Campaign urges physicians to contact senators about AHCA | CDC: More US counties report mosquitoes capable of carrying Zika | Study compares risk of CV events between patients with, without diabetes
June 21, 2017
Family Medicine SmartBrief
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Campaign urges physicians to contact senators about AHCA
An AAFP Speak Out campaign urges physicians to tell US senators to set aside the American Health Care Act and work toward "real bipartisan solutions" to fix the health care system. Physicians can use the campaign to urge senators to vote against legislation that would reduce the number of people with insurance coverage, fail to protect the elderly and people with pre-existing conditions, and cut federal support for Medicaid.
AAFP News (6/20) 
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Does your patient have binge eating disorder?
Often unrecognized or misdiagnosed, binge eating disorder (BED) is the most common eating disorder among adults. The key to diagnosis is asking the right questions, but this can be challenging. Experts discuss best practices for starting the conversation about BED here.
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Clinical News
CDC: More US counties report mosquitoes capable of carrying Zika
CDC researchers found that the number of US counties reporting mosquitoes capable of spreading Zika and other viruses has increased: Counties with Aedes aegypti rose by 21% in 2016, compared with earlier in the year, and those with Aedes albopictus rose by 10% in 2016, compared with 2015. The findings in the Journal of Medical Entomology, based on 1995 to 2016 data, also showed that both mosquitoes were most prevalent in Southern California, Arizona, Texas, Florida and Maryland.
The Washington Post (tiered subscription model) (6/20),  NBC News (6/20),  HealthDay News (6/20) 
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Study compares risk of CV events between patients with, without diabetes
Patients with and without diabetes and without coronary artery disease had the same adjusted risk of myocardial infarction, cardiac death and mortality 4.1 years after undergoing coronary angiography, according to a study in Diabetes Care. Danish researchers used a cohort of 93,866 patients and found that 75.3% and 65.7% of patients with diabetes without CAD were treated with statins and aspirin, respectively, compared with 46% and 52.7% of patients without diabetes and CAD.
Physician's Briefing/HealthDay News (6/20) 
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Study links food diversity to eczema, allergy risks
Children exposed to the greatest amount of food diversity in the first year of life were less likely to develop eczema and an allergy to inhaled allergens, compared with those who had the lowest exposure, according to research presented at the European Academy of Allergy and Clinical Immunology meeting. However, the researchers urged caution in interpreting the results and said interventional studies are needed.
Medscape (free registration) (6/19) 
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Practice Management
CMS: About 500,000 clinicians to get PQRS-related penalty
The CMS said about 500,000 clinicians will get their fee-for-service Medicare payments cut by 2% this year because they did not meet Physician Quality Reporting System requirements in 2015. The report said half of those affected are physicians and for many the impact may be minor.
Medscape (free registration) (6/20) 
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Telemedicine may help diabetes patients in rural areas, study finds
Telemedicine may help diabetes patients in rural areas, study finds
(AFP/Getty Images)
Adults living in rural areas who had uncontrolled type 2 diabetes improved their HbA1C levels, low-density lipoprotein levels and weight within the first year of participating in a telemedicine-based, interdisciplinary diabetes management program. Moreover, 67% of participants who had symptoms of depression at the beginning of the study reported improvements in their symptoms at the end of the study, researchers reported in the North Carolina Medical Journal.
Pharmacy Times online (6/19) 
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Health Policy & Legislation
Lawmakers aim to release health care bill text this week, vote before recess
GOP senators and aides said they expect the Senate to finish writing health care legislation later this week, and a vote is likely next week. Portions of the legislation have been sent to the Congressional Budget Office, and a report on how the provisions would affect insurance coverage and the federal budget could come early next week. It's unclear whether Republicans have enough votes to pass the legislation.
Politico (6/20),  The Wall Street Journal (tiered subscription model) (6/19),  The Hill (6/19) 
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Professional Issues & Trends
Family medicine residents help clinic treat more patients
Community Health Care's Hilltop Regional Health Center has been able to significantly increase the number of patients it sees because of 18 family medicine medical residents who practice under the supervision of a veteran physician. The residency program, which is getting ready to graduate its first class this summer, is among a growing number of programs aimed at increasing the primary care workforce.
The News Tribune (Tacoma, Wash.) (6/16) 
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Inside the AAFP
AAFP Child and Adolescent Health live course | Save $100
AAFP Child and Adolescent Health live course | Save $100
Attend the Child and Adolescent Health course in Myrtle Beach, S.C., Aug. 2-5. Hear from leading experts on a variety of family medicine-specific topics, including celiac disease, autism, food allergies, lipid disorders and more. Earn up to 25 AAFP Prescribed credits in four days or up to 41 credits over five days (includes participation in optional workshops). Save $100 when you register by June 28.
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Access the clinical practice guideline on atrial fibrillation
Atrial fibrillation is one of the most common types of arrhythmia in adults worldwide. Stay informed about primary care-relevant options and treatments available for patients. Explore updated clinical guidelines and recommendations regarding the pharmacologic management of atrial fibrillation.
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Learn more about AAFP:
Home Page | AAFP News | AAFP CareerLink
AAFP CME Center | Connect to the AAFP
AAFP CareerLink - Connecting Family Physicians and Employers
Physician - Family or Internal Medicine
SOUTHWEST CARE CENTER - Santa Fe, New Mexico
CLINICAL LEADERSHIP: Associate Chief for Clinical Affairs
BANNER UNIVERSITY MEDICAL CENTER TUCSON - Tucson, Arizona
Family Medicine Physician Faculty - Lake Lure, NC
MOUNTAIN AREA HEALTH EDUCATION CENTER - Lake Lure, North Carolina
Director of Rural Health
MOUNTAIN AREA HEALTH EDUCATION CENTER - Asheville, North Carolina
Urgent Care Physicians FT/PT/ Locum Tenens
MEDSTAFF NATIONAL MEDICAL STAFFING - 
Family Medicine Physician
NORTHEAST COMMUNITY CLINIC - Los Agneles, California
Urgent Care Physician
DARTMOUTH-HITCHCOCK - NASHUA - Nashua, New Hampshire
Family Medicine Physician
RIVERSIDE HEALTH SYSTEM - Parksley, Virginia
Physician - Family Medicine
NYU WINTHROP HOSPITAL - Mineola, New York
Primary Care Physician
LIFELINK MEDICAL GROUP - Erwin, North Carolina
Family Practice Physician with Government Contractor
POSTERITY GROUP, LLC - Fort Campbell, Kentucky
  
  
Only someone who is well-prepared has the opportunity to improvise.
Ingmar Bergman,
director and screenwriter
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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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