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May/June 2018 Annals of Family Medicine tip sheet
(American Academy of Family Physicians) Annals of Family Medicine is a peer-reviewed, indexed research journal that provides a cross-disciplinary forum for new, evidence-based information affecting the primary care disciplines. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - May 14, 2018 Category: International Medicine & Public Health Source Type: news

Social challenges are associated with poorer health outcomes
(American Academy of Family Physicians) Among more than 600,000 primary care patients, half live with some degree of social challenge, which has a negative effect on the quality of care they receive. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 14, 2018 Category: International Medicine & Public Health Source Type: news

Free children's visits increase care and workforce burden
(American Academy of Family Physicians) In July 2015, all children under six years of age gained free access to daytime and out-of-hours general practice services in the Republic of Ireland, resulting in a 25 percent increase in utilization. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 14, 2018 Category: International Medicine & Public Health Source Type: news

A theoretical model to alleviate primary care strain
(American Academy of Family Physicians) Co-management of patients by more than one primary care clinician is among new models of care designed to meet the demand for high quality patient care. A new co-management model lays the groundwork for potential care partnerships between nurse practitioners and physicians. It finds that effective nurse practitioner-physician co-management requires three core attributes: effective communication, mutual respect and trust, and a shared philosophy of care. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 14, 2018 Category: International Medicine & Public Health Source Type: news

Roles and functions of community health workers in primary care
(American Academy of Family Physicians) Community health workers in primary care provide clinical services, community resource connections, and health education and coaching. As trained individuals with limited or no formal medical education, they are widely considered to have the potential to enhance primary care access and quality, but remain underutilized. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 14, 2018 Category: International Medicine & Public Health Source Type: news

Screening for impaired vision in older adults: New Canadian guideline
(Canadian Medical Association Journal) A new Canadian guideline for impaired vision in older adults recommends against primary care screening of older adults not reporting concerns about their vision. The guideline, published in English and French in CMAJ (Canadian Medical Association Journal) by the Canadian Task Force on Preventive Health Care (CTFPHC), is aimed at primary care practitioners. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 14, 2018 Category: International Medicine & Public Health Source Type: news

Why Are Nursing Schools Rejecting Thousands of Applicants?
(MedPage Today) -- Even in the midst of a nationwide nurse shortage (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 13, 2018 Category: Primary Care Source Type: news

Dear Dr. Gottlieb: You're Wrong About Dairy Fat
(MedPage Today) -- An open letter to the FDA commissioner (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 13, 2018 Category: Primary Care Source Type: news

Pay deal must be extended to 'all sectors providing NHS services'
The Royal College of Nursing has written to the government calling for the pay proposals currently being consulted on by NHS staff to be extended to those working in social care, the private sector and primary care. (Source: Nursing Times)
Source: Nursing Times - May 13, 2018 Category: Nursing Source Type: news

D.C. Week: Trump Announces Plan to Tackle High Drug Costs
(MedPage Today) -- Also: Key White House official in charge of pandemic response leaves (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 12, 2018 Category: Primary Care Source Type: news

Personalize Decisions on PSA Screening for Men Ages 55-69
On May 8, the U.S. Preventive Services Task Force posted its new final recommendation statement and three final evidence reviews on screening for prostate cancer, advising individual screening for men ages 55-69 and no screening for those who are older. (Source: AAFP News)
Source: AAFP News - May 11, 2018 Category: Primary Care Source Type: news

Trump Unveils'American Patients First' Plan to Lower Drug Costs Trump Unveils'American Patients First' Plan to Lower Drug Costs
Trump offers an optimistic take in a speech about how soon Americans might see changes in their drugstore bills. The HHS secretary followed with a more cautious outlook on the expected timing of changes.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - May 11, 2018 Category: Internal Medicine Tags: Family Medicine/Primary Care News Alert Source Type: news

Cap GP Appointments'To Protect Patient and Doctor Health'Cap GP Appointments'To Protect Patient and Doctor Health '
Could a cap on the number of daily consultations in general practice be the only way to protect the health of patients and their doctors in primary care in the face of dwindling resources and an increasing workload?Medscape News UK (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 11, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Primary Care Providers Have Mixed Views on Genetic Tests
FRIDAY, May 11, 2018 -- Primary care providers view tests for genetic risks of common diseases as useful, but lack confidence in interpreting results, according to a study published in the May issue of Health Affairs. Diane Hauser, from the Icahn... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - May 11, 2018 Category: Pharmaceuticals Source Type: news

iMedicalApps: Best New Medical Apps for Doctors and Nurses
(MedPage Today) -- This week's roundup of must-haves on Android and iOS (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 11, 2018 Category: Primary Care Source Type: news

Talking About Pot with Cancer Patients
(MedPage Today) -- Discrepancy between oncologists'actions, knowledge (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 11, 2018 Category: Primary Care Source Type: news

LBBB Strategy; PCSK9 for Lp(a); 6MWD Cognitive Test
(MedPage Today) -- Cardiovascular Daily wraps up the top cardiology news of the week (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 11, 2018 Category: Primary Care Source Type: news

A Shark is Heading Our Way
(MedPage Today) -- Increasing paperwork burdens are going to tear us apart, says Fred Pelzman, MD (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 11, 2018 Category: Primary Care Source Type: news

Weekly Postings
See something of interest? Please share our postings with colleagues in your institutions! Spotlight All of Us: Did you miss the NNLM All of Us webinar on April 30? Watch the recording on YouTube to learn more about getting involved with the All of Us Research Program. Connect with MAR: MAR coordinators would love the chance to speak with you in person about your projects, and opportunities for potential partnership! Check out the schedule of upcoming conferences where you can meet and greet with our staff. National Network of Libraries of Medicine News Big Data in Healthcare – Opportunities for Librarians – SE...
Source: NN/LM Middle Atlantic Region Blog - May 11, 2018 Category: Databases & Libraries Authors: Hannah Sinemus Tags: Weekly Postings Source Type: news

GPs denied work face four-month wait for Capita compensation
GPs facing delays to join the national performers list managed by primary care support provider Capita may have to be out of work for four months to qualify for compensation, the BMA has warned. (Source: GP Online News)
Source: GP Online News - May 11, 2018 Category: Primary Care Tags: News Source Type: news

Spread the Word on May 22: FPs Treat Body < i > and < /i > Mind
May is Mental Health Awareness Month. AAFP President Michael Munger, M.D., invites FPs to join a National Day of Action to let people know that when they need help, their family physician is a good place to start. (Source: AAFP News)
Source: AAFP News - May 11, 2018 Category: Primary Care Source Type: news

Exclusive: Partnership first choice career for only one in five GPs
Only one in five GPs say a partnership role is currently the most attractive career option in general practice, a GPonline poll has found. (Source: GP Online News)
Source: GP Online News - May 11, 2018 Category: Primary Care Tags: Practice News Source Type: news

GP trainees 'exploited' to prop up overstretched out-of-hours services
Under-pressure GP out-of-hours services are using trainees 'solely for service provision' and failing to prioritise their education - with inadequate support leaving young doctors and patients at risk, a GMC report has warned. (Source: GP Online News)
Source: GP Online News - May 11, 2018 Category: Primary Care Tags: News Source Type: news

Cauda equina syndrome: Changes to NICE CKS red flags
Failure or delay in diagnosis of cauda equina syndrome can be catastrophic and leave GPs open to costly negligence claims. Dr Philip White from MPS explains changes to NICE Clinical Knowledge Summaries' red flag symptoms for this condition, which should support earlier referral. (Source: GP Online Education)
Source: GP Online Education - May 11, 2018 Category: Primary Care Tags: 15.9 Rheumatology, Musculoskeletal and Trauma Source Type: news

Inquiry launched into care of 2,500 neurology patients in NI
Independent review will examine whether any early complaints relating to Dr Watt should have rung alarm bells Related items fromOnMedica Focused neurological examination in primary care A focused neurological history Wessex neurology intelligence disease insight report GPs have little confidence in primary care neurology services Motor neurone disease patients face long wait for diagnosis (Source: OnMedica Latest News)
Source: OnMedica Latest News - May 11, 2018 Category: UK Health Source Type: news

New system launched to detect and prevent medication errors
Medicines optimisation dashboard will link primary care prescribing data to hospitals admissions Related items fromOnMedica Most nursing home drug errors linked to few serious consequences New pharmacy standards aim to boost patient experience and cut drug errors Multidisciplinary prescribing can help reduce errors Prescription history could help GPs diagnose cancer earlier Over 75s not taking medication correctly, say GPs (Source: OnMedica Latest News)
Source: OnMedica Latest News - May 11, 2018 Category: UK Health Source Type: news

Partnering with a purpose: making collaboration work
In its recent planning guidance, NHS England made clear that sustainability and transformation partnerships (STPs) will take prominent roles in planning local systems, which are expected to evolve to become integrated care systems (ICSs). Primary care meanwhile is expected to form its own groupings, each serving a minimum population of 30,000 to 50,000. These can be thought of as building blocks of the ICSs that emerge over time. (Source: NHS Networks)
Source: NHS Networks - May 11, 2018 Category: UK Health Source Type: news

U.S. Indicts Three Veterans Healthcare Providers Over MiMedx Payments U.S. Indicts Three Veterans Healthcare Providers Over MiMedx Payments
Three healthcare providers with the U.S. Department of Veterans Affairs were indicted on charges they excessively used biotech MiMedx Group Inc's products on patients after accepting meals, trips and gratuities from the company.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Poor Sleep Quality Explains Some Racial Differences in Drowsy Driving Poor Sleep Quality Explains Some Racial Differences in Drowsy Driving
Black and Hispanic drivers are at twice the risk of falling asleep at the wheel compared to whites, and differences in sleep quality explain at least some of the disparity between blacks and whites, a U.S. study suggests.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

' Frequent Exacerbator' Phenotype in COPD Is Real
(MedPage Today) -- Two or more annual exacerbations predicts poor prognosis (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 10, 2018 Category: Primary Care Source Type: news

Wales to launch state-backed GP indemnity deal from April 2019
A state-backed GP indemnity deal will be rolled out to cover all GPs working in NHS general practice in Wales from April 2019, the Welsh government has announced. (Source: GP Online News)
Source: GP Online News - May 10, 2018 Category: Primary Care Tags: Practice News Source Type: news

NHS England must 'switch off' admin pressure on practices
NHS England and CCGs should 'switch off' everything GP practices are required to do that is not related to frontline patient care, according to London's top GP. (Source: GP Online News)
Source: GP Online News - May 10, 2018 Category: Primary Care Tags: Practice News Source Type: news

How Chatbots Can Ease Primary Care Burden
(MedPage Today) -- Artificial intelligence in primary medicine isn't just the future -- it's already here (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - May 10, 2018 Category: American Health Source Type: news

Common Running Injuries: Evaluation and Management Common Running Injuries: Evaluation and Management
This article presents an overview of the most common injuries related to running, their presentation and diagnosis, and key recommendations for management.American Family Physician (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 10, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

£15m transformation funding for Northern Ireland primary care
NI government pledges £5m funding for roll-out of multidisciplinary teams in general practices Related items fromOnMedica Emergency care in Northern Ireland unsustainable, warn emergency doctors Decade of underfunded primary care must end, says GP leader Scottish government pledges ‘significant investment’ in primary care Investment in primary care leads to secondary care savings Extra GP-targeted investment would benefit whole NHS (Source: OnMedica Latest News)
Source: OnMedica Latest News - May 10, 2018 Category: UK Health Source Type: news

General practice extended access collection – March 2018
NHS England published the latest results (March data) from the extended access to general practice collection. (Source: NHS Networks)
Source: NHS Networks - May 10, 2018 Category: UK Health Source Type: news

Spotlight on the 10 high impact actions
The RCGP has published an assessment of NHS England's time for care programme - specifically, its 10 high impact actions, which aim to cut workload in general practice. (Source: NHS Networks)
Source: NHS Networks - May 10, 2018 Category: UK Health Source Type: news

AAP-HHS (American Academy of Pediatrics-Health and Human Services) Pediatric Provider Educational Webinar
U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. 05/01/2018 These presentation slides are from a webinar hosted by the Health and Human Services Assistant Secretary for Preparedness and Response (HHS ASPR) and the American Academy of Pediatrics (AAP), and held primarily in Spanish, to help pediatric medical providers locate disaster-related resources related to small business restoration, preparedness, and mental health services. Topics included Integrating Pediatric Mental Health and Primary Care, and Disaster Preparedness and Informed Response. (Presentation S...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - May 9, 2018 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Intranasal Esketamine Succeeds in Depression Trial
(MedPage Today) -- 4-point cut in MADRS scores versus placebo after 4 weeks (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 9, 2018 Category: Primary Care Source Type: news

Does Stress Lead to Rheumatoid Arthritis? (CME/CE)
(MedPage Today) -- Study suggests the answer is no (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 9, 2018 Category: Primary Care Source Type: news

ECT Found Cost Effective Early in Depression Treatment
(MedPage Today) -- Should be considered after two failed prior treatments, study suggests (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 9, 2018 Category: Primary Care Source Type: news

Family Physician Finds Antidote to Burnout in Innovation
The AAFP's Alliance for e-Health Innovation is accepting applications for its Primary Care Innovation Fellowship. The 2017 fellow, Joey Nichols, M.D., says innovation projects help him avoid burnout. (Source: AAFP News)
Source: AAFP News - May 9, 2018 Category: Primary Care Source Type: news

Sharing of GP data for immigration tracking scaled back after government U-turn
Information from GP patient records will no longer be shared with the Home Office for routine immigration tracking after a government U-turn that has been welcomed by GP leaders. (Source: GP Online News)
Source: GP Online News - May 9, 2018 Category: Primary Care Tags: Practice News Source Type: news

Renal Outlook Improves in Lupus (CME/CE)
(MedPage Today) -- Increasing incidence of milder clinical syndromes since 1970 (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 9, 2018 Category: Primary Care Source Type: news

Malpractice Risks When Refilling Prescriptions Malpractice Risks When Refilling Prescriptions
Some physicians assume that patients will remember their advice or follow drug label warnings. This case illustrates why physicians need to monitor patients'use of drugs during the refill process. (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

We Want to Know: What's Your Most Relaxing Vacation Spot? We Want to Know: What's Your Most Relaxing Vacation Spot?
Physicians are starting to plan their next vacation. We want to know what destinations you recommend for relaxation and rejuvenation.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Malpractice: When Doctors Don't Communicate Malpractice: When Doctors Don't Communicate
Relying on email, faxes, and voicemails to discuss critical cases and test results can lead to a malpractice lawsuit. This malpractice case illustrates why physicians need to place more emphasis on talking to each other. (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Should Marijuana Be Legalized Nationally? Should Marijuana Be Legalized Nationally?
There may soon be legislation that will allow more states to legalize the drug.Medscape Reader Polls (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

About 2 Out of 5 Physicians Have $1 Million or More in Assets About 2 Out of 5 Physicians Have $1 Million or More in Assets
Plastic surgeons were most likely to have $2 million or more. Dermatologists were most likely to have $5 million or more. Pathologists and ophthalmologists were the best savers.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 9, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Former GPC chair demands workload cap, warning: 'I am not prepared to die for the NHS'
GP consultations per day should be capped to protect both doctors and patients from 'dangerous' workload levels, a former GPC chair has warned. (Source: GP Online News)
Source: GP Online News - May 9, 2018 Category: Primary Care Tags: News Source Type: news