AAFP to hold Zika virus webinar for family physicians, CDC offers guidance | Study finds slowing decline in birth defects after folic acid fortification | American Family Physician has compiled a collection of articles on prenatal care.
May 19, 2016
Family Medicine SmartBrief
Top Story
AAFP to hold Zika virus webinar for family physicians, CDC offers guidance
The AAFP will hold a members-only webinar about the Zika virus on May 24 hosted by 2015-2016 AAFP Vaccine Science Fellow Nina Ahmad, M.D. In other Zika virus news, an early release of the CDC's Morbidity and Mortality Weekly Report provides guidance on urine tests to detect Zika virus and examines Zika virus testing results from Florida.
AAFP News (5/18) 
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Free CE: Birth Cohort Screening for HCV in Primary Care
Are you screening all patients aged 50-70 for HCV? Read this online CE publication to explore this question and review best practices in the identification and management of patients with HCV in the primary care clinic. Read now!
Clinical News
Study finds slowing decline in birth defects after folic acid fortification
A study found that neural tube defects dropped at a rate of nearly 9 cases per 100,000 annual births before a 1998 law mandating folic acid fortification of grains to 2 per 100,000 births after fortification. The rate of gastroschisis, which had been increasing by a rate of nearly 4 cases per 100,000 births annually before fortification, saw an annual increase of 1 per 100,000 births after fortification. The findings, based on 1989 to 2010 data involving all live births and stillbirths in central California, were published in Birth Defects Research Part A: Clinical and Molecular Teratology.
Reuters (5/18) 
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Daytime naps tied to elevated hypertension risk
A meta-analysis of nine studies with more than 112,000 participants found that adults who regularly napped during the day had a 13% increased risk of developing hypertension and studies that specifically assessed daytime napping showed a 19% increased risk of hypertension. However, the risk was reduced 21% in night-shift workers who took nighttime naps. The findings were presented at the American Society of Hypertension annual meeting.
Medscape (free registration) (5/18) 
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Statin use has no impact on ASCVD risk in women with diabetes, study finds
A study in the European Journal of Epidemiology found that postmenopausal women with new-onset type 2 diabetes had a significant increased risk of atherosclerotic cardiovascular disease, regardless of whether they took statins. The findings were based on data for more than 120,000 participants in the Women's Health Initiative.
MedPage Today (free registration) (5/18) 
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Studies: Reduced prediabetes, diabetes risk seen with higher fitness levels
Researchers looked at 4,373 adults who were followed for 20 years and found those with higher cardiorespiratory fitness had a lower risk of developing prediabetes or type 2 diabetes, according to a study in Diabetologia. A second study in the Journal of Applied Physiology showed that the risk of developing prediabetes or type 2 diabetes was reduced by 0.1% among people with an 8% to 11% improved fitness level.
Diabetes.co.uk (U.K.) (5/17) 
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Practice Management
CMS issues fact sheet to help small practices prepare for MACRA
The CMS released the "Flexibilities and Support for Small Practices" fact sheet to help physicians in small practices prepare for implementation of the Medicare Access and CHIP Reauthorization Act. A regulatory impact analysis suggested MACRA will have a negative impact on small practices, which could significantly affect AAFP members because more than 80% of the Academy's family physicians are in practices with 15 or fewer doctors.
AAFP News (5/18) 
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Health Policy & Legislation
Bill providing $622M in Zika virus funding gains House OK
The House has passed a $622 million spending bill for preventing the spread of the Zika virus in the US. President Barack Obama, who requested $1.9 billion in funding, threatened to veto the legislation, while CDC Director Tom Frieden said that the House measure would be insufficient to address the growing threat from Zika.
The Wall Street Journal (tiered subscription model)/The Associated Press (5/19) 
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ONC issues legislative proposals to support use of data analytics in health care
Several pieces of legislation to promote data standards and big data analytics for health information exchange and interoperability were unveiled by National Coordinator for Health IT Karen DeSalvo and ONC Chief Operating Officer Lisa Lewis. The legislative proposals focus on the elimination of health information blocking, interoperability of health care data between different technologies, increased health care technology transparency, and sharing of best practices to help improve patient experience, hospital safety and hospital quality.
Health IT Analytics (5/17) 
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2015 uninsured rate dropped to 9.1%
The rate of Americans without health insurance dropped from 14.4% in 2013 before the expansion of Medicaid coverage to a record low of 9.1% in 2015, according to a CDC survey. States that expanded Medicaid also saw a drop of 8.6 percentage points in uninsured rate, compared with 5.2 percentage points in states that did not expand the program, the data showed.
The Hill (5/17) 
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Professional Issues & Trends
Nonprofit hospitals enter new partnerships, markets
More nonprofit hospitals are entering partnerships with health insurance carriers, starting their own insurance companies or purchasing existing insurers, according to a Moody's Investors Service report. Nonprofit hospitals are also co-branding pharmacies and urgent-care clinics, offering direct-to-employer contracts and accountable care organizations, and entering new markets, such as ambulatory care, cancer care, skilled nursing and long-term care.
BeckersHospitalReview.com (5/17) 
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Inside the AAFP
Selected Topics in Internal Medicine | Register now
AAFP Internal Medicine live CME
Save $100 when you register by May 25 for the live CME course Selected Topics in Family Medicine, June 22-25 in Denver. Learn about state-of-the-art prevention and screening recommendations, condition and disease management, diagnostic techniques, and more. Explore the latest evidence-based information on relevant clinical topics. And earn up to 23.75 CME credits.
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FMX is the best five days in family medicine
AAFP FMX Orlando
Learning keeps us alert, alive and engaged. Attend the 2016 AAFP Family Medicine Experience (FMX) in Orlando Sept. 20-24. NEW! Earn a year's worth of Prescribed credit! Earn up to 32.75 Live plus 25 Enduring CME credits (registration includes FMX On Demand). Register now and save.
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AAFP CareerLink - Connecting Family Physicians and Employers
Family Medicine Physician
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Faculty Physician - Primary Care
240K Salary Plus Bonus - Visa Candidates Welcome - New Hampshire Family Medicine
Family Medicine - Long Term Care Center Rehab Positions
Medical Director for Quality - UCLA Faculty Practice Group
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Physician, UCLA Health Playa Marina Urgent Care
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Outpatient practice with shortened workweek in Boulder, CO
Full Time BC/BE Geriatrician- Clinical/Faculty Staff
BAYSTATE HEALTH - Springfield, Massachusetts
Nocturnist in Honolulu, Hawaii
Chief Medical Officer
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Diligence is the mother of good fortune.
Miguel de Cervantes,
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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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