in Wales floundering GP out-of-hours standards not being met Hunt supports efforts to prevent GP surgery closures (Source: OnMedica Latest News)
Source: OnMedica Latest News - October 11, 2018 Category: UK Health Source Type: news

The NHS long-term plan: suggestions for framing the way ahead
Health Foundation chief executive Jennifer Dixon offers up her suggestions for the NHS long-term plan Related items fromOnMedica Wealthy tech companies creating ‘digital divide’ in health Collaboration 2.0: Moving towards true person-centred care Urging GPs towards prevention and self-care Prioritise and fund prevention to save lives and NHS, warn doctors Long-term NHS plan must be honest, realistic, achievable and clear (Source: OnMedica Views)
Source: OnMedica Views - October 11, 2018 Category: Primary Care Source Type: news

' Outside the Box' Solutions Needed for Seniors' Care
(MedPage Today) -- More coordination needed between medical, non-medical organizations, speakers suggest (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 10, 2018 Category: Primary Care Source Type: news

FDA Staff Raises Safety Issues Over Trevena Opioid Injection FDA Staff Raises Safety Issues Over Trevena Opioid Injection
Trevena Inc's opioid injection to treat acute pain could be abused and potentially lead to overdose, staff reviewers of the U.S. Food and Drug Administration said on Tuesday, sending the drugmaker's shares down 66 percent.Reuters Health Information (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Two Mu Opioids Set for FDA Advisory Review
(MedPage Today) -- Oliceridine abuse potential raises concern; outlook better for sufentanil sublingual tablets (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - October 10, 2018 Category: Primary Care Source Type: news

COD Addresses Medical Aid in Dying, Institutional Racism
Delegates to the 2018 Congress of Delegates in New Orleans addressed a number of clinical and patient-oriented issues, including medical aid in dying and institutional racism in health care. (Source: AAFP News)
Source: AAFP News - October 10, 2018 Category: Primary Care Source Type: news

Frontier Medicine Honed AAFP President's Leadership Skills
Newly installed Academy president John Cullen, M.D., sat down withAAFP News to talk about himself, his upcoming presidential year and practicing family medicine in a remote small town. (Source: AAFP News)
Source: AAFP News - October 10, 2018 Category: Primary Care Source Type: news

UK Clinical Trials Fall as Brexit Clouds Drug Approval Process UK Clinical Trials Fall as Brexit Clouds Drug Approval Process
The number of new clinical trials started in Britain last year was 25 percent lower than the average for 2009-16, as anxiety about Brexit's impact on future medicines regulation made companies hesitate about running studies in the country.Reuters Health Information (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

AAFP Delegates Choose New Leaders for 2018-19
On Oct. 10, the AAFP Congress of Delegates elected leaders to guide the Academy through the coming year and beyond. Gary LeRoy, M.D., of Dayton, Ohio, was named the AAFP's president-elect. (Source: AAFP News)
Source: AAFP News - October 10, 2018 Category: Primary Care Source Type: news

FPs Make a Difference Volunteering in'The Big Easy '
Community service opportunities drew 220 family physicians and their families Oct. 9 during the Family Medicine Experience in New Orleans. (Source: AAFP News)
Source: AAFP News - October 10, 2018 Category: Primary Care Source Type: news

No More Secrets: Congress Bans'Gag Orders' on Drug Prices No More Secrets: Congress Bans'Gag Orders' on Drug Prices
Pharmacists will no longer be prohibited from telling customers when they can save money by paying the pharmacy's lower cash price instead of the price negotiated by their insurance plan.Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

AAFP Breaks From AMA, Adopts Neutral Aid-in-Dying Stance AAFP Breaks From AMA, Adopts Neutral Aid-in-Dying Stance
American Academy of Family Physicians delegates took a neutral stance, opting to let families, physicians, and states make aid-in-dying decisions, in opposition to American Medical Association policy.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Can Pharmacists Help Reinvent Primary Care in the United States?
The United States has a looming primary care crisis. Could pharmacists be the answer? (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - October 10, 2018 Category: Pharmaceuticals Authors: Sachin H. Jain, Contributor Source Type: news

Ascension Wisconsin will add 100 primary care physicians as part of growth strategy
Ascension Wisconsin is embarking on a growth phase that will add primary care, urgent care and ambulatory clinics as well as 100 primary care physicians over the next two to three years. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - October 10, 2018 Category: Health Management Authors: Rich Kirchen Source Type: news

Will You Get the Flu Vaccine This Year? Will You Get the Flu Vaccine This Year?
Despite a relatively severe influenza season last year, clinician vaccination rates remain flat.Medscape Reader Polls (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Alternative to 10-Year MOC Exam Coming in 2019 Alternative to 10-Year MOC Exam Coming in 2019
Early next year, a pilot program will allow family physicians to answer 25 open-book questions every quarter on any computer, at no charge, instead of the 10-year maintenance of certification exam.Medscape Medical News (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - October 10, 2018 Category: Allergy & Immunology Tags: Family Medicine/Primary Care News Source Type: news

Alternative to 10-Year Certification Exam Coming in 2019 Alternative to 10-Year Certification Exam Coming in 2019
Early next year, a pilot program will allow physicians to answer 25 open-book questions every quarter on any computer, at no charge, instead of the 10-year maintenance of certification exam.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Addressing SDoH: Finally, Tools for PCPs Addressing SDoH: Finally, Tools for PCPs
AAFP has created a wealth of resources to allow primary care practices to identify and address social determinants of health.American Academy of Family Physicians (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - October 10, 2018 Category: Primary Care Tags: Family Medicine/Primary Care Expert Interview Source Type: news