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Search results for: Primary care

Ethics Forum: Thoughts on Managing Electronic Communication with Patients

James Topilow, MD, & Yvonne M. Golightly, PT, MS, PhD  |  August 14, 2023

Recent proposals in the U.S. to bill for electronic communication with our patients could be seen as a refreshing but contested attempt to battle burnout rates in the present era. A fee for electronic communications between patients and clinicians also acknowledges the value of the clinician’s time and expertise. But is this ethical? Discussion Burnout…

Filed under:Billing/CodingEthicsPractice SupportProfessional Topics Tagged with:burnoutEquityEthics Forumpatient communicationphysician-patient communicationwellness

The ACR & ARP Relaunch the Advanced Rheumatology Course

Benjamin J. Smith, DMSc, PA-C, DFAAPA, Marcy Bolster, MD, Sonam Kiwalkar, MD, Julie Lahti, Anneke Smith & Sharon Ross  |  August 14, 2023

The ACR and the ARP are preparing to relaunch the Advanced Rheumatology Course (ARC) with a fresh look and an enhanced format to facilitate the learner experience. Since its debut, the ARC, formerly the Nurse Practitioner and Physician Assistant Postgraduate Rheumatology Training Program, has been a valuable resource for hundreds of nurse practitioners (NPs), physician…

Filed under:Career DevelopmentEducation & TrainingProfessional Topics Tagged with:Advanced Rheumatology Course (ARC)Association of Rheumatology Professionals (ARP)continuing medical educationnurse practitionerphysician assistants

CMS Proposes Reimbursement Cuts for CY24

From the College  |  July 25, 2023

On July 13, the Centers for Medicare and Medicaid Services released the CY 2024 Medicare Physician Fee Schedule Notice of Proposed Rulemaking. This annual rule outlines policies related to provider reimbursement, coverage of telehealth services, review of specific codes, refinement of evaluation and management codes and updates to the Quality Payment Program.

Filed under:Legislation & AdvocacyProfessional Topics Tagged with:ACR advocacyMedicare Physician Fee Schedule (MPFS)Medicare reimbursement ratetelehealth

Do NSAIDs Mask MRI Findings in Patients with Axial Spondyloarthritis?

Michele B. Kaufman, PharmD, BCGP  |  July 17, 2023

Research suggests the use of non-steroidal anti-inflammatory drugs may mask the amount of sacroiliac joint inflammation found on MRI in patients with axial spondyloarthritis.

Filed under:Biologics/DMARDsDrug UpdatesMeeting Reports Tagged with:AS Resource CenteraxSpAMagnetic resonance imaging (MRI)MRIsacroiliac jointssacroiliitis

Case Report: A Patient Presents with Digital Ischemia & Gangrene

Nedal Darwish, MD, Mohamed Manaa, MD, Griffin Reyes, MD, & James G. Freeman, MD  |  June 10, 2023

Defined by the presence of antiphospholipid antibodies (aPL) in individuals with clinical evidence of thrombosis or pregnancy morbidity, antiphospholipid syndrome (APS) is a systemic autoimmune thrombophilia. Clinical thrombosis, which should be confirmed by objective validated criteria (e.g., imaging studies or histopathology), can occur in the arterial, venous or small vessel vasculature and is not limited…

Filed under:ConditionsHome SliderOther Rheumatic Conditions Tagged with:Antiphospholipid Antibody Syndrome (APS)arthralgiascase reportdigital ischemiagangrene

Tennessee Rheumatology Society: Keeping Pace with State Growth

Linda Childers  |  June 4, 2023

The Tennessee Rheumatology Society is helping rheumatology professionals in the state keep pace with a rapidly growing population by supporting both current practitioners and fellows in the state’s two rheumatology fellowship programs.

Filed under:Legislation & AdvocacyProfessional Topics Tagged with:state societyworkforce development

In the Wake of Dobbs v. Jackson Women’s Health Organization

Mary Beth Nierengarten  |  May 10, 2023

Since the Supreme Court ruling in June 2022 overturning 50 years of precedent protecting abortion as a constitutional right (Dobbs v. Jackson Women’s Health Organization), states are enacting and implementing new laws to regulate abortion, and medical organizations and healthcare providers are assuming the large task of understanding what the new laws mean for their…

Filed under:EthicsLegal UpdatesProfessional Topics Tagged with:abortionDobbs v. Jackson Women's Health Organization

2 AC&R Study Summaries: Racial Disparities in Lupus Trials & Post-Discharge Follow-Up in Lupus

Arthritis Care & Research  |  May 9, 2023

Racial Disparities in Lupus Clinical Trial Participation By Saira Z. Sheikh, MD Why was this study done? Lupus disproportionately affects Black and Latino populations, particularly women in childbearing years. Clinical trials of patients with lupus can advance the development of therapeutics and access to better treatments, as well as improve health outcomes for patients. However,…

Filed under:ConditionsResearch RheumSystemic Lupus Erythematosus Tagged with:dischargeDisparitiesFollow-UpLupusReading Rheumsystemic lupus erythematosus (SLE)

The Only Rheumatologist on the Island

Samantha C. Shapiro, MD  |  April 8, 2023

“What are you up to this weekend?” “Flying to Guam.” “What? Why?” “I promised an entire island I’d be their doctor.” In fall 2021, Jonathon Thorp, MD, phoned a friend. A passionate internist, he was bound and determined to bring a rheumatologist to Guam. Unlike most primary care providers (PCPs), he was willing to prescribe…

Filed under:Career DevelopmentProfessional Topics Tagged with:Volunteer

Case Report: GPA or IgG4-Related Disease in an 11-Year-Old Girl?

Geoffrey E. Thiele, MD, & Sara Haro, MD  |  April 7, 2023

Granulomatosis with polyangiitis (GPA) is a type of anti-neutrophil cytoplasmic antibody (ANCA) associated small vessel vasculitis that typically affects the kidneys, lungs and sinuses.1 Due to an overlap in signs and symptoms, GPA may initially be difficult to distinguish from IgG4-related disease, another condition that can affect multiple tissues and has variable presentations. Further complicating…

Filed under:ConditionsOther Rheumatic ConditionsVasculitis Tagged with:AAV FocusRheumcase reportFellowsFellows ForumGPAgranulomatosis with polyangiitisIgG4 related disease

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