Seniors are having fewer heart attacks, data show | Panel report on evidence-based obesity guidelines released | <a href="" target="_blank">The AAFP has screening and management recommendations for obesity in children, adolescents and adults.</a>
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July 22, 2014
Family Medicine SmartBrief

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Seniors are having fewer heart attacks, data show
A Yale University study showed stable hospitalization rates for heart attacks among young and middle-aged adults from 2001 to 2010, while heart attack rates for Medicare-age adults dropped by more than 20%. The study in the Journal of the American College of Cardiology found women ages 30 to 54 who were hospitalized for a heart attack had a higher risk of poorer outcomes than men, and lead author Aakriti Gupta, M.D., suggested primary prevention resources should be redirected toward young women. HealthDay News (7/21)
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Clinical News
Panel report on evidence-based obesity guidelines released
Researchers have released an expert-panel report with evidence-based guidelines on obesity treatment, including optimum weight-loss levels, weight maintenance and bariatric-surgery candidates. The report, which had a stringent review process and includes supporting evidence, was published in the journal Obesity. Healio (free registration)/Endocrine Today (7/19)
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AFib may raise post-surgery stroke risk, study says
Patients with a history of atrial fibrillation had a higher risk of stroke immediately after a heart surgery, according to a study of almost 109,000 heart patients in Canada. Old age, history of stroke and blood vessel disease were also associated with a higher odds of post-surgery stroke, researchers said. The findings appeared in the Canadian Medical Association Journal. HealthDay News (7/21)
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Asthma medication shows promise in easing chronic hives
Taking high doses of omalizumab, a prescription drug used to treat moderate to severe asthma, for six months was safe and effective in treating chronic hives, according to a study in the Journal of Investigative Dermatology. HealthDay News (7/21)
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Study: Jaundice is common among breast-fed infants
Research in the journal Pediatrics showed that 43% of 1,044 breast-fed babies had skin bilirubin levels of at least 5 milligrams per deciliter at age 3 weeks and 34% were clinically jaundiced. At one month, 34% of the babies had high bilirubin levels and 21% had jaundice. (7/21)
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Practice Management
Poll sheds light on the challenge of finding a physician
Sixty percent of Americans responding to a recent poll said they rely on physician recommendations from friends and family, close to half trust referrals from their doctor and fewer rely on online patient reviews, health insurer ratings, news media or the government. Only 22% expressed confidence in their ability to find information to compare physicians based on quality. Some states have begun publishing online "report cards," and the CMS is working on the Physician Compare rating system. The Washington Post (tiered subscription model)/The Associated Press (7/20)
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Greater patient satisfaction seen with emotional intelligence training
Emotional intelligence training helped improve emotional intelligence scores among physicians and was tied to better patient satisfaction, researchers at the University of Kansas Medical Center found. The findings appear in JAMA Otolaryngology. (7/21)
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Study identifies 3 keys for building successful ACOs
A study in the journal Academic Medicine suggests that building a successful accountable care organization at academic medical centers hinges on strong leadership, robust health IT systems and reliable care coordination. The findings were based on a study of the first 253 Medicare ACOs across the U.S., 20% of which were developed at academic medical centers. Health Data Management (7/21)
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Health Policy & Legislation
Group creates ACO accreditation program
The Electronic Healthcare Network Accreditation Commission has created an accreditation program for accountable care organizations that will evaluate their network infrastructure and exchange connectivity, technical performance, resource management, business processes, and other performance quality standards. A group in New Jersey and one in Washington, D.C., have been selected to undergo the beta accreditation process. Healthcare Informatics online (7/21)
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Professional Issues & Trends
Primary care clinics see benefits with APM project
Participating in an Alternative Payment Methodology demonstration project has helped Oregon's community health centers free up more time for patient management and create programs to promote healthy behaviors, says physician Chris Hill, co-director of the Virginia Garcia Hillsboro Clinic and Medical Center. Instead of being based on volume, the program's monthly payments are tied to the size and make-up of the practice's patient population. Health Affairs Blog (7/21)
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Featured Press Releases
Inside the AAFP
Is anybody out there? Tell us what you think
Future of family medicine
It has been nearly three years since the AAFP launched the Leader Voices Blog to improve communication between Academy leaders and members. The blog has covered a lot of territory since then, and although readership numbers have remained steady, the online conversation has grown quiet. In the latest blog post, AAFP Director Michael Munger, M.D., asks if family physicians are missing a chance to be heard.
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Who's Hiring?
Position TitleCompany NameLocation
FAMILY PRACTICE PHYSICIANContra Costa Regional Medical CenterSan Francisco Bay, California
ATTENDING PHYSICIAN -Bilingual Highly PreferredBrooklyn Hospital CenterBrooklyn, New York
BE/BC physicianHudson Headwaters Health NetworkAdirondacks/Schroon Lake, New York
BE/BC Family Medicine PhysicianMountain View Medical Group, P.C.Colorado Springs, Colorado
Primary Care PhysicianMHM/ Centurion of MNLino Lakes, Minnesota
Primary Care PhysiciansMHM ServicesMultiple Locations
Palliative Care Faculty PositionUniversity of Washington Department of Family MedicineSeattle, Washington
Statewide Medical DirectorMHM/ Centurion of MNSt. Paul, Minnesota
Family Medicine PhysicianThe PolyclinicSeattle, Washington
FAMILY MEDICINE HOSPITALISTContra Costa County Health ServicesMartinez, California
Click here to view more job listings.
Too often we enjoy the comfort of opinion without the discomfort of thought."
-- John F. Kennedy,
35th U.S. president
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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
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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