AAFP's 5 principles address social determinants of health in APMs | Study finds rising improper pediatric ADHD drug exposures | Read clinical practice guidelines for the diagnosis, evaluation and treatment of ADHD that were developed by the American Academy of Pediatrics and endorsed by the AAFP.
May 21, 2018
Family Medicine SmartBrief
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AAFP's 5 principles address social determinants of health in APMs
The AAFP released a document, "Advancing Health Equity: Principles to Address the Social Determinants of Health in Alternative Payment Models," that says physician practices need adequate support to improve patient quality and outcomes, reduce costs and eliminate disparities. The AAFP noted the federal government has starting looking at how social risk factors affect physician performance in value-based payment programs.
AAFP News (5/18) 
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Clinical News
Study finds rising improper pediatric ADHD drug exposures
Calls to US poison control centers for youths younger than 20 who were exposed to attention-deficit/hyperactivity disorder drugs totaled 156,365 from 2000 to 2014, with call volume rising by 60% during the same period, researchers reported in Pediatrics. Three-quarters of exposures involved children aged 12 or younger, while nearly 50% of exposures among teens involved intentional misuse of the drugs or possible suicide attempts.
U.S. News & World Report (5/21) 
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Induced labor at full-term may curb adverse maternal, infant outcomes
Researchers found that women who received labor induction at or beyond 41 weeks of gestation had fewer cesarean sections, perinatal deaths and stillbirths, compared with those who waited for labor to begin. However, the findings in the Cochrane Library, based on a review of 30 studies involving 12,000 women, showed similar prevalence of postpartum bleeding, perineal trauma, duration of maternal hospital stays and infant NICU admission in both groups.
The New York Times (tiered subscription model) (5/17) 
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Women with type 1 diabetes face elevated SCVD risk
A study presented at the American Association of Clinical Endocrinologists' annual meeting found type 1 diabetes was associated with a significantly increased risk of systemic collagen vascular diseases among women in comparison with men. The findings, based on medical chart reviews and patient questionnaire responses for 1,167 patients with type 1 diabetes, showed that those who also had an SCVD were at a greater risk of celiac disease, hyperthyroidism, hypothyroidism and other autoimmune diseases.
Family Practice News (5/18) 
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Study: Fewer people have ideal cardiovascular health
The number of people with an ideal cardiovascular health score, based on seven lifestyle and biological measures, decreased from 8.5% to 5.9% from 1991 to 2008, according to a study in the Journal of the American Heart Association. Researchers said the decrease was due mainly to poorer scores for body mass index, blood pressure, blood glucose and cholesterol.
HealthDay News (5/17) 
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FMX On Demand offers CME to go
Registration for the 2018 AAFP Family Medicine Experience, the AAFP's largest event, already includes 25 Self-study credits with FMX On Demand--a digital library of FMX courses. But you can take home 75 more by purchasing FMX On Demand - Upgrade. Sign up today.
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Practice Management
Family medicine responds to synthetic cannabinoids poisonings in Ill.
The Illinois Department of Public Health said there have been 164 cases of severe bleeding related to contaminated synthetic cannabinoids in the state, including four deaths. Family physician and Illinois AFP President Asim Jaffer, M.D., who teaches in a residency program at the University of Illinois College of Medicine, said Peoria Family Medicine Residency staff treated cases using an interdisciplinary approach and follow-up care.
AAFP News (5/18) 
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Why You Should Avoid Toxic Coworkers
A "spillover effect" from work neighbors can boost our productivity—or jeopardize our employment. Learn more through research from Kellogg School of Management Professor Dylan Minor.
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Health Policy & Legislation
Acting secretary Robert Wilkie gets nod to lead VA
President Donald Trump has nominated Robert Wilkie, the acting Veterans Affairs secretary, to serve as the agency's next leader. Wilkie, who is undersecretary of defense for personnel and readiness, has been the agency's acting secretary since the dismissal of David Shulkin in March.
CNN (5/18) 
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4.5M more people would gain coverage if 19 states expand Medicaid
A report from the Robert Wood Johnson Foundation and the Urban Institute estimates that 4.5 million people would gain health care coverage if the 19 states that have not fully expanded Medicaid did so next year. The move would raise federal health care spending as much as $37.8 billion, while state Medicaid spending would grow as much as $3.0 billion, but the additional spending would be completely or mostly offset by savings in other areas, the report indicates.
Forbes (5/20) 
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Professional Issues & Trends
Regional ACOs may help smaller health systems earn shared revenues
Smaller accountable care organizations that follow protocols and achieve relevant measures still may not meet benchmarks that qualify them for shared savings revenues, experts say. Caravan Health hopes to increase the odds of receiving shared revenues by organizing smaller ACOs into larger regional ACOs, says CEO Lynn Barr.
HealthLeaders Media (5/17) 
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Inside the AAFP
AAFP Member Advantage saves you thousands on student loans with SoFi
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Let AAFP's member discount with SoFi help you consolidate and refinance your student loans. SoFi offers student loan refinancing for your existing private and federal loans, and saves you $30,000 on average. Take advantage of this discount today.
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AAFP CareerLink - Connecting Family Physicians and Employers
Family Medicine Clinician Educators
MEDICAL COLLEGE OF GEORGIA (MCG) AT AUGUSTA UNIVERSITY - Augusta, Georgia
FAMILY MEDICINE OR INTERNAL MEDICINE PHYSICIAN
TEXAS STATE UNIVERSITY - San Marcos, Texas
Family Medicine Physician
KALISPELL REGIONAL HEALTHCARE SYSTEM - 
Primary Care Physicians
STANLEY STREET TREATMENT AND RESOURCES (SSTAR) - Fall River, Massachusetts
Be the Physician of your Dreams!
DESTINATION HEALTH - 
Direct Primary Care/ Family Medicine Physician
GRANTS PASS FAMILY MEDICINE PC - Grants Pass, Oregon
FAMILY MEDICINE PHYSICIAN OPPORTUNITIES IN SOUTHERN CENTRAL CALIFORNIA
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (KAISER PERMANENTE) - Kern County, California
Program Director, Family Practice Residency
ALLEGHENY HEALTH NETWORK - Erie, Pennsylvania
Exciting Family Practice Opportunities!
ALLEGHENY HEALTH NETWORK (AHN) - Various Locations, Pennsylvania
Lead Physician, Full-Time Geriatric opportunity with the Allegheny Health Network
ALLEGHENY HEALTH NETWORK - Pittsburgh, Pennsylvania
Physician, Full Time Geriatrician Opportunity with Allegheny Health Network
ALLEGHENY HEALTH NETWORK - Pittsburgh, Pennsylvania
Internal Medicine and Family Practice Physician
LIVINGSTON HEALTHCARE - Livingston, Montana
Staff Physician (Family Practice)
TSEHOOTSOOI MEDICAL CENTER - Fort Defiance, Arizona
  
  
The greatest of faults, I should say, is to be conscious of none.
Thomas Carlyle,
philosopher and historian
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About AAFP
This news roundup is provided as a timely update to AAFP members and other health care professionals about family medicine topics in the news media. Links to articles are provided for the convenience of family physicians who may find them of use in discussions with patients or colleagues. Opinions expressed in Family Medicine SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American Academy of Family Physicians. On occasion, media articles may include or imply incorrect information about the AAFP and its policies, positions or relationships. For clarification on AAFP positions and policies, we refer you to http://aafp.org.
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.

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