HCPLive Network

Family Practice Recertification

Editor's Letter
Certifying Competency and Proficiency: The 'Right Thing' to Do
By Martin Quan, MD
A fundamental principle of medical professionalism is meeting the public expectation of acting in the best interest of the patient and community. Put more simply, physicians are trusted to do the “right thing.”
FPR Journal Club
Do 'High-impact' Medical Journals Report Accurate Outcomes?
By Frank J. Domino, MD
It is worrisome that "high-impact" data read by most healthcare providers and then further interpreted and distributed by lay news organizations may have funder bias.
Eating Nuts Regularly Can Lower Risk of Cardiovascular Disease, Cancer
By Kimberly Zoberi, MD, and Frank J. Domino, MD
Nuts should be given their own small space on the “MyPlate” in light of their solid evidence-based recommendation for daily consumption.
Annual Mammography Not Superior to Standard Care on Breast Cancer Mortality
By Shaula Woz, MS IV, and Frank J. Domino, MD
Mammography screening has conflicting efficacy results in the medical literature, as some clinical studies have shown little or no effect, while others have demonstrated decreased mortality in women aged 40 and older, with the largest effect in those aged 50-59 years.
Using Ultrasound to Accurately Diagnose Pediatric Skull Fractures
By Daniel Choi, MS IV, and Frank J. Domino, MD
Ultrasound can lessen the need for head scans in children and reduce the impact of radiation on the developing brains of those who are particularly sensitive to ionizing radiation.
Prescribing Testosterone Therapy May Increase Risk of Cardiovascular Complications
By Deviney Chaponis, MS IV, and Frank J. Domino, MD
Despite the increasingly widespread use of testosterone therapies, there remains some speculation concerning their long-term effects on overall health.
Consultant's Corner
How to Distinguish Panic Disorder from Panic Attacks
By Shirah Vollmer, MD
Panic attacks are common, but by themselves, they are not a disorder. When the attacks become the focal point of one’s mental life, then the diagnosis of panic disorder is appropriate.
Radiology Rounds
Why Does This Woman Have Punched-out Bone Lesions?
By James D. Collins, MD
When a patient’s presenting complaint is chest pain, consider plain radiographs directed to the area of pain and do not forget to look at the bones.
Pain Perspectives
Who Really Treats Chronic Pain? The Necessity of Pain Management in Family Practice
By Michael E. Schatman, PhD, CPE
Family physicians have the opportunity to become leaders in the chronic pain care blueprint.
The HIT List
Medication Alerts Redesigned for Providers Reduce Prescribing Errors
By Katie Eder, Managing Editor
Redesigning medication alerts with healthcare providers in mind would reduce prescribing errors and increase the efficiency of electronic medical records.
IOM Calls for Behavioral, Sociodemographic Data Collection in EHR
By Katie Eder, Managing Editor
The Institute of Medicine recently released a list of core social and behavioral health factors it suggests should be captured in all electronic health records to help healthcare providers more effectively influence patient outcomes.
Dermatology Quiz
Persistent Thumb Lesion in a Middle-aged Man
By Daniel Stulberg, MD
A 57-year-old man presented to clinic with this persistent skin lesion on his thumb. Three months ago, he lanced the lesion, producing some purulence and blood. Since then, it has bled almost daily and has not healed. He was treated with silver nitrate by another clinician after one month, but the lesion persists. His past medical history is significant for diabetes and his family history is significant for 2 cousins with melanoma.
What is your diagnosis?