Commentary

Brush up on oral-health screening

Brush up on oral-health screening By

Dental care is often cited among the greatest unmet health need of children. Primary care providers can help solve this problem.

Adressing obesity head-on

Adressing obesity head-on By

Weight is one of the toughest topics to discuss with patients, but we can no longer avoid it as the obesity epidemic grows.

Desperation leads patients online for Rx meds

Desperation leads patients online for Rx meds By

Clinicians must carefully question our patients about the source of their prescription drugs to make sure they are obtaining these products from legitimate sources.

Infant safety: Part of the primary-care job

Infant safety: Part of the primary-care job By

Primary-care clinicians need to educate parents of young children on dangers such as suffocation, car safety, falls, burns and choking.

Should deconditioning be a stand-alone diagnosis?

Should deconditioning be a stand-alone diagnosis? By

Deconditioning -- a complication of POTS -- is also a common cause of morbidity and mortality in preventable diseases such as obesity.

Are we really ready to innovate?

Are we really ready to innovate? By

It seems everyone wants a solution to the primary-care doctor shortage, but few are really ­interested in significant change when it affects them.

Do family meals make a difference?

Do family meals make a difference? By

People who participate in frequent family meals are more likely to get healthy and stay healthy.

Selling your patients on health

Selling your patients on health By

Proactive disease prevention and health-promoting patient education is a hallmark in the venue of primary-care providers.

Help kids who are bullied or bullies

Help kids who are bullied or bullies By

Bullying can begin as early as kindergarten, and it can affect all children regardless of race, gender and socioeconomic status.

Social media in medicine is here to stay

Social media in medicine is here to stay By

About 34% of consumers in a 2012 survey reported using social media to search for health information.

EHRs: It will get better!

EHRs: It will get better! By

One day health-care providers will wonder how we could have possibly ever gotten by without EHRs.

Pros and cons of home genetic testing

Pros and cons of home genetic testing By

Is it a good thing or a bad thing when laypeople are able to order their own genetic profiles and interpret their own results?

Don't let patients tan their lives away

Don't let patients tan their lives away By

Teen girls will come up with 100 reasons to use tanning beds. We as health-care providers need to give parents one really big reason to say no.

Patient-centered palliative care often elusive

Patient-centered palliative care often elusive By

A layer of bureaucracy in health care exists in which insurance regulators determine where a patient will die based on information from well-intentioned but inexperienced nurse case managers.

Will physician assistants and nurse practitioners ever belong?

Will physician assistants and nurse practitioners ever belong? By

Despite the positive inroads and contributions that physician assistants and nurse practitioners have made over the past decades, we still face professional opposition.

Prescribing pain meds the right way

By

Just 8% of participants in a study assessing how primary care patients who are prescribed opioids are tracked underwent urine testing, only half made regular visits to their prescribers and 23% received more than one early opioid refill.

What to remember when job hunting

What to remember when job hunting

Employment opportunities are limited today for many people seeking work, yet health-care needs are on the rise and the demand for nurse practitioners (NPs) and physician assistants (PAs) to care for the country's baby-boomers is increasing.

Personal liability insurance offers clinicians portability, access to risk-management tools

Personal liability insurance offers clinicians portability, access to risk-management tools By

As physician assistants and nurse practitioners continue to grow in numbers, so have medical malpractice claims against them. It may be time to consider carrying personal professional-liability insurance policy.

High on bath salts: what to know

High on bath salts: what to know By

"Bath salts" are new synthetic drugs that are typically found as white, light tan or brown powders, believed to contain psychoactive chemicals known as mephedrone and/or methylenedioxypyvrovalerone.

Step up, speak out — for your own sake

Step up, speak out — for your own sake

Politics, laws, rules and regulations are the very core of what drives what clinicians can and can't do; it determines reimbursement and therefore your salary. To be blissfully unaware is lazy. To be aware and completely uninvolved is just shameful.

Adolescents need HPV shots early

Adolescents need HPV shots early

Common reasons that parents give when declining human papillomavirus vaccine for their children are, "My teen is not sexually active," or "Maybe we'll wait until he/she is a bit older." This thinking negates the vaccine's preventive purpose.

The 100-day cough: clinicians be(a)ware

Only 5.9% of eligible candidates receive the recommended pertussis booster vaccine, and the disease remains one of the leading causes of vaccine-preventable deaths worldwide.

Professionalism doesn't wear sweats

Professionalism doesn't wear sweats

Is professionalism in medicine on the decline? A few months ago I saw a new patient who had transferred from another practice because the physician there wore sweatpants to the patient's last appointment.

Emergency contraception: just a hoax?

Emergency contraception is no more contraception than abortion. Now don't get me wrong: I am very pro-choice. But the emergency contraceptive pill implies to misguided people that they don't have to take responsibility for sexual activity until after the fact.

Gaps in pregnancy diabetes testing

Gestational diabetes mellitus (GDM) is a serious health condition that occurs in 4% to 12% of pregnancies, but recent research showing significant screening gaps for the disease makes the problem an even greater concern.

Health courts: courting tort reform

As a health-care provider I can't think of a more pressing problem than that of tort reform. This issue is staring us in the face and demanding a collective swift, supportive action by the medical community.

Are we truly evidence-based providers?

Many clinicians misuse the term evidence-based medicine. Something needs to be done to prevent these words (and this concept) from becoming another medical cliché.

Vaccine lawsuits promote public mistrust

NVIA, VAERS protect against liability, ensure public safety.

Music therapy in palliative care

The therapeutic use of music, particularly among those who are terminally ill, has tremendous benefits.

Talking through the mammogram furor

Clinicians need to better screen their patients and educate them about when best to begin obtaining routine mammograms.

The residency match and primary care

Will there be enough primary-care providers to treat the new patients covered under the Affordable Care Act?

Patients deserve to hear tough news

Research shows that most Americans would want to know if they were severely ill and likely to die.

It's not the diet; it's the dietary pattern

If you lose weight, does it matter how you lost the weight? Not really.

Polymedication: You can cut seniors' risk

A patient is at risk for one medication error per day, and about one-fourth of related injuries are preventable.

When a delusion is not a delusion

There has been a recent explosion in the diagnosis if delusions of parasitosis, in which patients mistakenly believe they have a skin infestation.

Why depression is hard to diagnose

Occupational, financial, and life events must be considered when trying to pinpoint the problem.

Dealing with the difficult patient

Do you have a patient who is impossible to communicate with? Our expert has some advice.

Experience is not the same as expertise

A study found that physicians who have been in practice longer may be at risk for providing lower-quality care.

Get online to keep up with flu issues

Numerous Internet resources can help clinicians stay current with influenza outbreaks and other infectious disease developments.

Don't let technology trump medicine

Have clinicians become too dependent on technology?

HIV screening: Just another routine test?

Why is HIV testing so different from other types of routine screening?

Reducing pharmacy "telephone tag"

I thought it might be useful to share some quick ways you can improve the safety and efficiency of your prescriptions and reduce pharmacy callbacks.

How much should my patient exercise?

Tailoring exercise recommendations to meet the unique needs of each patient gives those patients a better chance of meeting the fitness goals they have set with you.

Noncompetes are nonproductive

Noncompete clauses harm our patients and the public.

A new model for CVD prevention

A multidisciplinary, nurse-coordinated, family-based program improved lifestyles and reduced cardiovascular disease (CVD) risk among patients and their families in hospital and general-practice settings

Get curious about CAM

You might be surprised to know that even if you're not utilizing complementary and alternative medicine (CAM) therapies, some of your patients probably are...

Raise vaccine rates in primary care

Are we providing recommended vaccines to our patients? The answer is no.

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