Make the Diagnosis: Can You Give this Patient a Hand?
(MedPage Today) -- A 70-year-old man went on a rare visit to his primary care physician complaining of some numbness and pain in his hand with difficulty fully opening his hand. When he showed the doctor, his palm appeared to have raised scars and the skin looked pulled together. He said he'd noticed some smooth nodules on the hand a couple of years ago, but he didn't think much of it because he often worked with his hands. His thumb and index finger seemed unaffected. The doctor noted a long-term tobacco habit, and the patient said he had been in recovery from alcoholism for 3 years. Can you diagnose the patient? (Source...
Source: MedPage Today Dermatology - May 15, 2018 Category: Dermatology Source Type: news

Sarilumab Benefits in RA Persist for 2 Years
(MedPage Today) -- Patients initially given the higher dose had better x-ray outcomes (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 15, 2018 Category: Primary Care Source Type: news

Op-Ed: Houstonians need to embrace concierge medicine
I had a pivotal conversation with a colleague of mine about five years ago. He was lamenting over the fact that he wears a stop watch around his neck that alarms every seven minutes reminding him to proceed to the next patient room in his already overloaded schedule as a family practitioner. I could certainly relate to his plight, as could many of our fellow physicians practicing solo primary care medicine. Indeed, in recent years, physicians have found themselves running on a hamster wheel driven… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 15, 2018 Category: Biotechnology Authors: Barbara Taylor-Cox Source Type: news

Should Doctors Tell Each Other How Much They Earn? Should Doctors Tell Each Other How Much They Earn?
Pay transparency is gaining attention, but revealing your salary to another physician can cause problems. Should physicians tell each other how much they earn?Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 15, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Five Goals for Enhancing Rural Healthcare, CMS Proposes: HealthLeaders Media
(MedPage Today) -- Also, highlighting the legacy of Florence Nightingale (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 15, 2018 Category: Primary Care Source Type: news

Why the CQC was warmly received by independent hospitals
Dr Howard Freeman considers the main takeaways from the quality regulator ’s latest assessment of independent sector hospitals Related items fromOnMedica New head of NHS regulator announced Larger GP practices face regulatory fee hike More Mental Health detentions than ever before Online healthcare apps/websites still falling short on patient safety Two in five private hospitals need to improve safety (Source: OnMedica Views)
Source: OnMedica Views - May 15, 2018 Category: Primary Care Source Type: news

HHS Chief Builds Case for Tougher Medicare Drug Negotiations HHS Chief Builds Case for Tougher Medicare Drug Negotiations
US Health and Human Services (HHS) Secretary Alex Azar offers feisty remarks aimed at drugmakers at Monday press conference, then details more nuanced approach in meeting with reporters.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 14, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Pearls from: Andrew Stewart, MD
(MedPage Today) -- Why are endocrinologists so scarce? (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 14, 2018 Category: Primary Care Source Type: news

Get Docs Out of Drug-Buying Business, HHS Chief Urges
(MedPage Today) -- Azar details plan for competitive bidding program in Medicare Part B (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 14, 2018 Category: Primary Care Source Type: news

Patients and Caregivers Want Caring, Continuity in Transition Patients and Caregivers Want Caring, Continuity in Transition
Patients and caregivers say caring, continuity, and clinician accountability are key for successful transitions to home care.Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 14, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Study Identifies Patient, Family Needs at Discharge Study Identifies Patient, Family Needs at Discharge
Patients and caregivers say caring, continuity, and clinician accountability are key for successful transitions to home care.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 14, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Screening Tool Improves Dementia Prediction Screening Tool Improves Dementia Prediction
Adding the Visual Association Test to the Mini-Mental State Examination increased its ability to predict dementia, a study has found.Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 14, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Hyoscyamine Subs for Pacemaker in Afib with Bradycardia
(MedPage Today) -- When administered four times a day, according to a case study (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 14, 2018 Category: Primary Care Source Type: news

New Guidelines Would Increase No. of Canadians With High BP New Guidelines Would Increase No. of Canadians With High BP
The number of Canadians diagnosed with hypertension could increase by as much as 14% with the eligibility criteria from the Systolic Blood Pressure Intervention Trial (SPRINT) or the 2017 American College of Cardiology/American Heart Association (ACC/AHA) high blood pressure guidelines.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 14, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Building a Case for Health Equity
Brian Frank, M.D., said his circuitous route to a career in medicine helps him understand the patient perspective and the need for health equity. (Source: AAFP News)
Source: AAFP News - May 14, 2018 Category: Primary Care Source Type: news

Global Health and Tech Thinkers Come Together at SwitchPoint
May 14, 2018From pandemic preparedness to gender equality, here are a few standout moments from the 2018 event.At  SwitchPoint, a two-day conference organized by Intrahealth International —a DAI strategic affiliate—400 global health and technology devotees came together in the North Carolina countryside to share ideas and seed partnerships for solving global health challenges, especially by using technology. The seventh annual event, held April 26–27, featured 30-plus stage speakers and 20-plus microlabs.These talks and microlabs covered a host of topics, from pandemic preparedness and the value...
Source: IntraHealth International - May 14, 2018 Category: International Medicine & Public Health Authors: mnathe Source Type: news

Premature mortality among people with severe mental illness - new evidence from linked primary care data - John A, McGregor J, Jones I, Lee SC, Walters JTR, Owen MJ, O'Donovan M, DelPozo-Banos M, Berridge D, Lloyd K.
This study aimed to... (Source: SafetyLit)
Source: SafetyLit - May 14, 2018 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Gout ‘not associated’ with increased risk of fracture, finds large study
Gout is not associated with an increased risk of fracture, according to a large UK study including thousands of primary care patients. (Source: Nursing Times)
Source: Nursing Times - May 14, 2018 Category: Nursing Source Type: news

Welsh practice staff to receive state-backed indemnity
GPs and health professionals working in NHS general practices will get clinical negligence indemnity backed by the Welsh Government, it has been announced.  Health secretary Vaughan Gething made the announcement today (14 May) after concerns were raised on increasing indemnity costs that could drive GPs away from general practice. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - May 14, 2018 Category: Practice Management Authors: vfiore Tags: *** Editor ' s Pick HR Practice development Latest News Source Type: news

UCLA Geriatrics receives $13.6 million to evaluate approaches to dementia care
There are an estimated 5.5 million Americans living with Alzheimer ’s disease, the most common type of dementia. As that number grows over the next few decades, health care organizations will need to develop better ways to serve people with dementia and the family members who care for them.Various approaches have been taken to manage the care of those with dementia, but there is not a consensus on which ones are the most effective. To help address this issue, the UCLA Division of Geriatrics has received a five-year, $13.6 million award from the Patient-Centered Outcomes Research Institute to compare care delivered th...
Source: UCLA Newsroom: Health Sciences - May 14, 2018 Category: Universities & Medical Training Source Type: news

GP at Hand cherry-picking is undermining practices, warns London's top GP
Online service GP at Hand's ability to 'cherry-pick' the patients on its list risks undermining general practice in the capital, London's top GP has warned. (Source: GP Online News)
Source: GP Online News - May 14, 2018 Category: Primary Care Tags: Practice News Source Type: news

HRSA: Solicitation of Nominations for Membership To Serve on the Council on Graduate Medical Education
The Health Resources and Services Administration is seeking nominations on a continuous basis for the Council on Graduate Medical Education (COGME), including representatives of practicing primary care physicians, national and specialty physician organizations, foreign medical graduates, medical student and house staff associations, schools of allopathic and osteopathic medicine, public and private teaching hospitals, and representatives of health insurers, business, and labor. Nominations of medical students, residents, and/or fellows are also encouraged. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - May 14, 2018 Category: Rural Health Source Type: news

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