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Infectious diseases weigh on primary care (ACP annual meeting)

■ Internists increasingly are managing complex communicable illnesses. The American College of Physicians meeting offered the latest guidance on such diseases.

Photo illustration by Jennifer Wenger / amednews staff

Obesity care: When the problems outpace the solutions

■ Physicians on the front lines talk tactics in getting their adult patients to lose weight but face substantial obstacles that frustrate them and their patients.

Photo by AP Wide World Photos / Beth Nakamura

Medical marijuana's last taboo

■ It's increasingly accepted as a remedy for adults with serious health issues. Now the question is: Should doctors recommend the substance to children?

Health

COVERAGE OF » Medicine - Patient care - Public health

New HIV guidelines make screening even more routine

■ Guidelines call for screening adolescents and adults ages 15 to 65 who are not known to be at increased risk for HIV infection.

Targeted C. diff screenings uncovered asymptomatic infections

■ Illnesses caused by the bacterium remain at historically high levels, while most other health care-associated infections are declining.

� Infectious diseases weigh on primary care (ACP annual meeting) - May 13

� PSA screening not advised for most men 54 and younger - May 13

� Doctors' dual role in foodborne illness: healer and reporter - May 6

� Mammogram numbers steady despite advice to cut frequency - May 6

� Despite lack of guidelines, doctors screen for suicide - April 29

� Treat pollution as serious health risk, report warns - April 29

� Obesity care: When the problems outpace the solutions - April 22

� Walk or run? Think distance, not speed, for health benefits - April 22

� Study debunks a common autism worry about vaccines - April 15

� Researchers suggest 2 paths to get patients back on statins - April 15

� Teaching adults about prediabetes an uphill battle - April 8

� Doctors urged to help destigmatize childhood mental illness - April 8

� Overweight doctors lose credibility on health advice - April 1

� More parents saying no to HPV vaccine for their daughters - April 1

� Medical marijuana's last taboo - March 25

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How much can a rural doctor do? Ask Neil Nelson, MD

How much can a rural doctor do? Ask Neil Nelson, MD

■ What it takes to be Country Doctor of the Year is hard work and a strategy for everything — including where not to be seen.

Prevention guidelines stoke clinical conflict

Prevention guidelines stoke clinical conflict

■ After decades of going unnoticed, a task force's recommendations are receiving greater scrutiny. Doctors raise concerns when guidelines diverge from common practice.

Recent

� Research suggests caution on colonoscopies for seniors - March 25
� CDC spells out ways to stop spread of “nightmare bacteria” - March 18
� Neurologists warn of prescribing stimulants to youths seeking better grades - March 18
� FDA pushes for drugs that block Alzheimer’s - March 13
� Medicine remembers legacy of C. Everett Koop, MD - March 11
� CDC: Flu vaccine's spotty strength no excuse to skip shot - March 11
� Why so many patients look to dietary supplements for answers - March 4
� Early alarms sound online when illnesses go viral - March 4
� How much can a rural doctor do? Ask Neil Nelson, MD - Feb. 25
� Attitudes on PSA hinge on how test is described - Feb. 25

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Slide show: Neil Nelson, MD: 2012 Country Doctor of the Year

■ The award is given out each year to an outstanding rural physician. But "Doc Nelson" faces many of the same challenges as his urban counterparts.

Medicine

� Federal action sought to curtail drug noncompliance - May 22
� “Seismic shift” lifts primary care's impact on hospital revenues - May 20
� Brief: Comparative effectiveness research funds awarded - May 20
� Brief: Slight drop reported in pharma pay to doctors - May 20
� Brief: Guidelines for end-of-life care get update - May 20
� Brief: Disparities seen in treatment of hypertension - May 20
� New HIV guidelines make screening even more routine - May 20
� Revealed names expose flaw in de-identified patient data - May 20
� Brief: HPV protection may require fewer shots - May 13
� Infectious diseases weigh on primary care (ACP annual meeting) - May 13
� Pediatricians offer newborn care standards for home births - May 13
� PSA screening not advised for most men 54 and younger - May 13

+ More on topic

Patient care

� Federal action sought to curtail drug noncompliance - May 22
� Paper-only prescribers become a vanishing breed - May 21
� Column: Mobile a likely key to more patient portal use - May 20
� House hearing focuses on quality’s role in SGR reform - May 20
� Brief: Guidelines for end-of-life care get update - May 20
� Brief: Prevention campaign offers doctors tools to fight obesity - May 20
� New HIV guidelines make screening even more routine - May 20
� Pfizer fights Viagra counterfeiters with prescription website - May 20
� Column: Many medical practices not ADA accessible despite incentives - May 13
� Brief: HPV protection may require fewer shots - May 13
� What’s missing from many health apps — medical expertise - May 13
� Infectious diseases weigh on primary care (ACP annual meeting) - May 13

+ More on topic

Public health

� Brief: Prevention campaign offers doctors tools to fight obesity - May 20
� Brief: Disparities seen in treatment of hypertension - May 20
� New HIV guidelines make screening even more routine - May 20
� Targeted C. diff screenings uncovered asymptomatic infections - May 20
� Brief: HPV protection may require fewer shots - May 13
� Infectious diseases weigh on primary care (ACP annual meeting) - May 13
� Patient safety push boosts flu shots among hospital workers - May 13
� Brief: Suicide rate climbing among middle-age Americans - May 13
� Brief: CDC urges doctors to watch for avian flu after deaths in China - May 6
� Doctors' dual role in foodborne illness: healer and reporter - May 6
� Brief: Gun reforms stall in Senate - April 29
� Brief: High court refuses to consider graphic cigarette warnings - April 29

+ More on topic

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VA tries quality improvement approach to medical ethics

■ Tools to evaluate how health care facilities perform ethically are in their infancy. The VA Health Care System hopes others can benefit from its experience. Read story

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Pay that motivates your medical practice staff

■ How physicians pay employees can be more important than what is paid to ensure they are productive — and aren't looking for work elsewhere. Read story

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Infectious diseases weigh on primary care (ACP annual meeting)

■ Internists increasingly are managing complex communicable illnesses. The American College of Physicians meeting offered the latest guidance on such diseases. Read story

Read story

Medical practice action plan: Overcome regulation overload

■ Health care is experiencing a major overhaul, and practices face the brunt of the changes. Careful planning is needed to guide practices through it all. Read story

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This Week

“Seismic shift” lifts primary care's impact on hospital revenues

■ A survey finding specialists accounting for less revenue to hospitals reflects changes putting more emphasis on primary care as the Affordable Care Act is implemented.

Millions uninsured on patchwork Medicaid expansion map

■ More than 3 million low-income people are projected to stay without coverage in states not expanding, but primary care access problems could hit expansion states.

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