News for You
February is National Children's Dental Health Month - Resources Are Available
February marks National Children's Dental Health Month, an event of the American Dental Association (ADA). This year, the ADA is promoting the practice of drinking tap water with fluoride. As the AAP administers the Campaign for Dental Health (CDH), a water fluoridation advocacy campaign, we wholeheartedly support the theme of the month! In addition to this theme, the AAP Section on Oral Health has laid out our own course of action for the month of February. Each week we will promote different resources as well as new content on our various blog outlets, including AAP Voices and From the Front Line, the CDH Blog. I encourage you to take a look at the National Children's Dental Health Month web page that the Section on Oral Health has created to see the themes of the week (also listed below) and the resources that are available for you to share. Please feel free to share this information with others.
Week 1 – The Importance of Oral Health During Pregnancy
Week 2 – Early Childhood Oral Health Prevention is Key
Week 3 – Adolescent Oral Health
Week 4 – Oral Health During Early Childhood – What Can You Do in Primary Care?
Two new shareable images (available in Spanish and English) for weeks 1 and 2 are below and attached. We will also be sharing a couple of new animations and images for weeks 3 and 4.
WAFP President Elect to Participate on Wisconsin Health News Panel - December 6th at the Madison Club
WAFP President Elect Ken Schellhase, MD will be participating in a panel discussion hosted by the Wisconsin Health News on December 6th at the Madison Club in Madison. By the eyar 2035 Wisconsin could be facing a shrotfall of more than 4,000 physicians. The panel will be discussing scope of practice, team-beased care and the future health care workforce. Registration for this event is required. Please visit the event page for more inforamtion.
New Medical Examining Board CME Requirement Now in Effect
On November 10, 2016, the Wisconsin Medical Examining Board's (MEB) emergency rule relating to continuing medical education (CME) on its opioid prescribing guideline became effective. The rule requires two CME credits per biennium for at minimum the next two times you renew your license. For more information on the guidelines click and view the document below, or visit the Continuing Education page of the Wisconsin Department of Safety and Professional Services website.
AAFP Puts Family Medicine on President-Elect's Agenda
As President-elect Donald Trump begins working on the important issues of his administration, the AAFP wants to ensure that recognizing family medicine's value to the health care system is high on the agenda.
AAFP President John Meigs, MD, of Centreville, Ala., sent a letter to Trump with specific recommendations about what his incoming administration can do to help family physicians better care for their patients.
AAFP Recognizes WAFP Past President Dave Eitrheim, MD
At the 2016 Congress of Delegates, the AAFP recognized deceased members with a resolution of condolence, including WAFP Past President Dave Eitrheim, MD who passed away in January 2016.
Wisconsin Medical Examining Board Passes New Opioid Prescribing Guidelines
In July 2016 the Wisconsin Medical Examining Board passed their new opioid prescribing guidelines. The full guidelines are available below, and on the Wisconsin Department of Safety and Professional Services website.
Medscape Names Wisconsin 13th on Best Places to Practice List
Medscape has published their 2016 list of the "Best and Worst Places to Practice" and Wisconsin was ranked the 13th best state to practice medicine.
Factors that might influence your decision to practice in Wisconsin include:
- High physician compensation
- Good healthcare for residents
- Strong economy
- Intellectual engagement
Learn more and view the full Medscape list.
Choosing Wisely Articles Available
The Choosing Wisely campaign is now in its fourth year. Choosing Wisely aims to promote conversations between clinicians and patients by helping patients choose care that is:
- Supported by evidence
- Not duplicitave of other tests or procedures already received
- Free from harm
- Truly necessary
Choosing Wisely: Helping Physicians and Patients Make Smart Decisions About Their Care talks about health care costs and reducing waste in medicine, including wasted resources and unnecessary testing.
Choosing Wisely: A Growing International Campaign
Abstract: Much attention has been paid to the inapproprate underuse of tests and treatments but until recently little attention has focused on the overuse that does not add value for patients and may even cause harm. Choosing Wisely is a campaign to engage physicians and patients in conversations about unnecessary tests, treatments and procedures. The campaign began in the United States in 2012, in Canada in 2014 and now many countries around the world are adapting the campaign and implementing it. This article describes the present status of Choosing Wisely programs in 12 countries. It articulates key elements, a set of five principles, and describes the challenges countries face in the early phases of Choosing Wisely. These countries plan to continue collaboration including developing metrics to measure overuse.
Wisconsin Division of Public Health Releases Guidance for HIV Pre-Exposure Prophylaxis
The Wisconsin Division of Public Health has released guidance for medical providers regarding the use of pre-exposure prophylaxis to prevent HIV infection, also known as PrEP. PrEP is a method by which someone who is HIV negative but at high risk for acquiring HIV can prevent HIV infection by taking one pill once a day. The pill, which goes by the brand name Truvada, is actually a combination of two HIV-treatment medications: tenofovir and emtricitabine. Although Truvada is used in addition to other medications to treat HIV infection for people who are HIV positive, it has also been proven very effective to prevent HIV in those who are not infected. When Truvada is taken daily by someone who is HIV-negative, it can prevent HIV infection by over 90%.
In May 2014, the Centers for Disease Control and Prevention (CDC) released comprehensive clinical guidelines for PrEP. The Wisconsin guidance supplements CDC's recommendations, and is intended for health care providers (physicians, physician assistants, nurse practitioners, nurses, pharmacists, social workers, and other professionals) who are assisting patients interested or engaged in PrEP. The guide includes recommendations for patient education, financial information and resources, and a tool to assist patients in assessing their appropriateness for PrEP. The guide is available on the Wisconsin AIDS/HIV Program website under the tab "Resources for Clinicians". A direct link to the "Guide for Wisconsin PrEP Providers" is here.
The Wisconsin Division of Public Health strongly supports the use of PrEP for those who are at substantial risk for acquiring HIV infection, including men who have sex with men, people who inject drugs and sexual partners of people who are HIV infected. For questions regarding PrEP, contact Kathleen Krchnavek at the Wisconsin Division of Public Health at 608-267-3583 or firstname.lastname@example.org.
ABFM Offers Free Family Medicine Registry to the First 6,000 Diplomates
Diplomates of the ABFM have a unique opportunity to get free practice transformation assistance through a state level Practice Transformation Network and the added benefit of access to the ABFM PRIME Registry for three years - free! More informaiton.
The Elephant in the Clinic: Early Literacy and Family Well Being
This exciting new article, co-written by the medical directors of Reach Out and Read Wisconsin and Iowa, Dipesh Navsaria MPH, MSLIS, MD and Amy Shriver, MD, respectively, was recently published by the Acend Institute. This article eloquently describes the multiple facets of Reach Out and Read. Click here for more information and to download the full article.
Mumps in Wisconsin September 29, 2015
There have been two confirmed cases of mumps in individuals who attend the University of Wisconsin, Whitewater. Both individuals had onset of parotitis on 9/20 and were confirmed by PCR at the Wisconsin State Laboratory of Hygiene. The local health department and the university are working together to determine who has been exposed, implement control measures and vaccinate as needed. Students and staff at the university are being notified of the cases today and instructed to make sure they are immune to mumps (2 doses of mumps-containing vaccine, typically MMR, or born before 1957). Those who are not immune, or are unsure of their status are being instructed to seek vaccine.
As a reminder, resources regarding mumps can be found on our website at:
Additionally, a link to a memo regarding testing for mumps at the State Laboratory of Hygiene: https://www.dhs.wisconsin.gov/influenza/testing-parotitis.pdf
Also, a message and informatoin sheet about mumps from the Wisconsin Department of Health Services:
Mumps Message Map
*This information has been adapted from an email from the Wisconsin DHS
August is National Immunization Awareness Month
August is National Immunization Awareness Month (#NIAM15).The purpose of this observance is to highlight the importance of immunizations, one of the top 10 public health accomplishments of the 20th Century, according to the Centers for Disease Control & Prevention (CDC).
The National Public Health Information Coalition has created a toolkit to promote the importance of immunizations during National Immunization Awareness Month (NIAM). The toolkit contains key messages, vaccine information, sample news releases, and more. Use the toolkit to design your own promotions. Mix and match, copy or adapt the contents to fit the particular news and issues of your own organization or community - and share your NIAM activities to inspire others.
CDC has developed a series of factsheets to educate healthcare professionals on the Standards for Adult Immunization. There are also factsheets to educate adult patients on the vaccines recommended to them.
Register Today for the Team-Based Primary Care Practice Summit in the Wisconsin Dells - June 25
Click to view the flyer.
Click here to register.
WREN Convocation of Practices: Developing a Road Map for Optimum Patient-Partnered Chronic Condition Management
For more information visit the Wisconsin Research and Education Network (WREN) website.
Click to view the WREN Convocation schedule.
Maternal Child Health Conference
Primary Care Provider's Role in Improving Maternity Care Practices in Wisconsin
Click to view the flyer.
Tobacco Use Among Middle and High School Students - United States, 2011-2014
Because the use of e-cigarettes and hookahs is on the rise among high and middle school students, it is critical that comprehensive tobacco control and prevention strategies for youth focus on all tobacco products, not just cigarettes.
Current e-cigarette use among middle and high school students increased from 2013 to 2014. Findings from the 2014 National Youth Tobacco Survey show that current e-cigarette use among high school students increased from 4.5% in 2013 to 13.4% in 2014. Among middle school students, current e-cigarette use increased from 1.1% in 2013 to 3.9% in 2014. Increases were also observed for current hookah use. For high school students, hookah use increased from 5.2% in 2013 to 9.4% in 2014. For middle school students, hookah use increased from 1.1% to 2.5%. The increase in e-cigarettes and hookah use offset declines in use of more traditional products such as cigarettes and cigars. There was no decline in overall tobacco use between 2011 and 2014. Overall rates of tobacco product use were 24.6% for high school students and 7.7% for middle school students in 2014.
Wisconsin Psychiatric Association 2015 Annual Conference
April 16-18, 2015
Wisconsin Osteoporosis Symposium
June 5, 2015
Tourette Syndrome Association of Wisconsin
Tourette Syndrome: New Research, New Treatments
presented by: Dr. Jan Rowe
Save the Date - 3rd Annual I-PrACTISE Meeting
Learn about the Family Medicine for America's Health
Mini-campaign on Health and Nutrition
click to view click to view
CDC Health Alert – Measles OutbreakThe United States is experiencing a large multi-state measles outbreak that started in California in December 2014 and has spread to six additional states and Mexico. From December 28, 2014 through January 21, 2015, more than 50 people were reported to have measles. Most of these cases are part of a large, ongoing outbreak linked to an amusement park in California . CDC urges healthcare professionals to consider measles when evaluating patients with febrile rash and ask about a patient's recent international travel history and travel to domestic venues frequented by international travelers.
What Should Clinicians Do?
- Ensure all patients are up to date on measles, mumps, rubella (MMR) vaccine
- Consider measles in patients presenting with febrile rash illness and clinically compatible measles symptoms (cough, coryza, and conjunctivitis), and ask patients about recent travel internationally or to domestic venues frequented by international travelers, as well as a history of measles exposures in their communities
- Promptly isolate patients with suspected measles to avoid disease transmission and immediately report the suspect measles case to the health department
- Obtain specimens for testing from patients with suspected measles, including viral specimens for genotyping, which can help determine the source of the virus
- Contact the local health department with questions about submitting specimens for testing
Share Information About Measles with Parents and the Public
- The CDC is providing a recent article for parents about measles
- View an archived Immunization NetConference (CIINC) from 2014
- View a CDC Expert Commentary video on Medscape about measles
January is Cervical Health Awareness Month