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.

FOR EXAMPLE:

1. Examination of a hip at an infant: look for shortening of the thigh, the asymmetry of the cutaneous folds, the limitation in the abduction

2. H.pylori: Pylera* 3cpx4/d + omeprazole20x2/d during 10j OR amox 1gx2/d + metronidazole500x2/d + clarythro500x2/d + IPP double dose x2/d during 14d

3. The tool SCORE estimates the risk of cardiovascular mortality in 10years: sex, age (40 in 65years), tobacco, blood pressure and cholesterol

4. Geriatric population: between 25 and 86 % of excess of prescription of inhibitor of the Proton pump inhibitors (PPIs)

5. Vaccine HPV recommended until 26 years for the men who have or had sexual relations with a man

6. Diarrhea of the infant: pursuit of the usual milk. If diarrhea > 7d and artificial feeding, propose milk without lactose

7. Hepatitis A, vaccinate: early childhood professionals, home to the disabled, wastewater treatment, collective catering

8. Fixed corticosteroid and long-acting beta-2 mimetic combinations should not be used during exacerbation of COPD

9. 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

10. Seromucosal otitis: antibiotics, antihistamines, decongestants, corticosteroids = no improvement in the medium / long term

11. Complements made from red yeast rice expose to similar adverse events statins and are not an alternative

12. Investigation of heterozygous familial hypercholesterolemia in subjects with LDL-C ≥ 1.9g/l (4.9mmol/l

13. Varicella vaccination recommended for 12-18 years old with no history of chicken pox. If history questionable, serological control possible

14. All ACEI and ARB II are formally contraindicated in the 2nd and 3rd trimesters of pregnancy and not recommended in the 1st trimester

15. Do not prescribe estrogen-progestin hormonal contraception within 6 weeks postpartum because venous thrombotic over-risk / arterial

16. Influenza vaccine for all pregnant women, at all stages of pregnancy, during periods of influenza (100% reimbursed)

17. Avoid prescribing fluoroquinones if there is a prescription in the last 6 months

18. Ultrasound at 1 month for congenital hip dislocation is routine if clinical sign / familial ATCD / seated presentation

19. Delivery of emergency hormonal contraception: free and anonymous for minors (on simple oral declaration)

20. Children with bilateral otitis media and chronic effusion, transtympanic aerators useful if hearing loss otherwise not recommendedFlash FMC

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