Flash in english
In 2012, a qualitative research work showed that French general practitioners no longer adhered to traditional forms of continuing education. They sought brief, clear, practical and easily accessible information.
This research work led in 2014 to the creation of an original form of continuing medical education consisting in sending short weekly messages %u2013 less than 140 characters.
Each year, a drafting committee writes a hundred short messages based on national and international recommendations related to primary care.
A reading committee then selects the 52 most appropriate messages, according to different rating criteria : interest in the practice, interest for the patient, scientific validity. These 52 messages finally selected will be sent each week for one year by email and/or SMS.
The evaluation of this work was carried out thanks to the follow-ups of the adhesions.
Thus, in 2015, 254 physicians subscribed to FlashFMC, 309 in 2016 and 1093 in 2017.
In conclusion, the FlashFMC is an original medical information tool, responding to a real demand and expectation from general practitioners. Il would now be relevant to validate its impact on practice.
Examination of a hip at an infant: look for shortening of the thigh, the asymmetry of the cutaneous folds, the limitation in the abduction
H.pylori: Pylera* 3cpx4/d + omeprazole20x2/d during 10j OR amox 1gx2/d + metronidazole500x2/d + clarythro500x2/d + IPP double dose x2/d during 14d
The tool SCORE estimates the risk of cardiovascular mortality in 10years: sex, age (40 in 65years), tobacco, blood pressure and cholesterol
Geriatric population: between 25 and 86 % of excess of prescription of inhibitor of the Proton pump inhibitors (PPIs)
Vaccine HPV recommended until 26 years for the men who have or had sexual relations with a man
Diarrhea of the infant: pursuit of the usual milk. If diarrhea > 7d and artificial feeding, propose milk without lactose
Hepatitis A, vaccinate: early childhood professionals, home to the disabled, wastewater treatment, collective catering
Fixed corticosteroid and long-acting beta-2 mimetic combinations should not be used during exacerbation of COPD
Colonoscopy check at 3 years if high risk polyp (≥3 polyps or ≥ 1cm or high grade dysplasia), if low risk polyp control at 5 years
Seromucosal otitis: antibiotics, antihistamines, decongestants, corticosteroids = no improvement in the medium / long term
Complements made from red yeast rice expose to similar adverse events statins and are not an alternative
Investigation of heterozygous familial hypercholesterolemia in subjects with LDL-C ≥ 1.9g/l (4.9mmol/l
Varicella vaccination recommended for 12-18 years old with no history of chicken pox. If history questionable, serological control possible
All ACEI and ARB II are formally contraindicated in the 2nd and 3rd trimesters of pregnancy and not recommended in the 1st trimester
Do not prescribe estrogen-progestin hormonal contraception within 6 weeks postpartum because venous thrombotic over-risk / arterial
Influenza vaccine for all pregnant women, at all stages of pregnancy, during periods of influenza (100% reimbursed)
Avoid prescribing fluoroquinones if there is a prescription in the last 6 months
Ultrasound at 1 month for congenital hip dislocation is routine if clinical sign / familial ATCD / seated presentation
Delivery of emergency hormonal contraception: free and anonymous for minors (on simple oral declaration)
Children with bilateral otitis media and chronic effusion, transtympanic aerators useful if hearing loss otherwise not recommendedFlash FMC
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