Screen, Immunize, Counsel — With the Evidence Behind Every Well-Visit Decision
Built for the family medicine resident and practicing family physician who must decide — at every well visit — which screens to order, which vaccines to give, which behaviors to counsel, and which medications to prescribe or deprescribe, this reference connects the evidence base of preventive medicine to the choices made in clinic. It moves from USPSTF grading, ACIP schedules, and shared decision-making frameworks through the full lifespan — pediatric, adolescent, adult, older adult — and into the equity, occupational, environmental, and population health perspectives that define comprehensive primary care today. Evidence-graded recommendations, structured algorithms, and the named Lifetime Prevention Decision Atlas turn the sprawl of guideline literature into decisions you can deliver at the point of care.
What This Book Puts in Your Hands
• Deliver evidence-based screening — USPSTF-graded pathways for cardiovascular, cancer, diabetes, and mental health screening that tell you what to order at what age.
• Run the immunization schedule — ACIP delivery from newborn through 65-plus, with catch-up logic, adolescent HPV completion, and presumptive-framing responses to vaccine hesitancy.
• Counsel behavior change — 5A framework, motivational interviewing, and pharmacotherapy for tobacco cessation, unhealthy alcohol use, and obesity intervention.
• Prescribe PrEP and PEP — candidate identification, regimen selection across TDF/FTC, TAF/FTC, and cabotegravir, and the follow-up cadence that keeps patients protected.
• Prevent the fall — the CDC STEADI framework with Timed Up and Go, medication review, and multifactorial intervention matched to identified risk.
• Deprescribe with evidence — Beers Criteria, STOPP/START, and life-expectancy-informed reasoning for the older adult on eight medications.
• Address the structural drivers — social determinants screening, structural competency, and equity-informed practice for the disparities individual care alone cannot close.
• Reach for the Atlas — The Lifetime Prevention Decision Atlas consolidates every prevention decision across the book into a life-stage-indexed reference for the encounter itself.
Open it before your next well visit — the preventive decisions every patient depends on, in one reference.
