Pri-Med Podcasts

“Not Tonight”—The Impact of Female Sexual Dysfunction on Women’s Well-Being - Frankly Speaking Ep 404 Oct 28, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-405

Overview: It’s estimated that between 40%-60% of women report some degree of sexual dysfunction, which can have a significant impact on an individual’s quality of life and personal relationships. Even though most clinicians understand the importance and relevance of female sexual dysfunction (FSD), they may not be aware of its prevalence, effective treatments, or how best to inquire about it. Join us as we discuss this condition, its impact on women, and evidence on effective treatments.

Episode resource links:

Cristine Homsi Jorge, Kari Bø, Camila Chiazuto Catai, Luiz Gustavo Oliveira Brito, Patricia Driusso, Merete Kolberg Tennfjord. Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. Volume 231, Issue 1, 2024,Pages 51-66.e1,ISSN 0002-9378, https://doi.org/10.1016/j.ajog.2024.01.001.(https://www.sciencedirect.com/science/article/pii/S0002937824000061)
Davis, SR. Sexual dysfunction in women. New England Journal of Medicine. V 391. N 8; P 736-745. https://www.nejm.org/doi/full/10.1056/NEJMcp2313307
Johnson, Isabella MS; Thurman, Andrea Ries MD; Cornell, Katherine A. BS; Hatheway, Jessica MBA; Dart, Clint MS; Brainard, C. Paige MD; Friend, David R. PhD; Goldstein, Andrew MD. Preliminary Efficacy of Topical Sildenafil Cream for the Treatment of Female Sexual Arousal Disorder: A Randomized Controlled Trial. Obstetrics & Gynecology ():10.1097/AOG.0000000000005648, June 18, 2024. | DOI: 10.1097/AOG.0000000000005648
Kamrul-Hasan, A.B.M, Hannan, M A A, Muhammad S, M, Aalpona, Fatema, T Z, Nagendra, L., Selim, S, Dutta, D, D. Role of flibanserin in managing hypoactive sexual desire disorder in women: A systematic review and meta-analysis. Medicine 103(25):p e38592, June 21, 2024. | DOI: 10.1097/MD.0000000000038592
Yao H, Zhang X, Sun F, Tang G, Wu J, Zhou Z. The efficacy of intravaginal electrical stimulation (IVES) in treating female with urinary incontinence symptom from meta-analysis of nine randomized controlled trials. Front Neurol. 2022;13:933679. Published 2022 Sep 13. doi:10.3389/fneur.2022.933679
Huang H, Ding G, Li M, Deng Y, Cheng Y, Jin H.(2023) Menopause and stress urinary incontinence: The risk factors of stress urinary incontinence in perimenopausal and postmenopausal women. J Obstet Gynaecol Res. 49(10): 2509–2518. https://doi.org/10.1111/jog.15742
Tunn, R., Baessler, K., Knüpfer, S., & Hampel, C. (2023). Urinary Incontinence and Pelvic Organ Prolapse in Women. Deutsches Arzteblatt international, 120(5), 71–80. https://doi.org/10.3238/arztebl.m2022.0406

Guest: Susan Feeney, DNP, FNP-BC, NP-C, Jill M. Terrien, PhD, ANP-BC

Music Credit: Matthew Bugos

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Starting Medications for T2DM: When Metformin Isn’t the First Choice - Frankly Speaking Ep 403 Oct 21, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-403

Overview: Recorded live at Pri-Med East! - The American Diabetes Association (ADA) has updated their standards of care for patients with diabetes. In this episode, we discuss some of the changes in the initial selection of glucose-lowering medications for type 2 diabetes mellitus (T2DM), including when alternatives to metformin may be appropriate. Hear strategies for making personalized, guideline-recommended choices that enhance care for patients with T2DM.

Episode resource links:

Pharmacologic Approaches to Glycemic Treatment. In: American Diabetes Association. Standardsof Care in Diabetes2024 - DiabetesCare 2024 Jan 1;47(Suppl 1):S1-S321

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Matthew Bugos

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

PTSD in the Non-Veteran Population: A Closer Look at Gender Differences Oct 18, 2024

This podcast will shed light on the prevalence and significance of post-traumatic stress disorder (PTSD) in the non-veteran population of the United States, with a particular focus on the unique aspects of PTSD in women compared to those in men.

References and Resources

American Psychiatric Association. What is posttraumatic stress disorder (PTSD)? Accessed October 4, 2024. https://www.psychiatry.org/patients-families/ptsd/what-is-ptsd.
Center for Substance Abuse Treatment (US). Trauma-Informed Care in Behavioral Health Services. Substance Abuse and Mental Health Services Administration (US); 2014. (Treatment Improvement Protocol (TIP) Series, No. 57.) Exhibit 1.3-4. https://www.ncbi.nlm.nih.gov/books/NBK207191/box/part1_ch3.box16/
Davis LL, Schein J, Cloutier M, et al. The economic burden of posttraumatic stress disorder in the United States from a societal perspective. J Clin Psychiatry. 2022;83(3):21m14116. doi:10.4088/JCP.21m14116
Husarewycz MN, El-Gabalawy R, Logsetty S, Sareen J. The association between number and type of traumatic life experiences and physical conditions in a nationally representative sample. Gen Hosp Psychiatry. 2014;36(1):26-32. doi: 10.1016/j.genhosppsych.2013.06.003
National Institute of Mental Health. Post-traumatic stress disorder (PTSD). Accessed October 4, 2024. https://www.nimh.nih.gov/health/statistics/post-traumatic-stress-disorder-ptsd
Olff M, Willemien L. Why men and women may respond differently to psychological trauma. Psychiatric Times. Accessed October 4, 2024. https://www.psychiatrictimes.com/view/why-men-and-women-may-respond-differently-to-psychological-trauma
PTSD: National Center for PTSD. PTSD basics. U.S. Department of Veterans Affairs. Accessed October 4, 2024. https://www.ptsd.va.gov/understand/what/ptsd_basics.asp
PTSD: National Center for PTSD. PTSD checklist for DSM-5 (PCL-5). U.S. Department of Veterans Affairs. Accessed October 4, 2024. https://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp
Ramos N, Marr MC. Traumatic stress and resilience among transgender and gender diverse youth. Child Adolesc Psychiatr Clin N Am. 2023;32(4):667-682. doi:10.1016/j.chc.2023.04.001
Tobin-Tyler E, Dickman SL. Rape, homicide, and abortion bans—the abandonment of people subjected to sexual and intimate partner violence. N Engl J Med. 2024;391(4):289-292. doi:10.1056/NEJMp2405254
Vogt D. Research on women, trauma, and PTSD. U.S. Department of Veterans Affairs. Accessed October 4, 2024. https://www.ptsd.va.gov/professional/treat/specific/ptsd_research_women.asp
Wang Y, Chung MC, Wang N, Yu X, Kenardy J. Social support and posttraumatic stress disorder: a meta-analysis of longitudinal studies. Clin Psychol Rev. 2021;85:101998. doi.org/10.1016/j.cpr.2021.101998
World Health Organization. Post-traumatic stress disorder. Accessed October 4, 2024. https://www.who.int/news-room/fact-sheets/detail/post-traumatic-stress-disorder

Dialing in Hypertension Treatment: Managing Adverse Effects in Older Adults - Frankly Speaking Ep 402 Oct 14, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-402

Overview: Some blood pressure medications have been found to cause adverse side effects in older adults, such as itchy skin and an increased risk of stroke. Join us as we cover 2 recent publications that add clinical implications to which blood pressure medications we use. Come away feeling confident to improve hypertension outcomes in older patients.

Episode resource links:

JAMA Dermatol. Published online May 22, 2024. doi:10.1001/jamadermatol.2024.1230
JAMA Netw Open. 2023;6(12):e2344998. doi:10.1001/jamanetworkopen.2023.44998

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Matthew Bugos

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Mind and Muscle: Exercise as Therapy for Depression - Frankly Speaking Ep 401 Oct 07, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-401

Overview: Evidence has shown that exercise can improve mood, but how successful is it for treating depression compared to other therapies? What types and intensities are most effective? Discover insights from a recent meta-analysis on the effects of exercise on depression and strategies to promote it in those with major depression.

Episode resource links:

Noetel M, Sanders T, Gallardo-GÃ³mez D, Taylor P, del Pozo Cruz B, van den Hoek D et al. Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials BMJ 2024; 384 :e075847 doi:10.1136/bmj-2023-075847
Vancampfort, D., Hallgren, M., Firth, J., Rosenbaum, S., Schuch, F. B., Mugisha, J., Probst, M., Van Damme, T., Carvalho, A. F., & Stubbs, B. (2017). Physical activity and suicidal ideation: a systematic review and meta-analysis. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2017.08.070

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Matthew Bugos

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Self-Collection Testing Brings Comfort to Care in Cervical Cancer Screening - Frankly Speaking Ep 400 Sep 30, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-400

Overview: The FDA recently approved primary human papillomavirus (HPV) self-collection for cervical cancer screening in a healthcare setting. Join us as we explore how to counsel patients on this less invasive method and find out what’s on the horizon for at-home collection kits.

Episode resource links:

https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P160037
Journal of Clinical Virology, 2020-06-01, Volume 127, Article 104375, Copyright © 2020 Elsevier B.V.
JAMA. 2023;330(20):1971-1981. doi:10.1001/jama.2023.21471

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Matthew Bugos

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

The Dual Advantage: Improving Alzheimer Care with Combination Therapy - Frankly Speaking Ep 399 Sep 23, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-399

Overview: In this episode, we look at a new study showing increased probability of survival for patients with Alzheimer disease (AD) who take donepezil and memantine together. We review current treatments for AD and address common hesitations in prescribing dual pharmacotherapy, providing vital insights for primary care clinicians.

Episode resource links:

Yaghmaei, E., Lu, H., Ehwerhemuepha, L. et al. Combined use of Donepezil and Memantine increases the probability of five-year survival of Alzheimer’s disease patients.Commun Med 4, 99 (2024). https://doi.org/10.1038/s43856-024-00527-6
Guo J, Wang Z, Liu R, Huang Y, Zhang N, Zhang R. Memantine, Donepezil, or Combination Therapy-What is the best therapy for Alzheimer's Disease? A Network Meta-Analysis. Brain Behav. 2020 Nov;10(11):e01831. doi: 10.1002/brb3.1831. Epub 2020 Sep 10. PMID: 32914577; PMCID: PMC7667299.

Guest: Jillian Joseph, MPAS, PA-C

Music Credit: Matthew Bugos

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Ask The Expert About Pain Management Sep 20, 2024

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/ask-the-expert-about-pain-management

Overview:

In this podcast, Dr. Katherine Galluzzi answers several of the frequently asked questions regarding pain management, such as the use of NSAIDs in patients with cardiovascular disease, the effects of long-term opioid therapy, practical approaches to initiating buprenorphine, and whether or not a Patient Provider Agreement is necessary for patients in hospice care.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://www.opioidanalgesicrems.com/Resources/Docs/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the U.S. Food and Drug Administration (FDA).

Walk It Off: Preventing Recurrences of Low Back Pain - Frankly Speaking Ep 397 Sep 16, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-398

Overview: Low back pain is the leading cause of years lived with disability, with approximately 70% of individuals experiencing a recurrence within 12 months following recovery from an episode. Clinicians are poised to play a crucial role in encouraging patients to incorporate walking to prevent recurrences of low back pain.

Episode resource links:

Pocovi NC, Lin CC, French SD, Graham PL, van Dongen JM, Latimer J, Merom D, Tiedemann A, Maher CG, Clavisi O, Tong SYK, Hancock MJ. Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial. Lancet. 2024 Jun 19:S0140-6736(24)00755-4. PMID: 38908392.

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Does Testosterone Replacement Therapy Help Men Live Healthier Lives? - Frankly Speaking ep 397 Sep 09, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-397

Overview: In this episode, we review the T Trials—a coordinated set of 7 research trials that assessed the efficacy of testosterone gel treatment in 7 functional domains for men aged 65 years or older. Hear best practices for determining testosterone levels and how to balance the benefits and risks of testosterone replacement therapy during patient discussions.

Episode resource links:

Matsumoto AM. Testosterone Replacement in Men with Age-Related Low Testosterone: What Did We Learn From The Testosterone Trials? Curr Opin Endocr Metab Res. 2019 Jun;6:34-41. doi: 10.1016/j.coemr.2019.04.004. Epub 2019 Apr 25. PMID: 32043015; PMCID: PMC7009797.
The Journal of Clinical Endocrinology & Metabolism, 2024, 00, 1–10 https://doi.org/10.1210/clinem/dgae085

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Vapor Trail—The Latest on E-Cigarette Risks - Frankly Speaking Ep 396 Sep 02, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-396

Overview: Listen in as we discuss the health risks of e-cigarette use and dual use, emphasizing the importance of primary prevention and supporting patients in their cessation efforts. Discover the latest evidence on vaping’s impact on addiction, cardiovascular health, and lung cancer, and gain essential insights to better advise your patients.

Episode resource links:

Bittoni MA, et al. Abstract 2213. Presented at: American Association for Cancer Research Annual Meeting; April 5-10, 2024; San Diego. (AACR 2024: Ohio State experts share new findings at annual meeting (press release). Available at: https://cancer.osu.edu/news/aacr-2024-ohio-state-experts-share-new-findings. Posted April 5,2024. Accessed May 3, 2024.)
Hartmann-Boyce J, McRobbie H, Lindson N, et al. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. Apr 29 2021;4:CD010216. doi:10.1002/14651858.CD010216.pub5
Hopkinson NS, et al "Association of time spent on social media with youth cigarette smoking and e-cigarette use in the UK: a national longitudinal study" Thorax 2024: DOI:10.1136/ thorax-2023-220569.
Y.W. Kim, E.J. Park, K.I. Kwak, A.-R. Choi, B.J. Lee, Y.J. Lee, J.S. Park, Y.-J. Cho, J.H. Lee, and C.-T. Lee. Association of Electronic Cigarette Use After Conventional Smoking Cessation With Lung Cancer Risk: A Nationwide Cohort Study (abstract). Am J Respir Crit Care Med 2024;209:A3051.
CDC: Health Effects of Vaping; https://www.cdc.gov/tobacco/e-cigarettes/health-effects.html
CDC:Dual Use of Tobacco Products; https://www.cdc.gov/tobacco/campaign/tips/diseases/dual-tobacco-use.html

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Reeling in the Evidence—Do Fish Oil Supplements Prevent Cardiovascular Disease? - Frankly Speaking Ep 395 Aug 26, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-395

Overview: This episode brings you an exploration of fish oil supplements and their potential effects on cardiovascular health. We dive into the evidence, highlighting fish oil’s role in primary prevention and its possible risks, such as increased atrial fibrillation. Gain practical recommendations to help you effectively advise your patients on the use of this popular supplement.

Episode resource links:

Regular use of fish oil supplements and course of cardiovascular diseases: prospective cohort study
BMJ Medicine 2024;3:e000451. doi: 10.1136/bmjmed-2022-000451
Omega-3 Polyunsaturated Fatty Acid (Fish Oil) Supplementation and the Prevention of Clinical Cardiovascular Disease:
A Science Advisory From the American Heart Association
Circulation. 2017;135:e867–e884

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Physical Activity for Healthy Aging: How Much Is Enough? - Frankly Speaking Ep 394 Aug 19, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-394

Overview: Explore the keys to confidently promoting healthy aging in patients. In this insightful conversation, we identify behaviors impacting longevity and discuss practical steps to minimize risks, including diet, exercise, and sleep. Discover evidence-based insights on how even light physical activity can significantly improve patients’ odds of healthy aging.

Episode resource links:

Shi H, Hu FB, Huang T, Schernhammer ES, Willett WC, Sun Q, Wang M. Sedentary Behaviors, Light-Intensity Physical Activity, and Healthy Aging. JAMA Netw Open. 2024 Jun 3;7(6):e2416300. doi: 10.1001/jamanetworkopen.2024.16300. PMID: 38861256; PMCID: PMC11167497.

Guest: Jillian Joseph, MPAS, PA-C

Music Credit: Richard Onorato

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Gender Incongruence in Adolescents: Are Hormonal Therapies Helpful? - Frankly Speaking Ep 393 Aug 12, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-393

Overview: Adolescents seeking hormonal treatment for gender incongruence has become more common. A recent systematic review looking at the benefits and side effects found in clinical studies updates our current understanding of this approach. Gain insights and confidence to make informed and compassionate care decisions.

Episode resource links:

Taylor J, Mitchell A, Hall R, Langton T, Fraser L, Hewitt CE. Masculinising and feminising hormone interventions for adolescents experiencing gender dysphoria or incongruence: a systematic review. Arch Dis Child. 2024 Apr 9:archdischild-2023-326670.
Coleman E, et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. Int J Transgend Health. 2022 Sep 6;23(Suppl 1):S1-S259.
Gender Affirming Hormonal Care for the Primary Care Provider
Thriving for Transgender Youth
Update on Trans-Competent Primary Care

Guest: Alan M. Ehrlich, MD, FAAFP

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Music Credit: Richard Onorato

Vitamin D and Calcium: The Good, the Bad, the Valueless? - Frankly Speaking Ep 392 Aug 05, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-392

Overview: Tune in as we explore a recent study that found no net all-cause benefit or harm from vitamin D and calcium supplementation. We review the study’s findings in detail and reflect on whether these supplements should be recommended to our patients based on the latest evidence.

Episode resource links:

Ann Intern Med. doi:10.7326/M23-2598

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com

Bronchitis with Prolonged Cough: Do Antibiotics Help? - Frankly Speaking Ep 391 Jul 29, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-391

Overview: Cough is a frustrating complaint for patients and often leads to a prescription for antibiotics. Discover new data that reveals the ineffectiveness of antibiotics in treating acute bronchitis. Come away with valuable insights to enhance your practice and make informed treatment decisions, improving patient care and outcomes.

Episode resource links:

Merenstein DJ, Barrett B, Ebell MH. Antibiotics Not Associated with Shorter Duration or Reduced Severity of Acute Lower Respiratory Tract Infection. J Gen Intern Med. Published online April 15, 2024. doi:10.1007/s11606-024-08758-y

Guest: Alan M. Ehrlich, MD, FAAFP
Music Credit: Richard Onorato

Spot On: Evolving Strategies for Chickenpox Diagnosis - Frankly Speaking Ep 390 Jul 22, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-390

Overview: In 1995, the US launched a varicella vaccination program, leading to a significant drop in cases. However, breakthrough infections still occur, and clinical diagnosis has become less reliable as the virus has evolved. Join us to hear current recommendations for what to consider in the differential diagnosis and how emerging evidence may impact public health and your practice.

Episode resource links:

Marin, M, Leung, J, Anderson, TC, Lopez, AS. Monitoring Varicella Vaccine Impact on Varicella Incidence in the United States: Surveillance Challenges and Changing Epidemiology, 1995–2019, The Journal of Infectious Diseases, Volume 226, Issue Supplement_4, 1 November 2022, Pages S392–S399, https://doi.org/10.1093/infdis/jiac221
Qiu L, Liu S, Zhang M, et al. The epidemiology of varicella and effectiveness of varicella vaccine in Ganyu, China: a long-term community surveillance study. BMC Public Health. 2023;23(1):1875. Published 2023 Sep 28. doi:10.1186/s12889-023-16304-4
Ruprecht A, Marin M, Strain AK, Harry K, Kenyon C. Notes from the Field: Expanded Laboratory Testing for Varicella — Minnesota, 2016–2023. MMWR Morb Mortal Wkly Rep 2024;73:245–246. DOI: http://dx.doi.org/10.15585/mmwr.mm7311a3
DynaMed – Chicken pox – Varicella (https://www-dynamed-com.umassmed.idm.oclc.org/condition/chickenpox#GUID-DFBFAA99-31E8-4553-AFDB-AA1988B1967A):

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Metabolic Markers for Mood: Looking Carefully at Lipids - Frankly Speaking Ep 389 Jul 15, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-389

Overview: Let’s talk lipid panels and their potential to assess more than cardiovascular disease risk. Through a case scenario, we highlight a study on the potential link between metabolic markers and mood disorders such as depression and anxiety. Join us to learn how lipid panels could aid in early detection and intervention for these conditions.

Episode resource links:

Chourpiliadis C, Zeng Y, Lovik A, Wei D, Valdimarsdóttir U, Song H, Hammar N, Fang F. Metabolic Profile and Long-Term Risk of Depression, Anxiety, and Stress-Related Disorders. JAMA Netw Open. 2024 Apr 1;7(4):e244525. doi: 10.1001/jamanetworkopen.2024.4525. PMID: 38564219; PMCID: PMC10988352.

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Give Them 5: Rethinking Treatment Durations for Pediatric Respiratory Infections - Frankly Speaking Ep 388 Jul 08, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-388

Overview: Tune in as expert faculty cover common upper respiratory infections in children and their treatment options, with a focus on achieving the best outcome while also lowering the risk of subsequent adverse events. Hear guideline recommendations and evidence on treatment durations to confidently make informed clinical decisions.

Episode resource links:

Journal of the Pediatric Infectious Diseases Society, piae034, https://doi.org/10.1093/jpids/piae034

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Measles—It’s Here! Would You Recognize It? - Frankly Speaking Ep 387 Jun 30, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-387

Overview: Measles incidence in the US was low, with the CDC issuing it “elimination status.” In 2024, a cluster of measles cases threatened this status. Join us while we discuss this phenomenon and its impact on public health and practice, including who is at risk, how to recognize measles, and ways to manage this contagious and vaccine-preventable illness.

Episode resource links:

Centers for Disease Control and Prevention (CDC): Measles Cases and Outbreaks. https://www.cdc.gov/measles/cases-outbreaks.html
Center for Infectious Disease Research and Policy (CIDRAP); University of Minnesota. https://www.cidrap.umn.edu/measles/us-measles-cases-top-120-la-county-tracks-case-multiple-exposures
Center for Infectious Disease Research and Policy (CIDRAP); University of Minnesota. CDC: Spike in measles cases poses threat to US elimination status. https://www.cidrap.umn.edu/measles/cdc-spike-measles-cases-poses-threat-us-elimination-status
DynaMed – Measles

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Move to Improve: Prescribing Dance for Depression - Frankly Speaking Ep 386 Jun 24, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-386

Overview: Physical activity can be a key component of treating depression. In this episode, we discuss the powerful impact of exercise as a nonpharmacologic option, with a spotlight on the benefits of dance. Gain strategies to guide patients on depression therapies and discover why dance stands out among forms of exercise.

Episode resource links:

Guest: Alan M. Ehrlich, MD, FAAFP
Music Credit: Richard Onorato

The Cost-Effectiveness of Treatment Strategies for Obesity - Frankly Speaking Ep 385 Jun 17, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-385

Overview: Through the framework of a case-based scenario, this episode explores both pharmacological and surgical treatment options for obesity. We discuss the efficacy and cost challenges of injectable medications, insurance coverage, and alternative payment solutions. Gain valuable insights into the cost-effectiveness of treatments, including recent research on endoscopic sleeve gastroplasty, to better advise patients.

Episode resource links:

Haseeb M, Chhatwal J, Xiao J, Jirapinyo P, Thompson CC. Semaglutide vs Endoscopic Sleeve Gastroplasty for Weight Loss. JAMA Netw Open. 2024;7(4):e246221. doi:10.1001/jamanetworkopen.2024.6221
https://obesitymedicine.org/blog/does-insurance-cover-weight-loss-medication/

Guest: Jillian Joseph, PA-C
Music Credit: Richard Onorato

Recent Updates and FAQs: Diagnosis of Alzheimer Disease Jun 14, 2024

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.46 AANP
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/diagnosis-of-alzheimer-disease

Overview: This podcast will address recent updates in the clinical landscape of Alzheimer disease (AD) workup in primary care and will also include answers to frequently asked questions about the diagnosis of AD posed by Pri-Med learners. For further education on AD diagnosis and management, the other 3 podcasts in this series can be found here: https://www.pri-med.com/online-cme-ce/curriculum/mind-over-memory

Recent Updates and FAQs: Treatment of Alzheimer Disease Jun 14, 2024

Credits: 0.25 AMA PRA Category 1 Credits™, 0.25 ABIM MOC or 0.30 AANP, including 0.30 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/treatment-of-alzheimer-disease

Overview: This podcast will address recent updates in the clinical landscape of Alzheimer disease (AD) treatment and will also include answers to frequently asked questions about the treatment of AD posed by Pri-Med learners. For further education on AD diagnosis and management, the other 3 podcasts in this series can be found here: https://www.pri-med.com/online-cme-ce/curriculum/mind-over-memory

Fact-Checking Social Media: Pregnancy, Acetaminophen, and Autism - Frankly Speaking Ep 384 Jun 10, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-384

Overview: This episode investigates the inaccurate correlation made between acetaminophen use during pregnancy and an increased risk of developmental disorders, including autism spectrum disorder, in children. Expert faculty discuss the history of these claims, followed by a study evaluating outcomes in children, and emphasize the importance of evidence-based decision-making for patients and clinicians.

Episode resource links:

Ahlqvist VH, Sjöqvist H, Dalman C, et al. Acetaminophen Use During Pregnancy and Children’s Risk of Autism, ADHD, and Intellectual Disability. JAMA. 2024;331(14):1205–1214. doi:10.1001/jama.2024.3172
Nat Rev Endocrinol. 2021 Dec;17(12):757-766. doi: 10.1038/s41574-021-00553-7

Guest: Aylin Madore, MD, MEd
Music Credit: Richard Onorato

Beyond Reaction: Strategies for Mitigating the Food Allergy Surge - Frankly Speaking Ep 383 Jun 03, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-383

Overview: This episode highlights a growing concern—the prevalence of food allergies is on the rise. We underscore the importance for clinicians to help keep vulnerable populations safe through risk reduction strategies as well as the use of medication therapy. Feel empowered to prepare and safeguard patients from adverse reactions to food allergies.

Episode resource links:

Abrams, E. M., & Becker, A. B. (2015). Food introduction and allergy prevention in infants. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 187(17), 1297–1301. https://doi.org/10.1503/cmaj.150364
Elghoudi, A., & Narchi, H. (2022). Food allergy in children-the current status and the way forward. World journal of clinical pediatrics, 11(3), 253–269. https://doi.org/10.5409/wjcp.v11.i3.253
Wood, R. A., Togias, A., Sicherer, S. H., Shreffler, W. G., Kim, E. H., Jones, S. M., ... & Chinthrajah, R. S. (2024). Omalizumab for the Treatment of Multiple Food Allergies. New England Journal of Medicine.
https://www.foodallergy.org/living-food-allergies/food-allergy-essentials/food-allergy-anaphylaxis-emergency-care-plan
CDC.gov
https://acaai.org/

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

Time to Update Your CVD Risk Calculator? - Frankly Speaking Ep 382 May 27, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-382

Overview: Tune in as we discuss the AHA’s newly validated risk calculator designed to assess the risk of developing cardiovascular disease and heart failure in certain patients. We review which risk factor variables were included in the development of this new tool and whether to consider incorporating it in your practice.

Episode resource links:

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Do E-Cigarettes Help with Smoking Cessation? - Frankly Speaking Ep 381 May 20, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-381

Overview: While the aerosol in e-cigarettes does contain toxicants and carcinogens, since it is not burned like combustible tobacco cigarettes, vaping exposes the user to fewer toxicants and chemicals. Many consider using e-cigarettes for smoking cessation, but evidence has been conflicting. Tune in as we discuss a recent review examining the efficacy of e-cigarettes in aiding smoking cessation and explore potential adverse effects associated with their usage.

Episode resource links:

Lin, H. X., Liu, Z., Hajek, P., Zhang, W. T., Wu, Y., Zhu, B. C., Liu, H. H., Xiang, Q., Zhang, Y., Li, S. B., Pesola, F., & Wang, Y. Y. (2024). Efficacy of Electronic Cigarettes vs Varenicline and Nicotine Chewing Gum as an Aid to Stop Smoking: A Randomized Clinical Trial. JAMA internal medicine, 10.1001/jamainternmed.2023.7846. Advance online publication. https://doi.org/10.1001/jamainternmed.2023.7846
Lindson, N., Butler, A. R., McRobbie, H., Bullen, C., Hajek, P., Begh, R., Theodoulou, A., Notley, C., Rigotti, N. A., Turner, T., Livingstone-Banks, J., Morris, T., & Hartmann-Boyce, J. (2024). Electronic cigarettes for smoking cessation. The Cochrane database of systematic reviews, 1(1), CD010216. https://doi.org/10.1002/14651858.CD010216.pub8
Sanford BT, Brownstein NC, Baker NL, et al. Shift From Smoking Cigarettes to Vaping Nicotine in Young Adults. JAMA Intern Med. Published online November 13, 2023. doi:10.1001/jamainternmed.2023.5239

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

ACE Inhibitors: Maybe Not for Hypertension Alone - Frankly Speaking Ep 380 May 13, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-380

Overview: This episode brings you a comparison of thiazide diuretics, angiotensin-converting enzyme (ACE) inhibitors, and calcium channel blockers on cardiovascular outcomes, stroke, and all-cause mortality. Gain evidence-based insights to help you make informed choices for your patients’ care.

Episode resource links:

https://pubmed.ncbi.nlm.nih.gov/38048133/#:~:text=JAMA%20Netw%20Open,10.1001/jamanetworkopen.2023.44998

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Colchicine: It’s Not Just for Gout Anymore - Frankly Speaking Ep 379 May 06, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-379

Overview: Recent data has shown that colchicine can improve outcomes in patients with known coronary artery disease (CAD), with consideration of colchicine now recommended by the American Heart Association (AHA). Hear valuable insights into the potential benefits and limitations to refine your clinical approach to managing CAD.

Episode resource links:

Nidorf SM, Fiolet ATL, Mosterd A, et al. Colchicine in Patients with Chronic Coronary Disease. N Engl J Med. 2020;383(19):1838-1847.
Mohammadnia N, Los J, Opstal TSJ, et al. Colchicine and diabetes in patients with chronic coronary artery disease: insights from the LoDoCo2 randomized controlled trial. Front Cardiovasc Med. 2023;10:1244529. Published 2023 Oct 6.
Roubille F, Bouabdallaoui N, Kouz S, et al. Low-Dose Colchicine in Patients With Type 2 Diabetes and Recent Myocardial Infarction in the COLchicine Cardiovascular Outcomes Trial (COLCOT). Diabetes Care. Published online January 5, 2024.

Guest: Alan M. Ehrlich, MD, FAAFP
Music Credit: Richard Onorato

Dementia News Roundup - Frankly Speaking Ep 378 Apr 29, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-378

Overview: Effective treatments for dementia remain elusive. In this episode, we’re discussing dementia treatment developments gathered from recent publications, covering topics of drugs, exercise, and liver disease. Stay informed and equipped to offer the latest guidance to patients with dementia and their families.

Episode resource links:

Ann Fam Med 2024;22:50-58. https://doi.org/10.1370/afm.3050
JAMA Netw Open. 2024;7(1):e2353965. doi:10.1001/jamanetworkopen.2023.53965

Guest: Robert A. Baldor, MD, FAAFP
Music Credit: Richard Onorato

To Treat or Not to Treat: Do Antibiotics Make a Difference with OME? - Frankly Speaking Ep 377 Apr 23, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-377

Overview: Fluid in the middle ear, or otitis media with effusion (OME), is common in children with upper respiratory infections and typically resolves without treatment. Most guidelines do not recommend antibiotics for treatment; however, they are often prescribed, and the persistence of effusion can cause a significant impact on quality of life. Join us as we discuss recent review findings on antibiotics in OME treatment and the potential impact on your practice.

Episode resource links:

Mulvaney CA, Galbraith K, Webster KE, et al. Antibiotics for otitis media with effusion (OME) in children. Cochrane Database Syst Rev. 2023;10(10):CD015254. Published 2023 Oct 23. doi:10.1002/14651858.CD015254.pub2
Rosenfeld, R. M., Shin, J. J., Schwartz, S. R., Coggins, R., Gagnon, L., Hackell, J. M., Hoelting, D., Hunter, L. L., Kummer, A. W., Payne, S. C., Poe, D. S., Veling, M., Vila, P. M., Walsh, S. A., & Corrigan, M. D. (2016). Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 154(1 Suppl), S1–S41. https://doi.org/10.1177/0194599815623467

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

New Benefits Give SGLT2 Inhibitors Their Turn to Shine - Frankly Speaking Ep 376 Apr 15, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-376

Overview: While GLP-1 agents are center stage in the medical and lay press, drugs in the class of sodium-glucose cotransporter 2 inhibitors (SGLT2is) are also quite remarkable at improving a variety of health endpoints. This episode provides an overview of studies supporting the use of SGLT2is to improve patient outcomes.

Episode resource links:

DM/HF: Age Ageing 2024 Jan 2;53(1):afad254. doi: 10.1093/ageing/afad254
Kidney stones: JAMA Intern Med. 2024 Jan 29:e237660. doi: 10.1001/jamainternmed.2023.7660

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Breast Cancer: Increased Incidence Doesn’t Mean Increased Mortality - Frankly Speaking Ep 375 Apr 08, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-375

Overview: Listen in as we discuss trends seen in breast cancer incidence over recent decades. Despite a notable rise in its prevalence, we’ve witnessed a decline in mortality rates. This positive shift owes itself to improvements in medication and screening efforts. Explore with us the multifaceted factors shaping this evolving landscape of breast cancer diagnosis and treatment.

Episode resource links:

https://www.cancer.org/cancer/types/breast-cancer/about/how-common-is-breast-cancer.html
https://www.uspreventiveservicestaskforce.org/uspstf/
Caswell-Jin, J. L., Sun, L. P., Munoz, D., Lu, Y., Li, Y., Huang, H., ... & Plevritis, S. K. (2024). Analysis of Breast Cancer Mortality in the US—1975 to 2019. JAMA, 331(3), 233-241.
Xu, S., Murtagh, S., Han, Y., Wan, F., & Toriola, A. T. (2024). Breast Cancer Incidence Among US Women Aged 20 to 49 Years by Race, Stage, and Hormone Receptor Status. JAMA Network Open, 7(1), e2353331-e2353331.

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

Sleep Lab in Your Pocket: Smartphone Diagnostics for Sleep Apnea - Frankly Speaking Ep 374 Apr 01, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-374

Overview: This episode explores the use of data from smartphone recordings as a diagnostic tool for obstructive sleep apnea (OSA), highlighting at-home testing as a more accessible, convenient, and appropriate option for some patients. Hear how the evidence can inform your practice and improve the diagnosis and treatment of patients with OSA.

Episode resource links:

Han SC, Kim D, Rhee CS, Cho SW, Le VL, Cho ES, Kim H, Yoon IY, Jang H, Hong J, Lee D, Kim JW. In-Home Smartphone-Based Prediction of Obstructive Sleep Apnea in Conjunction With Level 2 Home Polysomnography. JAMA Otolaryngol Head Neck Surg. 2024 Jan 1;150(1):22-29. doi: 10.1001/jamaoto.2023.3490. PMID: 37971771; PMCID: PMC10654929.
OSA and CV disease in adults, UpToDate
Home sleep apnea testing for adults, UpToDate

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Type 2 Diabetes Mellitus: Can Lifestyle Reverse It? - Frankly Speaking Ep 373 Mar 25, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-373

Overview: In this episode, we review the effectiveness of intensive lifestyle intervention for type 2 diabetes mellitus (T2DM) remission. We unpack study findings on total diet replacement and consider its potential for improving weight loss and maintenance in patients. Tune in to enrich your clinical toolkit, empowering you to optimize patient outcomes and enhance quality of life.

Episode resource links:

Hocking, S. L., Markovic, T. P., Lee, C. M. Y., Picone, T. J., Gudorf, K. E., & Colagiuri, S. (2024). Intensive Lifestyle Intervention for Remission of Early Type 2 Diabetes in Primary Care in Australia: DiRECT-Aus. Diabetes care, 47(1), 66–70. https://doi.org/10.2337/dc23-0781
Centers for Disease Control: Diabetes Care for Providers: https://www.cdc.gov/diabetes/professional-info/index.html
Optifast USA: https://www.optifast.com/
Pattinson, A. L., Seimon, R. V., Harper, C., Nassar, N., Grech, A., Santoso, E. A., Franklin, J., Inan-Eroglu, E., Gibson, A. A., & Sainsbury, A. (2021). Diet Quality following Total Meal Replacement Compared with Food-Based Weight-Loss Diets in Postmenopausal Women with Obesity: A Secondary Analysis of the TEMPO Diet Trial. The Journal of nutrition, 151(11), 3299–3312. https://doi.org/10.1093/jn/nxab311

Guest: Jill M. Terrien, PhD, ANP-BC
Music Credit: Richard Onorato

Practical Approaches to the Pharmacologic Treatment of Obesity Mar 22, 2024

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.56 AANP, including 0.56 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/practical-approaches-to-the-pharmacologic-treatment-of-obesity

Overview: In this podcast expert faculty will review the available options and discuss best practices for prescribing and monitoring long-term anti-obesity medications (AOM) as an important component of a chronic disease approach to obesity management. The discussion will include the indications, efficacy, safety, and adverse effects of currently FDA-approved AOM as well as the evidence supporting new agents like the GLP-1 receptor agonists and the newly approved dual GIP/GLP-1 receptor agonist tirzepatide.

A Comprehensive Approach to Obesity Management Mar 22, 2024

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.60 AANP
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/a-comprehensive-approach-to-obesity-management

Overview: In this podcast expert faculty will discuss the Obesity Medicine Association’s 4 pillars of clinical obesity treatment as a comprehensive, evidence-based approach to management, comprised of nutrition, physical activity, behavior, and medication. The discussion will encompass strategies and resources that PCPs can use to aid in implementing holistic care for people with obesity, including the roles and benefits of a multidisciplinary team and patient support networks in long-term planning for sustained weight management.

Obesity as a Chronic Disease: Why Lifestyle Modification Often Fails Mar 22, 2024

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.48 AANP
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/obesity-as-a-chronic-disease-why-lifestyle-modifications-often-fails

Overview: In this 30-minute podcast, expert faculty will discuss the concept of obesity as a chronic disease. They will consider the disease burden of obesity, including adiposity-related diseases and conditions, and will examine the evidence supporting the benefits of sustained weight loss, the pathophysiology of obesity and weight regain, and the shortcomings of lifestyle modifications alone in long-term weight management.

PrEParing for the Future: Overcoming Barriers and Empowering Primary Care Clinicians in HIV Prevention Mar 21, 2024

Credits: 0.75 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/cdc-preparing-for-future-hiv

Overview: While the United States has made remarkable strides in HIV prevention, treatment, and care, there remains untapped potential, especially in primary care. In 2019, a staggering 1 in 8 individuals living with HIV remained unaware of their status, while countless individuals who could benefit from Pre-Exposure Prophylaxis (PrEP) have yet to embrace its life-saving potential. Join James Simmons, DNP, MSN, RN, AG/ACNP-BC and moderator Aniruddha Hazra, MD in this engaging podcast as they shed light on the barriers that impede individuals from accessing crucial HIV services and illuminate practical strategies to overcome them. Delve into the latest breakthroughs in HIV prevention, with a particular focus on PrEP, and unlock a treasure trove of resources to empower primary care clinicians in delivering exceptional care. Together, let's seize this opportunity to bridge the gaps, ignite change, and revolutionize the landscape of HIV care in the United States.

Chocolate—Get the Lead Out! - Frankly Speaking Ep 372 Mar 18, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-372

Overview: Listen in as we unwrap Consumer Reports’ findings on heavy metals found in commonly consumed chocolate products. Our discussion looks into concerns about high levels of metals like lead and cadmium in these treats and offers advice on how to counsel your patients for worry-free chocolate enjoyment.

Episode resource links:

A Third of Chocolate Products Are High in Heavy Metals, CR T - Consumer Reports

Guest: Robert A. Baldor, MD, FAAFP
Music Credit: Richard Onorato

Updates to the Changing Landscape of COVID-19 Treatment Mar 15, 2024

Credits: 0.25 AMA PRA Category 1 Credits™, 0.25 ABIM MOC or 0.35 AANP, including 0.17 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/updates-changing-landscape-covid-19

Overview: Explore the evolving landscape of COVID-19 treatment in this brief podcast. Topics reviewed include updates to payments for antivirals, areas of clinician confusion around antiviral therapy use and managing drug interactions, the status of COVID-19 rebound, and long COVID. Stay informed to provide optimal patient care following the end of the COVID-19 public health emergency.

HIV 101: Integrating HIV Care and Prevention into Primary Care Mar 11, 2024

Credits: 0.75 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/hiv-101-integrating-hiv-care-and-prevention-into-primary-care

Overview: In the final episode of the three-part HIV 101 series, join our host and guest as they discuss the integration of HIV management into primary care practice. Learn about the latest CDC guidelines for pre-exposure prophylaxis, best practices for care integration, and key considerations around antiretroviral therapy.

HIV 101: Connecting Lived Experiences to Patient-Centered Care Mar 11, 2024

Credits: 0.75 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/hiv-101-connecting-lived-experiences-to-patient-centered-care

Overview: Hear honest and personal experiences from individuals living with HIV to better understand how instrumental clinician support is during diagnosis and subsequent care. You will also learn about common misconceptions held by primary care clinicians about individuals living with HIV and get caught up on the latest in HIV care and research.

HIV 101: Improving Access to Screening and Prevention Through a Status-Neutral Approach Mar 11, 2024

Credits: 0.75 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/hiv-101-improving-access-to-screening-and-prevention

Overview: In the first episode of the three-part HIV 101 series, get a baseline understanding of HIV care today and learn just how simple HIV treatment is. Dr. Simmons and his guest cover topics such as syndemics, a status-neutral approach to screening, Undetectable = Untransmittable, and treatment as prevention. You will also learn about the critical role of primary care clinicians in improving access to care and reducing HIV-related stigma.

Beta-Blockers Post-Myocardial Infarction: Are They Still Needed? - Frankly Speaking Ep 371 Mar 11, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-371

Overview: Beta-blockers have traditionally been used indefinitely after a myocardial infarction (MI), but this is now only recommended for a subset of patients. Listen in as faculty review new recommendations for managing patients with chronic cardiac disease, including how to determine which patients are good candidates for beta-blocker therapy and for how long.

Episode resource links:

Virani SS, Newby LK, Arnold SV, et al. 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines [published correction appears in Circulation. 2023 Sep 26;148(13):e148] [published correction appears in Circulation. 2023 Dec 5;148(23):e186]. Circulation. 2023;148(9):e9-e119.
Joo SJ. Beta-blocker therapy in patients with acute myocardial infarction: not all patients need it. Acute Crit Care. 2023;38(3):251-260.

Guest: Alan M. Ehrlich, MD, FAAFP
Music Credit: Richard Onorato

Low Back Pain—More Evidence for the Effectiveness of Nonnarcotic Modalities - Frankly Speaking Ep 370 Mar 04, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-370

Overview: Low back pain is one of the most common symptoms presenting in primary care. Listen in as we analyze the results of a recent systematic review supporting the use of a variety of effective nonnarcotic treatments for this condition. Gain evidence-based insights to help you choose the most informed option for managing low back pain.

Episode resource links:

Gianola S, Bargeri S, Del Castillo G, et al. Br J Sports Med 2022;56:41–50. doi.org/ 10. 1136/ bjsports- 2020- 103596).

Guest: Robert A. Baldor, MD, FAAFP
Music Credit: Richard Onorato

Be a Flamingo: 1-Legged Stance Test Predicts Risks - Frankly Speaking Ep 369 Feb 26, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-369

Overview: Uncover a simple, 10-second intervention—the 1-legged stance test—for predicting the risk of falling in adults. Join us as we discuss how this swift assessment can help identify patients who are prone to falls, fractures, and increased mortality. This episode brings you a practical tool to enhance patient assessments and tailor interventions, contributing to a more proactive and personalized approach to care.

Episode resource links:

JAMA. 2023;329(18):1605-1607. doi:10.1001/jama.2023.3054
Br J Sports Med. 2022;56:975–980.
Pharmacoepidemiol Drug Saf. 2021 Aug;30(8):1049-1056. doi: 10.1002/pds.5201
PLoS Med 18(11): e1003821. https://doi.org/10.1371/journal.pmed.1003821

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Data-Driven Perspectives on Prescriptive Authority and the Quality Quandary - Frankly Speaking Ep 368 Feb 19, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-368

Overview: In this insightful episode, we explore compelling data comparing inappropriate prescribing practices among physicians and nonphysician prescribers. This discussion covers the nuances and restrictive scope of prescribing authority and aims to take an evidence-based approach to encouraging collaboration between clinicians and expanding patients’ access to care.

Episode resource links:

Huynh, J., Alim, S. A., Chan, D. C., & Studdert, D. M. (2023). Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care Physicians. Annals of internal medicine, 176(11), 1448–1455. https://doi.org/10.7326/M23-0827
American Association of Nurse Practitioners https://www.aanp.org/
American Academy of Physician Associates https://www.aapa.org/
Jiao, S., Murimi, I. B., Stafford, R. S., Mojtabai, R., & Alexander, G. C. (2018). Quality of Prescribing by Physicians, Nurse Practitioners, and Physician Assistants in the United States. Pharmacotherapy, 38(4), 417–427. https://doi.org/10.1002/phar.2095
2023 Beers Criteria American Geriatrics Society: Free to read https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.18372

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

The Portfolio Diet—Another Approach to Eating Healthy? - Frankly Speaking Ep 367 Feb 12, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-367

Overview: Join us for a look at the Portfolio Diet, a plant-based approach with potential to improve cardiovascular outcomes. We’ll take you through the details of this regimen and what the evidence says about its effect on the risks of cardiovascular diseases. Stay informed on the latest research and feel prepared to answer your patients’ questions about the Portfolio Diet.

Episode resource links:

Circulation. 2023;148:00–00. DOI: 10.1161/CIRCULATIONAHA.123.065551

Guest: Robert A. Baldor, MD, FAAFP
Music Credit: Richard Onorato

Synching Up: Time-Restricted Eating for T2DM Management - Frankly Speaking Ep 366 Feb 05, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-366

Overview: Join us as we explore the nuances of healthy eating patterns, distinguishing between time-restricted and calorie-restricted approaches. We also review a randomized controlled trial that found time-restricted eating for people with type 2 diabetes mellitus (T2DM) can benefit HbA1c levels and weight reduction. Gain insights to elevate patient care in understanding and implementing these impactful dietary strategies.

Episode resource links:

Pavlou V, Cienfuegos S, Lin S, et al. Effect of Time-Restricted Eating on Weight Loss in Adults With Type 2 Diabetes: A Randomized Clinical Trial. JAMA Netw Open. 2023;6(10):e2339337. doi:10.1001/jamanetworkopen.2023.39337
Jefcoate PW, Robertson MD, Ogden J, Johnston JD. Exploring Rates of Adherence and Barriers to Time-Restricted Eating. Nutrients. 2023 May 16;15(10):2336. doi: 10.3390/nu15102336. PMID: 37242218; PMCID: PMC10223820.

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Your Gut Doesn’t Have to Be Irritated: Treatment Options for IBS - Frankly Speaking Ep 365 Jan 29, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-365

Overview: The chronic nature of irritable bowel syndrome (IBS) necessitates persistence when trialing treatment options. After reviewing key identifiers of IBS, we discuss a second-line treatment’s efficacy in reducing symptoms and improving quality of life for patients with continued IBS symptoms. Tune in for valuable insights to make informed recommendations for your patients.

Episode resource links:

Amitriptyline at Low-Dose and Titrated for Irritable Bowel Syndrome as Second-Line Treatment in primary care (ATLANTIS): a randomised, double-blind, placebo-controlled, phase 3 trial - PubMed (nih.gov)
https://www.aafp.org/pubs/afp/issues/2005/1215/p2501.html

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

Mind Over Memory: Strategies for Increasing Early Identification of Alzheimer Disease from a Dementia Specialist Jan 24, 2024

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.48 AANP, including 0 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/mind-over-memory-1
Overview: In this podcast, expert faculty bring you insights from the evolving area of Alzheimer disease diagnosis, including strategies for improving identification of cognitive decline and incorporating evidence-based tools in screening. Discover the impact of advanced neuroimaging and fluid markers, empowered by recent FDA approvals of anti-amyloid therapies. Come away with actionable knowledge to boost your role in cognitive health.
Guest: Jessica L. Zwerling, MD, MS

Mind Over Memory: New Treatment Options for Alzheimer Disease Jan 24, 2024

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.48 AANP, including 0.48 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/mind-over-memory-2
Overview: Embark on a captivating journey with our distinguished neurology faculty as they delve into the revolutionary world of FDA-approved monoclonal antibody therapies targeting β-amyloid in the treatment of Alzheimer disease (AD). Uncover clinical efficacy, safety nuances, and differences between these newer disease-modifying agents compared to older medications used for AD. Gain insights on identifying which patients are most likely to benefit from these cutting-edge agents and who warrants referral to a dementia specialist. Elevate your understanding of AD treatment and join the forefront of medical innovation.
Guest: Daniel Press, MD

Can Saline Rinsing and Gargling Clear the Path to COVID-19 Relief? - Frankly Speaking Ep 364 Jan 22, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-364

Overview: In this episode, we explore a nonpharmacologic approach to easing symptoms of COVID-19 in patients who are at lower risk of progression. Supported by a small study, a nasal saline rinse and gargle regimen was associated with more rapid symptom resolution and lower hospitalization rates. Learn how a simple salt solution can be an effective step in preventing adverse outcomes of COVID-19 for patients who are at low risk.

Episode resource links:

Am Col Allergy Asthma and Immunology: https://acaai.org/news/new-study-gargling-with-salt-water-may-help-prevent-covid-hospitalization/

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Vitamins and Supplements for T2DM: What’s the Best Approach? - Frankly Speaking Ep 363 Jan 15, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-363

Overview: Patients often reach for vitamins and supplements in type 2 diabetes mellitus (T2DM) management, but what does the research show? In this episode, you’ll hear expert faculty discuss the efficacy of vitamins and supplements, debunk common myths, and explore the power of dietary changes and exercise. Deepen your knowledge to guide your patients toward taking evidence-based steps in their T2DM management.

Episode resource links:

Cinnamon
J Pharmacy Practice. 2017;30(6):631-638.
J Med Food . 2011 Sep;14(9):884-9. doi: 10.1089/jmf.2010.0180
J Endocr Soc. 2020 Nov 1; 4(11): bvaa094
Chromium
Biol Trace Elem Res. 2022 Feb;200(2):516-525.
Vitamin C
Diabetes Metab Syndr. 2023 Jul 7;17(8):102824.
Vitamin D
Ann Intern Med. 2023 Mar;176(3):355-363. doi: 10.7326/M22-301
Soluble Fiber: Diabetes Care. 2019 Jan 7. pii: dc181126. doi: 10.2337/dc18-1126

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

”I Am Tired!” How Common is Iron Deficiency in Women? - Frankly Speaking Ep 362 Jan 08, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-362

Overview: Recorded live at Pri-Med East! Iron deficiency and IDA are common, especially in women of childbearing age, and often under diagnosed. These conditions carry with them risk for increased morbidity and mortality. Screening is focused on high-risk groups, specifically toddlers and pregnant women, however these conditions in women of childbearing age are also common. Please join us to discuss the recent data on the prevalence of ID/IDA, how to appropriately screen and treat this common condition.

Episode resource links:

Weyand AC, Chaitoff A, Freed GL, Sholzberg M, Choi SW, McGann PT. Prevalence of Iron Deficiency and Iron-Deficiency Anemia in US Females Aged 12-21 Years, 2003-2020. JAMA. 2023;329(24):2191-2193. doi:10.1001/jama.2023.8020
Dyna-Med: https://www-dynamed-com.umassmed.idm.oclc.org/management/treatment-of-iron-deficiency-anemia-in-adults#IRON_DEFICIENCY_WITHOUT_ANEMIA
NIH Iron Fact Sheet for Health Professionals: https://ods-od-nih-gov.umassmed.idm.oclc.org/factsheets/Iron-HealthProfessional/

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Psilocybin for Depression: Are Magic Mushrooms Doing the Trick? - Frankly Speaking Ep 361 Jan 01, 2024

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-361

Overview: In this episode, we delve into a topic of growing interest in medicine—the use of psilocybin to treat depression. Join us as we discuss the pharmacotherapeutic action of psilocybin and the results of a recent study that has suggested that a one-time dose of psilocybin can be an effective treatment for depression. Hear valuable insights into the potential benefits and limitations and feel prepared to respond to patient questions about this treatment.

Episode resource links:

JAMA. 2023;330(9):843-853. doi:10.1001/jama.2023.14530

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Medical Myths: Grapefruit Juice, Broccoli, and Biotin - Frankly Speaking Ep 360 Dec 25, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-360

Overview: Join us as we examine common medical myths encountered in primary care. Hear what the evidence has to say about grapefruit and statins, vitamin K-rich vegetables and warfarin, and biotin for treating hair loss. Stay informed, challenge assumptions, and enhance your practice with insights on these long-held beliefs.

Episode resource links:

Grapefruit: Am J Med 2016; Vol 129 (1): 26-29, Br J Clin Pharmacol. 2011 Sep;72(3):434-41.
Warfarin: Medicine (Baltimore). 2016 Mar;95(10):e2895
Biotin: The Journal of Clinical and Aesthetic Dermatology. 2020;13(3):37-40

Guest: Jillian Joseph, MPAS, PA-C, Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Cholesterol Chronicles: Using a Case Study Approach to Navigate the Dyslipidemia Maze Dec 18, 2023

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.67 AANP, including 0.67 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/cholesterol-chronicles
Overview: Through a case study approach, explore recommended treatments, dissect the components of the lipid panel, and engage in discussions on managing musculoskeletal side effects for patients on statins. Enhance your understanding of cholesterol management in this insightful exploration of the dyslipidemia maze.
Guest: Danielle Hebert, DNP, MBA, ANP-BC

Hypertension Pro: Elevating Provider Expertise in Cardiovascular Health Dec 18, 2023

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.52 AANP, including 0.52 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/hypertension-pro
Overview: In this 30-minute podcast designed to elevate provider expertise in cardiovascular health, delve into the intricacies of hypertension management in the outpatient clinical setting. Explore recommended practice guidelines and review the array of pharmacological options available, equipping healthcare professionals with valuable insights to enhance their approach to hypertension care.
Guest: Danielle Hebert, DNP, MBA, ANP-BC

Walking, Riding, Lifting—Is One Exercise Better than Another? - Frankly Speaking Ep 359 Dec 18, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-359

Overview: There is plenty of evidence linking exercise to improved overall health. It is associated with weight loss, improved biomarkers, improved sleep, and mood. The few studies comparing types and intensity of exercise have resulted in varied and inconsistent findings. Listen in as we discuss a recent prospective cohort study examining associations between combinations of exercise and reduction in all-cause, cardiovascular, and cancer mortality and how the evidence can inform your practice to improve patients’ health.

Episode resource links:

López-Bueno, R., Ahmadi, M., Stamatakis, E., Yang, L., & Del Pozo Cruz, B. (2023). Prospective Associations of Different Combinations of Aerobic and Muscle-Strengthening Activity With All-Cause, Cardiovascular, and Cancer Mortality. JAMA internal medicine, 183(9), 982–990. https://doi.org/10.1001/jamainternmed.2023.3093
Standards of Care, 2023 American Diabetic Association. https://diabetesjournals.org/care/issue/46/Supplement_1
https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults
https://diabetes.org/health-wellness/fitness

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Asthma and COPD: A Case-Based Approach to Compare And Contrast These Common Respiratory Conditions Dec 14, 2023

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.60 AANP, including 0.60 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/asthma-and-copd-case-based-approach
Overview: Immerse yourself in a case-based exploration of Asthma and COPD, two prevalent respiratory conditions. Delve into the definitions, clinical presentations, and recommended treatments for each, while gaining insights into the nuanced differences between the 2023 Global Initiative for Asthma (GINA) and the 2020 Focused Updates to the Expert Panel Report 3 (EPR3) guidelines. Deepen your understanding and refine your clinical approach to managing these common respiratory challenges.
Guest: Danielle Hebert, DNP, MBA, ANP-BC

Acute Bacterial Rhinosinusitis: When Is It Ok To Use Antibiotics? Dec 14, 2023

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.65 AANP, including 0.65 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/acute-bacterial-rhinosinusitis
Overview: In this 30-minute podcast tailored for medical professionals, navigate the nuances of Acute Bacterial Rhinosinusitis (ABRS) as expert faculty discuss differentiating symptoms from acute rhinosinusitis. Gain practical insights on constructing effective treatment plans for ABRS in adults and acute bacterial sinusitis in pediatric populations, offering valuable guidance for appropriate antibiotic use in these scenarios. Stay informed and enhance your clinical decision-making skills in managing these common conditions.
Guest: Danielle Hebert, DNP, MBA, ANP-BC

Prophylactic Power: Doxycycline’s Role in STI Prevention - Frankly Speaking Ep 358 Dec 11, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-358

Overview: In this episode, we explore new data that could reshape how we approach sexually transmitted infection (STI) prevention in clinical practice. Discover how doxycycline can serve as prophylaxis for bacterial STIs in populations who are at high risk and come away with practical strategies for counseling patients on STI prevention. Tune in to enhance your clinical expertise and provide superior care to your patients.

Episode resource links:

Luetkemeyer AF, Donnell D, Dombrowski JC, et al. Postexposure Doxycycline to Prevent Bacterial Sexually Transmitted Infections. N Engl J Med. 2023;388(14):1296-1306.

Guest: Alan M. Ehrlich MD, FAAFP
Music Credit: Richard Onorato

Opioids and Opioid Use Disorder: A Case-Based Approach to Manage Pain During The Opioid Epidemic Dec 04, 2023

Credits: 0.75 AMA PRA Category 1 Credits™, 0.75 ABIM MOC or 0.77 AANP, including 0.77 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/100k-podcast-hebert-opioids-episode-1
Overview: Immerse yourself in a case-based exploration of the complex landscape surrounding opioids and opioid use disorder. In this podcast, you will explore guideline recommendations for safe opioid prescribing, gain insights into diagnosing opioid use disorder, and understand the essential indications for buprenorphine in OUD. Acquire practical knowledge to navigate pain management challenges amidst the opioid epidemic, fostering responsible practices in patient care.
Guest: Danielle Hebert, DNP, MBA, ANP-BC

Common Challenges to Managing Patients on Chronic Opioids: A Case-Based Approach Dec 04, 2023

Credits: 0.50 AMA PRA Category 1 Credits™, 0.50 ABIM MOC or 0.48 AANP, including 0.48 AANP Pharm
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/100k-podcast-hebert-opioids-episode-2
Overview: This podcast will tackle common challenges in managing patients on chronic opioids. Faculty will guide learners to explore risks of opioid use during pregnancy, guidelines for tapering opioids, approaches to concurrent cannabis use, and interpretation of urine drug tests within pain management contracts. Gain practical insights for navigating complexities in opioid patient care.
Guest: Danielle Hebert, DNP, MBA, ANP-BC

Empowering and Engaging Your Support Staff Dec 04, 2023

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/empowering-engaging-support-staff

Overview: Join our faculty in this 30-minute podcast as they delve into the key facets of empowering and engaging support staff. Explore the critical role of communication in clinical settings, discover practical solutions to enhance staff engagement and meeting effectiveness, and unravel the positive impact of implementing standard work in reducing clinician burnout. Tune in for actionable insights that resonate with healthcare professionals seeking to foster a collaborative and thriving work environment.

Stress Reduction Tools for Primary Care Clinicians Dec 04, 2023

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/stress-reduction-tools-primary-care-clinicians

Overview: Join our faculty in this insightful 30-minute podcast tailored for medical professionals. Explore the nuances of stress faced by primary care clinicians, unravel practical strategies to enhance work-life balance, reduce stress, and boost efficiency. Delve into discussions on valuable practices, including the integration of scribes, designed to equip healthcare professionals with effective tools for navigating the demanding landscape of primary care.

Documentation Pointers for Any Point in Your Career Dec 04, 2023

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/documentation-pointers-any-point-career

Overview: Dive into a 30-minute podcast all about medical documentation. Faculty will discuss the challenges of burnout, share tricks to save time on paperwork, and show you how to use documentation as a powerful tool to push for positive changes. This podcast will equip you with practical knowledge to navigate the demands of documentation at any stage in your career, fostering resilience and facilitating impactful contributions to healthcare.

Emergency Contraception—Can It Be More Effective? - Frankly Speaking Ep 357 Dec 04, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-357

Overview: Progesterone-based emergency contraception (EC) is established as a method to reduce the risk of pregnancy after unprotected intercourse. This EC works by blocking or delaying ovulation. However, if taken after ovulation, there is a higher failure rate. A recent study showed increased efficacy of levonorgestrel when given with a COX-2 inhibitor (NSAID). Please join us as we discuss the results of the randomized controlled trial, including the efficacy of levonorgestrel when taken with piroxicam and their potential to reduce EC failure.

Episode resource links:

Li, R. H. W., Lo, S. S. T., Gemzell-Danielsson, K., Fong, C. H. Y., Ho, P. C., & Ng, E. H. Y. (2023). Oral emergency contraception with levonorgestrel plus piroxicam: a randomised double-blind placebo-controlled trial. Lancet (London, England), 402(10405), 851–858. https://doi.org/10.1016/S0140-6736(23)01240-0

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Addressing Penicillin Allergies in Primary Care - Frankly Speaking Ep 356 Nov 27, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-356

Overview: Patient-reported penicillin allergies are common; however, more than 95% of such patients have negative penicillin allergy testing and will tolerate subsequent antibiotic use. Currently, disproving a penicillin allergy includes negative skin testing followed by an oral challenge, which is considered the gold standard to remove the penicillin allergy label, as skin testing alone lacks 100% negative predictive value. Recent reports have suggested that low-risk individuals can be assessed with a direct oral challenge, but the safety and efficacy of such an approach has not been rigorously studied. Listen in as expert faculty discuss a recent randomized controlled trial that validates such an approach.

Episode resource links:

Trubiano JA, Vogrin S, Chua KYL et al. Development and Validation of a Penicillin Allergy Clinical Decision Rule. JAMA Internal Med. Published March 16, 2020. doi:10.1001/jamainternmed.2020.0403
JAMA Intern Med. doi:10.1001/jamainternmed.2023.2986

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Keep Engaged and Moving to Prevent Dementia: Anything Is Better than Nothing! - Frankly Speaking Ep 355 Nov 20, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/frankly-speaking-cme-ep-355

Overview: Discover how primary care providers can actively combat dementia risk in aging patients. In this episode, expert faculty explore recent studies revealing the benefits of dementia prevention and evidence-based activities for reducing risks. Learn how to provide encouragement and social activity prescriptions during visits, and gain essential knowledge to preserve cognitive function, ultimately improving patient care and quality of life.

Episode resource links:

Cho, G., Betensky, R. A., & Chang, V. W. (2023). Internet usage and the prospective risk of dementia: A population-based cohort study. Journal of the American Geriatrics Society, 71(8), 2419–2429. https://doi.org/10.1111/jgs.18394
Raichlen DA, Aslan DH, Sayre MK, et al. (2023). Sedentary Behavior and Incident Dementia Among Older Adults. JAMA. 330(10):934–940. https://doi:10.1001/jama.2023.15231
Su, S., Shi, L., Zheng, Y., Sun, Y., Huang, X., Zhang, A., Que, J., Sun, X., Shi, J., Bao, Y., Deng, J., & Lu, L. (2022). Leisure Activities and the Risk of Dementia: A Systematic Review and Meta-Analysis. Neurology, 99(15), e1651–e1663. Advance online publication. https://doi.org/10.1212/WNL.0000000000200929

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Pain Management Beyond Pills and Surgeries: A Conversation with Dr. Kunal Sood Nov 16, 2023

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/pain-management-beyond-pills-surgeries

Overview: Join Dr. Charles Vega as he interviews Dr. Kunal Sood, a leading expert in interventional pain medicine who specializes in diagnosing and treating chronic neck, back, and joint pain. Learn from his wealth of experience as he demystifies misconceptions about pain management, shares insights into the world of pain management, and discusses the role pain specialists in care of patients with chronic pain.

Exploring Strategies for Diabetes and Obesity Management with Dr. Mike Natter Nov 16, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/exploring-strategies-diabetes-obesity-management

Overview: Join primary care physician Charles Vega, MD and renowned endocrinologist Mike Natter, MD, as they explore the profound connection between art, personal health journeys, and medical practice. In this captivating podcast, Dr. Mike Natter will share how his experience as a patient with type 1 diabetes and passion for art have transformed his approach to patient care. Learn about his insights into endocrinology, addressing common misconceptions, and his strategies for caring for patients with diabetes and obesity.

The How-To’s of Managing Drug-Drug Interactions in Non-Hospitalized Patients with COVID-19 Nov 14, 2023

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/managing-drug-drug-interactions-non-hospitalized-patients

Overview: This in-depth discussion provides guidance on the options available to clinicians for managing potential drug-drug interactions in non-hospitalized patients with COVID-19. Hear practical strategies for increased monitoring, dosage adjustments, and exploring alternative medications to enable the safe use of anti-COVID-19 therapies. Faculty also discuss when consultation with a pharmacist and/or patient’s specialist is advised.

Treatment for Non-Hospitalized Patients with COVID-19 Nov 14, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/treatment-non-hospitilized-patients-covid-19

Overview: Join expert faculty as they discuss risk stratification for non-hospitalized patients with mild or moderate COVID-19 to determine who would benefit most from antiviral therapy aimed at reducing the risk of progression to severe disease. Explore national guideline recommendations on COVID-19 treatment in non-hospitalized patients, including factors to consider when selecting therapy for individual patients.

Clearing the Air: Are Antibiotics Necessary for Childhood Sinusitis? Nov 13, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-354

Overview: There is an overlap of acute sinusitis symptoms and viral upper respiratory tract infection, such that many children are treated unnecessarily with antibiotics. In this episode, we review 2 recent studies that inform recommendations on whether or not to treat childhood sinusitis with amoxicillin/clavulanate. Gain practical strategies and the confidence to appropriately address sinusitis in the children you treat.

Episode resource links:

JAMA. 2023;330(4):349-358. doi:10.1001/jama.2023.10854
JAMA. 2023;330(11):1064-1073. doi:10.1001/jama.2023.15503
Journal of Pediatrics, The, 2019-04-01, Volume 207, Pages 103-108.e1

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Ask The Expert About Pain Management Nov 06, 2023

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/pain-management-ask-the-expert

Overview: In this podcast, Dr Katherine Galluzzi will answer frequently asked questions regarding opioid therapy, such as: Best practices for tapering opioids; Assessing for opioid use disorder and distinguishing between tolerance, dependence, misuse, and abuse; Strategies for counseling patients with pain; Nonpharmacologic and non-opioid treatment options; and What to do when a patient approaches the “ceiling” of safe opioid dosing.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies.

Please see https://www.opioidanalgesicrems.com/Resources/Docs/List_of_RPC_Companies.pdf
for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the U.S. Food and Drug Administration (FDA).

RSV in Infants: An Ounce of Prevention - Frankly Speaking Ep 353 Nov 06, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-353

Overview: Bronchiolitis caused by respiratory syncytial virus (RSV) infection in infants is common and can lead to hospitalization if severe. There are now 2 ways to prevent this: immunizing the mother during pregnancy or giving monoclonal antibodies. Listen in as we discuss the recommendations for RSV prevention and how to best incorporate them into your practice.

Episode resource links:

Fleming-Dutra KE, Jones JM, Roper LE, et al. Use of the Pfizer Respiratory Syncytial Virus Vaccine During Pregnancy for the Prevention of Respiratory Syncytial Virus–Associated Lower Respiratory Tract Disease in Infants: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023. MMWR Morb Mortal Wkly Rep 2023;72:1115–1122.
Jones JM, Fleming-Dutra KE, Prill MM, et al. Use of Nirsevimab for the Prevention of Respiratory Syncytial Virus Disease Among Infants and Young Children: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023. MMWR Morb Mortal Wkly Rep 2023;72:920–925
Kampmann B, Madhi SA, Munjal I, et al. Bivalent Prefusion F Vaccine in Pregnancy to Prevent RSV Illness in Infants. N Engl J Med. 2023;388(16):1451-1464.

Guest: Alan M. Ehrlich MD, FAAFP
Music Credit: Richard Onorato

From Hype to Hope: COVID-19 Outpatient Treatment Recommendations - Frankly Speaking Ep 352 Oct 30, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-352

Overview: Keep your practice at the forefront of outpatient COVID-19 management with this informative episode. Listen in as expert faculty discuss the latest recommendations and review ineffective treatments, helping you provide the best care during this new phase of the endemic.

Episode resource links:

https://www.covid19treatmentguidelines.nih.gov/management/clinical-management-of-adults/clinical-management-of-adults-summary/?utm_source=site&utm_medium=home&utm_campaign=highlights
Abdool Karim, S. S., & Devnarain, N. (2022). Time to stop using ineffective COVID-19 drugs. New England Journal of Medicine, 387(7), 654-655.
Hayden, M. K., Hanson, K. E., Englund, J. A., Lee, F., Lee, M. J., Loeb, M., ... & Mustafa, R. A. (2023). The Infectious Diseases Society of America guidelines on the diagnosis of COVID-19: antigen testing. Clinical Infectious Diseases, ciad032.

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

Proven Strategies for Optimal Pain Management Outcomes in Special Populations: The Management of Knee OA in a Patient with Cardiovascular Disease Oct 23, 2023

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/pain-management-outcomes-special-populations

Overview: Tapering opioids is frequently necessary in clinical practice, either to reduce harm or because of lack of significant benefit. The most important aspect of opioid tapering is discussing the reasons for it with the patient. Opioid tapering should be a measure of safety—and in no way punitive. Complete this activity to learn appropriate and inappropriate reasons for tapering opioid therapy and strategies to counsel patients and manage withdrawal and psychological issues.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies.

Please see https://www.opioidanalgesicrems.com/Resources/Docs/List_of_RPC_Companies.pdf
for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the U.S. Food and Drug Administration (FDA).

Screen Time and Developmental Delays in Children - Frankly Speaking Ep 351 Oct 23, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-351

Overview: Live at Pri-Med East! In this episode, we will examine the association of developmental delays with amount of screen time in children.

Episode resource links:

Guest: Jillian Joseph, MSPAS, PA-C
Music Credit: Richard Onorato

Breaking the Opioid Cycle: A Practical Training Program for Tapering Opioids in Primary Care Oct 16, 2023

Credits: 0.50 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/Podcast/pain-management-breaking-opioid-cycle

Overview: Tapering opioids is frequently necessary in clinical practice, either to reduce harm or because of lack of significant benefit. The most important aspect of opioid tapering is discussing the reasons for it with the patient. Opioid tapering should be a measure of safety—and in no way punitive. Complete this activity to learn appropriate and inappropriate reasons for tapering opioid therapy and strategies to counsel patients and manage withdrawal and psychological issues.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies.

Please see https://www.opioidanalgesicrems.com/Resources/Docs/List_of_RPC_Companies.pdf
for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the U.S. Food and Drug Administration (FDA).

Cracking into the Evidence: Does Eating Nuts Affect Cognitive Performance? - Frankly Speaking Ep 350 Oct 16, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-350

Overview: Nuts have a reputation for providing a variety of health benefits, but how far do their nutritional superpowers reach? In this episode, we take a look at the findings of a study showing the association between nut consumption and cognitive performance. Listen in as expert faculty discuss the implications for managing patients at risk for cognitive decline.

Episode resource links:

The American Journal of Clinical Nutrition https://doi.org/10.1016/j.ajcnut.2023.05.032

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Bariatric Surgery: A Great Option to Lower Breast Cancer Risk - Frankly Speaking Ep 349 Oct 09, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-349

Overview: Recent observational data has shown the potential for bariatric surgery to lower breast cancer risk in women with obesity. Tune in as faculty discuss what the evidence says about this connection and when to consider exploring the option for your patients’ weight-loss management.

Episode resource links:

AMA Surg. 2023 Jun 1;158(6):634-641. doi: 10.1001/jamasurg.2023.0530.
J Natl Cancer Inst. 2003;95(16):1218.
J Natl Cancer Inst. 2015;107(2) Epub 2015 Mar 10.

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Smart Prevention: Wearable Devices and Stroke Defense - Frankly Speaking Ep 348 Oct 02, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-348

Overview: Discover how wearable fitness devices are transforming early detection of atrial fibrillation with their potential to reduce stroke risk. In this episode, we share insights on leveraging smartwatches to improve health outcomes and when to encourage their use in patient care.

Episode resource links:

Bedi, A., Al Masri, M. K., Al Hennawi, H., Qadir, S., & Ottman, P. (2023). The Integration of Artificial Intelligence Into Patient Care: A Case of Atrial Fibrillation Caught by a Smartwatch. Cureus, 15(3).
Long, K. Y., Shanmugam, K., & Rana, M. E. (2023, January). An Evaluation of Smartwatch Contribution in Improving Human Health. In 2023 17th
International Conference on Ubiquitous Information Management and Communication (IMCOM) (pp. 1-4). IEEE.
Mattison, G., Canfell, O. J., Forrester, D., Dobbins, C., Smith, D., Reid, D., & Sullivan, C. (2023). A step in the right direction: the potential role of smartwatches in supporting chronic disease prevention in health care. The Medical Journal of Australia, 218(9), 384-388.
Meza, C., Juega, J., Francisco, J., Santos, A., Duran, L., Rodriguez, M., ... & Pagola, J. (2023). Accuracy of a Smartwatch to Assess Heart Rate Monitoring and Atrial Fibrillation in Stroke Patients. Sensors, 23(10), 4632.
https://www.stroke.org/en/about-stroke/types-of-stroke/cryptogenic-stroke

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

A Wake-Up Call: Sleep Apnea’s Impact on Cognitive Health - Frankly Speaking Ep 347 Sep 25, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-347

Overview: In this episode, we’re diving into recent research that uncovers a compelling link between obstructive sleep apnea and cognitive decline in older adults. Join expert faculty as they dissect the findings and provide invaluable insights to comprehensively address this connection in your practice.

Episode resource links:

Discuss recent evidence that links obstructive sleep apnea (OSA) to cognitive decline risk in older people
Describe ways to incorporate this new evidence to identify OSA and reduce the risk of cognitive decline

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

RSV Vaccine for Adults: Studies, Uses, and Patient Conversations - Frankly Speaking Ep 346 Sep 18, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-346

Overview: As we encounter more patients asking about the recent FDA approval of a new respiratory syncytial virus (RSV) vaccine for older adults, it’s crucial that we keep up to date. Join us as we review the supporting studies, indications, and precautions, giving you confidence in conversations with inquiring patients.

Episode resource links:

https://www.fda.gov/news-events/press-announcements/fda-approves-first-respiratory-syncytial-virus-rsv-vaccine

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

A Cool New Treatment for Hot Flashes? - Frankly Speaking Ep 345 Sep 11, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-345

Overview: In this episode, we discuss the findings of a recent Lancet publication on a novel neurokinin 3 (NK3) receptor antagonist for treating hot flashes. Tune in as we talk about how this nonhormonal treatment addresses menopausal hot flashes, the prescribing precautions issued by the FDA, and the implications for patients seeking your help with alleviating symptoms.

Episode resource links:

Lancet 2023; 401: 1091–102. doi.org/10.1016/ S0140-6736(23)00085-5
Am Fam Physician. 2023;108(1):28-39

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Pulmonary Fibrosis: What Primary Care Providers Need to Know Sep 05, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/nhlbi-breathe-better-pulmonary-fibrosis
Overview: “Pulmonary Fibrosis: What Primary Care Providers Need to Know” is a CME podcast episode produced by Pri-Med in partnership with Learn More Breathe Better®, a program of the National Heart, Lung, and Blood Institute of the National Institutes of Health. In this episode, we are joined by Dr. Matt Craig, Chief of the Lung Biology and Disease Branch with NHLBI’s Division of Lung Diseases, and Dr. Fernando J. Martinez, Chief of the Pulmonary and Critical Care Medicine Division at Weill Cornell Medicine. Today we’ll be discussing pulmonary fibrosis and the role of primary care providers, including signs to look out for, diagnosis, and treatment options.

Sarcoidosis in the Lungs: What Primary Care Providers Should Know Sep 05, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/nhlbi-sarcoidosis-in-lungs
Overview: “Sarcoidosis in the Lungs: What Primary Care Providers Should Know” is a CME podcast episode produced by Pri-Med in partnership with Learn More Breathe Better®, a program of the National Heart, Lung, and Blood Institute of the National Institutes of Health. In this episode, we are joined by Dr. George Mensah, Director of the NHLBI Center for Translation Research and Implementation Science, and Dr. Mridu Gulati, Associate Professor of Medicine at Yale School of Medicine. We’ll be discussing what general practitioners should know about sarcoidosis, including the risk factors, symptoms, challenges in diagnosis, and how sarcoidosis is treated.

Cystic Fibrosis: The Primary Care Provider’s Role in Case Finding and Referral Sep 05, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/nhlbi-cystic-fibrosis
Overview: “Cystic Fibrosis: The Primary care Provider’s Role in Case Finding and Referral” is a CME podcast episode produced by Pri-Med in partnership with Learn More Breathe Better®, a program of the National Heart, Lung, and Blood Institute of the National Institutes of Health. In this episode, we are joined by Dr. Marrah Lachowicz-Scroggins, Program Director with NHLBI’s Division of Lung Diseases, and Dr. Deepika Polineni, director of the Cystic Fibrosis Center, Washington University School of Medicine in St. Louis. We’ll be discussing what general practitioners should know about cystic fibrosis, including the factors that contribute to delayed or missed diagnosis, and the similarities and differences with primary ciliary dyskinesia, or PCD.

Risky Pain Management Choices in Patients with Dementia - Frankly Speaking Ep 344 Sep 04, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-344

Overview: Navigating the intricate landscape of pain management in older patients with dementia can be challenging. Join us as we explore strategies for mitigating pain, consider the equilibrium between opioid benefits and risks, and discuss where to start when tailoring management plans for patients with dementia and joint pain. Don’t miss this important conversation.

Episode resource links:

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Screens Off, Play On: How Parental Phone Use Shapes Kids’ Physical Activity - Frankly Speaking Ep 343 Aug 28, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-343

Overview: In this episode, we take a look at a study exploring the effects on children’s activity levels when their parents reduce smartphone use. Listen in as we discuss compelling findings that shed light on the connection, and come away with guidance on how to navigate the evolving digital landscape to promote healthier, more active lifestyles among children.

Episode resource links:

JAMA Pediatr. 2022 Aug; 176(8): 741–749
BMJ Open. 2019 Jan 3;9(1):e023191. doi: 10.1136/bmjopen-2018-023191

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Beyond the Prescription Pad: Over-the-Counter Oral Contraceptive Gains FDA Approval - Frankly Speaking Ep 342 Aug 21, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-342

Overview: In July of 2023, the FDA made a monumental decision to approve Opill, marking the first time an oral contraceptive will be made available without a prescription. The inaugural over-the-counter oral contraceptive is a progesterone-only pill. Join us to discuss the underlying rationales driving this decision and the prospective implications it might have on medical practice as well as women’s health.

Episode resource links:

Biggs, AM, Ralph, L, Morris, N, Ehrenreich, K, Perritt, J, Kapp, N, Blanchard, K, White, K, Barar, Grossman, RD.
A cross-sectional survey of U.S. abortion patients’ interest in obtaining medication abortion over the counter, Contraception, Volume 109, 2022, Pages 25-31, ISSN 0010-7824,
https://doi.org/10.1016/j.contraception.2022.01.010.
Chen, Q.J. Xiang, W.P. Zhang, D.K., Wang, R.P. Luo, Y.F. Kang, J.Z. Cheng, L.N. Efficacy and safety of a levonorgestrel enteric-coated tablet as an over-the-counter drug for emergency contraception: a Phase IV clinical trial, Human Reproduction, Volume 26, Issue 9, September 2011, Pages 2316–2321, https://doi.org/10.1093/humrep/der181
Raine, TR; Ricciotti, N; Sokoloff, A; Brown, B; Hummel, A; Harper, C. An Over-the-Counter Simulation Study of a Single-Tablet Emergency Contraceptive in Young Females. Obstetrics & Gynecology 119(4):p 772-779, April 2012. | DOI: 10.1097/AOG.0b013e31824c0aed
https://www.fda.gov/news-events/press-announcements/fda-approves-first-nonprescription-daily-oral-contraceptive
https://www.accessdata.fda.gov/drugsatfda_docs/nda/2023/017031Orig1s041SumR.pdf

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Should We Personalize Our Approach to Treating Hypertension? - Frankly Speaking Ep 341 Aug 14, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-341

Overview: Listen in as we review a recent JAMA publication of a randomized controlled trial that quantified the benefits of a targeted approach to prescribing antihypertensive medications. Don’t miss this opportunity to keep your management of patients with hypertension up to date.

Episode resource links:

Sundström J, Lind L, Nawrouzi S, et al. Heterogeneity in blood pressure response to 4 antihypertensive drugs: a randomized clinical trial. JAMA. Published April 11, 2023. doi:10.1001/jama.2023.3322

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Get Up, Move, and Feel Better: Exploring Physical Activity’s Link to Reduced Suicidal Ideation - Frankly Speaking Ep 340 Aug 07, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-340

Overview: Depression and anxiety rates are escalating, with a 36% increase in suicide cases between 2018 and 2021, as reported by the CDC. This distressing trend can be attributed to various significant stressors that have arisen in recent times, such as pandemic-related illness and isolation. Medications alone are not as effective as when other modalities are incorporated into the treatment regime. Recent meta-analysis has revealed a strong correlation between engaging in physical activity and reducing suicidal ideation across all levels. Listen in as we discuss these findings and explore practical strategies for their implementation in your clinical practice.

Episode resource links:

Vancampfort, D., Hallgren, M., Firth, J., Rosenbaum, S., Schuch, F. B., Mugisha, J., Probst, M., Van Damme, T., Carvalho, A. F., & Stubbs, B. (2017). Physical activity and suicidal ideation: a systematic review and meta-analysis. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2017.08.070
https://www.healio.com/news/primary-care/20230403/metaanalysis-exe

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

CBD Use and Liver Injury: Practical Considerations for Primary Care - Frankly Speaking Ep 339 Jul 31, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-339

Overview: In this episode, we dive into a recent systematic review and meta-analysis confirming the association between cannabidiol (CBD) use and hepatotoxicity. Gain a deeper understanding of clinical applications and the delicate balance of risks and benefits when discussing CBD use with your patients.

Episode resource links:

Lo LA, Christiansen A, Eadie L, Strickland JC, Kim DD, Boivin M, Barr AM, MacCallum CA. Cannabidiol-associated hepatotoxicity: A systematic review and meta-analysis. J Intern Med. 2023 Mar 13. doi: 10.1111/joim.13627. Epub ahead of print. PMID: 36912195.
https://store.samhsa.gov/sites/default/files/pep22-06-04-003.pdf

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Asthma May Induce Some Cancers—Can That Be Prevented? - Frankly Speaking Ep 338 Jul 24, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-338

Overview: Listen in as we explore the connection between asthma and cancer. We examine new Global Initiative for Asthma (GINA) guidelines and recent observational data correlating an asthma diagnosis with an increased cancer risk. Don't miss out on this essential discussion that will empower you with valuable knowledge for enhanced patient care.

Episode resource links:

Guo, Y, Bian, J, Chen, Z, et al. Cancer incidence after asthma diagnosis: Evidence from a large clinical research network in the United States. Cancer Med. 2023; 00: 1- 7. doi:10.1002/cam4.5875
GINA guidelines 2022: https://ginasthma.org/wp-content/uploads/2022/07/GINA-Main-Report-2022-FINAL-22-07-01-WMS.pdf

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

When Is the Best Time to Take Blood Pressure Medications? - Frankly Speaking Ep 337 Jul 17, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-337

Overview: There has been uncertainty as to the best time for patients to take blood pressure medications. Tune in as we review the Treatment in Morning versus Evening (TIME) study, which assessed whether morning or evening dosing improves cardiovascular outcomes.

Episode resource links:

Mackenzie IS, Rogers A, Poulter NR, et al. Cardiovascular outcomes in adults with hypertension with evening versus morning dosing of usual antihypertensives in the UK (TIME study): a prospective, randomised, open-label, blinded-endpoint clinical trial. Lancet. 2022;400(10361):1417-1425.

Guest: Alan M. Ehrlich MD, FAAFP
Music Credit: Richard Onorato

Breathe Easy—Updated Recommendations for Asthma Management - Frankly Speaking Ep 336 Jul 10, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-336

Overview: In 2020, the National Asthma Education and Prevention Program (NAEPP) updated its guidelines for asthma management, incorporating significant changes. This marked the first update since 2007. A recent study revealed that >280 providers of the new asthma guidelines had an average knowledge score of <45%, indicating that these guidelines have likely not been fully incorporated into their practice. We invite you to join us as we discuss the new guidelines and explore strategies for integrating them into your practice.

Episode resource links:

Cloutier MM, Dixon AE, Krishnan JA, Lemanske RF, Pace W, Schatz M. Managing Asthma in Adolescents and Adults: 2020 Asthma Guideline Update from the National Asthma Education and Prevention Program. JAMA. 2020;324(22):2301–2317. doi:10.1001/jama.2020.2197 https://jamanetwork.com/journals/jama/article-abstract/2773482
https://www.jacionline.org/programs_abstracts
https://www.healio.com/news/primary-care/20230225/physicians-show-lack-of-knowledge-on-latest-updates-to-asthma-management-guidelines
Cloutier MM, Teach, SJ., Lemanske RF, Blake KV. The 2020 Focused Updates to the NIH Asthma Management Guidelines: Key Points for Pediatricians. PEDIATRICS Volume 147, number 6, June 2021:e2021050286; https://publications.aap.org/pediatrics/article/147/6/e2021050286/180305/The-2020-Focused-Updates-to-the-NIH-Asthma?autologincheck=redirected
GINA Guidelines: https://ginasthma.org/pocket-guide-for-asthma-management-and-prevention/
Pocket Guide: https://ginasthma.org/wp-content/uploads/2022/07/GINA-2022-Pocket-Guide-WMS.pdf

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Does Metformin Make an Impact in Lowering Cardiovascular Risk in Patients with Prediabetes? - Frankly Speaking Ep 335 Jul 03, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-335

Overview: In this episode, we review recent updates from the Diabetes Prevention Program (DPP) trial and Diabetes Prevention Program Outcomes Study (DPPOS). Join us as we discuss the impact of the updates on diabetes prevention strategies for cardiovascular outcomes.

Episode resource links:

Goldberg RB, Orchard TJ, Crandall JP, Boyko EJ, Budoff M, Dabelea D, Gadde KM, Knowler WC, Lee CG, Nathan DM, Watson K, Temprosa M; Diabetes Prevention Program Research Group*. Effects of Long-term Metformin and Lifestyle Interventions on Cardiovascular Events in the Diabetes Prevention Program and Its Outcome Study. Circulation. 2022 May 31;145(22):1632-1641. doi: 10.1161/CIRCULATIONAHA.121.056756. Epub 2022 May 23. PMID: 35603600; PMCID: PMC9179081.
Galaviz KI, Weber MB, Suvada K BS, Gujral UP, Wei J, Merchant R, Dharanendra S, Haw JS, Narayan KMV, Ali MK. Interventions for Reversing Prediabetes: A Systematic Review and Meta-Analysis. Am J Prev Med. 2022 Apr;62(4):614-625. doi: 10.1016/j.amepre.2021.10.020. Epub 2022 Feb 10. PMID: 35151523.

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

What Do You Mean That Glass of Red Wine Is No Longer OK to Drink? - Frankly Speaking Ep 334 Jun 26, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-334

Overview: It can be tricky to navigate conflicting data when discussing alcohol intake with patients, so we’re here to discuss the topic’s most recent evidence. In this episode, we take a look at the findings to help you and your patients make informed decisions about daily alcohol consumption and their health.

Episode resource links:

JAMA Network Open. 2023;6(3):e236185. doi:10.1001/jamanetworkopen.2023.6185

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Navigating Perceived Stress in Older Adults: From Awareness to Action - Frankly Speaking Ep 333 Jun 19, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-333

Overview: Tune in as we discuss the potential consequences of perceived stress on the cognition and well-being of older adults. We explore screening and intervention opportunities to better help you recognize and manage stress in your patients aged ≥45 years.

Episode resource links:

Kulshreshtha, A., Alonso, A., McClure, L. A., Hajjar, I., Manly, J. J., & Judd, S. (2023). Association of Stress With Cognitive Function Among Older Black and White US Adults. JAMA network open, 6(3), e231860. https://doi.org/10.1001/jamanetworkopen.2023.1860
Top 12 Apps for Mindfulness https://positivepsychology.com/mindfulness-apps/
15 Simple Ways to Relieve Stress 15 Simple Ways to Relieve Stress and Anxiety (healthline.com)

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Decoding Hyperlipidemia Management: What Does the Evidence Say? - Frankly Speaking Ep 332 Jun 12, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-332

Overview: In this episode, we take a look at the dynamic landscape of hyperlipidemia management, discussing current guidelines for hyperlipidemia treatment and the interplay between evidence-based recommendations and expert opinions. Tune in to gain a broader understanding of hyperlipidemia management and unlock fresh perspectives to enhance patient care.

Episode resource links:

JAMA Intern Med. March 14, 2022. doi:10.1001/jamainternmed.2022.0134
JAMA. Published online March 6, 2023. doi:10.1001/jama.2023.2487

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

When to Start Screening for Breast Cancer—Does Race Make a Difference? - Frankly Speaking Ep 331 Jun 05, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-331

Overview: Current recommendations for when to start breast cancer screening do not consider race or ethnicity, which may be a source of racial disparity in breast cancer outcomes. In this installment, we take a closer look at these recommendations and how you can incorporate them into individualized patient care.

Episode resource links:

Chen T, Kharazmi E, Fallah M. Race and Ethnicity-Adjusted Age Recommendation for Initiating Breast Cancer Screening. JAMA Netw Open. 2023;6(4):e238893. Published 2023 Apr 3.
Siu AL; U.S. Preventive Services Task Force. Screening for Breast Cancer: U.S. Preventive Services Task Force Recommendation Statement [published correction appears in Ann Intern Med. 2016 Mar 15;164(6):448]. Ann Intern Med. 2016;164(4):279-296
Oeffinger KC, Fontham ET, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society [published correction appears in JAMA. 2016 Apr 5;315(13):1406]. JAMA. 2015;314(15):1599-1614.
Draft Update of USPSTF Screening for Breast Cancer: https://www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/breast-cancer-screening-adults

Guest: Alan M. Ehrlich MD, FAAFP
Music Credit: Richard Onorato

Long COVID: Strategies for Approaching Patient Care - Frankly Speaking Ep 330 May 29, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-330

Overview: The CDC’s Household Pulse Survey data indicate that more than 10% of adults who contracted COVID-19 have had symptoms that lasted at least 3 months. While patients worry about long COVID, there are no specific tests to confirm its diagnosis. In this episode, we discuss a recent JAMA article that addresses the primary care approach to long COVID.

Episode resource links:

Landhuis EW. How Primary Care Physicians Can Recognize and Treat Long COVID. JAMA. Published online May 03, 2023. doi:10.1001/jama.2023.6604
JAMA. 2022;328(16):1604. PMID: 36215063
Post-COVID Conditions: Information for Healthcare Providers (cdc.gov)

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Can Cocoa or a Multivitamin Prevent Dementia? - Frankly Speaking Ep 329 May 22, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-329

Overview: Do you have older patients asking for guidance on what supplements can be used to prevent cognitive decline? Listen in to hear the findings of a recent Alzheimer’s & Dementia publication of a randomized controlled trial looking at the benefits and harms related to using cocoa and multivitamins for preventing cognitive decline.

Episode resource links:

Baker LD,Manson JE, Rapp SR, et al. Effects of cocoa extract and a multivitamin on cognitive function: A randomized clinical trial. Alzheimer’s Dement.2022;1-12. https://doi.org/10.1002/alz.12767
Recommendation: Vitamin, Mineral, and Multivitamin Supplementation to Prevent Cardiovascular Disease and Cancer: Preventive Medication | United States Preventive Services Taskforce https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-supplementation-to-prevent-cvd-and-cancer-preventive-medication

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Live Longer by Eating Better - Frankly Speaking Ep 328 May 15, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-328

Overview: Are you tired of sifting through conflicting information about nutrition and mortality? Look no further than this podcast episode, where we dive deep into the latest dietary research. With so much conjecture and small data sets out there, it can be challenging to know what advice to give. Tune in to this discussion to gain valuable insights and to make informed recommendations about healthy eating habits for your patients.

Episode resource links:

JAMA Intern Med. doi:10.1001/jamainternmed.2022.6117
Nutrients 2021 Jul 9;13(7):2342. doi: 10.3390/nu13072342.

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

As We Wave Goodbye to the Waiver! - Frankly Speaking Ep 327 May 08, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-327

Overview: Congress has recently made changes to help fight the opioid epidemic and allow for an increase in access to treatment for opioid use disorder (OUD). Join us as we review these changes, and learn how you can use them to promote health equity in a clinical setting.

Episode resource links:

Hawk, K., Hoppe, J., Ketcham, E., LaPietra, A., Moulin, A., Nelson, L., ... & D’Onofrio, G. (2021). Consensus recommendations on the treatment of opioid use disorder in the emergency department. Annals of emergency medicine, 78(3), 434-442.
Jones, K. F., O'Reilly-Jacob, M., & Tierney, M. (2022). Eliminating the buprenorphine DEA X waiver is critical to promote health equity. Nursing outlook, 70(1), 5-7.
Jones, K. F. , Jacob, M. O. , Spetz, J. , Hailer, L. & Tierney, M. (9000). Eliminate the buprenorphine DEA X waiver: Justification using a policy analysis approach. Journal of Nursing Scholarship, , doi: 10.1111/jnu.12871.

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

Screening for Alcohol Use and Abuse: Prevention with a Capital P - Frankly Speaking Ep 326 May 01, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-326

Overview: Alcohol abuse has become more prevalent in the past decade, which means that primary care providers must play a crucial role in treating this preventable disorder. Don’t miss this discussion on the current state of alcohol abuse and how to use evidence-based screening tools for prevention.

Episode resource links:

Esser,M., Leung, G., Sherk, A., Bohm, M., Liu, Y., Lu, H. & Naimi, T. Estimated Deaths Attributable to Excessive Alcohol Use Among US Adults Aged 20 to 64 Years, 2015 to 2019. JAMA Network Open. 2022;5(11):e2239485. doi:10.1001/jamanetworkopen.2022.39485
National Institute on Drug Abuse Screening and Assessment Tools Resource Chart: https://nida.nih.gov/nidamed-medical-health-professionals/screening-tools-resources/chart-screening-tools
Substance Abuse and Mental Health Services Administration (SAMHSA): National Help Line: https://www.samhsa.gov/find-help/national-helpline
Alcoholics Anonymous: Find AA near you https://www.aa.org/find-aa
Paradis, C., Butt, P., Shield, K., Poole, N., Wells, S., Naimi, T., Sherk, A., & the Low-Risk Alcohol Drinking Guidelines Scientific Expert Panels. (2023). Canada’s Guidance on Alcohol and Health: Final Report. Ottawa, Ont.: Canadian Centre on Substance Use and Addiction.
Fairbanks J, Umbreit A, Kolla BP, et al. Evidence-Based Pharmacotherapies for Alcohol Use Disorder: Clinical Pearls. Mayo Clin Proc. 2020;95(9):1964-1977. doi:10.1016/j.mayocp.2020.01.030

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Treating Children and Adolescents with Obesity—Understanding the New AAP Clinical Practice Guidelines - Frankly Speaking Ep 325 Apr 24, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-325

Overview: Obesity in children and adolescents is a complex and very often chronic condition. Besides encouraging healthy eating and increasing activity—both excellent behavioral measures—healthcare providers did not have a clear, evidence-based plan for managing this chronic condition until recently. In January, the AAP published its long-awaited new, evidence-based guidelines for the evaluation and treatment of children and adolescents with obesity. Greatly anticipated, it did, however, create some controversy. Please join us as we discuss the new guidelines, the evidence that it is based on, and how it may change practice.

Episode resource links:

The American Academy of Pediatrics. Clinical Practice Guideline. S. E. Hampl. Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity. January 9, 2023. Pediatrics e2022060640. https://doi.org/10.1542/peds.2022-060640
The American Academy of Pediatrics. S. E. Hampl. Executive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity, January 9, 2023. Pediatrics e2022060641.https://doi.org/10.1542/peds.2022-060641; https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2022-060641/190440/Executive-Summary-Clinical-Practice-Guideline-for?autologincheck=redirected
AAP News release https://www.aap.org/en/news-room/news-releases/aap/2022/american-academy-of-pediatrics-issues-its-first-comprehensive-guideline-on-evaluating-treating-children-and-adolescents-with-obesity/
The American Academy of Pediatrics Technical report; January 9, 2023. Appraisal of Clinical Care Practices for Child Obesity Treatment. Part I: Interventions. Pediatrics (2023) 151 (2): e2022060642.; https://doi.org/10.1542/peds.2022-060642
The American Academy of Pediatrics Technical report; January 9, 2023. Appraisal of Clinical Care Practices for Child Obesity Treatment. Part II: Comorbidities. Pediatrics (2023) 151 (2): e2022060643. https://doi.org/10.1542/peds.2022-060643

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Is It OK to Let Your Infant Cry Themselves to Sleep? - Frankly Speaking Ep 324 Apr 17, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-324

Overview: Parents who struggle with infant sleep problems may turn to primary care providers for guidance to help their child, but what are the evidence-based options? Hear what the experts have to say about the findings of a recent Journal of Pediatrics study of parents’ use of a variety of behavioral interventions for infant sleep problems.

Episode resource links:

Implementation of Behavioral Interventions for Infant Sleep Problems in Real-World Settings: J Pediatr. November 11, 2022. https://doi.org/10.1016/j.jpeds.2022.10.038
Blunden, S. and Dawson, D. (2020), Behavioural sleep interventions in infants: Plan B – Combining models of responsiveness to increase parental choice. J Paediatr Child Health, 56: 675-679. https://doi.org/10.1111/jpc.14818

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Chalk It Up to Stress and Anxiety or Is There More to It? - Frankly Speaking Ep 323 Apr 10, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-323

Overview: This episode will explore a common syndrome that is often misdiagnosed and underdiagnosed. Listen in as we discuss the cardinal symptoms and diagnostic criteria for postural orthostatic tachycardia syndrome (POTS) and learn about different management options, including the benefits of salt.

Episode resource links:

Zha K, Brook J, McLaughlin A, Blitshteyn S. Gluten-free diet in postural orthostatic tachycardia syndrome (POTS). Chronic Illness. 2022;0(0). doi:10.1177/17423953221076984
Cooperrider, J., Kriegler, J., Yunus, S., & Wilson, R. (2022). A Survey-Based Study Examining Differences in Perception of Postural Orthostatic Tachycardia Syndrome Between Patients and Primary Care Physicians. Cureus, 14(10).
Raj, S. R., Fedorowski, A., & Sheldon, R. S. (2022). Diagnosis and management of postural orthostatic tachycardia syndrome. Cmaj, 194(10), E378-E385.
Williams, E. L., Raj, S. R., Schondorf, R., Shen, W. K., Wieling, W., & Claydon, V. E. (2022). Salt supplementation in the management of orthostatic intolerance: Vasovagal syncope and postural orthostatic tachycardia syndrome. Autonomic neuroscience, 237, 102906.

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

2022 CDC Clinical Practice Guidelines: What’s the Update on Prescribing Opioids for Pain? - Frankly Speaking Ep 322 Apr 03, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-322

Overview: Patients deserve compassionate, safe, and effective pain management. But it’s important to remember that safe prescribing does not mean no prescribing. Join us as we discuss the 2022 CDC Clinical Practice Guidelines for prescribing opioids in the adult population. The updated and expanded guidelines can assist you in delivering patient-centered care for management of acute, subacute, and chronic pain.

Episode resource links:

Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain —United States, 2022. MMWR Recomm Rep 2022;71(No. RR-3):1–95. DOI: http://dx.doi.org/10.15585/mmwr.rr7103a1
Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016. 2016;315(15):1624–1645. doi:10.1001/jama.2016.1464

Guest: Jill Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Menopausal Symptoms—Are You Providing the Best Care to Improve Function and Quality of Life? - Frankly Speaking Ep 321 Mar 27, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-321

Overview: Most perimenopausal and menopausal individuals will experience some symptoms. Up to 80% of women report some symptoms, with vasomotor symptoms being the most commonly reported; however, other symptoms such as sleep disturbance, sexual dysfunction, and mood can be present. These symptoms can have a tremendous negative impact on quality of life and well-being, yet many women remain untreated for their symptoms even though evidence-based treatments exist. Join us to discuss effective treatments and ways you can overcome barriers to providing evidence-based menopausal therapy.

Episode resource links:

DePree, Barbara MD, NCMP, MMM1; Houghton, Katherine MSc2; Shiozawa, Aki DrPH, MBA3; Esterberg, Elizabeth MS4; King, Deanna D. MS, PhD3; Kim, Janet PhD3; Mancuso, Shayna DO, FACOG3. Treatment and resource utilization for menopausal symptoms in the United States: a retrospective review of real-world evidence from US electronic health records. Menopause 30(1):p 70-79, January 2023. | DOI: 10.1097/GME.0000000000002095 https://journals.lww.com/menopausejournal/Fulltext/2023/01000/Treatment_and_resource_utilization_for_menopausal.11.aspx
The North Amrican Menopause Society. (NAMS) The 2022 Hormone Therapy Position Statement of the North American Menopause Society. Menopause: The Journal of the North American Menopause Society. 29 (7) pp 767-794. DOI: 10.1097/GME.0000000000002028
The North American Menopause Society (NAMS). Menopause Practice: A Clinician's Guide. 6th Pepper Pike, Ohio. September 2019.

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

CURING Anxiety vs Treating Its Symptoms - Frankly Speaking Ep 320 Mar 20, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-320

Overview: New evidence points to the efficacy of a simple approach to managing and potentially curing generalized anxiety disorder. Join us to discuss this simple intervention and to review the diagnosis and treatment options for this prevalent disorder.

Episode resource links:

JAMA Psychiatry. 2023;80(1):13-21. doi:10.1001/jamapsychiatry.2022.3679
https://positivepsychology.com/mindfulness-based-stress-reduction-mbsr/

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Antibiotics for Infectious Conjunctivitis: Efficacy Is in the Eye of the Beholder - Frankly Speaking Ep 319 Mar 13, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-319

Overview: In children, bacterial infections are a common cause of infectious conjunctivitis. But, like many clinicians, you may be uncertain about the efficacy of using antibiotic drops in these pediatric patients. Join us to get an evidence-based answer to the important question, “Are antibiotic drops needed in children with acute infectious conjunctivitis?”

Episode resource links:

Honkila M, Koskela U, Kontiokari T, et al. Effect of Topical Antibiotics on Duration of Acute Infective Conjunctivitis in Children: A Randomized Clinical Trial and a Systematic Review and Meta-analysis. JAMA Netw Open. 2022;5(10):e2234459. Published 2022 Oct 3.

Guest: Alan M. Ehrlich, MD, FAAFP
Music Credit: Richard Onorato

Do They Know I Don’t Know? Overcoming Impostor Syndrome - Frankly Speaking Ep 318 Mar 06, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-318

Overview: Have you ever experienced impostor syndrome? Or do you mentor someone struggling with this sense of inadequacy? If so, you won’t want to miss this podcast episode. You will formulate a clear definition of impostor syndrome, understand its components, and walk away with practical tips to help overcome it...

Episode resource links:

J Am Coll Surg 2021 Nov;233(5):633-638.
Curr Pharm Teach Learn 2022 Feb;14(2):130-132.
doi: 10.1016/j.cptl.2021.11.019. Epub 2021 Dec 27

Guest: Mariyan L. Montaque, DNP, FNP-BC & Susan Feeney, DNP, FNP-BC, NP-C & Jill M. Terrien, PhD, ANP-BC
Music Credit: Richard Onorato

Exercise for Migraine Prophylaxis: Strength Training vs Aerobics - Frankly Speaking Ep 317 Feb 27, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-317

Overview: Exercise has been shown to be an effective way of decreasing migraine frequency, but the best type of exercise for this has not been established. A systematic review compared strength training to both high-intensity aerobic exercise and low-intensity aerobic exercise.

Episode resource links:

Woldeamanuel YW, Oliveira ABD. What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials. J Headache Pain. 2022;23(1):134. Published 2022 Oct 13.

Guest: Alan M. Ehrlich, MD, FAAFP
Music Credit: Richard Onorato

Proton Pump Inhibitors—We Know Their Benefits, But What Are Their Risks? - Frankly Speaking Ep 316 Feb 20, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-316

Overview: While the benefits of proton pump inhibitors (PPIs) are widely known, the same cannot be said of the risks. These common medications are generally considered “safe,” but new data suggest the potential for long-term risks. Join us to discuss these long-term risks of PPI use and whether some of your patients should step down from PPIs to H2RAs.

Episode resource links:

Gut : 28 September 2020. doi: 10.1136/gutjnl-2020-322557
Gut 2022 Jan; 71:16. (https://doi.org/10.1136/gutjnl-2021-325097)
Front Pharmacol. 2022 Sep 14;13:979215. doi: 10.3389/fphar.2022.979215. eCollection 2022

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Exercise Patterns and Effect on Mortality - Frankly Speaking Ep 315 Feb 13, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-315

Overview: A recent publication shows that being a “weekend warrior” exerciser provides the same benefit to mortality risk as spreading the physical activity out across the week. Listen to this podcast to hear the data from this study and to optimally counsel your patients on how to lower their mortality risk through physical activity.

Episode resource links:

Physical Activity Guidelines for Americans, 2nd Edition.; 2018. https://health.gov/paguidelines/second-edition/pdf/Physical_Activity_Guidelines_2nd_edition.pdf.
dos Santos M, Ferrari G, Lee DH, et al. Association of the “Weekend Warrior” and Other Leisure-time Physical Activity Patterns With All-Cause and Cause-Specific Mortality: A Nationwide Cohort Study. JAMA Intern Med.2022;182(8):840–848. doi:10.1001/jamainternmed.2022.2488

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Strokes: Which Vaccine Can Reduce Your Risks? - Frankly Speaking Ep 314 Feb 06, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-314

Overview: The herpes zoster virus, or shingles, is more than just a rash. Oftentimes we don’t consider the long-term risk of viruses, but we should. This episode focuses on the association between the herpes zoster virus and an increased risk of stroke. Join us to discuss data that show a reduction in stroke risk in individuals who receive the herpes zoster vaccine.

Episode resource links:

Andrew N Bubak, Christina Coughlan, Janelle Posey, Anthony J Saviola, Christy S Niemeyer, Serena W R Lewis, Sara Bustos Lopez, Adriana Solano, Stephen K Tyring, Cassidy Delaney, Keith B Neeves, Ravi Mahalingam, Kirk C Hansen, Maria A Nagel, Zoster-Associated Prothrombotic Plasma Exosomes and Increased Stroke Risk, The Journal of Infectious Diseases, 2022;, jiac405, https://doi.org/10.1093/infdis/jiac405
https://www.idse.net/Review-Articles/Article/10-22/Immunization-Vaccine-Updates-Beyond-COVID-19/68244
https://www.cdc.gov/shingles/index.html
https://familydoctor.org/condition/shingles/
Yang, Q., Chang, A., Tong, X., & Merritt, R. (2021). Herpes zoster vaccine live and risk of stroke among medicare beneficiaries: a population-based cohort study. Stroke, 52(5), 1712-1721.
https://news.cuanschutz.edu/news-stories/researchers-reveal-why-shingles-can-cause-strokes

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

COPD Screening, PRISm, and AAT Deficiency Jan 30, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/copd-patient-cases-reduced-lung-function

Overview: “Lung Health Updates for Primary Care Providers: Conversations with NHLBI” is a series of CME podcast episodes produced by Pri-Med in partnership with Learn More Breathe Better®, a program of the National Heart, Lung, and Blood Institute of the National Institutes of Health. In this episode looking at case studies of patients with reduced lung function, we are joined by Dr. Mihaela Stefan, a Program Officer with NHLBI’s Division of Lung Diseases, and Dr. Elizabeth Oelsner, general internist and Irving Assistant Professor of Medicine at Columbia University Department of Medicine Division of General Medicine. We’ll be discussing profiles of three patients with reduced lung function, including an asymptomatic smoker, a smoker with respiratory symptoms but without spirometric evidence of COPD, and a COPD patient with history suggestive of AAT deficiency. So let’s begin.

Screening for Depression and Suicide Risk in Adolescents—Do You Know What to Do? - Frankly Speaking Ep 313 Jan 30, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-313

Overview: The prevalence of anxiety and depression has been increasing in US youth over the past decade with noted increases during the pandemic. The USPSTF recently released its recommendations supporting general screening for depression in 12- to 18-year-olds. Join us while we discuss the recommendations, the basis for these recommendations, how to integrate them into practice, and some strategies on how to support adolescents and families with a positive screen.

Episode resource links:

CDC Children’s Mental Health: https://www.cdc.gov/childrensmentalhealth/depression.html
i. Data and Statistics on Children’s Mental Health https://www.cdc.gov/childrensmentalhealth/data.html
Screening for Depression and Suicide Risk in Children and Adolescents - US Preventive Services Task Force Recommendations Statement; JAMA. doi:10.1001/jama.2022.16946. Published online October 11, 2022.
US Preventive Services Task Force Recommendation Statement on Depression and Suicide Risk in Children and Adolescents: Screening. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-children-adolescents

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

5-Across: A 9-Letter Word That Can Improve Cognitive Function - Frankly Speaking Ep 312 Jan 23, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-312

Overview: Brain training activities have been advocated to slow or prevent cognitive decline. Crossword puzzles can be cognitively demanding and have recently been shown to be superior to some of the brain training activities that have been promoted on apps and websites. Join us for discussion on how to counsel patients looking to improve their cognitive function.

Episode resource links:

Pillai JA, Hall CB, Dickson DW, Buschke H, Lipton RB, Verghese J. Association of crossword puzzle participation with memory decline in persons who develop dementia. J Int Neuropsychol Soc. 2011;17(6):1006-1013.
Devanand DP et al. Computerized Games versus Crosswords Training in Mild Cognitive Impairment. NEJM Evidence October 27,2022

Guest: Alan M. Ehrlich, MD, FAAFP
Music Credit: Richard Onorato

Reducing Senior Falls and Fractures with Milk? - Frankly Speaking Ep 311 Jan 16, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-311

Overview: Join us to discuss the results of a randomized controlled trial that evaluated the influence of increased dairy intake on fractures in older adults. Learn how this simple intervention can significantly mitigate the risk of falls and fractures in this vulnerable population.

Episode resource links:

BMJ 2021; 375 doi: https://doi.org/10.1136/bmj.n2364

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

A Cancer Diagnosis Doesn’t Have to Cancel Sex in Young Women - Frankly Speaking Ep 310 Jan 11, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-310

Overview: Join us as we discuss the importance of assessing for sexual dysfunction in young women with a cancer diagnosis.

Episode resource links:

Lena Wettergren, Lars E. Eriksson, Charlotta Bergström, Christel Hedman,
Johan Ahlgren, Karin E. Smedby, Kristina Hellman, Roger Henriksson & Claudia Lampic (2022): Prevalence and risk factors for sexual dysfunction in young women following a cancer diagnosis – a population-based study, Acta Oncologica, DOI: 10.1080/0284186X.2022.2112283
https://doi.org/10.1080/0284186X.2022.2112283

Guest: Jill Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Big and Strong: Vitamin D in the First Year of Life - Frankly Speaking Ep 309 Jan 02, 2023

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-309

Overview: Listen to this podcast to get answers to important questions about vitamin D supplementation in the first year of life. We will review a recent systematic review and meta-analysis on the relationship between vitamin D supplementation in the first year of life and outcomes, and we will discuss how these findings can be applied to your practice.

Episode resource links:

Nutrients; 2021 Feb 5;13(2):524. doi: 10.3390/nu13020524

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Favorite Podcast of 2022 - Frankly Speaking Ep 308 Dec 26, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-308

Overview: In this episode, each podcaster will discuss the most impactful paper and podcast of the year.

Episode resource links:

Guest: Alan Ehrlich MD, FAAFP, Jillian Joseph, MPAS, PA-C, Susan Feeney, DNP, FNP-BC, NP-C, Mariyan L. Montaque, DNP, FNP-BC, Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Should There Be a Contraindication to CPR? - Frankly Speaking Ep 307 Dec 19, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-307

Overview: The COVID-19 epidemic resulted in overflowing ICUs and significant numbers of deaths among older adults. A recent study looked at the differences in outcomes between patients admitted with “No-code” vs “CPR” status and found no difference for high-risk individuals. Listen to this brief podcast to explore the data from this study and, in turn, give patients the information they need to make informed decisions regarding their desired code status on their advanced directives.

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

What To Do When Traditional Migraine Treatments Don’t Work: A Case Study Dec 15, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/case-study-traditional-migraine-treatment

Overview:

This podcast will focus on the case of a patient with a 30-year history of migraine who has tried numerous acute and preventive treatments. Faculty will discuss newer treatment options, including calcitonin gene-related peptide (CGRP) receptor antagonists (gepants), CGRP monoclonal antibodies, ditans, and neuromodulation.

Your Questions About Migraine Treatment Answered Dec 15, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/migraine-treatment-questions-answered

Overview:

In this podcast, Drs. Dawn Buse and Michael Ready will address questions about migraine treatment posed by Pri-Med learners during recent programs. Topics will include the proper use of calcitonin gene-related peptide (CGRP) monoclonal antibodies, nutraceuticals, acupuncture, and tetrahydrocannabinol.

Preventing Peanut Allergies—Are You Following the Recommendations? - Frankly Speaking Ep 306 Dec 12, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-306

Overview: In 2015, a landmark study, LEAP (Learning Early About Peanut Allergy), found that early introduction to peanuts, at 4 to 6 months, significantly reduced the incidence of peanut allergies in all children but especially in those at high risk for allergies. A recent survey of pediatric residents and attendings in a large academic center regarding knowledge and implementation of the guidelines uncovered a significant knowledge gap impacting the health of children. Join us as we discuss this gap and review the guidelines for preventing peanut allergies in infants and children.

Episode resource links:

Sandhu S, Hanono M, Nagarajan S, Vastardi MA. Knowledge assessment of early peanut introduction in a New York City population [published online ahead of print, 2022 Jun 18]. Ann Allergy Asthma Immunol. 2022;S1081-1206(22)00534-8. doi:10.1016/j.anai.2022.06.013
Greer FR, Sicherer SH, Burks AW, AAP COMMITTEE ON NUTRITION, AAP SECTION ON ALLERGY AND IMMUNOLOGY. The Effects of Early Nutritional Interventions on the Development of Atopic Disease in Infants and Children: The Role of Maternal Dietary Restriction, Breastfeeding, Hydrolyzed Formulas, and Timing of Introduction of Allergenic Complementary Foods. Pediatrics. 2019;143(4): e20190281
Togias A, Cooper SF, Acebal ML, et al. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel. Ann Allergy Asthma Immunol. 2017;118(2):166-173.e7. doi:10.1016/j.anai.2016.10.004
Fleischer DM, Sicherer S, Greenhawt M, et al. Consensus Communication on Early Peanut Introduction and Prevention of Peanut Allergy in High-Risk Infants. Pediatr Dermatol. 2016;33(1):103-106. doi:10.1111/pde.12685
Du Toit, G., Roberts, G., Sayre, P. H., Bahnson, H. T., Radulovic, S., Santos, A. F., Brough, H. A., Phippard, D., Basting, M., Feeney, M., Turcanu, V., Sever, M. L., Gomez Lorenzo, M., Plaut, M., Lack, G., & LEAP Study Team (2015). Randomized trial of peanut consumption in infants at risk for peanut allergy. The New England journal of medicine, 372(9), 803–813. https://doi.org/10.1056/NEJMoa1414850
Koplin JJ, Soriano VX, Peters RL. Real-World LEAP Implementation. Curr Allergy Asthma Rep. 2021;22(6):61-66. doi:10.1007/s11882-022-01032-3
https://www.fda.gov/food/cfsan-constituent-updates/fda-completes-review-notification-regarding-health-claim-related-peanut-allergies

Guest: Susan Feeney, DNP, FNP
Music Credit: Richard Onorato

Risks of Long-Term Use of PPIs - Frankly Speaking Ep 305 Dec 05, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-305

Overview: We will review the general treatment approach to gastroesophageal reflux disease (GERD) and the risks of using proton pump inhibitors (PPI) for long durations. In particular, we will examine a new study that links PPI use, in comparison with H2 receptor antagonist (H2RA) use, with a significant increase in the risk of gastric cancer. This episode will highlight the importance of looking at PPIs on a medication review and evaluating whether patients are taking them for longer than needed.

Episode resource links:

Abrahami D, McDonald EG, Schnitzer ME, et al. Proton pump inhibitors and risk of gastric cancer: population-based cohort study. Gut. 2022;71(1):16-24.

Guest: Jillian Joseph, MPAS, PA-C
Music Credit: Richard Onorato

Agitation in Alzheimer’s Dementia: What’s at Stake Nov 30, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/agitation-in-alzheimers-dementia

Overview: Agitation is among the most common behavioral symptoms among patient with dementia, including Alzheimer’s dementia. It exacts a significant burden on patients because it is associated with not only greater morbidity and mortality, but also a faster cognitive and functional decline. It is also a leading predictor of which individuals with dementia will be transferred to residential care. This podcast provides an overview of the epidemiology, causes, and the burden of agitation in patients with Alzheimer’s dementia.

Selecting Medication for Depression: Do Genomics Matter? - Frankly Speaking Ep 304 Nov 28, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-304

Overview: Pharmacogenomic testing has been suggested as a way to personalize medicine, particularly where the metabolism of medications can vary significantly. Unfortunately, despite increasing use of this testing, there has been little evidence showing a benefit in clinical outcomes. Listen to this podcast to explore the data on clinical outcomes for pharmacogenetic testing and how to best select medication for patients with depression.

Episode resource links:

Oslin DW, Lynch KG, Shih MC, et al. Effect of Pharmacogenomic Testing for Drug-Gene Interactions on Medication Selection and Remission of Symptoms in Major Depressive Disorder: The PRIME Care Randomized Clinical Trial. JAMA. 2022;328(2):151-161.

Guest: Alan Ehrlich MD, FAAFP
Music Credit: Richard Onorato

Time to Stop Recommending Vitamin D? - Frankly Speaking Ep 303 Nov 21, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-303

Overview: Millions of Americans take Vitamin D supplementation to prevent a variety of illnesses, from COVID-19 and osteoporosis to heart disease and cancer. While most studies have failed to show a benefit in preventing COVID-19, heart disease, and cancer, the evidence has been mixed, at best, in showing benefits for preventing bone fractures. Despite this, vitamin D supplementation remains popular for fracture prevention. Join us to review a study published in the New England Journal of Medicine that failed to find any benefits for preventing fractures.

Episode resource links:

N Engl J Med 2022;387:299-309. DOI: 10.1056/NEJMoa2202106

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Is Your Patient at Risk for Opioid Use Disorder? Nov 15, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/pain-opioid-use-disorder-risks-reinforcement

Overview: There are many reasons clinicians may suspect opioid use disorder in their patients on opioid therapy. In such cases, patients should be assessed with a validated tool. In this podcast we discuss risk for opioid use disorder and ways to assess for it.

Initial Approaches to Low Back Pain, Assessment and Risk Factor Identification Nov 15, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/lower-back-pain-management-reinforcement

Overview: In this podcast we discuss the diagnosis of chronic low back pain, a term that encompasses several pathologies, all of which require different therapeutic approaches. Opioids may be effective in some patients: their prescribing necessitates an assessment of risk for misuse, abuse, and overdose.

New AACE Guidelines for Non-Alcoholic Fatty Liver Disease - Frankly Speaking Ep 302 Nov 14, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-302

Overview: Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the United States, with a prevalence rate of more than 30% of US adults. Most have not been diagnosed or treated. Join us to discuss the new AACE guidance on the diagnosis and treatment of NAFLD to reduce the burden of this common disease.

Episode resource links:

AACE Guideline: Endocrine Pract: May 2022, 28(5): 528-562
Coffee: Front Pharmacol. 2021 Dec 13;12:786596. doi: 10.3389/fphar.2021.786596

Guest: Robert A. Baldor, MD

Music Credit: Richard Onorato

Walking and Osteoarthritis of the Knee: A Simple Strategy to Slow Cartilage Loss - Frankly Speaking Ep 301 Nov 07, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-301

Overview: In this episode, we will discuss a simple and inexpensive yet effective strategy for slowing the loss of knee joint cartilage in a patient with osteoarthritis: walking. Hear how recent evidence suggests that including a walking regimen into treatment plans may confer numerous benefits in this patient population.

Episode resource links:

Busse, JW, Sadeghirad, B., Oparin, Y. et al; Management of Acute Pain From Non–Low Back, Musculoskeletal Injuries: A Systematic Review and Network Meta-analysis of Randomized Trials. Ann Intern Med.2020;173:730-738. [Epub 18 August 2020]. doi:10.7326/M19-3601
Kolasinski, S.L., Neogi, T., Hochberg, M.C., Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, W.F., Hawker, G., Herzig, E., Kwoh, C.K., Nelson, A.E., Samuels, J., Scanzello, C., White, D., Wise, B., Altman, R.D., DiRenzo, D., Fontanarosa, J., Giradi, G., Ishimori, M., Misra, D., Shah, A.A., Shmagel, A.K., Thoma, L.M., Turgunbaev, M., Turner, A.S. and Reston, J. (2020), 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res, 72: 149-162. https://doi.org/10.1002/acr.24131
Lo GH, Vinod S, Richard MJ, et al. Association Between Walking for Exercise and Symptomatic and Structural Progression in Individuals with Knee Osteoarthritis: Data from the Osteoarthritis Initiative Cohort [published online ahead of print, 2022 Jun 8]. Arthritis Rheumatol. 2022;10.1002/art.42241. doi:10.1002/art.42241
Thudium C. Markers of synovial inflammation matrix turnover and symptoms. Presented at: OARSI 2022 World Congress on Osteoarthritis; April 7-10; Berlin, Germany (virtual meeting).
Ooman JMH. Babs on a mission: An experimental study on the effects of message framing and exemplification on treatment intentions of osteoarthritis patients. Presented at: OARSI 2022 World Congress on Osteoarthritis; April 7-10; Berlin, Germany (virtual meeting).
Zeng C, Doherty M, Persson MSM, et al. Comparative efficacy and safety of acetaminophen, topical and oral non-steroidal anti-inflammatory drugs for knee osteoarthritis: evidence from a network meta-analysis of randomized controlled trials and real-world data. Osteoarthritis Cartilage. 2021;29(9):1242-1251. doi:10.1016/j.joca.2021.06.004

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Cats Causing Psychosis! - Frankly Speaking Ep 300 Oct 31, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-300

Overview: Most primary care clinicians are unaware of a possible association between childhood cat ownership and adult psychosis. Join us to hear the results of a recent retrospective study that suggests this link. Hear practical tips to share with patients who own an outdoor cat to help them avoid the toxoplasmosis that may be a potential etiologic agent for psychiatric illness.

Episode resource links:

Journal of Psychiatric Research. Volume 148, April 2022, Pages 197-203

doi.org/10.1016/j.jpsychires.2022.01.058

Guest: Robert A. Baldor, MD

Music Credit: Richard Onorato

Deprescribing in Patients with Dementia: Less Is More - Frankly Speaking Ep 299 Oct 24, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-299

Overview: Polypharmacy is a burden on patients with dementia. Adverse drug reactions, side effects, the cost, and inappropriate medications that may lead to falls and morbidity/mortality may be conferring more harm than benefit. Unfortunately, 44% of men and 57% of women >65 years take five or more nonprescription and/or prescription medications per day. Join us as we discuss methods for deprescribing polypharmacy in this patient population.

Episode resource links:

Growdon, M. E., Gan, S., Yaffe, K., & Steinman, M. A. (2021). Polypharmacy among older adults with dementia compared with those without dementia in the United States. Journal of the American Geriatrics Society, 69(9), 2464–2475. PMID: 34101822 https://doi.org/10.1111/jgs.17291
Narayan, S. W., & Nishtala, P. S. (2017). Discontinuation of Preventive Medicines in Older People with Limited Life Expectancy: A Systematic Review. Drugs & aging, 34(10), 767–776. PMID: 28853000 https://doi.org/10.1007/s40266-017-0487-1

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Leave the Antibiotics on the Shelf for Kids with Lower Respiratory Tract Infections - Frankly Speaking Ep 298 Oct 17, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-298

Overview: : Lower respiratory tract infections are a common presentation in children, and many of those children receive antibiotic prescriptions. Join us for this episode to review evidence that supports avoiding such treatment unless pneumonia or other bacterial infections are suspected.

Episode resource links:

Little P, Francis NA, Stuart B, et al. Antibiotics for lower respiratory tract infection in children presenting in primary care in England (ARTIC PC): a double-blind, randomised, placebo-controlled trial. Lancet. 2021;398(10309):1417-1426

Guest: Jillian Joseph, MSPAS, PA-C
Music Credit: Richard Onorato

Identifying and Testing for COPD in the Primary Care Setting Oct 11, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/identifying-and-testing-for-copd

Overview: “Lung Health Updates for Primary Care Providers: Conversations with NHLBI” is a series of CME podcast episodes produced by Pri-Med in partnership with Learn More Breathe Better®, a program of the National Heart, Lung, and Blood Institute of the National Institutes of Health. In this episode on identifying and testing for COPD in primary care, we are joined by Dr. Antonello Punturieri, a Program Officer with NHLBI’s Division of Lung Diseases, and Dr. Byron Thomashow, Professor Emeritus at Columbia University Medical Center and Co-founder and Chief Medical Officer of the COPD Foundation. We’ll be discussing why primary care providers play such a crucial role in finding COPD cases among patients, the tools to help identify these cases, and the diagnostic criteria that points to starting appropriate treatments.

COPD Treatment for Primary Care Providers Oct 11, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/copd-treatment-for-primary-care-providers

Overview: “Lung Health Updates for Primary Care Providers: Conversations with NHLBI” is a series of CME podcast episodes produced by Pri-Med in partnership with Learn More Breathe Better®, a program of the National Heart, Lung, and Blood Institute of the National Institutes of Health. In this episode on COPD treatment for primary care providers, we are joined by Dr. Mihaela Stefan, a Program Officer with NHLBI’s Division of Lung Diseases, and Dr. MeiLan Han, Professor of Medicine and Chief of the Division of Pulmonary and Critical Care at the University of Michigan. We’ll be discussing the range of treatments for patients diagnosed with COPD using spirometry, including lifestyle interventions, pulmonary rehabilitation, medications, and non-medication COPD treatments.

Probiotics to Prevent Diarrhea During Antibiotic Course in Children - Frankly Speaking EP 297 Oct 10, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-297

Overview: The efficacy of probiotic formulations in the prevention of antibiotic-associated diarrhea remains unclear. Join us to review a recent study in JAMA Pediatrics that attempts to answer this question.

Episode resource links:

Multispecies Probiotic for the Prevention of Antibiotic-Associated Diarrhea in Children A Randomized Clinical Trial

Guest: Robert A. Baldor, MD

Music Credit: Richard Onorato

Preventing Overdose Deaths with Naloxone: Harm Reduction vs Encouraging Use - Frankly Speaking EP 296 Oct 03, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-296

Overview: The number of drug overdoses in the United States continues to rise in tandem with the growing opioid epidemic. In 2020, nearly 92,000 people died from drug overdoses in the United States, which was an approximate 31% increase in just one year. This episode will highlight perceived barriers to harm reduction and show primary care providers how they can play a key role in overdose prevention.

Episode resource links:

https://www.cdc.gov/opioids/overdoseprevention/reverse-od.html
https://www.cdc.gov/drugoverdose/deaths/index.html#:~:text=Drug%20Overdose%20Deaths%20Remain%20High&text=Opioids%E2%80%94mainly%20synthetic%20opioids%20(other,of%20all%20drug%20overdose%20deaths).
Bonner, L. (2022). As the opioid epidemic takes a turn for the worse, do we need more potent forms of naloxone?. Pharmacy Today, 28(3), 26.
Messmer, S., & Jarrett, J. (2022). When Naloxone Isn’t Enough. New England Journal of Medicine.
Tse, W. C., Djordjevic, F., Borja, V., Picco, L., Lam, T., Olsen, A., ... & Nielsen, S. (2022). Does naloxone provision lead to increased substance use? A systematic review to assess if there is evidence of a ‘moral hazard’associated with naloxone supply. International Journal of Drug Policy, 100, 103513.

Guest: Mariyan L. Montaque, DNP, FNP-BC

Music Credit: Richard Onorato

Suspecting COPD: What If the Spirometry Result Is Normal? - Frankly Speaking EP 295 Sep 26, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-295

Overview: Chronic obstructive pulmonary disease (COPD) is typically diagnosed based on spirometry findings, but what if that finding isn’t what you expect? Spirometry measurements are compared to standard values for age, sex, and race. The use of race-based equations has been questioned in several clinical situations, and researchers are now raising similar concerns about the use of race-based equations in spirometry, which may lead to health inequities. Join us for an important discussion on how to overcome these potential disparities in diagnosing COPD.

Episode resource links:

Liu GY, Khan SS, Colangelo LA, et al. Comparing Racial Differences in Emphysema Prevalence Among Adults With Normal Spirometry: A Secondary Data Analysis of the CARDIA Lung Study [published online ahead of print, 2022 Jul 19]. Ann Intern Med. 2022;10.7326/M22-0205.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Avoiding Treatment Delays: Case Conversations in Type 2 Diabetes Sep 21, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/case-conversation-t2dm-part-2

Overview: In the context of a clinical case, faculty will emphasize the importance of developing a guideline-directed diabetes care management plan that places GLP-1 RA therapy before insulin.

Addressing Clinicians’ Challenges and Misinformation Around New and Emerging Treatments for Alzheimer Disease Sep 20, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/alzheimer-disease-addressing-challenges-pt2

Overview: Alzheimer disease (AD) treatment is evolving. With this rapid expansion in potential therapies, there remain challenges and misconceptions. Join neurologist Gad Marshall, MD in this two-part podcast series, as he answers important questions about new and emerging disease-modifying therapies and explores ways in which these treatments may be considered in the future for patients.

The topics covered in this podcast are based on challenges and misconceptions identified from the CME/CE curriculum The Future of Alzheimer Disease: Early Recognition and Emerging Therapy.

Addressing Clinicians’ Challenges and Misinformation Around Diagnosis of Alzheimer Disease Sep 20, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/alzheimer-disease-addressing-challenges-pt1

Overview: Alzheimer disease (AD) is a growing concern as the population ages. Primary care clinicians are often the first to screen for and identify signs of cognitive impairment which may be due to AD. Join neurologist Gad Marshall, MD in this two-part podcast series, as he answers important questions and provides helpful tips for assessing cognitive impairment in primary care and provides insight into the current and emerging role of neuroimaging and biomarkers in the diagnosis of AD.

The topics covered in this podcast are based on challenges and misconceptions identified from the CME/CE curriculum The Future of Alzheimer Disease: Early Recognition and Emerging Therapy.

Proving Cassandra Wrong: The Case For Migraine Prevention Sep 19, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/case-for-migraine-prevention

Overview: This podcast will focus on the case of a patient with migraine attacks that have been increasing in frequency and the disability they cause. Faculty will discuss when to initiate preventive migraine treatment and consider medication options for this patient that will take into account her comorbid conditions and potential issues with adherence.

Your Questions About Migraine Work-Up And Prevention Answered Sep 19, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/your-questions-about-migraine-pt2

Overview: In this podcast, Drs. Dawn Buse and Michael Ready will address questions about migraine diagnosis and treatment posed by Pri-Med learners during recent programs. Topics will include red flags requiring evaluation for serious secondary causes of headache, tips on encouraging patients to use headache diaries, the role of supplements in migraine prevention, and more!

The Best Evidence for Treating Fibromyalgia - Frankly Speaking EP 294 Sep 19, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-294

Overview: Fibromyalgia is a common and difficult to diagnose disease, with highly subjective symptoms. Another challenge is that treatment is dependent on a patient’s implementation lifestyle changes. This brief podcast walks you through the diagnosis of fibromyalgia and offers best evidence on effective treatments.

Episode resource links:

Mediations: JAMA Netw Open. 2022;5(5):e2212939
Acupuncture: J Pain Res. 2022; 15: 315–329

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Wait Before Writing That Antibiotic Prescription! Is it appropriate? - Frankly Speaking EP 293 Sep 12, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-293

Overview: Evidence informs us that almost one-third of antibiotic prescriptions written for children in the United States are inappropriate, meaning they are not in line with evidence-based guidelines. Antibiotics are tremendous tools and beneficial when used appropriately; however, as with all pharmacological therapy, there are risks of adverse effects and healthcare cost. When prescribed inappropriately, they unnecessarily put children at risk and cause financial burden on individuals and the system. Please join the podcast team as we discuss recent evidence on these risks and burden and consider how this evidence can help improve practice.

Episode resource links:

Butler AM, Brown DS, Durkin MJ, et al. Association of Inappropriate Outpatient Pediatric Antibiotic Prescriptions With Adverse Drug Events and Health Care Expenditures. JAMA Netw Open.2022;5(5):e2214153. doi:10.1001/jamanetworkopen.2022.14153

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

To Add Insulin or Not to Add Insulin: Case Conversations in Type 2 Diabetes Sep 06, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/case-conversation-t2dm

Overview: In the context of a clinical case, faculty will emphasize the importance of developing a guideline-directed diabetes care management plan that places GLP-1 RA therapy before insulin.

Reducing the Risk of Alcohol-Associated Liver Disease - Frankly Speaking EP 292 Sep 05, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-292

Overview: Alcohol use disorder is common, but effective medications to treat this disorder are not widely prescribed in the outpatient primary care setting, despite being available and having relatively good formulary coverage. Join us to hear how the use of medical treatment can decrease the incidence and progression of alcohol-associated liver disease.

Episode resource links:

Augustin G. L. Vannier et al, Incidence and Progression of Alcohol-Associated Liver Disease After Medical Therapy for Alcohol Use Disorder, JAMA Network Open (2022). DOI: 10.1001/jamanetworkopen.2022.13014
Tetreault JM, O'Connor PG. Risky drinking and alcohol use disorder: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis. UpToDate. Published April 28, 2022. Accessed June 11, 2022.
Holt SR, Tetrault, JM. Ambulatory Management of alcohol withdrawal. UpToDate. Published May 19, 2022. Accessed June 11, 2022.
Holt SR. Approach to treating alcohol use disorder. UpToDate. Published March 22, 2022. Accessed June 11, 2022.

Guest: Jillian Joseph, MSPAS, PA-C

Music Credit: Richard Onorato

Is Less More When Treating BP in Older Adults? - Frankly Speaking EP 291 Aug 29, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-291

Overview: Concerns have been raised over guideline recommendations for lowering systolic blood pressure (BP) to 60 years. To achieve such targets often requires intensive BP treatments, which can result in harms from syncope or falls. Join us to review the results of a recently published meta-analysis done to estimate the time needed to potentially derive clinical benefit from such BP treatments in patients 60 years and older.

Episode resource links:

JAMA Intern Med. 2022;182(6):660-667. doi:10.1001/jamainternmed.2022.1657

Guest: Robert A. Baldor, MD

Music Credit: Richard Onorato

When Do Food Allergies Resolve? - Frankly Speaking EP 290 Aug 22, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-290

Overview: This brief podcast discusses the prevalence of egg and nut allergies in children, how to lower the risk of developing these allergies, and which patients are at greatest risk. Hear how to best counsel parents about their child’s allergies and help them anticipate their child’s future health.

Episode resource links:

The natural history of peanut and egg allergy in children up to age 6 years in the HealthNuts population-based longitudinal study; Am Aca Allergy, Asthma & Immunol 2022; https://doi.org/10.1016/j.jaci.2022.04.008

Dietary Interventions to pRevent Atopic Disease in Children, AAP 3/19: https://publications.aap.org/aapnews/news/8699

Guest: Jill M. Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Limit Screen Time to Increase Physical Activity - Frankly Speaking Ep 289 Aug 15, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-289

Overview: Excessive screen time has been associated with numerous adverse health outcomes. Join us for a look at a fascinating new study that explores how limiting screen time can increase physical activity in children. Listen to this brief podcast before you counsel your next patient on how screen time can affect their children’s (and their) health.

Episode resource links:

Pedersen J,et al. Effects of Limiting Recreational Screen Media Use on Physical Activity and Sleep in Families With Children: A Cluster Randomized Clinical Trial. JAMA Pediatr. 2022 May 23:e221519
Screen Time and Children. American Academy of Child and Adolescent Psychiatry: https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Children-And-Watching-TV-054.aspx

Guest: Alan Ehrlich MD, FAAFP
Music Credit: Richard Onorato

A Spoonful of Sugar in Your Cup of Joe—Does It Affect Your Health? - Frankly Speaking Ep 288 Aug 08, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-288

Overview: Coffee is one of the most consumed beverages worldwide. An estimated 500 million cups are consumed per day in the United States. As testimony to this, count the number of coffee shops available—most with drive-through access—the next time you are out for a drive. A growing body of evidence indicates that moderate coffee consumption (2-3 cups per day) is associated with reduction in all-cause mortality. What hasn’t been looked at closely is the effect of coffee with sugar and artificial sweeteners on these measures. Join us while we discuss recent evidence regarding consumption of coffee—with or without sweeteners—and its association with all-cause mortality.

Episode resource links:

Liu D, Li ZH, Shen D, Zhang PD, Song WQ, Zhang WT, Huang QM, Chen PL, Zhang XR, Mao C. Association of Sugar-Sweetened, Artificially Sweetened, and Unsweetened Coffee Consumption With All-Cause and Cause-Specific Mortality : A Large Prospective Cohort Study. Ann Intern Med. 2022 May 31. doi: 10.7326/M21-2977. Epub ahead of print. PMID: 35635846.
Wee CC. The Potential Health Benefit of Coffee: Does a Spoonful of Sugar Make It All Go Away? Ann Intern Med. 2022 May 31. doi: 10.7326/M22-1465. Epub ahead of print. PMID: 35635845.

Guest: Susan Feeney, DNP, FNP
Music Credit: Richard Onorato

Biennial Screening Could Decrease False Positives in Screening Mammography - Frankly Speaking Ep 287 Aug 01, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-287

Overview: Join us to discuss the rates of false positives in mammography and how to decrease them. Specifically, this session reviews data from an observational comparative effectiveness study suggesting that the type of mammography, interval, and other factors can affect the probability of false positive results.

Episode resource links:

Ho TH, Bissell MCS, Kerlikowske K, et al. Cumulative Probability of False-Positive Results After 10 Years of Screening With Digital Breast Tomosynthesis vs Digital Mammography. JAMA Netw Open. 2022;5(3):e222440. doi:10.1001/jamanetworkopen.2022.2440
Breast Cancer Screening Guidelines for Women (CDC Chart)—Last reviewed 9-2020 chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.cdc.gov/cancer/breast/pdf/breast-cancer-screening-guidelines-508.pdf
Canelo-Aybar, C., Posso, M., Montero, N. et al. Benefits and harms of annual, biennial, or triennial breast cancer mammography screening for women at average risk of breast cancer: a systematic review for the European Commission Initiative on Breast Cancer (ECIBC). Br J Cancer 126, 673–688 (2022). https://doi.org/10.1038/s41416-021-01521-8

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Struggling with Weight Loss: Case Conversations in Type 2 Diabetes Jul 27, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/struggling-with-weight-loss

In the context of a clinical case, faculty will explain how to use patient-centered communication to present pharmacotherapeutic options for weight loss and blood glucose management that follow evidence-based guidelines.

USPSTF: Aspirin No Longer Recommended for Primary Prevention - Frankly Speaking Ep 286 Jul 25, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-286

Overview: The controversy surrounding whether to prescribe aspirin for primary prevention of cardiovascular disease in adult patients has left many clinicians unsure of the right approach. In this podcast, we’ll review the latest USPSTF recommendation on this topic and dig into the evidence behind the recommendation.

Episode resource links:

JAMA. 2022;327(16):1577-1584. doi:10.1001/jama.2022.4983

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Tirzepatide: A New Treatment for Diabetes - Frankly Speaking Ep 285 Jul 18, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-285

Overview: Join us for a closer look at tirzepatide, a first-in-class glucose-dependent insulinotropic peptide (GIP) and a glucagon-like peptide-1 receptor agonist (GLP-1 RA). See how this novel glucose-lowering agent can help raise the bar in both HbA1c lowering and weight loss in patients with type 2 diabetes mellitus.

Episode resource links:

Karagiannis T, Avgerinos I, Liakos A, Del Prato S, Matthews DR, Tsapas A, Bekiari E. Management of type 2 diabetes with the dual GIP/GLP-1 receptor agonist tirzepatide: a systematic review and meta-analysis. Diabetologia. 2022 May 17:1–11.

Guest: Alan Ehrlich MD, FAAFP
Music Credit: Richard Onorato

What Are the Best Agents to Treat Male Baldness? - Frankly Speaking Ep 284 Jul 11, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-284

Overview: Most primary care clinicians treating patients with male androgenetic alopecia are unfamiliar with studies looking at off-label use of medications for this condition. In this episode, you will hear a review of an important recent meta-analysis published in JAMA Dermatology that highlights the efficacy of commonly used agents to treat this condition.

Episode resource links:

JAMA Dermatol. doi:10.1001/jamadermatol.2021.5743

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Clearing the Air in COPD - Frankly Speaking Ep 283 Jul 04, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-283

Overview: Listen to this podcast to hear a simple method to help those with COPD improve their symptom control and lower exacerbation rates.

Episode resource links:

Am J Respir Crit Care Med Vol 205, Iss 4, pp 421–430, Feb 15, 2022

Guest: Jillian Joseph, MSPAS, PA-C
Music Credit: Richard Onorato

The Case of a Patient with Migraine and Cardiovascular Disease Jul 01, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/migraine-and-cardiovascular-disease-case

Overview:

This podcast will focus on the case of a patient with a long history of periodic migraine attacks whose previously preferred acute medication is now contraindicated because of a recently acquired comorbid condition. Faculty will consider newer medication options for this patient that will take into account his employment requirements and individual preferences, as well as his medical history.

Your Questions About Migraine Answered Jul 01, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/your-questions-about-migraine

Overview:

In this podcast, Dr. Dawn Buse will address questions about migraine diagnosis and treatment posed by Pri-Med learners during recent programs. Topics will include deciding when imaging is appropriate in the evaluation of headache, distinguishing between migraine and cluster headache, determining which patients would benefit from preventive migraine therapy, considering how long to use a preventive therapy before determining it to be ineffective, managing menstrual migraines, and treating migraine in children and adolescents.

A Primer on Monkeypox - Frankly Speaking Ep 282 Jun 27, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-282

Overview: Monkeypox is endemic in certain parts of Africa, but outbreaks in Europe and North America have recently occurred. While still uncommon, clinicians need to be alert to the possibility of this diagnosis. This podcast gives you the tools you need to identify risk factors and distinguish the disease from other infections.

Episode resource links:

World Health Organization Health Topics/Monkeypox https://www.who.int/health-topics/monkeypox#tab=tab_1
Disease outbreak New/Item/Multi-country monkeypox outbreak: situation update 6-10-2022 https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON392

Guest: Alan Ehrlich MD, FAAFP
Music Credit: Richard Onorato

Access to Care: Safety of Medication Abortion - Frankly Speaking Ep 281 Jun 20, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-281

Overview: Clinicians may hesitate to provide medication abortion without first performing a pelvic ultrasound or pelvic examination, but recent data may give clinicians more confidence in their decision to do so. This episode explores the evidence for the safety of telehealth-based, or no-test screening, approaches to providing medication abortion for pregnant women at less than 10 weeks’ gestation.

Episode resource links:

Upadhyay UD, Raymond EG, Koenig LR, et al. Outcomes and Safety of History-Based Screening for Medication Abortion: A Retrospective Multicenter Cohort Study. JAMA Intern Med. Published online March 21, 2022. doi:10.1001/jamainternmed.2022.0217
Upadhyay UD, Koenig LR, Meckstroth KR. Safety and Efficacy of Telehealth Medication Abortions in the US During the COVID-19 Pandemic. JAMA Network Open. 2021;4(8):e2122320. doi:10.1001/jamanetworkopen.2021.22320
Endler M, Lavelanet A, Cleeve A, Ganatra B, Gomperts R, Gemzell-Danielsson K. Telemedicine for medical abortion: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology. 2019;126(9):1094-1102. doi:10.1111/1471-0528.15684

Guest: Jillian Joseph, MSPAS, PA-C
Music Credit: Richard Onorato

Emerging Solutions for Cancer Screening Challenges: Multi-Cancer Early Detection Jun 17, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/multi-cancer-early-detection

Overview:

Carve out 15 minutes in your day to listen to an expert-led podcast on the current landscape of cancer screening and how emerging technology in multi-cancer early detection (MCED) screening tests will likely improve this landscape. Listen while experts define this new technology, explain how it works, and discuss its benefits and limitations. Find out how available and emerging MCED tests can augment your current screening strategies and optimize cancer detection, potentially catching a greater number of early-stage cancers and saving lives.

Statins for Cardiovascular Disease—It’s All Relative - Frankly Speaking Ep 280 Jun 13, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-280

Overview: Statins are widely used for lowering cholesterol in patients at risk for cardiovascular disease. While the benefit is more established with secondary prevention compared with primary prevention, most of the benefits are reported in relative risk reduction, which can exaggerate the benefit to an individual person. In this podcast, you’ll hear a discussion of a recent systematic review that looked at the absolute risk reduction and relative risk reduction with statins for preventing death, myocardial infarctions, and stroke.

Episode resource links:

Byrne, P. , Demasi, M. , Jones, M. , et al. Evaluating the Association Between Low-Density Lipoprotein Cholesterol Reduction and Relative and Absolute Effects of Statin Treatment. JAMA Internal Medicine

Guest: Alan Ehrlich MD, FAAFP
Music Credit: Richard Onorato

Step It Up! But by How Much? - Frankly Speaking Ep 279 Jun 06, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-279

Overview: Clinicians (and patients) know that walking is beneficial for overall health, but what are the specifics? How many steps per day lower health risks? What impact does walking have on mortality? What’s the best way to count steps? Join us to hear answers to these questions and more as we discuss evidence-based recommendations for steps/day.

Episode resource links:

Paluch, A. E., Bajpai, S., Bassett, D. R., Carnethon, M. R., Ekelund, U., Evenson, K. R., Galuska, D. A., Jefferis, B. J., Kraus, W. E., Lee, I. M., Matthews, C. E., Omura, J. D., Patel, A. V., Pieper, C. F., Rees-Punia, E., Dallmeier, D., Klenk, J., Whincup, P. H., Dooley, E. E., Pettee Gabriel, K., … Steps for Health Collaborative (2022). Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts. The Lancet. Public health, 7(3), e219–e228. https://doi.org/10.1016/S2468-2667(21)00302-9
https://www.cdc.gov/physicalactivity/index.html This website includes data, resources and information for patients and providers for physical activity.

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

Forget About Weed - Frankly Speaking Ep 278 May 30, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-278

Overview: Misconceptions abound on the long-term effects of chronic use of marijuana. This episode tackles these misconceptions head-on, highlighting new data on marijuana’s adverse effects on central nervous system function, including loss of memory, IQ points, and executive functioning. It’s a must-listen for clinicians caring for patients engaging in regular marijuana use.

Episode resource links:

Am J Psych 8 Mar 2022 https://doi.org/10.1176/appi.ajp.2021.21060664

Guest: Jillian Joseph, MSPAS, PA-C
Music Credit: Richard Onorato

New and Emerging Therapies for Alzheimer Disease: Anti-Amyloid Therapies May 26, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/alzheimer-disease-detection-pt2

Overview:

This short podcast will focus on new and emerging monoclonal antibody therapies targeting β-amyloid, with a focus on the importance of early recognition and diagnosis of Alzheimer disease to allow prompt treatment for patients in the early stages of the disease who may derive the most benefit from these agents.

Why Is Early Detection of Alzheimer Disease So Important? May 23, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/alzheimer-disease-detection-pt1

Overview:

Despite the growing prevalence and devastating effects of Alzheimer disease (AD), mild cognitive impairment (MCI) often goes unrecognized in the primary care setting. This brief podcast highlights the need for primary care providers to identify individuals with MCI as early as possible so they can be assessed and, if diagnosed with AD, treated promptly. Expert faculty will explore the manifold benefits of early evaluation, which can include identifying reversible causes of MCI, taking advantage of new effective treatments, and reducing patients’ risk of premature mortality. You’ll walk away from this podcast with strategies to help you earlier identify these patients and, ultimately, maintain their cognitive abilities and quality of life for a longer period.

Pneumococcal Vaccines Simplified! - Frankly Speaking Ep 277 May 23, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-277

Overview: Join us to discuss a summary of the newly published guidelines for pneumococcal vaccines and to review the most recently approved vaccines. We’ll begin by describing the challenges from the previous guidelines and how these new guidelines address these challenges. Given the burden of pneumococcal disease and that vaccination is our best weapon to combat the disease, you won’t want to miss this episode.

Episode resource links:

Morga, A., Kimura, T., Feng, Q., Rozario, N., & Schwartz, J. (2022). Compliance to Advisory Committee on Immunization Practices recommendations for pneumococcal vaccination. Vaccine.
https://www.medscape.com/viewarticle/967675#vp_1
Schulz, P. S., Moore, S. E., Smith, D., Javed, J., & Wilde, A. M. (2022, April). Missed Pneumococcal Vaccination Opportunities in Adults With Invasive Pneumococcal Disease in a Community Health System. In Open Forum Infectious Diseases (Vol. 9, No. 4, p. ofac075). US: Oxford University Press.
Center for disease Control and Prevention Resources: App for iphone and android PneumoRecs

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

Does Acetaminophen Increase Stroke Risk? - Frankly Speaking Ep 276 May 16, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-276

Overview: The concerns over the use of NSAIDs have been well documented. The medications can raise blood pressure and have been linked to an increased risk of heart disease and stroke when used long term. These known risks, supported by the FDA’s warning in 2005, has prompted many clinicians to prescribe acetaminophen instead. But do acetaminophen products confer a lower risk of cardiovascular effects? Join us for this episode to review the results from recent trials assessing similar blood pressure effects from regular use of acetaminophen.

Episode resource links:

https://doi.org/10.1161/CIRCULATIONAHA.121.056015 Circulation. 2022;145:416–423
https://doi.org/10.1093/eurheartj/ehac059; European Heart Journal. 2,24,2022

Guest: Robert A. Baldor MD, FAAFP
Music Credit: Richard Onorato

Breastfeeding Really Is Best—New Evidence for Improved Health in Infants - Frankly Speaking Ep 275 May 09, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-275

Overview: The multitude of benefits of breastfeeding for both mother and baby are well documented. However, we’ve seen mixed evidence for the relationship between breastfeeding and certain childhood lung conditions, with some studies suggesting an increase in risk. A recent study found that exclusive breastfeeding was associated with decreased lower respiratory tract infection (LRTI), asthma, and allergic rhinitis. A potential connection between these conditions, breastfeeding, and the infant’s gut microbiome was also found. Join us as we discuss these findings and how to incorporate them into your practice to improve the health of women and infants.

Episode resource links:

Rosas-Salazar C, Shilts MH, Tang ZZ, Hong Q, Turi KN, Snyder BM, Wiggins DA, Lynch CE, Gebretsadik T, Peebles RS Jr, Anderson LJ, Das SR, Hartert TV. Exclusive Breastfeeding, the Early-life Microbiome and Immune Response, and Common Childhood Respiratory Illnesses. J Allergy Clin Immunol. 2022 Mar 10:S0091-6749(22)00292-5. doi: 10.1016/j.jaci.2022.02.023. Epub ahead of print. PMID: 35283139.
Rosas-Salazar C, Forno E, Brehm JM, Han YY, Acosta-Pérez E, Cloutier MM, Wakefield DB, Alvarez M, Colón-Semidey A, Canino G, Celedón JC. Breastfeeding duration and asthma in Puerto Rican children. Pediatr Pulmonol. 2015 Jun;50(6):527-34. doi: 10.1002/ppul.23061. Epub 2014 Aug 6. PMID: 25100626; PMCID: PMC4320027.
AAP Breastfeeding Guidelines. https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Where-We-Stand-Breastfeeding.aspx
ACOG. https://www.acog.org/womens-health/infographics/breastfeeding-benefits
CDC Recommendations and Benefits of Breastfeeding. https://www.cdc.gov/nutrition/infantandtoddlernutrition/breastfeeding/recommendations-benefits.html
CDC Breastfeeding Report Card. https://www.cdc.gov/breastfeeding/data/reportcard.htm
US Dietary Guidelines for Americans. https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf#page=65

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Recurrent UTIs—Prevention Without Antibiotics - Frankly Speaking Ep 274 May 02, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-274

Overview: Recurrent urinary tract infections (UTIs) can be a frustrating problem for both patients and clinicians. Antibiotics are often used, but a prevailing concern is that the overuse of antibiotics may lead to more resistant bacteria. This podcast discusses methenamine hippurate as an important nonantibiotic alternative for UTI prophylaxis.

Episode resource links:

Harding C, Mossop H, Homer T, et al. Alternative to prophylactic antibiotics for the treatment of recurrent urinary tract infections in women: multicentre, open label, randomised, non-inferiority trial. BMJ. 2022 Mar 9;376:e068229.
Lee BS, Bhuta T, Simpson JM, Craig JC. Methenamine hippurate for preventing urinary tract infections. Cochrane Database Syst Rev. 2012;10(10):CD003265. Published 2012 Oct 17.

Guest: Alan Ehrlich MD, FAAFP
Music Credit: Richard Onorato

A Smoke Screen? Is Secondhand Aerosol Exposure From E-Cigarettes harmful? - Frankly Speaking Ep 273 Apr 25, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-273

Overview: The evidence continues to grow and evolve on the potential harms of e-cigarette use and on their efficacy and safety as a harm reduction strategy. One aspect of e-cigarette use that has not received much attention is the effect of secondhand exposure to the exhaled aerosol from e-cigarettes. Previous small studies have suggested some exposure risk, but a recent study of >2,000 participants found that secondhand exposure to e-cigarette aerosol increased the risk of bronchitic symptoms and shortness of breath in young adults. Join us as we discuss these findings and their implications to practice.

Episode resource links:

Islam T, Braymiller J, Eckel SP, et al
Secondhand nicotine vaping at home and respiratory symptoms in young adults
Thorax Published Online First: 10 January 2022. doi: 10.1136/thoraxjnl-2021-217041
Caponnetto P, Caruso M, Maglia M, et al. Non-inferiority trial comparing cigarette consumption, adoption rates, acceptability, tolerability, and tobacco harm reduction potential in smokers switching to Heated Tobacco Products or electronic cigarettes: Study protocol for a randomized controlled trial. Article. Contemporary Clinical Trials Communications. 2020;17100518. doi:10.1016/j.conctc.2020.100518
Gaiha SM, et al. J Adolesc Health. Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19. J Adolesc Health. Vol 67, issue 4, pp 519-523; DOI: https://doi.org/10.1015/j.jadolhealth.2020.07.002
Hartmann-Boyce J, McRobbie H, Lindson N, et al. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. Apr 29 2021;4:CD010216. doi:10.1002/14651858.CD010216.pub5
Mayo Clinic. (2022, January 13). E-cigarette users who test positive for COVID-19 are more likely to experience COVID-19 symptoms. ScienceDaily. Retrieved January 17, 2022 from www.sciencedaily.com/releases/2022/01/220113151402.htm
McAlinden KD, Eapen MS, Lu W, Chia C, Haug G, Sohal SS. COVID-19 and vaping: risk for increased susceptibility to SARS-CoV-2 infection? Eur Respir J. 2020. vol. 1.
McFadden, DD, Bornstein, SL, Vassallo, R, Salonen, BR, Nadir Bhuiyan, M, Schroeder, DR, Croghan, IK. Symptoms COVID 19 Positive Vapers Compared to COVID 19 Positive Non-vapers. Journal of Primary Care & Community Health, 2022; 13: 215013192110626 DOI: 10.1177/21501319211062672

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Estimating Jugular Venous Pressure: Point-of-Care Ultrasound Can Help - Frankly Speaking Ep 272 Apr 18, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-272

Overview: Clinicians need to accurately assess the degree of heart failure at the bedside to make appropriate management decisions. However, the common bedside practice of estimating right atrial pressure by measuring jugular venous pressure (JVP) has several accuracy limitations. This session focuses on the use of point-of-care ultrasound (POC-US) to improve the accuracy of JVP measurements. Join us to hear the salient findings from a recent study comparing POC-US measurements to right heart catheterization measurements, and walk away with a clear understanding of how POC-US can quickly and easily improve accuracy.

Episode resource links:

Wang L, Harrison J, Dranow E, Aliyev N, Khor L. Accuracy of Ultrasound Jugular Venous Pressure Height in Predicting Central Venous Congestion. Ann Intern Med. 2021 Dec 28. doi: 10.7326/M21-2781. Epub ahead of print.

Guest: Alan Ehrlich MD, FAAFP
Music Credit: Richard Onorato

Cardiovascular Disease and Exercise - Frankly Speaking Ep 271 Apr 11, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-271

Overview: Given the prevalence of cardiovascular disease (CVD) in the United States, it is key for primary care providers to counsel patients on the importance of exercise for CVD prevention. This brief podcast explores data that will help clinicians understand the need to prescribe exercise and rehabilitation in the primary care setting. You’ll walk away with clear guidance to offer patients and ultimately improve outcomes in CVD as well as multiple chronic diseases.

Episode resource links:

Naci, H., & Ioannidis, J. P. (2015). Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. British journal of sports medicine, 49(21), 1414–1422. https://doi.org/10.1136/bjsports-2015-f5577rep
Sanchis-Gomar, F., Lavie, C. J., Marín, J., Perez-Quilis, C., Eijsvogels, T. M., O’Keefe, J. H., ... & Blair, S. N. (2021). Exercise effects on cardiovascular disease: from basic aspects to clinical evidence. Cardiovascular Research.

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

Boosting Weight Loss with Medications: New support for GLP-1 RAs - Frankly Speaking Ep 270 Apr 04, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-270

Overview: You know GLP-1 RAs are an important class of agents for weight loss, but do you know which drug within this class is right for your patient? This brief podcast walks you through the recent evidence from the STEP 8 randomized clinical trial, comparing the efficacy and adverse reaction profiles for 2 GLP-1 RAs: semaglutide (Wegovy) and liraglutide (Saxenda). This is a must-listen for anyone looking to optimally individualize care for patients with obesity.

Episode resource links:

Rubino DM, Greenway FL, Khalid U, et al. Effect of Weekly Subcutaneous Semaglutide vs Daily Liraglutide on Body Weight in Adults With Overweight or Obesity Without Diabetes: The STEP 8 Randomized Clinical Trial. JAMA. 2022;327(2):138–150. doi:10.1001/jama.2021.23619

Guest: Jillian Joseph, MSPAS, PA-C
Music Credit: Richard Onorato

Screen Patients Early and Routinely for Prescription Drug Misuse - Frankly Speaking Ep 269 Mar 28, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-269

Overview: Join us as we discuss the trajectories of prescription drug misuse from adolescence through adulthood. This session explores the findings from a longitudinal cohort study demonstrating the need for screening patients from adolescence through adulthood for substance use disorder. You’ll walk away with the tools and resources you need to accurately screen patients and determine next best steps for each individual.
Episode resource links:

McCabe, S. E., Schulenberg, J. E., Schepis, T. S., Evans-Polce, R. J., Wilens, T. E., McCabe, V. V., & Veliz, P. T. (2022). Trajectories of Prescription Drug Misuse Among US Adults From Ages 18 to 50 Years. JAMA network open, 5(1), e2141995. https://doi.org/10.1001/jamanetworkopen.2021.41995 PMID: 34982159
National Institute on Drug Abuse (NIDA) Drug Screening Tool for use in general medical settings: https://archives.drugabuse.gov/nmassist/
National Institute on Drug Abuse (NIDA) Evidence Based Screening and Assessment Tools and Resources (Includes adults and adolescents) https://www.drugabuse.gov/nidamed-medical-health-professionals/screening-tools-resources/chart-screening-tools

Guest: Jill M. Terrien PhD, ANP-BC
Music Credit: Richard Onorato

PrEP: Are We Educating Patients Effectively? - Frankly Speaking Ep 268 Mar 21, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-268

Overview: This episode will help bring awareness to the importance of educating patients about post-exposure prophylaxis (PrEP) in the primary care setting. This talk will also discuss how to reduce the stigma surrounding this prevention method. Finally, you will hear about the newly FDA approved PrEP treatment option that could potentially improve outcomes for patients.
Episode resource links:

https://www.healio.com/news/infectious-disease/20211220/fda-approves-first-longacting-injectable-for-hiv-prevention
Philbin, M. M., Parish, C., Kinnard, E. N., Reed, S. E., Kerrigan, D., Alcaide, M. L., ... & Metsch, L. R. (2021). Interest in long-acting injectable pre-exposure prophylaxis (LAI PrEP) among women in the women’s interagency HIV study (WIHS): a qualitative study across six cities in the United States. AIDS and Behavior, 25(3), 667-678.
Kim Y. S. (2021). Long-Acting Injectable Antiretroviral Agents for HIV Treatment and Prevention. Infection & chemotherapy, 53(4), 686–695. https://doi.org/10.3947/ic.2021.0136
CDC Practice guidelines https://www.cdc.gov/hiv/pdf/risk/prep/cdc-hiv-prep-guidelines-2021.pdf

Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

Bad News for E-Cigarette Users—Possible Link Between E-Cigarettes And ED - Frankly Speaking Ep 267 Mar 14, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-267

Overview: The clinical literature is filled with new and evolving evidence on the use of e-cigarettes and potential harms. The question of their use as a harm reduction strategy is a hotly debated topic—pitting traditional combustible tobacco with its well-known effect on morbidity and mortality against electronic nicotine delivery systems (ENDS), which although not harmless, are considered less harmful than smoked cigarettes. Recent evidence is emerging on the potential cardiovascular risks posed by newer generations of ENDS with far greater delivery of nicotine. Join us while we discuss the findings from a recent study that examines ENDS use and associated increase rates of erectile dysfunction (ED) and how this information may impact your practice.
Episode resource links:

El-Shahawy O, Shah T, Obisesan OH, Durr M, Stokes AC, Uddin I, Pinjani R, Benjamin EJ, Mirbolouk M, Osei AD, Loney T, Sherman SE, Blaha MJ. Association of E-Cigarettes With Erectile Dysfunction: The Population Assessment of Tobacco and Health Study. Am J Prev Med. 2022 Jan;62(1):26-38. doi: 10.1016/j.amepre.2021.08.004. Epub 2021 Nov 30. PMID: 34922653.
Caponnetto P. Well-being and harm reduction, the consolidated reality of electronic cigarettes ten years later from this emerging phenomenon: A narrative review. Health Psychol Res. Dec 30 2020;8(3):9463. doi:10.4081/hpr.2020.9463
Hartmann-Boyce J, McRobbie H, Lindson N, et al. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. Apr 29 2021;4:CD010216. doi:10.1002/14651858.CD010216.pub5

Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Fever Free: Acetaminophen or Ibuprofen?- Frankly Speaking Ep 266 Mar 07, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-266

Overview: ‘Tis the season for pediatric fevers! Join us to review a recent meta-analysis looking at 18 studies with patients younger than 2 years old who received acetaminophen or ibuprofen for fever or pain to determine if one medication should be recommended first, before the other. After this session, you’ll be able to confidently advise parents of young children on how best to manage fever and/or pain at home with over-the-counter medications.
Episode resource links:

Long B, Gottlieb M. Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years. Am Fam Physician. 2022 Jan ;105(1):19.
Wong T, Stang AS, Ganshorn H, Hartling L, Maconochie IK, Thomsen AM, Johnson DW. Combined and alternating paracetamol and ibuprofen therapy for febrile children. Evid Based Child Health. 2014 Sep;9(3):675-729. doi: 10.1002/ebch.1978. PMID: 25236309.
Sullivan JE, Farrar HC. Fever and Antipyretic Use in Children. Pediatrics (2011) 127 (3): 580-587. (Reaffirmed 2016)

Guest: Jillian Joseph, MSPAS, PA-C
Music Credit: Richard Onorato

Fluvoxamine as a Treatment for COVID-19 - Frankly Speaking Ep 265 Feb 28, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-265

Overview: Most cases of COVID-19 will resolve without interventions, but some patients are at high risk for complications. Several treatment options for high-risk patients are now available to help prevent the need for hospitalization. Join us to review a recent large, randomized trial evaluating fluvoxamine as a treatment for high-risk patients who were diagnosed with COVID-19.
Episode resource links:

Reis G, et al. TOGETHER investigators. Effect of early treatment with fluvoxamine on risk of emergency care and hospitalisation among patients with COVID-19: the TOGETHER randomised, platform clinical trial. Lancet Glob Health. 2022 Jan;10(1):e42-e51
Berwanger O. Fluvoxamine for outpatients with COVID-19: where do we stand? Lancet Glob Health. 2022 Jan;10(1):e2-e3. doi: 10.1016/S2214-109X(21)00501-5
https://activ6study.org/

Guest: Alan M. Ehrlich, MD, FAAFP
Music Credit: Richard Onorato

COVID-19 and Children - Frankly Speaking Ep 264 Feb 22, 2022

Credits: 0.25 AMA PRA Category 1 Credit™
CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-264

Overview: Get answers to your questions on COVID-19 infection in children. Listen to this podcast to review outcomes and potential risk factors associated with acute COVID-19 infection in this population. Finally, learn the status of immunizations for children younger than 5 years of age.
Episode resource links:

JAMA Netw Open. 2022;5(1):e2142322. doi:10.1001/jamanetworkopen.2021.42322

Guest: Jillian Joseph, MSPAS, PA-C
Music Credit: Richard Onorato

COVID-19 and Children - Frankly Speaking Ep 264 Feb 21, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-264

Overview: Get answers to your questions on COVID-19 infection in children. Listen to this podcast to review outcomes and potential risk factors associated with acute COVID-19 infection in this population. Finally, learn the status of immunizations for children younger than 5 years of age.

Episode resource links:

JAMA Netw Open. 2022;5(1):e2142322. doi:10.1001/jamanetworkopen.2021.42322

Guest: Jillian Joseph, MSPAS, PA-C

Music Credit: Richard Onorato

Oral Anti−COVID-19 Medications—a Game Changer? - Frankly Speaking Ep 263 Feb 14, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-263

Overview: The FDA’s recent emergency use authorization (EUA) for oral agents to treat COVID-19 means that primary care providers (PCPs) will be on the frontline of treating patients with COVID-19. Therefore, PCPs must understand who is eligible for such treatments and how to prescribe them. We will discuss the results of the recent FDA EUA for Pfizer’s Paxlovid and Merck’s molnupiravir antiviral agents and give you the information you need to confidently prescribe them.

Episode resource links:

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Menopausal Transition: Bothersome Symptoms Sooner Than You Expect! - Frankly Speaking Ep 262 Feb 07, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-262

Overview: Join us as we discuss menopausal transition and the unique qualities and symptoms that are bothersome to women at an early age.

Episode resource links:

Coslov, N., Richardson, M. K., & Woods, N. F. (2021). Symptom experience during the late reproductive stage and the menopausal transition: observations from the Women Living Better survey. Menopause (New York, N.Y.), 28(9), 1012–1025. https://doi.org/10.1097/GME.0000000000001805 https://pubmed.ncbi.nlm.nih.gov/34313615/
ACOG Practice Guidelines: Clinical Guidelines on the Management of Menopausal Symptoms: https://www.aafp.org/afp/2014/0901/p338.html
Women Living Better Website: https://womenlivingbetter.org/
Maki, P. M., Kornstein, S. G., Joffe, H., Bromberger, J. T., Freeman, E. W., Athappilly, G., Bobo, W. V., Rubin, L. H., Koleva, H. K., Cohen, L. S., Soares, C. N., & Board of Trustees for The North American Menopause Society (NAMS) and the Women and Mood Disorders Task Force of the National Network of Depression Centers (2018). Guidelines for the evaluation and treatment of perimenopausal depression: summary and recommendations. Menopause (New York, N.Y.), 25(10), 1069–1085. https://doi.org/10.1097/GME.0000000000001174 https://pubmed.ncbi.nlm.nih.gov/30179986/
Johnson, A., Roberts, L., & Elkins, G. (2019). Complementary and Alternative Medicine for Menopause. Journal of evidence-based integrative medicine, 24, 2515690X19829380. https://doi.org/10.1177/2515690X19829380 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419242/
Barnard, N; Kahleova, H; Holtz, D; del Aguila, F; Neola, M; Crosby, Lelia M.& Holubkov, R (2021). The Women's Study for the Alleviation of Vasomotor Symptoms (WAVS): a randomized, controlled trial of a plant-based diet and whole soybeans for postmenopausal women, Menopause 28 (10), 1150-1156 doi: 10.1097/GME.0000000000001812

Guest: Jill M. Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Getting in the LOOP About Atrial Fibrillation and Stroke - Frankly Speaking Ep 261 Jan 31, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-261

Overview: Stroke is a major health problem, and the risk of stroke is five-times higher in individuals with atrial fibrillation (AF) than those without. AF can be asymptomatic or subclinical. In 18% of AF patients, the condition is only detected at the time of stroke. It is not known whether individuals whose AF is deterred via screening carry a similar risk to individuals with known AF. A recent randomized trial evaluated a screening program for AF in individuals at high risk of stroke; for individuals identified with AF, anticoagulation was given for stroke prevention.

Episode resource links:

Svendsen JH, Diederichsen SZ, Højberg S et al. Implantable loop recorder detection of atrial fibrillation to prevent stroke (The LOOP Study): a randomised controlled trial. Lancet. 2021 Oct 23;398(10310):1507-1516.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Avoiding Aspirin in the Elderly: More Than Increased Bleeding Risk - Frankly Speaking Ep 260 Jan 24, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-260

Overview: We will review the current USPSTF recommendations regarding aspirin use to reduce the risk of CVD and colorectal cancer. Additionally, we will discuss as well as the findings of the ASPREE (ASPirin in reducing events in the elderly) randomized clinical trial.

Episode resource links:

POEMs: In Older Adults, Aspirin Increases the Risk of Metastatic of Stage 4 Cancers and Cancer Mortality. Barry, Henry C. Am Fam Physician. 2021 Sep; 104(2):online
Effect of Aspirin on Cancer Incidence and Mortality in Older Adults. McNeil, John. JNCI: Journal of the National Cancer Institute Volume: 113 Issue 3 (2021) ISSN: 0027-8874 Online ISSN: 1460-2105

Guest: Jillian Joseph, MSPAS, PA-C

Music Credit: Richard Onorato

Improving Recovery from Concussion: New Evidence That May Help Post-Concussion Recuperation - Frankly Speaking EP 259 Jan 17, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-259

Overview: Per CDC data, approximately 2.5 million Americans present each year to emergency departments with head injuries, and 15% of all high school students report experiencing at least one concussion. Current guidelines recommend physical and cognitive rest for 24-48 hours post-concussion with minimal guidance on screen time parameters. Recent evidence is emerging that supports avoidance of screen time and encouragement of aerobic activity as strategies to shorten and lessen post-concussion symptoms. Join us as we discuss 2 recent studies regarding screen-time and aerobic exercise that add critical information to best practice for reducing post-concussion symptoms.

Episode resource links:

John J Leddy, Christina L Master, Rebekah Mannix, Douglas J Wiebe, Matthew F Grady, William P Meehan, Eileen P Storey, Brian T Vernau, Naomi J Brown, Danielle Hunt, Fairuz Mohammed, Andrea Mallon, Kate Rownd, Kristy B Arbogast, Adam Cunningham, Mohammad N Haider, Andrew R Mayer, Barry S Willer. Early targeted heart rate aerobic exercise versus placebo stretching for sport-related concussion in adolescents: a randomised controlled trial. The Lancet Child & Adolescent Health, 2021; DOI: 10.1016/S2352-4642(21)00267-4
Macnow T, Curran T, Tolliday C, et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatr. Published online September 07, 2021. doi:10.1001/jamapediatrics.2021.2782
https://jamanetwork.com/journals/jamapediatrics/article-abstract/2783638#graphical-abstract-tab
DePadilla L, Miller GF, Jones SE, Peterson AB, Breiding MJ. Self-reported concussions from playing a sport or being physically active among high school students—United States, 2017. MMWR Morb Mortal Wkly Rep. 2018;67(24):682-685. doi:10.15585/mmwr.mm6724a3
University at Buffalo. (2021, September 30). Aerobic exercise after a sport-related concussion speeds recovery in adolescent athletes, study suggests: Daily aerobic exercise significantly reduced the risk of prolonged recovery. ScienceDaily. Retrieved October 2, 2021 from www.sciencedaily.com/releases/2021/09/210930213654.htm
McCrory P ,Meeuwisse W,Dvorak J,etal. Consensus statement on concussion in sport—the 5th International Conference on Concussion in Sport held in Berlin, October 2016. Br J Sports Med. 2017;51(11):838-847. doi:10.1136/bjsports-2017- 097699
Centers for Disease Control and Prevention. Recovery from concussion. Centers for Disease Control and Prevention; 2019. Accessed October 12, 2020. https://www.cdc.gov/headsup/basics/ concussion_recovery.html.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

A Brainy Approach to Treating Chronic Low Back Pain - Frankly Speaking Ep 258 Jan 10, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-258

Overview: Chronic pain affects 20% of people in the United States, and chronic low back pain is the most common cause of chronic pain. Although some treatments can reduce the severity of the pain, the persistence of chronic low back pain is a source of frustration for both patients and clinicians. Join us to discuss how behavioral and psychological therapy should be part of the treatment for chronic low back pain and how new approaches may be much more effective than existing therapies.

Episode resource links:

Ashar YK, Gordon A, Schubiner H, et al. Effect of Pain Reprocessing Therapy vs Placebo and Usual Care for Patients With Chronic Back Pain: A Randomized Clinical Trial. JAMA Psychiatry. Published online September 29, 2021.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Recommendations for the Treatment of Gout - Frankly Speaking Ep 257 Jan 03, 2022

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-257

Overview: Gout is a common condition seen in primary care, and the incidence and prevalence continue to rise. Despite previous recommendations from the American College of Rheumatology, urate-lowering therapy is still underused. Listen to this episode for a concise overview of the American College of Rheumatology’s updates for the management of gout and walk away with a clear understanding of the first-line treatment options for acute gout flares.

Episode resource links:

Management of Gout: Update from the American College of Rheumatology. Dakkak, M., Lanney, H. Am Fam Physician. 2021 Aug ;104(2):209-210.
2020 American College of Rheumatology Guideline for the Management of Gout. Fitzgerald, J. D. et al. Arthritis Care Res (Hoboken). June 2020;72(6):744–760 [published corrections appear in Arthritis Care Res (Hoboken). 2020;72(8):1187, and Arthritis Care Res (Hoboken). 2021;73(3):458]

Guest: Jillian Joseph, MSPAS, PA-C

Music Credit: Richard Onorato

Favorite Podcast of 2021 - Frankly Speaking EP 256 Dec 27, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-256

Overview: Live at Pri-Med East! In this episode, each podcaster will discuss the most impactful paper and podcast of the year.

Episode resource links:

Ngan, H.Y, et al (2021), Diabet Med, 38: e14525. https://doi.org/10.1111/dme.14525
J Clin Gastroenterol 2021: DOI: 10.1097/MCG.0000000000001561
Mehta RS, etal. JAMA Intern Med. doi:10.1001/jamainternmed.2020.7238
https://www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/aspirin-use-to-prevent-cardiovascular-disease-preventive-medication
Hypertension. 2021;78:591–603. DOI: 10.1161/HYPERTENSIONAHA.120.16667

Guest: Susan Feeney, DNP, FNP-BC, NP-C, Alan M. Ehrlich, MD, FAAFP, Jill M. Terrien, PhD, ANP-BC, Jillian Joseph, MSPAS, PA-C

Music Credit: Richard Onorato

Peaceful, Easy Feeling: Can Mindfulness Exercise Improve Asthma-Related Quality of Life? - Frankly Speaking Ep 255 Dec 20, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-255

Overview: Asthma is one of the most prevalent conditions, affecting almost 340 million individuals across the globe and approximately 25 million Americans, or 7.8% of the US population. Treatment is complex and goals of therapy are elusive for many. Anxiety and other concerns are common in those diagnosed with asthma and can worsen outcomes. A recent study from the UK found the use of a mindfulness app was associated with improved asthma-related quality-of-life indicators. Join us while we discuss this study’s implications for helping patients with asthma in primary care.

Episode resource links:

Ainsworth, B., Stanescu, S., Stuart, B., Russell, D., Liddiard, M., Djukanovic, R., & Thomas, M. (2021). A feasibility trial of a digital mindfulness-based intervention to improve asthma-related quality of life for primary care patients with asthma. Journal of Behavioral Medicine. Advance online publication. https://doi.org/10.1007/s10865-021-00249-3
CDC Most Recent National Asthma Data: https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Older Adults and Loneliness—Avoid High-Risk Medications - Frankly Speaking Ep 254 Dec 13, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-254-2

Overview: Older adults who suffer from loneliness may be at risk of overusing medications prescribed for pain, insomnia, depression, or anxiety. Replacing these medications with social interventions may improve outcomes and help patients avoid adverse consequences. Join us as we discuss the importance of reviewing medications and assessing for loneliness in older adults to prevent adverse events and outcomes.

Episode resource links:

Kotwal, A. A., Steinman, M. A., Cenzer, I., & Smith, A. K. (2021). Use of High-risk Medications Among Lonely Older Adults: Results From a Nationally Representative Sample. JAMA internal medicine, e213775. Advance online publication. https://doi.org/10.1001/jamainternmed.2021.3775 https://pubmed.ncbi.nlm.nih.gov/34309620/
Education for Patients: Tips on Staying Connected—National Institutes on Aging https://www.nia.nih.gov/health/loneliness-and-social-isolation-tips-staying-connected

Guest: Jill M. Terrien PhD, ANP-BC

Music Credit: Richard Onorato

The End of ACE Inhibitors? - Frankly Speaking Ep 253 Dec 06, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-253

Overview: ACE (angiotensin-converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are both recommended as first-line treatments for hypertension. ACE inhibitors have known side effects, such as cough, that are frustrating for many patients, while ARBs appear to have less annoying side effects. This podcast will review a recently published retrospective, comparative cohort study comparing the effectiveness and safety of ACE inhibitors vs ARBs in the first-line treatment of hypertension.

Episode resource links:

Hypertension. 2021;78:591–603. DOI: 10.1161/HYPERTENSIONAHA.120.16667
ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/ NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018;71:e127–e248. doi: 10.1016/j.jacc.2017.11.006

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Contraception: When Do We Start Them? - Frankly Speaking Ep 252 Nov 29, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-252

Overview: For patients who would like to prevent pregnancy, many options—both hormonal and nonhormonal—exist. Despite the availability of multiple options, many patients do not use them because of either a lack of knowledge or a lack of access, the latter being especially true in uninsured and non−English-speaking communities. Research has shown over the years that while unintended pregnancies have decreased in the United States, more can be done, and primary care providers can play an important role in helping to further decrease and eliminate barriers to contraception.

Episode resource links:

Lesnewski, R. (2021). Initiating Hormonal Contraception. American Family Physician, 103(5), 291-300.

Guest: Mariyan L. Montaque, DNP, FNP-BC

Music Credit: Richard Onorato

Primary HPV Testing Alone for Cervical Cancer Screening: a Review of Recent Guideline Updates - Frankly Speaking Ep 251 Nov 22, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-251

Overview: Primary care providers should be up to date on the changes to the guidelines for cervical cancer screening to be able to guide patients in shared decision-making about health maintenance. Join us to review the recent changes to cervical cancer screening guidelines as recommended by the American Cancer Society.

Episode resource links:

Cervical Cancer Screening: Updated Guidelines from the American Cancer Society. Am Fam Physician. 2021 Sep; 104(2):314-315.
American College of Obstetricians and Gynecologists. Updated cervical cancer screening guidelines. Practice advisory. April 2021. Accessed September 30, 2021. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2021/04/updated-cervical-cancer-screening-guidelines
Fontham, ETH, Wolf, AMD, Church, TR, et al. Cervical Cancer Screening for Individuals at Average Risk: 2020 Guideline Update from the American Cancer Society. CA Cancer J Clin. 2020. https://doi.org/10.3322/caac.21628.

Guest: Jillian Joseph, MPAS, PA-C

Music Credit: Richard Onorato

Time to Recommend the Use of Salt Substitutes for CVD Prevention? - Frankly Speaking Ep 250 Nov 15, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-250

Overview: While the data conflict on how much sodium intake is optimal for preventing cardiovascular disease, it is clear that daily salt intake for most Americans exceeds what is recommended. However, restricting salt intake on an individual or on a public health level has been controversial. An interesting alternative is the use of salt substitutes, which can help to decrease sodium intake while increasing potassium intake, and both have been associated with lowering blood pressure. Join us to hear a discussion on the results of the recently published studies on salt and cardiovascular disease, along with an overview of the Salt Substitute and Stroke Study (SSaSS).

Episode resource links:

Neal B, Wu Y, Feng X, et al. Effect of salt substitution on cardiovascular events and death. N Engl J Med. DOI: 10.1056/NEJMoa2105675
O’Donnell M, Mente A, Alderman MH, et al. Salt and cardiovascular disease: insufficient evidence to recommend low sodium intake, European Heart Journal, Volume 41, Issue 35, 14 September 2020, Pages 3363–3373, https://doi.org/10.1093/eurheartj/ehaa586
Circulation. 2021;143:1542–1567. DOI: 10.1161/CIRCULATIONAHA.120.050371

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Using DOACs for Valvular Atrial Fibrillation - Frankly Speaking Ep 249 Nov 08, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-249

Overview: For non-valvular atrial fibrillation, physicians, patients, and guideline organizations all prefer direct oral anticoagulants (DOACs) over vitamin K antagonists, such as warfarin, for thromboembolic prophylaxis. For those with valvular atrial fibrillation, the data for safety and efficacy have been limited because randomized trials comparing DOACs to warfarin often exclude patients with valvular atrial fibrillation. Join us to explore new data that shed light on the use of DOACs in valvular atrial fibrillation.

Episode resource links:

Dawwas GK, Dietrich E, Cuker A, Barnes GD, Leonard CE, Lewis JD. Effectiveness and Safety of Direct Oral Anticoagulants Versus Warfarin in Patients With Valvular Atrial Fibrillation : A Population-Based Cohort Study. Ann Intern Med. 2021;174(7):910-919.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Aspirin—Not Really for Primary Prevention - Frankly Speaking Ep 248 Nov 01, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-248

Overview: Join us to hear a discussion on the important changes the AHA/ACC and USPSTF have made to their positions on the use of aspirin for primary prevention of cardiovascular disease. The organizations note that while aspirin for primary prevention lowers the risk of a myocardial infarction, its harmful effects may outweigh its benefits. Learn the aspirin recommendations for your patients in their 40s, 50s, and 60s who are at higher risk for a cardiovascular event.

Episode resource links:

Guest: Jill M. Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Expanding Access to IUDs: Oct 31, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/expanding-access-to-IUDs

Overview: In this concise and informative podcast, listen to family planning expert Katharine White, MD, review the current landscape of intrauterine device (IUD) options available to your patients. She will describe the current approved IUD options and a case example to help you understand how to counsel patients about IUDs. After listening, you will be equipped to identify patients who would benefit from IUDs and help these patients pick the best one for them. If you are interested in getting further hands-on training related to IUD insertion, management, and removal, check out the list of resources provided with this activity that can enable you to incorporate this important skill into your practice.

Guest: Katharine O’Connell White, MD, MPH

Early Action in HCC: The Role of Primary Care in Hepatocellular Carcinoma Management Oct 31, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/early-action-in-hcc-episode-three

Overview: This podcast is the third in a three-part series addressing the urgency for early identification and improved care for patients with hepatocellular carcinoma (HCC). In this episode, two experts discuss exciting changes in the HCC treatment landscape, and how primary care providers can help with follow-up and care coordination.

Guest: Ghassan Abou-Alfa, MD, MBA & Amit G. Singal, MD, MS

A Fishy Method to Prevent Migraines - Frankly Speaking Ep 247 Oct 26, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-247

Overview: When it comes to chronic migraines, your first-line prevention is probably medication, but according to a new study, it may not have to be. Certain foods may play a role in increasing and decreasing migraine recurrence. Join us to review a recent randomized controlled trial aimed at preventing migraines in those with chronic migraines.

Episode resource links:

BMJ 2021; 374 :n1448 doi:10.1136/bmj.n1448; doi: https://doi.org/10.1136/bmj.n1448
The association of dietary patterns with migraine attack frequency in migrainous women. Nutritional Neuroscience 23:9, pages 724-730

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Early Action in HCC: Learning From Past Experience Oct 22, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/early-action-in-hcc-episode-two

Overview: This podcast is the second in a three-part series addressing the urgency for early identification and improved care for patients with hepatocellular carcinoma (HCC). In this episode, two experts discuss three HCC patient cases and examine the role of screening and referral in their disease course trajectory.

Guest: Ghassan Abou-Alfa, MD, MBA & Amit G. Singal, MD, MS

Muscle Relaxants for Low Back Pain: Are They Worth the Risk? - Frankly Speaking Ep 246 Oct 18, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-246

Overview: Low back pain often leads to disability and loss of income and is a significant burden on patients and the healthcare system. While muscle relaxants are the third most common prescribed drugs in the treatment of low back pain, recent data demonstrating its use and efficacy are limited. This session discusses a recent systematic review of the safety, efficacy, and accepted use of muscle relaxants in the treatment of low back pain. Don’t miss this opportunity to learn how to provide low back pain treatments that have clear benefits for your patients.

Episode resource links:

Cashin A G, Folly T, Bagg M K, Wewege M A, Jones M D, Ferraro M C et al. Efficacy, acceptability, and safety of muscle relaxants for adults with non-specific low back pain: systematic review and meta-analysis BMJ 2021; 374 :n1446 doi:10.1136/bmj.n1446 https://pubmed.ncbi.nlm.nih.gov/34233900/

Guest: Jill M. Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Populations at High-Risk for Influenza: Children Oct 15, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit:

Overview: In this short podcast, you will hear guideline-based answers to important questions about managing influenza in the pediatric population. Find out which children are considered high risk for complications and what those risks mean for vaccine selection. Hear expert tips on how to discuss the sensitive issue of influenza vaccination with vaccine-hesitant parents. Know how to accurately diagnose influenza in children in the midst of the COVID-19 pandemic. And lastly, learn which influenza treatments are approved for children and the role antivirals play in influenza prophylaxis in this population.

Hosts: Robert H. Hopkins Jr., MD, FACP, FAAP; Charles Vega, MD, FAAFP
Executive Producer: Margaret Oliverio, MD

Populations at High-Risk for Influenza: Cardiometabolic Disease Oct 15, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/influenza-populations-at-high-risk-3

Overview: Join us to discover why it is important to prevent influenza and treat patients with influenza who have cardiometabolic disease. After this brief podcast, you will be able to identify the types of cardiovascular and metabolic diseases that put patients at high risk of influenza complications and determine which patients should get the high-dose influenza vaccine, according to recent data. You will also be able to answer the question of whether anti-influenza drugs affect the risk of incident cardiovascular events. Find out all this and more to protect your patients with cardiometabolic disease this influenza season.

Hosts: Erin D. Michos, MD, MHS, FACC, FAHA, FASE, FASPC; Charles Vega, MD, FAAFP
Executive Producer: Margaret Oliverio, MD

Populations at High-Risk for Influenza: Older Adults Oct 15, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/influenza-populations-at-high-risk-2

Overview:

This expert-led podcast arms you with what you need to know to effectively manage influenza in older adults, a population at increased risk for complications. Get the latest guidance on everything from choosing the appropriate vaccine for this age group to preventing the spread of influenza in long-term care facilities. Hear the most up-to-date recommendations for how to diagnose and treat older adults with influenza and find out if there are any risks associated with antivirals for this patient population. If you provide care to older adults this influenza season, you can’t miss this session.

Hosts: Mary W. Montgomery, MD; Charles Vega, MD, FAAFP
Executive Producer: Margaret Oliverio, MD

Populations at High-Risk for Influenza: CDC and IDSA Recommendations Oct 15, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/influenza-populations-at-high-risk-1

Overview: This brief podcast will answer your most salient questions about managing influenza in high-risk patients, starting with how to identify those patients and determine their risk for developing complications. Next, you will listen to the experts discuss the latest CDC and IDSA recommendations for preventing influenza—including the use of post-exposure prophylaxis—in this vulnerable patient population. Finally, you will hear the recommendations for testing for influenza—within the context of the COVID-19 pandemic—and treating patients with influenza at high risk for complications

Hosts: Mary W. Montgomery, MD; Charles Vega, MD, FAAFP

Executive Producer: Margaret Oliverio, MD

MRI for Elevated PSA - Frankly Speaking Ep 245 Oct 11, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-245

Overview: When your patient has an elevated screening PSA level, your first inclination may be to refer for a biopsy, but have you considered obtaining a pre-biopsy MRI? In this podcast, we will review the appropriate management for an elevated screening PSA. You’ll want to hear about the new benefit of obtaining a pre-biopsy MRI to guide diagnostic procedures.

Episode resource links:

NEJM July 9, 2021; DOI: 10.1056/NEJMoa2100852\
Urology 2016 Apr;90:32-7. doi: 10.1016/j.urology.2015.11.046

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Early Action in HCC Episode 1: The Changing Epidemiology of Liver Cancer Oct 06, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/early-action-in-hcc-episode-one

Overview: This podcast is the first in a three-part series addressing the urgency for early identification and improved care for hepatocellular carcinoma (HCC). In this episode, two experts discuss the prevalence and mortality rates associated with liver cancer and highlight disparities impacting this patient population. Guideline recommendations to improve screening/referral will also be covered.

Guest: Ghassan Abou-Alfa, MD, MBA

Can Artificial Intelligence Predict and Prevent Suicide? - Frankly Speaking Ep 244 Oct 04, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-244

Overview: Suicide and attempted suicide are significant health issues affecting the United States and the world. Are you aware of the tools available to you that can support suicide prevention strategies and save lives? Don’t miss this session to learn about how the use of an electronic health record in a large health system may help predict suicide attempts.

Episode resource links:

Walsh CG, Johnson KB, Ripperger M, Sperry S, Harris J, Clark N, Fielstein E, Novak L, Robinson K, Stead WW. Prospective Validation of an Electronic Health Record-Based, Real-Time Suicide Risk Model. JAMA Netw Open. 2021 Mar 1;4(3):e211428. doi: 10.1001/jamanetworkopen.2021.1428. PMID: 33710291; PMCID: PMC7955273 doi: 10.1001/jamanetworkopen.2021.1428
Liang, Angela, and Paul Nestadt S . "Suicide Risk in the COVID-19 Pandemic." Johns Hopkins Psychiatry Guide, 2021. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787393/all/Suicide_Risk_in_the_COVID_19_Pandemic.

Guest: Jill M. Terrien PhD, ANP-BC

Music Credit: Richard Onorato

“Can You Hear Me Now?”— Aging, Hearing Impairment, and Physical Function - Frankly Speaking Ep 243 Sep 27, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-243

Overview: Evidence strongly supports a correlation between hearing impairment in older adults and decline in physical functioning. A recent population cohort study of older adults revealed that hearing impairment was associated with poorer physical function, reduced walking endurance, and accelerated decline. Join us while we discuss this evidence and how to apply it to your practice. You’ll walk away with strategies to promote hearing assessment and to help optimize physical functioning in your older adult patients.

Episode resource links:

Brenowitz WD, Wallhagen MI. Does Hearing Impairment Affect Physical Function?: Current Evidence, Potential Mechanisms, and Future Research Directions for Healthy Aging. JAMA Netw Open. 2021 Jun 1;4(6):e2114782. doi: 10.1001/jamanetworkopen.2021.14782. PMID: 34170308.
Martinez-Amezcua P, Powell D, Kuo PL, Reed NS, Sullivan KJ, Palta P, Szklo M, Sharrett R, Schrack JA, Lin FR, Deal JA. Association of Age-Related Hearing Impairment With Physical Functioning Among Community-Dwelling Older Adults in the US. JAMA Netw Open. 2021 Jun 1;4(6):e2113742. doi: 10.1001/jamanetworkopen.2021.13742. PMID: 34170305; PMCID: PMC8233700.
Martinez-Amezcua P, Kuo PL, Reed NS, Simonsick EM, Agrawal Y, Lin FR, Deal JA, Ferrucci L, Schrack JA. Association of hearing impairment with higher level physical functioning and walking endurance: Results from the Baltimore Longitudinal Study of Aging (BLSA). J Gerontol A Biol Sci Med Sci. 2021 May 18:glab144. doi: 10.1093/gerona/glab144. Epub ahead of print. PMID: 34003883.
Croll, P.H., Vinke, E.J., Armstrong, N.M. et al. Hearing loss and cognitive decline in the general population: a prospective cohort study. J Neurol 268, 860–871 (2021). https://doi.org/10.1007/s00415-020-10208-8

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Cutting Through the Fog: Recognizing Gluten-Induced Neurocognitive Impairment - Frankly Speaking Ep 242 Sep 20, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-242

Overview: Gluten exposure is known to cause a number of problems in both those with celiac disease and those with non-celiac gluten sensitivity. One aspect that has not received much attention from the research community is the neurocognitive impairment that can occur following gluten exposure in these individuals. Join us for this podcast to dive into a recent article that describes these effects.

Episode resource links:

Edwards George JB, Aideyan B, Yates K, et al. Gluten-induced Neurocognitive Impairment: Results of a Nationwide Study [published online ahead of print, 2021 May 28]. J Clin Gastroenterol. 2021

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

“Could It Be My Thyroid?” The Quandary of Subclinical Hypothyroidism - Frankly Speaking Ep 241 Sep 13, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-241

Overview: Seven percent of the US population has an active levothyroxine prescription, which is significantly greater than the number of people diagnosed with overt hypothyroidism. Many of these prescriptions appear to be for the treatment of subclinical hypothyroidism and other conditions in euthyroid individuals. Join us to uncover the latest findings on the use of levothyroxine and what the evidence tells us about appropriate use and misuse of this drug.

Episode resource links:

Brito, J., Ross, J., El Kawkgi, O., Maraka, S., Deng, Y., Shah, N., Lipska, K. & (9000). Levothyroxine Use in the United States, 2008-2018. JAMA Internal Medicine, Publish Ahead of Print, doi: 10.1001/jamainternmed.2021.2686.
Johansen, M., Marcinek, J., Yun, J. & (2020). Thyroid Hormone Use in the United States, 1997–2016. Journal of the American Board of Family Medicine, 33 (2), 284-288. doi: 10.3122/jabfm.2020.02.190159.
Jeffrey R. Garber, Rhoda H. Cobin,Hossein Gharib,James V. Hennessey, Irwin Klein, Jeffrey I. Mechanick, Rachel Pessah-Pollack, Peter A. Singer,Kenneth A. Woeber. Clinical Practice Guidelines for Hypothyroidism in Adults: Cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association; November–December 2012.
https://www.endocrinepractice.org/article/S1530-891X(20)43030-7/fulltext; https://www.endocrinepractice.org/action/showPdf?pii=S1530-891X%2820%2943030-7

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Continuous Glucose Monitoring (CGM) for Type 2 Diabetes Mellitus (T2DM) - Frankly Speaking Ep 240 Sep 06, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-240

Overview: Have you considered continuous glucose monitoring (CGM) for your patients with suboptimally controlled type 2 diabetes mellitus (T2DM) on at least 3 injections of insulin per day? This session will give you the information you need to confidently initiate CGM in appropriate patients. You’ll walk away with a clear understanding of the different CGM options and the benefits and challenges of CGM.

Episode resource links:

Ida S, Kaneko R, Murata K. Utility of Real-Time and Retrospective Continuous Glucose Monitoring in Patients with Type 2 Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trials. J Diabetes Res. 2019 Jan 15;2019:4684815. doi: 10.1155/2019/4684815. PMID: 30775385; PMCID: PMC6350576.
Maiorino et al. Diabetes Care. 2020;43:1146–1156

Guest: Jillian Joseph, MPAS, PA-C

Music Credit: Richard Onorato

Update From the CDC: New Gonorrhea Guidelines - Frankly Speaking Ep 239 Aug 30, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-239

Overview: Join us to discuss the CDC’s new guidelines for the management of sexually transmitted infections due to Neisseria gonorrhoeae. You’ll walk away with recommendations for how to address urogenital, rectal, and pharyngeal infections. You’ll also discover alternative regimens for patients allergic to first-line therapy and understand how to manage coinfection with chlamydia.

Episode resource links:

St. Cyr S, Barbee L, Workowski KA, et al. Update to CDC’s Treatment Guidelines for Gonococcal Infection, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1911–191

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Lung Cancer Screening—Expanded Recommendations! - Frankly Speaking Ep 238 Aug 23, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-238

Overview: Join us to discuss important changes in the 2021 USPSTF recommendation on lung cancer screening. Given lung cancer’s high prevalence and poor prognosis in later stages, it is important for primary care clinicians to know which patients to screen and what method to use. You’ll also learn the appropriate time to stop screening.

Episode resource links:

Screening for Lung Cancer US Preventive Services Task Force Recommendation Statement JAMA. 2021;325(10):962-970. doi:10.1001/jama.2021.1117

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Identifying Risk in Women to Prevent CVD - Frankly Speaking Ep 237 Aug 16, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-237

Overview: Solid evidence shows that adverse pregnancy outcomes (APOs) correlate with an increased risk of cardiovascular disease (CVD) in women. Evidence is also becoming clearer that lactation and breastfeeding may have CV protective benefits as well. Social determinants of health play a significant role in these diseases; facts support that Black, Hispanic and Asian American women suffer from worse pregnancy outcomes than White American women. Join us while we discuss the recent American Heart Association (AHA) guideline update regarding the association of increased risk of CVD and metabolic disease with APOs and what can be done to reduce these risks.

Episode resource links:

Adverse Pregnancy Outcomes and Cardiovascular Disease Risk: Unique Opportunities for Cardiovascular Disease Prevention in Women. Nisha I. Parikh, MD, MPH, Chair, Juan M. Gonzalez, MD, Cheryl A.M. Anderson, PhD, Suzanne E. Judd, PhD, Kathryn M. Rexrode, MD, Mark A. Hlatky, MD, Erica P. Gunderson, PhD, Jennifer J. Stuart, ScD, Dhananjay Vaidya, PhD, Vice Chair, On behalf of the American Heart Association Council on Epidemiology and Prevention; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular and Stroke Nursing; and the Stroke Council. https://www.ahajournals.org/doi/abs/10.1161/CIR.000000000000096
Schwartz, EB. (reviewing Parikh NI et al. Circulation 2021 Mar 29). Preventing Heart Disease in Women: New Guidance from the American Heart Association. NEJM: Journal Watch, April 12, 2021. https://www.jwatch.org/na53433/2021/04/12/preventing-heart-disease-women-new-guidance-american-heart?ijkey=3l3eCvQLl
Clinical Statements and Guidelines. AHA/ACOG Presidential Advisory. Volume 137, Issue 24, 12 June 2018, Pages e843-e852. https://doi.org/10.1161/CIR.0000000000000582
https://www.jwatch.org/na53433/2021/04/12/preventing-heart-disease-women-new-guidance-american-heart

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Continuous Glucose Monitoring—What’s All the Hype? - Frankly Speaking Ep 236 Aug 09, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-236

Overview: Continuous glucose monitoring (CGM) for patients with diabetes has been available for several years now, but its utility in managing diabetes care is unclear. Join us to discuss the results of a systematic review examining the benefits of CGM for patients with both type 1 and type 2 diabetes mellitus.

Episode resource links:

Effects of continuous glucose monitoring on metrics of glycemic control in diabetes: a systematic review with meta-analysis of randomized controlled trials. Diabetes Care. 2020;43(5):1146-1156
Implementing Continuous Glucose Monitoring in Clinical Practice. www.aafp.org/fpm March/April 2021
Longo R, Sperling S. Personal versus professional continuous glucose monitoring: when to use which on whom. Diabetes Spectr. 2019;32(3):183-193.

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

A Case of Severe Asthma: How Eosinophils Can Impact Asthma Evaluation and Treatment in Primary Care Aug 02, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/severe-asthma-how-eosinophils-impact-evaluation-treatment

Overview: Did you know that approximately two-thirds of adults with severe asthma are eosinophilic? The presence of eosinophilia can have implications for asthma management as well. Join Dr. Nicola Hanania, pulmonologist and asthma expert, as he reviews the case of a patient with severe asthma and discusses how primary care clinicians can identify eosinophilia, using common biomarkers, and improve outcomes in patients with eosinophilic asthma.

Guest: Nicola Hanania, MD, MS, FACP, FCCP, FRCPC

Nasal Steroids for Perennial Allergic Rhinitis: Is PRN Use Enough? - Frankly Speaking Ep 235 Aug 02, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-235

Overview: Perennial allergic rhinitis affects both children and adults, and management includes both allergy avoidance as well as medication management. Intranasal steroids are the mainstay of treatment and have traditionally required consistent use, but new data are emerging. Find out the results of a new study evaluating PRN use as an alternative approach.

Episode resource links:

Thongngarm T, Wongsa C, Phinyo P, Assanasen P, Tantilipikorn P, Sompornrattanaphan M. As-Needed Versus Regular Use of Fluticasone Furoate Nasal Spray in Patients with Moderate to Severe, Persistent, Perennial Allergic Rhinitis: A Randomized Controlled Trial. J Allergy Clin Immunol Pract. 2021 Mar;9(3):1365-1373

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Shorter Antibiotic Duration for Outpatient Infections - Frankly Speaking Ep 234 Jul 26, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-234

Overview: Many providers overtreat outpatient infections for fear of not treating until resolution or causing a complication, but this can lead to antibiotic resistance and adverse events. Join us to discuss the new ACP guidelines on antibiotic use in the outpatient setting and the pediatric treatment recommendations. Walk away with a clear understanding of the guidelines for optimal duration of antibiotic treatment for individuals with an outpatient infection.

Episode resource links:

ACP: Ann Intern Med. doi:10.7326/M20-7355; https://www.acpjournals.org/doi/pdf/10.7326/M20-7355
Low risk for PCN allergy: Am J Respir Crit Care Med 2020 Feb 21; [e-pub]. (https://doi.org/10.1164/rccm.202001-0089LE); Mayo Clinic Proceedings 2018, 93 (1): 101-107

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Taking the Distress out of Diabetes—Mindfulness and Acceptance Therapies May Help - Frankly Speaking Ep 233 Jul 19, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-233

Overview: T2DM is an epidemic, and its impact on quantity of life is well documented. In most cases, treatment involves significant lifestyle changes in combination with medication. Distress about the T2DM diagnosis and necessary behavioral changes occurs in about one-third of people, and this distress is associated with poor glycemic management. Join us as we discuss a recent meta-analysis on mindfulness and learn how cognitive therapies may be effective in reducing distress and HbA1c.

Episode resource links:

Ngan, H.Y., Chong, Y.Y. and Chien, W.T. (2021), Effects of mindfulness‐ and acceptance‐based interventions on diabetes distress and glycaemic level in people with type 2 diabetes: Systematic review and meta‐analysis. Diabet Med, 38: e14525. https://doi.org/10.1111/dme.14525; https://onlinelibrary-wiley-com.umassmed.idm.oclc.org/doi/epdf/10.1111/dme.14525

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Community-Acquired Pneumonia: How Long Do We Need to Treat? - Frankly Speaking Ep 232 Jul 12, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-232

Overview: For patients with community-acquired pneumonia (CAP), wide variation in the duration of treatment exists. Longer duration of treatment may increase the risk of adverse effects and lead to antibiotic resistance. However, shorter duration of treatment may result in treatment failure. See what new evidence shows may be the best antibiotics treatment duration in most patients with CAP.

Episode resource links:

Dinh A et al. Pneumonia Short Treatment (PTC) Study Group. Discontinuing β-lactam treatment after 3 days for patients with community-acquired pneumonia in non-critical care wards (PTC): a double-blind, randomised, placebo-controlled, non-inferiority trial. Lancet. 2021 Mar 27;397(10280):1195-1203
Metlay JP et al. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-e67.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Pain in EVERYONE’s Neck - Frankly Speaking Ep 231 Jul 05, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-231

Overview: Who couldn’t use a refresher on how to diagnose and treat neck pain in the primary care setting? Review the techniques for assessing neck pain, determining its cause, and providing relief. Immediately apply what you learn to start helping patients with neck pain feel better.

Episode resource links:

Am Fam Physician 2016 May 1;93(9):746-54.
Sub occipital Release: J Electromyogr Kinesiol 2016 Oct;30:31-7. doi: 10.1016/j.jelekin.2016.05.007
Self Myofascial Release: Spine 2020 Nov 1;45(21):E1367-E1375

Guest: Robert A. Baldor MD, FAAFP/Frank

Music Credit: Richard Onorato

Perioperative Management for Patients Taking DOACs - Frankly Speaking Ep 230 Jun 28, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-230

Overview: Join us to discuss the results of the Perioperative Anticoagulation Use for Surgery Evaluation (PAUSE) cohort study, aimed at understanding the safety of using a simplified perioperative management approach for patients with atrial fibrillation taking DOACs. After this episode, you’ll be able to make sense of the controversy over current guidelines around surgical care in this patient population. More importantly, you’ll walk away with practical knowledge to help these patients minimize their risk of adverse events.

Episode resource links:

Perioperative Management of Patients With Atrial Fibrillation Receiving a Direct Oral Anticoagulant. JAMA Intern Med.2019; 179(11 ): 1469-14 78. doi: 10.1001 /jamainternmed.2019.2431

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Let’s Stop HIV Together & Pri-Med Part 1: 40 Year Recognition of HIV – Addressing Health Equity and Overcoming Barriers in Primary Care Jun 21, 2021

Credits: 0.50 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/stop-hiv-together-1

Overview: HIV remains a persistent health problem for the United States and countries around the world. June marks 40 years since the first report of AIDS in CDC’s MMWR. Great progress has happened in the last 40 years in preventing and treating HIV. Yet there is still much to do. Join Dr. Charles Vega, Health Sciences Clinical Professor at UC Irvine Department of Family Medicine, and Dr. Oni Blackstock, primary care and HIV physician, researcher, and founder and executive director of Health Justice, racial and health equity consulting practice as they discuss how health and social inequities continue to affect the HIV epidemic. They will talk about the role primary care providers can play in ending the HIV epidemic.

Guest: Oni Blackstock, MD, MHS

Let’s Stop HIV Together & Pri-Med Part 2: 40 Year Recognition of HIV – Strategies for Ending the HIV Epidemic Jun 21, 2021

Credits: 0.50 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/stop-hiv-together-2

Overview: The Ending the HIV Epidemic (EHE) initiative aims to reduce new HIV infections in the U.S. by 90% by 2030. This aim will be achieved by equitably and collaboratively delivering care and focusing resources on communities most affected by HIV, including those in Southern and rural areas. Join Dr. Charles Vega, Health Sciences Clinical Professor at UC Irvine Department of Family Medicine, and Dr. Leandro Mena, Chair and Professor of the Department of Population Health Science at University of Mississippi, and Director of the Center for HIV/AIDS Research, as they discuss how to provide culturally competent and collaborative care using the four EHE strategies: diagnose, treat, prevent, and respond.

Guest: Leandro Mena, MD, MPH

Acknowledging the Pain—Incorporating Trauma-Informed Care into Your Practice - Frankly Speaking Ep 229 Jun 21, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-229

Overview: Ample evidence shows that adverse childhood experiences (ACEs) and trauma in adulthood may lead to poor health outcomes, such as cardiovascular disease and other chronic diseases. These traumas may also affect a person’s inclination to seek care and participate in plans of care. As a provider, it is important to consider this history and ensure the psychological and physical safety of these affected individuals. Join us to learn proven strategies to help you practice trauma-informed care, including how to recognize trauma and offer effective interventions to help patients dealing with these issues.

Episode resource links:

ACOG Committee Decision: Caring for Patients who have Experienced Trauma. Obstetrics and Gynecology. VOL. 37, NO. 4. April 2021. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2021/04/caring-for-patients-who-have-experienced-trauma
Dicola, D. & Spaar, E. Intimate Partner Violence. American Family Physician. October 15, 2016, VOL. 94, NO. 8. www.aafp.org/afp
https://www.cdc.gov/violenceprevention/aces/index.html
https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4816.pdf

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Antibiotics for Respiratory Tract Infections: Fewer May Be Better - Frankly Speaking Ep 228 Jun 14, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-228

Overview: Join us for this episode as we discuss the results of a systematic review examining the benefits and risks from delaying the use of antibiotics to treat patients in the community for a respiratory infection.

Episode resource links:

Delayed antibiotic prescribing for respiratory tract infections: individual patient data meta-analysis. BMJ 2021;372:n808 http://dx.doi.org/10.1136/bmj.n808

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Protecting Feet in People With Diabetes: Monofilaments or Tuning Forks? - Frankly Speaking Ep 227 Jun 07, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-227

Overview: Join us as we discuss a recent review article on the evidence behind monofilament testing for peripheral neuropathy in people with diabetes.

Episode resource links:

J Diabetes Res. 2017; 2017: 8787261.
Diagnostic Accuracy of Monofilament Tests for Detecting Diabetic Peripheral Neuropathy: A Systematic Review and Meta-Analysis
Diabetes Care 2017 Jan;40(1):136-154

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Risk-Stratifying Patients with a TIA - Frankly Speaking Ep 226 May 31, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-226

Overview: Patients with a history of transient ischemic attack (TIA) are at increased risk of stroke in the future. The ABCD2 score is the most used risk assessment tool for people with acute TIA, but it is not recommended for this purpose by the National Institute for Heath and Care Excellence (NICE). Join us for today’s episode as we describe a new validated risk assessment tool developed in Canada you can use to classify patients as low, medium, or high-risk for stroke over the 7 days following a TIA.

Episode References and Resource Links:

Perry JJ et al. Prospective validation of Canadian TIA Score and comparison with ABCD2 and ABCD2i for subsequent stroke risk after transient ischaemic attack: multicentre prospective cohort study. BMJ. 2021 Feb 4;372:n49

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

How Long Should You Continue Bisphosphonate Treatment for Osteoporosis? - Frankly Speaking Ep 225 May 24, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-225

Overview: Join us for this episode as we review the recently published (Dec. 2020) cohort study in JAMA on using bisphosphonates to prevent hip fractures. We will review the utility of bisphosphonates after 5 years and how to discuss their risks and benefits with patients.

Episode resource links:

JAMA.2020;3(12):e2025190.doi:10.1001/jamanetworkopen.2020.25190
JAMA. 2018;319(24):2521-2531. doi:10.1001/jama.2018.7498
https://www.sheffield.ac.uk/FRAX/tool.aspx?country=9

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Do Sensible Shoes Improve Function for People with Knee Arthritis? - Frankly Speaking Ep 224 May 17, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-224

Overview: More than 250 million individuals worldwide have osteoarthritis (OA) of the knee and the burden on individuals and healthcare systems is enormous. There is no cure for OA, with treatments such as NSAIDs and acetaminophen aimed towards symptom reduction and improved functioning. Most evidence-based guidelines include the use of supportive shoes, however little evidence exists on effectiveness of these types of shoes. It is also unclear what the characteristics of a supportive shoe are and what type of shoe is best for OA. Join us as we discuss a recent randomized controlled trial that compared 2 types of shoes, and their benefits in symptom reduction and functional improvement of knee OA

Episode resource links:

AAOS EBG: Lateral Wedge Insole. https://www.orthoguidelines.org/guideline-detail?id=1209&tab=all_guidelines
AAOS EBG Treatment of Osteoarthritis of the Knee; https://www.aaos.org/globalassets/quality-and-practice-resources/osteoarthritis-of-the-knee/osteoarthritis-of-the-knee-2nd-editiion-clinical-practice-guideline.pdf

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Understanding the Contraceptive Landscape Outside of the Pill May 14, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/pmi-contraception-1

Overview: Are you curious about recent updates in contraceptive options for your patients? Do you want to improve or just refresh your knowledge of hormonal contraceptive options outside of the pill? Listen to family planning specialist Dr. Kate White as she is interviewed by primary care physician Dr. Pamela Kushner about updates in hormonal contraceptive options and they review the benefits of other hormonal contraceptive options like the ring, patch, injection, implant, and intrauterine devices. In episode 1 of this 2-part series podcast, they will review newly approved hormonal contraceptive options and discuss why and how to consider options other than the pill for patients.

Episode resource links:

https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html

https://www.cdc.gov/reproductivehealth/contraception/mmwr/spr/summary.html

Guest: Pamela Kushner, MD, FAAFP

How to Talk to Your Patients About Contraceptive Options May 14, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/pmi-contraception-2

Overview: Would you like to improve your skills in counseling patients about contraception and learn strategies to support them in choosing the best option for them? Listen to episode 2 of this 2-part series podcast on contraception, where family planning specialist Kate White, MD and primary care physician Pamela Kushner, MD review important clinical considerations in prescribing contraception and discuss effective strategies for counseling patients about their options.

Episode resource links:

https://www.bedsider.org/

https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html

https://www.cdc.gov/reproductivehealth/contraception/mmwr/spr/summary.html

Guest: Pamela Kushner, MD, FAAFP

Surviving Burnout: Caring for Ourselves - Frankly Speaking Ep 223 May 10, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-223

Overview: Clinical psychologist Dr. Christine Runyan joins host, Dr. Frank Domino, in today’s episode to discuss the various self-care methods to help healthcare workers overcome stressors related to the COVID-19 pandemic, and to describe the potential future impact of the COVID-19 crisis on this population.

Episode resource links:

Guest: Christine Runyan, PhD, ABPP

Music Credit: Richard Onorato

Save the Toenails! Topical Treatments for Onychomycosis - Frankly Speaking Ep 222 May 03, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-222

Overview: Join us for this episode as we discuss a recent Cochrane review of the safety and effectiveness of topical treatments for toenail onychomycosis, and review when and how to prescribe these agents for patients.

Episode resource links:

Topical and device-based treatments for fungal infections of the toenails. Cochrane Database Syst Rev. 2020; (1): CD012093

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

A Nephrologist Reflects on Important Advances in her Field Apr 26, 2021

Credits: 0.5 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/coffee-with-chopra-ep-4

Overview: Join Dr. Sanjiv Chopra in this installment of Coffee with Chopra, as he interviews his guest, Dr. Melanie Hoenig, about advances in nephrology. In this session, the duo will discuss topics including: race and kidney function, HIV and HCV on kidney function, and the relationship between APOL1 and kidney failure.

Episode resource links:

https://jamanetwork.com/journals/jama/article-abstract/2735726

https://www.kidney-international.org/article/S0085-2538(17)30823-2/fulltext

https://www.jci.org/articles/view/46263/figure/1

https://www.nytimes.com/2020/06/17/health/many-medical-decision-tools-disadvantage-black-patients.html

Guest: Melanie Hoenig, MD

With GERD, Diet and Lifestyle Win Out - Frankly Speaking Ep 221 Apr 26, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-221

Overview: Join us as we discuss another finding of the Nurses Health Study II -this podcast focuses on the findings of a prospective look at GERD, and the effect of diet and lifestyle on the prevention of GERD.

Episode resource links:

Mehta RS, Nguyen LH, Ma W, Staller K, Song M, Chan AT. Association of Diet and Lifestyle With the Risk of Gastroesophageal Reflux Disease Symptoms in US Women. JAMA Intern Med. Published online January 04, 2021. doi:10.1001/jamainternmed.2020.7238
For Patients: Eating, Diet, & Nutrition for GER & GERD https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/eating-diet-nutrition

Guest: Jill M. Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Thawing The Frozen Shoulder - Frankly Speaking Ep 220 Apr 19, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-220

Overview: Join us for this episode as we review a recent meta-analysis that addresses best treatment modalities for adhesive capsulitis.

Episode resource links:

JAMA Netw Open. 2020 Dec 1;3(12):e2029581.

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Nearsighted: Possible Connection Between COVID Lockdown and Increase in Childhood Myopia - Frankly Speaking Ep 219 Apr 12, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-219

Overview: The COVID pandemic and the precautionary changes in behavior put into practice are creating an immeasurable cost in ways that are still being identified – social isolation, stresses on mental health, as well as neglect of chronic disease management – to name a few. In a recent study out of China, it was found that 6, 7 and 8-year-olds had a significant increase in myopia associated with the lockdown and school closures. This level of myopia places these children at much greater risk of poor vision in adulthood. Join us as we discuss these findings and how they may impact prevention strategies and assessment parameters in children during and after the pandemic.

Episode References:

Klaver CCW, Polling JR, Enthoven CA. 2020 as the Year of Quarantine Myopia. JAMA Ophthalmol. Published online January 14, 2021. doi:10.1001/jamaophthalmol.2020.6231
Wang J, Li Y, Musch DC, et al. Progression of Myopia in School-Aged Children After COVID-19 Home Confinement. JAMA Ophthalmol. Published online January 14, 2021. doi:10.1001/jamaophthalmol.2020.6239

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Aspirin (ASA) to Prevent Colorectal Cancer - Frankly Speaking Ep 218 Apr 05, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-218

Overview: Join us for this session where we will discuss the data behind the recent USPSTF recommendations on the use of ASA as a colorectal cancer (CRC) preventive agent, and when to incorporate this recommendation into practice.

Episode resource links:

www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-to-prevent-cardiovascular-disease-and-cancer
doi:10.1001/jamaoncol.2020.7338
N Engl J Med 2018; 379:1519-1528 DOI: 10.1056/NEJMoa1803955

Guest: Robert A. Baldor MD, FAAFP

Music Credit: Richard Onorato

Direct Communication Improves Vaccine Receipt - Frankly Speaking Ep 217 Mar 29, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-217

Overview: Join us as we review communication styles that influence vaccination uptake by the adolescent population. We will discuss a recent article examining the effects of provider’s recommendation styles with adolescent patients regarding HPV and meningococcal vaccines.

Episode resource links:

Anny T.H.R. Fenton, Chelsea Orefice, Terresa J. Eun, Dea Biancarelli, Amresh Hanchate, Mari-Lynn Drainoni, Rebecca B. Perkins, Effect of provider recommendation style on the length of adolescent vaccine discussions, Vaccine, Volume 39, Issue 6, 2021, Pages 1018-1023, ISSN 0264-410X,https://doi.org/10.1016/j.vaccine.2020.11.015. (https://www.sciencedirect.com/science/article/pii/S0264410X20314419)
HPV Vaccine recommendations CDC: https://www.cdc.gov/vaccines/vpd/hpv/hcp/recommendations.html
5 Ways to boost your HPV Vaccination Rates CDC: https://www.cdc.gov/hpv/hcp/boosting-vacc-rates.html
Meningococcal Vaccine Recommendations CDC: https://www.cdc.gov/vaccines/vpd/mening/hcp/recommendations.html

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Curcumin for osteoarthritis - Frankly Speaking Ep 216 Mar 22, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-216

Overview: Osteoarthritis (OA) is a very common problem seen in the primary care setting, but pharmacologic treatments do not alter the course of the disease and they are often associated with side effects or contraindicated in many older patients. Curcumin is an herbal treatment that has been shown to be effective for treating symptoms of OA. Join us for this episode as we discuss the evidence for curcumin in treating OA, and how to counsel patients on its use.

Episode resource links:

Wang Z. et al. Effectiveness of Curcuma longa Extract for the Treatment of Symptoms and Effusion-Synovitis of Knee Osteoarthritis : A Randomized Trial. Ann Intern Med. 2020 Dec 1;173(11):861-869.
Daily JW, Yang M, Park S. Efficacy of Turmeric Extracts and Curcumin for Alleviating the Symptoms of Joint Arthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J Med Food. 2016 Aug;19(8):717-29

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Managing Stress in Pregnancy: Good News Regarding Mind-Body Interventions (MBI) - Frankly Speaking Ep 215 Mar 15, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-215

Overview: Times are stressful. Recent evidence has shown that stress, anxiety, and depression experienced by pregnant women may have a negative impact on the wellness of the newborn. Stress management is constrained during pregnancy due to concerns that pharmaceutical approaches may be harmful to the baby. Non-pharmaceutical approaches are accessible and safe. Join us as we review recent evidence on the effectiveness of mind-body interventions (MBI) in reducing stress and decreasing depression and anxiety in pregnant women, and discuss how MBI can be incorporated into patient care.

Episode resource links:

Re-Engineering Your Clinical Practice for Patient and Clinician Well-Being
Guo P, Zhang X, Liu N, Wang J, Chen D, Sun W, Li P, Zhang W. Mind-body interventions on stress management in pregnant women: A systematic review and meta-analysis of randomized controlled trials. J Adv Nurs. 2020 Oct 13. doi: 10.1111/jan.14588. Epub ahead of print. PMID: 33048358.
Leaviss J, Davis S, Ren S, Hamilton J, Scope A, Booth A, Sutton A, Parry G, Buszewicz M, Moss-Morris R, White P. Behavioural modification interventions for medically unexplained symptoms in primary care: systematic reviews and economic evaluation. Health Technol Assess. 2020 Sep;24(46):1-490. doi: 10.3310/hta24460. PMID: 32975190; PMCID: PMC7548871

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Teens and Vaping: A Gateway to Cigarette Smoking? - Frankly Speaking Ep 214 Mar 08, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-214

Overview: Rates of electronic cigarettes or vaping in teens has increased exponentially over the last 3 years. Prior to the introduction of the sleek 4th generation vaping device, tobacco use in the teen population was decreasing, and rates were low. Recent evidence indicates that teens with low intention to smoke, once they start vaping, are at increased risk of smoking cigarettes in future. Join us as we discuss the implications of this new evidence on our clinical practice and discuss strategies to reduce risk to adolescents.

Episode Resources:

Barrington-Trimis JL, Kong G, Leventhal AM, et al. E-cigarette Use and Subsequent Smoking Frequency Among Adolescents. Pediatrics. 2018;142(6):e20180486
Gaiha SM, et al. J Adolesc Health. Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19. J Adolesc Health. Vol 67, issue 4, pp 519-523; DOI: https://doi.org/10.1015/j.jadolhealth.2020.07.002
Owotomo O, Stritzel H, McCabe SE, et al. Smoking Intention and Progression from E-Cigarette Use to Cigarette Smoking. Pediatrics. 2020;146(6):e2020002881; DOI: 10.1542/peds.2020-002881
https://pediatrics.aappublications.org/content/early/2020/11/05/peds.2020-002881

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Clinical Guidelines: Acute Pain Management of Musculoskeletal Injuries (Non-low Back) in the Outpatient Setting - Frankly Speaking Ep 213 Mar 01, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-213

Overview: Join us as we discuss the American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) newly released clinical guideline on the non-pharmacologic and pharmacologic management of acute pain from non-low back musculoskeletal injuries in adults.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

COVID-19 in the Office: Outpatient Management Feb 25, 2021

Credits: 0.50 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-covid-outpatient

Overview: So much has changed concerning COVID-19 management, but few interventions are clearly beneficial in the outpatient management of patients. This podcast will try to answer some of the common questions community based providers have about handling their patients’ illness.

Episode reference links:

Vitamin D for COVID-19 (VIVID) study

STOP COVID Trial

Rise Above COVID

Guest: Paul E. Sax, MD

Music Credit: Richard Onorato

Vitamin D: What It Helps, and What It Doesn’t - Frankly Speaking Ep 212 Feb 22, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-212

Overview: During this episode, we will review some of the recent data on Vitamin D supplementation and its association with cardiovascular outcomes, falls, vertigo, and general health.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Let’s Get Physical: Consider PT for Initial Treatment of Sciatica - Frankly Speaking Ep 211 Feb 15, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-211

Overview: There are various treatment options for patients with acute sciatica. Choosing the best option should be tailored to the specific needs of the patient, and when possible, include early recommendation for physical therapy (PT). In this episode we review research on use of PT for treatment of sciatica and discuss how you can incorporate PT recommendations into patient care.

Click here to view a prone piriformis release for sciatic pain

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

A Fundamental Change in Asthma Management! Treatment of Moderate to Severe Asthma Now Includes Combined ICS-LABA Therapy as Maintenance and Rescue Therapy - Frankly Speaking Ep 210 Feb 08, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-210

Overview: This session will review the evidence used by the National Asthma Education and Prevention Program (NAEPP) in making their newer recommendations and the new asthma management protocols.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Pain Points: Telemedicine During COVID-19: How to Do a Pain Physical Examination Feb 04, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/rems-podcast-10

Overview: Join neurologist and pain specialist, Dr. Charles Argoff, as he discusses a recent expert consensus on best practices in performing a pain assessment—including appropriate components of the physical exam—via telemedicine.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 2/20/2021 and they are subject to change as new information is published.

Guest: Charles E. Argoff, MD

Part 1: The 2020 Focused Updates to the Asthma Management Guidelines: How Have the Asthma Guidelines Changed? Feb 01, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/nhlbi-asthma-1

Overview: In this episode, James P. Kiley, Ph.D., NHLBI Division of Lung Diseases Director, will discuss the background behind the updated asthma guidelines, outlining the key topic areas covered, the rigorous process used to update the recommendations, and the new features designed to help clinicians implement them in practice.

Understanding the 2020 Focused Updates to the Asthma Management Guidelines is a two-part podcast series informing clinicians about the updated asthma guidance, highlighting important changes to the recommendations, and discussing how these changes can improve diagnosis, treatment, and management of patients with asthma.

Guest: James P. Kiley, Ph.D. & Pamela Kushner, MD, FAAFP

Part 2: What is the New Asthma Guidance and How Does it Affect My Patients? Feb 01, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/nhlbi-asthma-2

Overview: In this episode, Michelle M. Cloutier, M.D., chair of the National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC) Expert Panel Working Group and professor emerita of UCONN School of Medicine, will provide highlights from the updated recommendations to the national asthma guidelines that are most relevant to primary care providers and share how clinicians can turn the new information into practice.

Understanding the 2020 Focused Updates to the Asthma Management Guidelines is a two-part podcast series informing clinicians about the updated asthma guidance, highlighting important changes to the recommendations, and discussing how these changes can improve diagnosis, treatment, and management of patients with asthma.

Guest: Michelle M. Cloutier, M.D. & Pamela Kushner, MD, FAAFP

PolyPill, One Pill, or No Pill? - Frankly Speaking Ep 209 Feb 01, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-209

Overview: In this episode, we will review a recent publication examining how the polypill might lower atherosclerotic cardiovascular disease (ASCVD) risk in the general population.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

USPSTF Colorectal Cancer Screening: Back Up the Bus! - Frankly Speaking Ep 208 Jan 25, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-208

Overview: Join us as we review the United States Preventive Services Task Force’s (USPSTF) recently published draft recommendation statement on colorectal cancer (CRC) screening and the implications it has for primary care practice and your patients.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Pain Points: Best Practices for Tapering of Opioids Jan 20, 2021

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/rems-podcast-9

Overview: Do you have questions about how to approach tapering opioid medications? Join neurologist and pain specialist, Dr. Charles Argoff, as he reviews a recent expert consensus statement published in Mayo Clinic Proceedings that provides guidance to clinicians about safe opioid tapering.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 1/20/2021 and they are subject to change as new information is published.

Guest: Charles E. Argoff, MD

Statin Use in the Elderly – Start or Stop? - Frankly Speaking Ep 207 Jan 18, 2021

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-207

Overview: Data are limited regarding statin therapy for primary prevention of atherosclerotic cardiovascular disease in adults 75 years and older. During this episode we will review recent studies on the use of statins in elderly patients and discuss how to consider this data in your clinical practice.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

A Big Change for the 2021 Medicare Physician Fee Schedule: New Guidance on Coding Jan 12, 2021

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-coding-update

Overview: This session will overview the new 2021 changes for outpatient E&M billing documentation requirements.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Making a Real Difference: High-Intensity Lifestyle Intervention Can Aid Weight Loss in Individuals With Obesity in Underserved Populations - Frankly ... Jan 11, 2021

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-206

Overview: The evidence of the impact of obesity and sedentary lifestyles on health and disease states is well established. Finding and applying strategies to assist people with the necessary behavior changes is a monumental task, but for Americans who are at lower income levels and in traditionally underserved populations, the evidence on what is effective is tragically lacking. The social determinants of health (SDOH) impact all aspects of care delivery, from access to care, to knowing what really works. Join us as we discuss a recent randomized controlled trial that evaluated a strategy that demonstrated weight loss in underserved populations, and may have promise to aid in this important aspect of care.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

COVID-19 VACCINE: Get the Facts and Bust the Myths - Frankly Speaking Covid Immunization Update Jan 08, 2021

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-covid-immunization-update

Overview: This podcast will give an overview of the two mRNA vaccines granted emergency use authorization in the US including their efficacy and side effect profile.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

New-onset Atrial Fibrillation: Revisiting Rate vs. Rhythm Control - Frankly Speaking Ep 205 Jan 04, 2021

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-205

Overview: In patients with new-onset atrial fibrillation, the decision to aim for rate control versus rhythm control is controversial. Older data suggested rhythm control did not result in better outcomes, but advances in medications and techniques have led to a new trial to evaluate this question.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Treating Type 2 Diabetes Mellitus – A Clearer Framework - Frankly Speaking Ep 204 Dec 28, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-204

Overview: The American Diabetes Association (ADA) has recently updated their guidelines for pharmacologic management of T2DM which addresses patients with various co-morbid conditions. This episode will overview these guidelines to help primary care clinicians hone treatment of their patients with T2DM.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

No Good Reason to Go Nuts Over Coconut Oil - Frankly Speaking Ep 203 Dec 21, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-203

Overview: Join us as we discuss the risks of elevated cholesterol when consuming coconut oil.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Pain Points: Is There SPACE for Opioid Therapy in Chronic Pain Conditions? Dec 16, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/rems-podcast-8

Overview: Are opioids effective in chronic pain management? Join neurologist and pain specialist, Dr. Charles Argoff, as he summarizes two recent trials published in JAMA examining the efficacy of opioids in pain management and discusses their clinical implications.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 11/23/2020 and they are subject to change as new information is published.

Guest: Charles E. Argoff, MD

Reflections on Past, Present, and Future Oncologic Disorders Dec 16, 2020

Credits: 0.50 AMA PRA Category 1 Credit™

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/coffee-with-chopra-ep-6

Overview: Join Dr. Sanjiv Chopra in this installment of Coffee with Chopra, as he interviews oncologist, Dr. Lowell Schnipper, about topics relevant to cancer detection, prevention, and treatment. Faculty will explain the interesting history which led to the development of various cancer treatments. This discussion will touch on immune-oncology, vaccines as cancer prevention, contributing factors to cancer risk and prevention, and lastly the emerging use of genomics in cancer detection. Join us for this conversation to learn about the “hot topics” in oncology.

Guest: Sanjiv Chopra, MD & Lowell E. Schnipper, MD

What’s on the Horizon for Heart Failure with Reduced Ejection Fraction? (Podcast) Dec 14, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Curriculum/gluckman-merck-hf-2

Guest: Ty J. Gluckman, MD, FACC, FAHA

COVID-19 Update: Vaccines, Working From Home, and So Much More - Frankly Speaking Ep 202 Dec 14, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-202

Overview: There are many aspects of the COVID-19 pandemic that clinicians need to stay current with. In this episode we will briefly review ten hot topics related to COVID-19, including but not limited to: testing, vaccines, and reinfection.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Is it Time to Stop Checking LDL-C? - Frankly Speaking Ep 201 Dec 07, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-201

Overview: Various organizations develop guidelines to assist with patient care. This episode will review the most significant changes to the U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) Clinical Practice Guidelines for the Management of Dyslipidemia for Cardiovascular Disease Risk Reduction.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Pain Points: Persistent Postoperative Pain Nov 30, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/rems-podcast-6

Overview: The vast majority of opioid overdoses are inadvertent. While not a substitute for emergency medical care, naloxone can reduce the risk of opioid overdose mortality. It is important for medical professionals, patients, and families to become familiar with naloxone use.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Guest: Oscar A. De Leon-Casasola, MD

Favorite Podcast of the Last 200! - Frankly Speaking Ep 200 Nov 30, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-200

Overview: Join us for the 200th episode of Frankly Speaking about Family Medicine! In this episode, each podcaster will review their favorite topics since the inception of this podcast and will describe patient encounters where this practice changing knowledge was helpful.

Guest: Alan Ehrlich, MD, FAAFP; Robert A. Baldor, MD, FAAFP; Susan Feeney, DNP, FNP-BC, NP-C; Jill Terrien, PhD, ANP-BC

Music Credit: Richard Onorato

Evaluation of Microhematuria: A Risk-based Approach - Frankly Speaking Ep 199 Nov 23, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-199

Overview: Microhematuria is a common finding. It is usually benign, but it needs proper evaluation since it may also be a sign of malignancy. A risk-based approach can avoid unnecessary testing, while still identifying those patients with malignancy. Recent American Urological Association (AUA) guidelines use a validated risk-based approach.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Advances in Men’s Health in the Last 25 Years Episode 5: Coffee with Chopra Nov 18, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/ccb-mens-health

Overview: Join Dr. Sanjiv Chopra in this installment of Coffee with Chopra, as he interviews urologist and author, Dr. Abraham Morgentaler, about topics relevant to Men’s Health including prostate cancer, male sexuality, testosterone replacement therapy, and the concept of “male menopause”.

Guest: Sanjiv Chopra, MD, MACP

Abraham Morgentaler, MD, FACS

GLP-1 Receptor Agonists: Overcoming Barriers (Podcast) Nov 16, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/pmi-glp1-podcast-2

Overview: With the growing role of GLP-1 RAs in the management of diabetes, primary care providers are likely to find themselves discussing this class of medications with their patients. In this podcast, Dr. Michelle Magee will focus on barriers that patients may face to starting a GLP-1 RA and common questions that emerge in patient teaching. Faculty will review ways to troubleshoot these challenges and empower the clinician to engage in effective dialogue around this drug class.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 11/18/2020 and they are subject to change as new information is published.

Guest: Michelle F. Magee, MD, MBBCh, BAO, LRCPSI

Updates to Influenza Management in 2020 and Beyond: Your Questions Answered (FAQ Podcast) Nov 16, 2020

Overview: Join infectious disease specialist, Dr. Daniel Solomon, in the last episode of a 3-part podcast series, as he discusses important concepts related to influenza that are especially relevant in 2020 during the COVID pandemic. During this episode, he will answer frequently asked questions that are compiled from previous Pri-Med activities on the topic of influenza.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 10/13/2020 and they are subject to change as new information is published.

Guest: Daniel A. Solomon, MD

“Just a Spoonful of Honey”: Evidence Supporting Honey for URTI Symptom Relief - Frankly Speaking Ep 198 Nov 16, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-198

Overview: Upper respiratory tract infections (URTI) are one of the most common conditions seen in primary care. Effective treatments for this acute, bothersome illness are limited; inappropriate antibiotic prescribing and use of therapeutics with little evidence of effectiveness are common. Join our discussion as we discuss a recent meta-analysis from the BMJ which suggests that honey, in any form, is superior to usual, common treatment for URTIs.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

GLP-1 Receptor Agonists FAQ: Your Questions Answered (Podcast) Nov 14, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/pmi-glp1-podcast-3

Overview: In this podcast, Dr. Richard Pratley will answer Pri-Med learner questions submitted during recent CME sessions focusing on glucagon like peptide-1 receptor agonists (GLP-1 RAs). Join us for expert answers to questions about who can benefit from GLP-1 RAs, the safety of these medications in different populations, and much more.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 11/10/2020 and they are subject to change as new information is published.

Guest: Richard E. Pratley, MD

Is Continuous Glucose Monitoring Right for You? (A Patient Education Podcast) Nov 11, 2020

Overview: Do you want more information on continuous glucose monitoring (also known as “CGM”) or wonder if continuous glucose monitoring can help you better manage your diabetes? Listen to this podcast hosted by two diabetes education specialists, Diana Isaacs, PharmD, and Patricia Montesinos, NP, as they discuss common questions from people with diabetes about continuous glucose monitoring. The pair will start by reviewing what CGM is, how it works, and describe the different types of CGM devices and how they are used. Then they will move on to discuss topics including the pros and cons of CGM, who qualifies for CGM, common questions about using CGM devices, and how to decide about which device might be right for you.

Please note that information in this podcast is not meant to replace the guidance of your doctor or diabetes healthcare team. Please consult a medical professional regarding whether CGM is a good choice for you. Any device information, indications, and guidelines presented in this activity are current as of the recording on 10/22/2020 and they are subject to change as new information is published.

For more information, please visit: https://www.pri-med.com/online-education/podcast/lilly-cgm-1

Guest: Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES, FADCES

Patricia Hathway Montesinos, MSN, APRN, FNP-BC, BC-ADM, CDCES

Improving Treatment for COPD: Your Questions Answered (An FAQ Podcast) Nov 11, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/gsk-cme-copd-3

Overview: Join pulmonologist Emily Wan, MD as she answers the most pressing questions regarding the management of COPD. In this podcast, Dr. Wan will discuss topics such as when to step-up and step-down therapy, the role of eosinophil count in acute exacerbations, strategies for educating patients on correct inhaler technique (hint – don’t forget about the pharmacist!), how COVID-19 has impacted the management of COPD, and more.

Guest: Emily S. Wan, MD, MPH

Handling Upper Respiratory Symptoms During the COVID-19 Pandemic - Frankly Speaking Ep 197 Nov 09, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-197

Overview: This episode will review how to best care for patients who present with respiratory symptoms during the fall and winter.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

How to Reap the Benefits of Continuous Glucose Monitoring and Maintain Your Device (A Patient Education Podcast) Nov 05, 2020

Overview: Do you use continuous glucose monitoring (also known as “CGM”) or care for someone who does? Listen to this podcast hosted by two diabetes education specialists, Diana Isaacs, PharmD, and Patricia Montesinos, NP, as they review important information regarding the currently available CGM devices and discuss common issues and questions that arise for people with diabetes using CGM. The pair will begin by reviewing important information about CGM devices for people starting out and will address common questions about using CGM. This will be followed by discussion of more advanced topics, including when to call your healthcare team about your device or the glucose data on your device, and how to approach making insulin and dietary adjustments based on glucose data from a CGM device.

Please note that information in this podcast is not meant to replace the guidance of your doctor or diabetes healthcare team. Please consult a medical professional regarding whether CGM is a good choice for you. Any device information, indications, and guidelines presented in this activity are current as of the recording on 10/22/2020 and they are subject to change as new information is published.

For more information, please visit: https://www.pri-med.com/online-education/Podcast/lilly-cgm-2

Guest: Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES, FADCES

Patricia Hathway Montesinos, MSN, APRN, FNP-BC, BC-ADM, CDCES

GLP-1 Receptor Agonists: A Cardiology Perspective Nov 04, 2020

Credits: 0.25 AMA PRA Category 1 Credits™, 0.25 ABIM MOC or 0.25 AANP, including 0.25 AANP Pharm

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/novo-glp1-podcast-1

Overview: In this podcast, cardiologist Ty Gluckman will take a deep dive into the cardiology benefits of glucagon like peptide-1 receptor agonists (GLP-1 RA). He will review the clinical trial data which has resulted in GLP-1 RA incorporation into guidelines, which address patients who have both diabetes and atherosclerotic cardiovascular disease. He will present the recent American College of Cardiology guidelines and discuss the perspective of a cardiologist on these agents with emerging significance in cardiovascular risk reduction.

Guest: Ty J. Gluckman, MD, FACC, FAHA

Individualizing COPD Treatment Using the GOLD Guidelines Nov 03, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/gsk-cme-copd-2

Overview: Join pulmonologist Dr. Matthew Drake as he discusses the current 2020 GOLD guidelines for treatment of COPD. Using patient case examples, he will outline how to assess patients with COPD to determine the most appropriate evidence-based treatment. Discussion will include which patients will benefit most from inhaled corticosteroids and when to consider triple inhaled therapy with combination of long-acting beta-2-agonist, long acting muscarinic antagonist and inhaled corticosteroids.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 10/9/2020 and they are subject to change as new information is published.

Guest: Matthew G. Drake, MD

That Cup of Joe – Good for You! - Frankly Speaking Ep 196 Nov 02, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-196

Overview: The New England Journal of Medicine recently published an evidence-based review of the benefits and harms related to caffeine and coffee consumption.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

The Benefits of Exercise Oct 30, 2020

Overview: This podcast will provide an update on the medical literature and practice guidelines pertaining to exercise. Participants will deepen their understanding of the physical and mental health benefits of exercise and will examine the evidence for a variety of common approaches to exercise (cardiovascular, strength training, high intensity interval training). Barriers to participation in exercise regimens – both for patients and providers – will be explored.

Guest: Anoop Agrawal, MD

A Dermatology Update for Primary Care Oct 30, 2020

Overview: Through fifteen quick-hitting cases, this session will review select dermatologic rashes and neoplasms, both benign and malignant, that are commonly encountered by primary care physicians. Clinical descriptions of acne, alopecia areata, atopic dermatitis/eczema, lichen planus, pityriasis rosea, psoriasis, rosacea, seborrheic dermatitis, stasis dermatitis, tinea cruris/corporis/unguium, acrochordon, cherry angioma, seborrheic keratosis, actinic keratosis, basal cell carcinoma, squamous cell carcinoma, and melanoma are provided, followed by suggestions for treatment and management within the scope of primary care. Recommendations as to when to refer patients to Dermatology are noted. Reference atlas, textbook, website, and mobile application recommendations are also provided.

Guest: Vicky Ren, MD

Benefits of Wellness Coaching and How to get your Patients Involved Oct 30, 2020

Overview: Lifestyle management has proven effective for addressing modifiable health risks, but can be challenging for patients to implement and maintain. This session will focus on wellness coaching as an important component of healthy living, both for patients and providers. Participants will learn about the benefits of engaging patients in health and wellness coaching, and will discuss strategies for incorporating this practice into their own patient care setting(s).

Guest: Stacey Rose, MD, FACP

Pain Points: The Role of Naloxone in the Emergency Treatment of Opioid Overdose Oct 27, 2020

Overview: Certain surgical procedures frequently lead to persistent postoperative pain. It is important to understand the risk factors and the pathophysiology that contribute to these chronic pain conditions and to understand approaches to prevent and manage these conditions.

Guest: Oscar A. De Leon-Casasola, MD

Peanut Allergies, Time to Follow the Guidelines? - Frankly Speaking Ep 195 Oct 26, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-195

Overview: For patients who have hip replacement or knee arthroplasty there is an increased risk of venous thromboembolism This episode will review the effectiveness of aspirin for preventing VTE in this population

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Is There a Correlation Between Low-to-Moderate Alcohol Consumption and Improved Cognitive Function? - Frankly Speaking Ep 194 Oct 19, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-194

Overview: The available evidence on alcohol consumption and its relationship to health is abundant, varied, and often conflicting. The evidence that excessive consumption is associated with poor outcomes is consistent; however, evidence on low-to-moderate alcohol consumption has ranged from poor outcomes to no impact to improved outcomes. Join us while we discuss new evidence that reveals an association between low-to-moderate alcohol use in white middle-to-older aged adults and improved cognition.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Influenza Management in 2020: Pharmacologic Strategies for Influenza Treatment and Prophylaxis Oct 15, 2020

Overview:

In the second episode of this 3-part mini-series on influenza, join infectious disease specialist, Daniel Solomon MD, as he discusses strategies for prophylaxis and treatment of influenza with antivirals .

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 9/15/2020 and they are subject to change as new information is published .

Guest: Daniel A. Solomon, MD

Heads Up! 2020 Guideline Update on Cervical Cancer Screening - Frankly Speaking Ep 193 Oct 12, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-193

Overview: Join us as we discuss the American Cancer Society 2020 guideline update on cervical cancer screening for women of average risk

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

A Case-based Diagnosis of Arthritis Oct 09, 2020

Overview: A patient presents with joint pains. How should we approach the history, physical examination, laboratory tests, and imaging studies to arrive at a correct diagnosis? The discussion points out how to differentiate between rheumatoid arthritis, psoriatic arthritis, lupus and fibromyalgia to correctly diagnose these conditions.

Guest: Peng Thim Fan, MD, FACP.

Prediabetes: Screening & Management Oct 09, 2020

Overview: An elevated fasting blood glucose (FBG) is the hall mark of prediabetes. Fasting blood glucose increases approximately 1 mg/dl per year as a prediabetic. While it can take years for a person to develop type 2 diabetes from prediabetes, weight gain, sedentary lifestyle, illness, or stress, can accelerate this process. This presentation will discuss the prevalence and progression of prediabetes, as well as the most effective strategies to prevent the development of type 2 diabetes.

Guest: John A. Tayek, M.S., M.D., FACN, FACP

Ruminations about Rheumatology: Past, Present, and Future Episode 3: Coffee with Chopra Oct 05, 2020

Overview: Join Dr. Sanjiv Chopra, MD, in this installment of Coffee with Chopra, as he interviews his guest, Dr. Peng Fan, MD, about advances in rheumatology. In this session, the duo will discuss topics including: ANA testing, the revolution of biologics in rheumatology, stem cell treatment, the microbiome, and joint replacements.

Guest: Peng Thim Fan, MD, FACP

Lung Cancer Screening: The U.S. Preventive Services Task Force Weights In - Frankly Speaking Ep 192 Oct 05, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-192

Overview: Currently a low-dose CT scan is the only screening test for lung cancer that is recommended by the American Cancer Society. In July 202, the U.S. Preventive Services Task Force (USPSTF) issued a draft recommendation statement on screening for lung cancer. The USPSTF suggests annual screening with low-dose CT for individuals aged 50-80 who have a 20 pack-year smoking history and who currently smoke or have quit smoking within the past 15 years. These recommendations expand screening eligibility, but they also suggest that screening be discontinued if a person has not smoked for 15 years, develops a health problem that substantially limits life expectancy, or is unable or unwilling to have curative lung surgery.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Tobacco Cessation Oct 02, 2020

Overview: This podcast will review the harms of tobacco products and discuss the growing popularity and dangers of non-cigarette tobacco products. Faculty will discuss the vaping associated lung injury and outline approaches that PCPs can use to help their patients with tobacco cessation.

Guest: Michael Ong, M.D., Ph.D.

Fracture Management for Primary Care Physicians Sep 30, 2020

Overview: This podcast provides a succinct but comprehensive review of pediatric and adult in-office fracture management for primary care providers.

Guest: Joshua T. Goldman, MD, MBA

Management of Chronic Insomnia Sep 30, 2020

Overview: Join sleep specialist Dr. Alon Avidan for this podcast as he reviews the pathophysiology, diagnosis and treatment of insomnia. He will use a specific patient case to discuss how insomnia often presents in the primary care setting and evolves over time. He will highlight the best diagnostic tools and explain how in addition to pharmacologic treatments, cognitive and behavioral therapy can be used for treatment of insomnia.

Guest: Alon Y. Avidan, MD, MPH, FAAN, FAASM

Breast Cancer Screening Sep 30, 2020

Overview: Listen for a summary of current guidelines for breast cancer screening that will help you provide the most appropriate screening for your patients based on their individual risk.

Guest: Camelia Davtyan, MD, FACP

Bacterial Vaginosis: Meeting the Clinical Challenge Sep 30, 2020

Overview: Bacterial vaginosis—especially recurrent BV—can be an ordeal for patients and their healthcare providers. Listen as Dr. Martin Quan provides concise and up-to-date information on the pathophysiology, diagnosis, and management of BV.

Guest: Martin A. Quan, MD

Assessment and Treatment of Age-Related Cognitive Decline Sep 30, 2020

Overview: This podcast can help you to differentiate between
normal age-related memory decline, mild cognitive impairment, and dementia so that you can diagnose your patients with memory loss correctly and provide them with the best management for their condition.

Guest: Gary Small, MD

A Case of the “Sprained” Wrist Sep 30, 2020

Overview: Fall on an outstretched hand (FOOSH) is among the most common injuries seen by primary care providers. Yet, an insufficient evaluation or incomplete differential can lead to a missed diagnosis and significant morbidity for patients. This podcast provides a quick-hitting discussion of the evaluation and management of a FOOSH injury in a 20-year-old skateboarder.

Guest: James C. Puffer, M.D.

Osteoporosis Management: A Bone to Pick Sep 30, 2020

Overview: This podcast provides a succinct overview of what you need to know to manage osteoporosis confidently, including selecting candidates for treatment, monitoring patients, and the benefits and potential adverse effects of osteoporosis pharmacotherapy.

Guest: Carolyn J. Crandall, MD, MS, FACP

Going for GOLD: Chronic Obstructive Pulmonary Disease for the Primary Care Provider Sep 30, 2020

Overview: This podcast will review updates to the clinical guidelines for the management of chronic obstructive pulmonary disease, tailored specifically to primary care. The discussion will include the diagnosis and basic management of COPD, when to consider escalating and deescalating treatment regimens, and when to consider expert referral.

Guest: Russell Buhr, MD, PhD

Evaluating the Evidence for Treatment of Menopausal Symptoms Sep 30, 2020

Overview: Participate in this activity to get the most up-to-date information about menopause, systemic hormone therapy, and alternative treatment options to individualize and optimize care of your patients.

Guest: Janet P. Pregler, MD

Type 2 Diabetes Mellitus Treatment Update Sep 30, 2020

Overview: Listen to this podcast for a concise summary of the latest clinical practice guidelines for identifying glycemic targets and managing T2DM in various patient populations including, older adults, individuals with increased cardiac or renal risk, and those at risk for hypoglycemic events.

Guest: Matthew Freeby, MD

What Testing is Appropriate at an Annual Health Exam: What, When, and WHY? - Frankly Speaking Ep 191 Sep 28, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-191

Overview: Screening for asymptomatic conditions is an essential and important aspect of primary care. But what is the potential downstream impact to the patents and the healthcare system when low-risk individuals are screened? What are the benefits and the potential harms? Join us as we discuss a recent retrospective study on the downstream effects of low-value testing on low-risk people at their annual health exam and how this may impact your practice.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Pain Points: Drug-Drug Interactions and Opioid Therapy in Pain Management Sep 25, 2020

Overview: Coadministration of drugs should be done with caution, because drug-drug interactions can cause serious adverse effects. Being cognizant of relevant pharmacodynamics, pharmacokinetics, and pharmacogenetics aspects of a variety of drugs, including analgesics, can reduce such effects.

Guest: Oscar A. De Leon-Casasola, MD

Acute Exacerbations of COPD: Challenges and Opportunities Sep 24, 2020

Overview: Join pulmonologist Dr. Chris Fanta as he discusses acute exacerbations and COPD. The podcast begins with a typical case presentation seen in primary care which highlights the experience of acute exacerbations of COPD. Next, Dr. Fanta discusses the impact of COPD on the lives of patients and, lastly, discusses how COPD is treatable and, to some extent, preventable in an outpatient setting.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording 9/1/2020 and they are subject to change as new information is published.

Guest: Christopher H. Fanta, MD

Managing Heart Failure with Reduced Ejection Fraction in 2020 Sep 22, 2020

Overview: Join cardiologist Ty Gluckman, MD in part one of this two part podcast series as he reviews the latest guideline-based management of heart failure with reduced ejection fraction (HFrEF), bringing to light major advances in the past years and evidence supporting these advances.

Guest: Ty Gluckman, MD

Antibody Tests for COVID-19: What Do They Tell Us? - Frankly Speaking Ep 190 Sep 21, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-190

Overview: A review of the latest evidence on antibody testing to identify current and past COVID-19 infection

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Influenza Management in 2020: What You Should Know about Prevention, Diagnosis, and Identifying Candidates for Treatment Sep 16, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://pri-med.com/online-education/podcast/cme-podcast-influenza-genentech-1-pt1

Overview:

In the first episode of this 3-part mini-series on influenza, infectious disease specialist, Daniel Solomon M.D., reviews the epidemiology of flu and discusses the importance of prevention and diagnosis during the current COVID-19 pandemic.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 8/26/2020 and they are subject to change as new information is published.

Influenza Immunization and Lower Mortality Rates in Diabetes - Frankly Speaking Ep 189 Sep 14, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-189

Overview: This session will discuss an observational study performed in Denmark on how receiving the influenza vaccine affected diabetics long-term outcomes.

Guest: Jill Terrien, PhD, ANP-BC

Music Credit: Richard Onorato

Hydroxychloroquine for COVID-19: Not Ready for Prime-Time - Frankly Speaking Episode 188 Sep 07, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-188

Overview: A review of the latest evidence regarding hydroxychloroquine (HCQ) as treatment for SARS-CoV-2 infection.

Guest: Alan Ehrlich, MD

Vitamin D and COVID-19 - Frankly Speaking Episode 187 Aug 31, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-187

Overview: This podcast will review what is known and theorized about vitamin D status, susceptibility to viral infections, and mortality from viral infections.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

COVID-19: School Closing, Prevention, and Prognosis - Frankly Speaking Episode 186 Aug 24, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-186

Overview: This episode will review current literature on COVID-19 data.

Guest: Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Pain Points: Non-Steroidal Anti-Inflammatories in Clinical Practice Aug 20, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/rems-podcast-4-nsaids-8-20

Overview: Nonsteroidal anti-inflammatory drugs (NSAIDs) are used for pain management in a variety of settings and for a variety of conditions. This podcast summarizes the evidence for efficacy as well as for toxicities associated with this drug class and outlines current guideline recommendations.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Guest: Oscar A. De Leon-Casasola, MD

A Change In Treating Mild Asthma - Frankly Speaking Ep 185 Aug 17, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-185

Overview: This episode will review a study of using LABA with inhaled steroid rather than a short acting rescue inhaler.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aspirin Can Prevent VTE After Hip or Knee Surgery - Frankly Speaking EP 184 Aug 10, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-184

Overview: For patients who have hip replacement or knee arthroplasty there is an increased risk of venous thromboembolism This episode will review the effectiveness of aspirin for preventing VTE in this population

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Counseling About Healthy Lifestyles: Time to Simplify - Frankly Speaking EP 183 Aug 04, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-183

Overview: While it is well established that selected lifestyle factors are individually associated with lower risk of chronic diseases, it has been unclear which combinations of these factors are associated with disease-free life-years. This session presents the result of a recent meta-analysis that provides insights into this important subject.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Advances in Diabetes and Reflections on Care – Coffee with Chopra EP 1 Jul 28, 2020

Credits: 0.50 AMA PRA Category 1 Credit™

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/coffee-with-chopra-ep-1

Overview: Join Dr. Sanjiv Chopra, hepatologist, author, speaker, and thought leader as he interviews his guest, Dr. Martin Abrahamson, endocrinologist and associate professor at Harvard Medical School as they discuss major advances in diabetes as well as the promise of stem cell treatment, diet and weight loss in patients with diabetes, and advances in continuous glucose monitoring. The pair will end their conversation discussing what they have learned from patients over the years.

Guest: Sanjiv Chopra, MD & Martin J. Abrahamson, MD, FACP

Seize the Day: Expanding Opportunities for Pneumococcal Immunization in Adults (Part 3) Jul 28, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/seize-the-day-pt-3

Overview: Most patients between ages 18 and 64 presenting to primary care practices have a comorbidity that increases their risk for invasive pneumococcal disease and thus warrants immunization. These comorbidities include diabetes, cardiovascular disease, respiratory disease (such as asthma or COPD), liver disease, smoking, and others. This podcast will discuss the recommendations for pneumococcal vaccines in this population.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 6/18/2020 and they are subject to change as new information is published.

Guest: Robert H. Hopkins Jr, MD, MACP, FAAP

Testosterone for Low ‘T’? - Frankly Speaking EP 182 Jul 27, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-182

Overview: About 20% of men older than 60 experience low testosterone; however, the prevalence of low testosterone with sexual dysfunction symptoms is significantly lower. Although there is an association between advancing age, testosterone levels, and other quality of life factors, the exact causal relationship remains challenging. This latest guideline from the American College of Physicians (ACP) examines the evidence regarding testosterone replacement recommendations.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Pain Points: Opioid Therapy in Older Adults Jul 20, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/pain-points-opioid-therapy-in-older-adults-podcast

Overview: Opioids are an important therapy for the management of pain in older patients with cancer-related chronic pain, as well as in some with chronic noncancer pain. This program reviews important concepts in initiating and continuing opioid therapy in older patients.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Guest: Katherine E. Galluzzi, DO, CMD, FACOFP

Weighted Vests Reduce Weight - Frankly Speaking EP 181 Jul 20, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-181

Overview: This podcast reviews a recent study evaluating the benefit of adding a weighted vest to dietary interventions to promote weight loss and discusses its implications for clinical practice.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Seize the Day: Expanding Opportunities for Pneumococcal Immunization in Adults (Part 2) Jul 15, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/seize-the-day-pt-2

Overview: Adults between the ages of 18 through 64 with immunocompromising conditions due to either anatomic defects or impaired immune response are at the highest risk for invasive pneumococcal disease. They need two different pneumococcal vaccines: pneumococcal conjugate vaccine (PCV13) at the time the risk factor is recognized and pneumococcal polysaccharide vaccine (PPSV23) at least 8 weeks later. This podcast will discuss how to identify these patients at high risk for pneumococcal disease and implement guidelines for administration of pneumococcal vaccination in this population.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 6/18/2020 and they are subject to change as new information is published.

Guest: Robert H. Hopkins Jr, MD, MACP, FAAP

Gout - An Updated Treatment Guideline from the American College of Rheumatology - Frankly Speaking EP 180 Jul 15, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-180

Overview: The American College of Rheumatology (ACR) updated their 2012 guidelines for treating gout. To do this, they used established evidenced-based methods including population, intervention, comparator, outcomes (PICO) questions.

Guest: Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

How Do I Identify & Manage Severe Asthma in Primary Care? Your Questions Answered Jul 08, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/how-do-i-identify-manage-severe-asthma

Overview: In this podcast, Dr. Matthew Drake, a pulmonary and critical care medicine specialist at Oregon Health & Science University, will answer questions regarding diagnosis, evaluation and management of severe asthma. He will review how to identify and evaluate patients with severe asthma, and will describe newer treatments available for patients with specific subtypes of severe asthma.

Guest: Matthew G. Drake, MD

Seize the Day: Expanding Opportunities for Pneumococcal Immunization in Adults (Part 1) Jun 30, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/seize-the-day-pt-1

Overview: The Advisory Committee on Immunization Practices (ACIP) makes shared clinical decision-making recommendations when individuals may benefit from vaccination, but broad vaccination of all people in that group is unlikely to have population-level impact. Such a recommendation is applicable to pneumococcal vaccines whereby pneumococcal conjugate vaccine (PCV13) is recommended for all adults 65 and older, while the administration of pneumococcal conjugate vaccine (PCV13) is based on shared decision-making. In this podcast, we will discuss the ACIP recommendations and the use of shared decision-making as it applies to pneumococcal vaccines.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 6/18/2020 and they are subject to change as new information is published.

Guest: Robert H. Hopkins Jr, MD, MACP, FAAP

For Osteoarthritis of the Knee, What’s the Point of Injecting Steroids? - Frankly Speaking EP 179 Jun 29, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-179

Overview: The comparative efficacy of corticosteroid and physical therapy for managing osteoarthritis of the knee is controversial. This podcast will review a recent randomized trial comparing the efficacy of the 2 treatments in 156 patients who were followed for 1 year.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

An Epidemic That Nobody is Talking About - Frankly Speaking EP 178 Jun 22, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-178

Overview: As men age, over-active bladder (OAB) symptoms (urgency, frequency, nocturia) are commonly seen. Typically, these symptoms are secondary to the development of benign prostate hypertrophy (BPH). Alpha-blocking and/or antimuscarinic agents are commonly prescribed to treat such symptoms. In this podcast we review the COBALT study which examines the benefits of behavioral treatments (pelvic floor muscle training and fluid restriction before bedtime) alone or combined with drug therapy to treat OAB symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Pain Points: Nonopioid Pharmacologic Options in Older Adults Jun 19, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/pain-points-nonopioid-pharmacologic-options

Overview: Nonopioid therapy is an important tool for the treatment of chronic pain. But agents differ as to efficacy and safety in older patients. This program reviews the different classes of nonopioid medications, their efficacy in different types of pain, and their use in older patients.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Guest: Katherine E. Galluzzi, DO, CMD, FACOFP

Concussion Risk and Prevention Among High School Student Athletes - Frankly Speaking EP 177 Jun 15, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-177

Overview: This session will discuss the latest evidence on concussion occurrence among high school athletes and review return-to play-guidelines and laws. It will also provide a nuanced and realistic discussion of concussion prevention.

Guest: Guest: Hillary Mullan

Music Credit: Richard Onorato

Getting to Remission—Not Just Better: Can a Web-Based CBT Tool Help Resolve Residual Depressive Symptoms in People Treated for Depression? - Frankly S... Jun 08, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-176

Overview: Achieving a euthymic state can be very challenging for individuals with depression and anxiety. Many people live with residual symptoms even while on anti-depressive medications. Changing pharmacotherapy, escalating doses, and adding medications are common. Join us while we discuss the results of a recent RCT of primary care patients, which demonstrated improved resolution of residual depressive symptoms for those who used a web-based CBT tool as adjunctive therapy.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Infectious Disease Expert: FAQ on the Transmission of COVID-19 (Recorded 6/3/2020) Jun 05, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/woc-coburn-id-expert-covid-19-faq-transmission

Overview: In this podcast, infectious disease specialist Dr. Woc-Colburn answers your questions from the past few weeks with a focus on COVID-19 transmission and what precautions to follow as we return to the “new normal”.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 6/3/2020 and they are subject to change as new information is published.

Guest: Laila Woc-Colburn, MD

Pap Smears and Bimanual Exams: Do Teens Really Need Them? - Frankly Speaking EP 175 Jun 01, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-175

Overview: Clinical practice guidelines from the American College of Obstetrics and Gynecology and the United States Preventive Services Task Force recommend against routine Pap smears and bimanual exams in adolescents. This recommendation includes those planning on starting oral contraceptives or with possible sexually transmitted diseases. A recent study found nearly half of all such exams in this age group lack indications. While the evidence indicates a new direction, clinicians have been slow to change their practice. Join us as we discuss the reasons for these guidelines and review appropriate indications for these exams.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Mental Health During the COVID-19 Pandemic: Giving Bad News (Recorded 5/27/2020) May 27, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-19-mental-health-10

Overview: In this podcast, Dr. Shirah Vollmer outlines how delivering bad news is a skill set that is necessary for clinicians. In a time when many families and patients face loss, this is an increasingly valuable ability. This episode reviews specific techniques to improve the delivery of bad news to patients. Understanding that giving bad news can cause increased vulnerability in the clinician, this podcast will also touch on how self-care after giving bad news is essential.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 05/27/2020 and they are subject to change as new information is published.

Guest: Dr. Shirah Vollmer, MD

Frankly Speaking Update: COVID-19 and Special Populations (Recorded 5/22/20) May 27, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-covid-19-5-27

Overview: Listen to this Q&A session about special topics on COVID-19 infection, including COVID in pregnancy and pediatric patients

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

What Happened to My Furosemide? Torsemide for Congestive Heart Failure - Frankly Speaking EP 174 May 25, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-174

Overview: In this episodes, we will discuss a systematic review and meta-analysis that examines outcomes from the use of furosemide compared to torsemide in patients with congestive heart failure.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Pain Points: Nonpharmacologic Management in Older Adults May 20, 2020

Credits: 0.50 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/pain-points-nonpharmacologic-management-older-adults

Overview: Treating chronic pain in older individuals and balancing analgesia and adverse effects in this population, which is often afflicted with multiple comorbidities, is challenging. This program reviews the assessment and nonpharmacologic treatment of chronic pain in patients aged 65 years and older.

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Guest: Katherine E. Galluzzi, DO, CMD, FACOFP

COVID-19 and Seniors: What Happened in Nursing Homes and How Can We Fix It? (Recorded 5/18/2020) May 18, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-19-seniors-nursing-homes

Overview: Skilled nursing facilities experienced some of the first clusters of COVID-19 outbreaks in the United States. In this episode, geriatrician Lee Lindquist will discuss how the characteristics of COVID-19 and the policies surrounding testing contributed to the spread of the virus in skilled nursing facilities. She will outline practical policies that skilled nursing facilities can implement to protect their patients and staff, and stop the spread of infection within their facilities. Lastly, she will discuss opportunities for policy changes moving forward to prevent future outbreaks in these vulnerable settings.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 05/18/2020 and they are subject to change as new information is published.

Guest: Lee A. Lindquist, MD, MPH, MBA

Mental Health During the COVID-19 Pandemic: Suicide Prevention in Healthcare Workers (Recorded 5/18/2020) May 18, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-19-mental-health-9

Overview:

In this podcast, Dr. Shirah Vollmer reviews how healthcare professionals in general, and increasingly during COVID-19, are vulnerable to suicide. The podcast identifies characteristics in health care professionals which increase vulnerability to depression and decrease the likelihood of asking for help. The clinician will learn four action items to help other clinicians and their loved ones dealing with mental stress during this pandemic.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 05/18/2020 and they are subject to change as new information is pub

Guest: Dr. Shirah Vollmer, MD

Strategies and Options for the Management of Hypoglycemic Emergencies May 18, 2020

Credits: 0.50 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/strategies-options-management-hypoglycemic-emergencies

Overview: During this podcast, Dr. Diana Isaacs will give an in-depth review of the currently available pharmacologic options for the treatment of severe hypoglycemia. She will explain their differences and highlight shared decision-making strategies clinicians can employ during patient encounters to select therapies for the treatment of severe hypoglycemia.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 05/08/2020 and they are subject to change as new information is pub

Guest: Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM, CDCES

The Prescribing Cascade: What Is It and How Do We Prevent It? - Frankly Speaking EP 173 May 18, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-173

Overview: In primary care we are tasked with treating multiple conditions, therefore many of our patients are on numerous medications. Some of these medications are prescribed to deal with side effects of other medications. Often clinicians may not be aware that they are treating preventable drug side effects and wind up prescribing even more medications. This causes a cascade effect that results in significant polypharmacy. Join us while we discuss this common phenomenon and strategies to minimize or avoid it entirely.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Mental Health During the COVID-19 Pandemic: Pediatric Mental Health (Recorded 5/11/2020) May 11, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-19-mental-health-8

Overview:

In this podcast, Dr. Shirah Vollmer will discuss how the unique situation that COVID-19 puts families in can increase the risk for child abuse and neglect. Without the resources of school and the increased economic pressures families face, there can be an increase in family dysfunction. She will outline ways that clinicians can be sensitive to the special needs of a child who may be struggling during this time and how to monitor for anxiety disorders in pediatric patients.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 05/11/2020 and they are subject to change as new information is pub

Guest: Dr. Shirah Vollmer, MD

Kegels for Men? - Frankly Speaking EP 172 May 11, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-172

Overview: As men age, over-active bladder (OAB) symptoms (urgency, frequency, nocturia) are commonly seen. Typically, these symptoms are secondary to the development of benign prostate hypertrophy (BPH). Alpha-blocking and/or antimuscarinic agents are commonly prescribed to treat such symptoms. In this podcast we review the COBALT study which examines the benefits of behavioral treatments (pelvic floor muscle training and fluid restriction before bedtime) alone or combined with drug therapy to treat OAB symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

COVID-19 and Seniors: Frequently Asked Questions (Recorded 5/04/2020) May 05, 2020

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-19-seniors-FAQs

Overview: In this podcast, geriatrician Lee Lindquist, MD will answer frequently asked questions about how COVID-19 is impacting older adults. She will explain some of the unique issues with testing seniors for COVID-19 and explore the challenges in long-term care settings during an infectious disease outbreak.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 05/04/2020 and they are subject to change as new information is published.

Guest: Lee A. Lindquist, MD, MPH, MBA

Mental Health During the COVID-19 Pandemic: Symptoms (Recorded 5/04/20) May 04, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-19-mental-health-7

Overview: In this podcast, Dr. Shirah Vollmer will outline how certain symptoms are a manifestation of inability to cope with stressors. She will explain how previously well-managed patients who have learned to deal with their symptoms, may now face an exacerbation. Understanding how symptoms develop and putting them into context of the current situation will help both clinician and patient form a deeper alliance and thereby diminish patient suffering.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 05/04/2020 and they are subject to change as new information is published.

Guest: Dr. Shirah Vollmer, MD

Caution! Falling Seniors Ahead! - Frankly Speaking EP 171 May 04, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-171-2

Overview: Join us as we discuss falls: a clinical issue that warrants regular assessment in adults over the age of 65.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Infectious Disease Expert: FAQ on the Presentation of COVID-19 9 (Recorded 4/29/20) May 01, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/woc-coburn-id-expert-covid-19-faq

Overview: In this podcast, infectious disease specialist Dr. Woc-Colburn answers your questions from the past few weeks with a focus on COVID-19 symptoms and atypical presentations.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 04/29/2020 and they are subject to change as new information is published.

Guest: Laila Woc-Colburn, MD

COVID-19 and Seniors: Atypical Presentations in Older Adults (Recorded 04/23/2020) Apr 27, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-19-seniors-atypical-presentations

Overview: COVID-19 has shown more severe infections and increased mortality in the older adult. In this podcast, geriatrician Lee Lindquist, MD, will discuss how the body of older adults is different, and why this increases seniors’ risk for infection and complications from COVID-19. She will review action items for clinicians treating older adults to prevent and manage COVID-19 infection in the unique needs of the geriatric population.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 04/23/2020 and they are subject to change as new information is published.

Guest: Lee A. Lindquist, MD, MPH, MBA

Mental Health During the COVID-19 Pandemic: Online Mental Health Care (Recorded 4/24/20) Apr 27, 2020

Overview: In this podcast, psychiatrist Dr. Shirah Vollmer will explore the unique aspects of referring patients to online psychiatry. She will weigh the potential advantages and disadvantages of mental health care moving to an online platform and discuss techniques for providing online mental health care.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 04/27/2020 and they are subject to change as new information is published.

Guest: Shirah Vollmer, MD

Corticosteroid Injection for Plantar Fasciitis: All Pain, No Gain - Frankly Speaking EP 170 Apr 27, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-170

Overview: Plantar fasciitis is a common and often unsuccessfully treated chronic, painful condition. Multiple interventions have been suggested with varying degrees of effectiveness. Corticosteroid injections are sometimes used, but the evidence for efficacy has been limited with significant bias present in many of the trials. A Cochrane review in 2017 found a small degree of short-term benefit. Since then, a number of additional trials have been performed, and a newer systematic review finds no benefit.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Mental Health During the COVID-19 Pandemic: Coping with Death and Loss (Recorded 4/20/20) Apr 20, 2020

Overview: In this podcast, psychiatrist Dr. Shirah Vollmer will discuss how those on the front lines can approach the challenges of dealing with death and loss. She will identify coping-skills and practices that healthcare professionals can use to deal with grief and process the emotional burden of their work.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 04/20/2020 and they are subject to change as new information is published.

Guest: Shirah Vollmer, MD

5 Tools to Improve the Patient Encounter - Frankly Speaking EP 169 Apr 20, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-169

Overview: Many providers are dissatisfied with patient visits because of issues such as time limits and technology burden. Join us as we discuss 5 practices that could improve satisfaction with visits for both patients and providers.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Recalibrating and Finding Clarity in a Time of Chaos and Confusion (Recorded 4/17/20) Apr 17, 2020

Overview: We are in the midst of an unprecedented pandemic that has caused too many deaths globally with an increasing number daily.

For most, this pandemic has provided “bonus” home time from cancelled travel, meetings and rounds; how can you optimize this time to find meaning and purpose? During this time of chaos, consternation and crisis we need to recalibrate our lives. Our planet, burnt and violated in recent decades, is at this time healing. We as people need to heal as well. In this interview, Dr. Frank J. Domino will join Dr. Sanjiv Chopra to hear his bright perspective during these times of uncertainty.

Guests: Sanjiv Chopra, MD, MACP & Frank J. Domino, MD

COVID and Seniors: ”Treating-in-Place” in Senior Residential Living (Recorded 4/13/20) Apr 14, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-and-seniors-treating-in-place

Overview: This podcast will provide a practical approach to COVID-19 preparedness and management at senior residential communities and skilled nursing facilities. A leading geriatrician will discuss prevention, testing, monitoring, and treatment of COVID in this vulnerable population.

Guest: Lee A. Lindquist, MD, MPH, MBA

Infectious Disease Expert: COVID-19 Frequently Asked Questions (Recorded 4/10/20) Apr 13, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/id-expert-covid-19-faq

Overview: In this podcast, infectious disease specialist Dr. Woc-Colburn answers your questions from the past few weeks. She will discuss how the COVID-19 pandemic compares to previous disease outbreaks, review disease transmission, and explain the significance of “herd immunity”.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 04/10/2020 and they are subject to change as new information is published.

Guest: Laila Woc-Colburn, MD

“Make it Stop!” – can a simple and quick intervention help improve quit rates in your patients who smoke? - Frankly Speaking EP 168 Apr 13, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-168

Overview: A recent RCT from Hong Kong found that a brief 1-minute standardized intervention (based on the AWARD Model and self-determination theory) was more effective than giving printed smoking cessation materials to semi-urgent and non-urgent emergency department patients at smoking abstinence at 12 months. Join us as we discuss the implications of this study on your practice and care of individuals who smoke.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Mental Health During the COVID-19 Pandemic: A Mentally Healthy Media Diet (Recorded 4/10/20) Apr 11, 2020

Overview: Join psychiatrist Dr. Shirah Vollmer for her fourth episode on mental health during COVID-19. In this episode she will discuss strategies for media consumption during this anxious time. She will explain how media during a crisis can perpetuate anxiety and requires intentional consumption to maintain mental health.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 04/05/2020 and they are subject to change as new information is published.

Guest: Shirah Vollmer, MD

Aging During COVID-19: Bored Seniors? How to Age-in-Place Successfully (Recorded 4/6/2020) Apr 08, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/aging-during-covid-19

Overview: Lack of in-person social encounters and out-of-the-house activities are difficult for anyone but can be especially detrimental for our elderly patients and family. In this podcast, geriatrician Lee Lindquist, MD, will discuss ways to help older adults during shelter-in-place and social distancing. She will review methods to stimulate cognition, encourage socialization, and describe activities to do from a distance. She will discuss pointers for maintaining physical and emotional well-being in this population, which can apply to any period where an older adult is homebound.

Guest: Lee A. Lindquist, MD, MPH, MBA

Mental Health During the COVID-19 Pandemic: At Home Tools for Providers and Patients (Recorded 4/3/20) Apr 06, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/covid-19-mental-health-3

Overview: In this podcast, psychiatrist Dr. Shirah Vollmer will discuss at-home tools for managing mental health during COVID-19. She will discuss cognitive behavioral therapy, mindfulness strategies, and medication options. Clinicians can use these tools to help their own mental health as well as provide recommendations for their patients.

Guest: Shirah Vollmer, MD

”B” is for Back Pain: How Vitamins May Benefit Acute Low Back Pain - Frankly Speaking EP 167 Apr 06, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-167

Overview: Acute low back pain is a common problem and a frequent cause of inability to work. Although there are many treatments available, they often provide limited relief and have accompanying side effects. Listen to this episode to hear about how using certain vitamins may act as an adjunct treatment to speed recovery of acute low back pain.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Mental Health During the COVID-19 Pandemic: Healthcare Provider Mental Health and Self-Care (Recorded 3/31/20) Apr 01, 2020

Overview: In this podcast, Dr. Shirah Vollmer will discuss the mental health challenges that healthcare providers are facing during the COVID-19 epidemic. Clinicians are suffering unexpected stress, and they have had to weigh their personal safety against important work in a dangerous environment. She will provide clear action items for dealing with these difficult decisions and practicing self care.

Guest: Shirah Vollmer, MD

Mental Health During the COVID-19 Pandemic: Social Distancing vs. Social Isolation (Recorded 3/30/20) Mar 30, 2020

Overview: In this podcast psychiatrist Dr. Shirah Vollmer will discuss the difference between social distancing and social isolation. Dr. Vollmer will provide practical tips for maintaining healthy relationships and maintaining mental health during this unique time when we are physical separated from others.

Guest: Shirah Vollmer, MD

Ask the ID Expert: Common COVID-19 Questions in Primary Care (Recorded 3/28/20) Mar 30, 2020

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/ask-the-id-experts-covid19-coronavirus

Overview: With information changing rapidly around the COVID-19 pandemic, it is difficult for primary care clinicians on the front lines of care to stay up to date on the most accurate information regarding prevention, testing, and treatment. Join this live discussion between family physician Dr. Frank Domino and infectious disease specialist Dr. Paul Sax as they discuss common questions related to COVID-19 that will help you give your patients the best possible care and advice during these uncertain times.
Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 3/28/2020 and they are subject to change as new information is published.

Guest: Frank J. Domino, MD & Paul E. Sax, MD

Alcohol and A-fib: Is Abstinence the Best Medicine? - Frankly Speaking EP 166 Mar 30, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-166

Overview: Alcohol consumption has been associated with negative cardiovascular outcomes, yet many clinicians still counsel patients that it is okay in moderation. Past observational studies have supported this idea, showing a dose-dependent relationship between alcohol consumption and the incidence of a-fib. In this episode we will explore the latest RCT out of Australia, which suggest that no level of alcohol intake is safe when it comes to a-fib.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Effective Tool or Diet Fad? Can Intermittent Fasting Decrease Weight and Improve Cardiovascular Markers? - Frankly Speaking EP 165 Mar 23, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-165

Overview: Obesity, dyslipidemia, and hypertension are significant challenges to public health and impact a growing number of Americans. Weight loss and dietary changes are effective in preventing CVD and DMII and reducing cardiometabolic complications, but can be difficult for many people. Growing evidence supports the use of timed fasting to promote weight loss and reduce these complications. Join us as we discuss a recent study that shows promising data regarding a 10-hour feeding window and improved CV markers.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Frankly Speaking Update: Common Questions About Coronavirus (Recorded 3/21/20) Mar 22, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-coronavirus

Overview: Review the latest data on the Pandemic in a patient centered manner

Music Credit: Richard Onorato

Coronavirus Update, March 6, 2020 - Frankly Speaking EP 164 Mar 13, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-164

Overview: Review the latest recommendations from the CDC to assist in responding to patient questions and concerns.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Safe Sex – Counseling Makes a Difference - Frankly Speaking EP 163 (Live from Pri-Med South) Mar 09, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-163

Overview: STIs in the US are a major public health risk with an estimated 20 million new cases per year, more than half occurring in 15-24-year-olds. The USPSTF found intensive counseling in young adults to reduce the likelihood of STIs. Join us as we discuss how to apply these recommendations to your practice.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

HIV for the Clinician in Practice (FAQ) Mar 03, 2020

Overview: This lecture will focus on known and established pathogenesis of HIV, emphasizing the damage to the immune system as well as illnesses that primary care clinicians may encounter. With expanded knowledge of therapeutic strategies to regain and maintain health, you can address complications that arise with your patients and recognize when to refer. The faculty will also discuss issues that an aging HIV population may face and how to treat them.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on 2/8/2020, and they are subject to change as new information is published.

Guest: Stephen Symes, MD, FACP

Recorded at Pri-Med South

Update in the Diagnosis and Management of Stroke and TIA (FAQ) Mar 03, 2020

Overview: Tremendous strides have been made in the management of cerebrovascular disorders. This presentation will provide the most recent updates in the diagnosis and management of strokes and transient ischemic attacks (TIAs). Contemporary clinical trials have changed the treatment of ischemic strokes and TIAs. This session will explain how to identify the mechanism for stroke and TIA and select prevention strategies accordingly. In addition to discussing individualized management, the faculty will touch on several ongoing trials that aim to clarify alternative mechanisms for stroke and pilot new therapeutic approaches.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7th 2020 and they are subject to change as new information is published.

Guest: Yolanda Reyes-Iglesias, MD, CPE, FAHA

Recorded at Pri-Med South

An Update on the Appropriate Use of Echo (FAQ) Mar 03, 2020

Guest: George R. Marzouka, MD, FACC

Recorded Live at Pri-Med South

The Clot Thickens: Cases in Anticoagulation – Workup and Management of DVT (FAQ) Mar 03, 2020

Overview: This talk on deep vein thrombosis (DVT) will review common clinical presentations, diagnostic workup, indications for imaging, and therapeutic options. The consequences of DVT, such as pulmonary embolism and stroke (in patients with patent foramen ovale), can be dire, and the faculty will provide strategies to reduce morbidity and mortality. You will dive into a detailed lesson on the medical therapy for DVT, which includes anticoagulation strategies using warfarin or the novel factor Xa inhibitors. After this session, you will know when to refer for more advanced invasive therapies and have insight into management of special populations.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 9th, 2020, and they are subject to change as new information is published.

Guest: George R. Marzouka, MD, FACC

Recorded at Pri-Med South

Cancer Screening Update: A Focus on Colorectal, Breast, Lung, and Prostate (FAQ) Mar 03, 2020

Overview: This talk will review recent screening recommendations from the United States Preventive Services Task Force (USPSTF). As well as presenting evidence behind new screening modalities, the faculty will review considerations for deciding whether or not to screen. Additionally, you will walk away from this practical session with strategies to communicate screening results sensitively.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published.

Guest: Erin N. Marcus, MD, MPH

Recorded at Pri-Med South

Lifestyle Management: The Benefits of Wellness Coaching (FAQ) Mar 03, 2020

Guest: Silvina Levis-Dusseau, MD

Recorded at Pri-Med South

Cosmetic Dermatology: The Good, the Bad, and the Ugly (FAQ) Mar 03, 2020

Overview: This session will focus not on cosmetic surgery but on cosmetic dermatology. You will learn about botulinum toxin, injectable fillers, chemical peeling, and topical agents/oral supplements for anti-aging. The faculty will discuss treatment selection, reviewing the profiles of these agents and how to determine which patients should receive them. Information on age-appropriate treatments as well as oral supplementation for cosmetic reasons will help you field questions from the patients you see in your practice.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 9th, 2020, and they are subject to change as new information is published.

Guest: Jonette Keri, MD, PhD

Recorded at Pri-Med South

Managing Patients with Cognitive Decline (FAQ) Mar 03, 2020

Overview: The talk will focus on the criteria for diagnosis of dementia and how to apply the criteria for dementia diagnosis, including how to differentiate among types of degenerative dementias. It will review both non-pharmacological and pharmacological treatments for dementia, specifically focusing on the Choosing Wisely recommendations. The faculty will stress the consequences of caregiving and the significance of supporting caregivers in their role.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 9, 2020, and they are subject to change as new information is published.

Guest: Stuti Dang, MD, MPH

Recorded at Pri-Med South

Myths and Data: A Review of the Most Relevant Research for Pediatric General Practice (FAQ) Mar 03, 2020

Overview: Primary pediatric care clinicians cover a lot of ground, from autism and ADHD to asthma and obesity. Add in adolescent medicine and sports medicine, and the relevant literature quickly extends beyond what any one individual can keep up with successfully. This case-based session will help you, the busy clinician, learn about some of the recent research that can change what we do in our primary care pediatric practices.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7, 2020, and they are subject to change as new information is published.

Guest: Jeffrey P. Brosco, MD, PhD

Recorded at Pri-Med South

Chronic Pain: 20/20 Vision in 60 Minutes (FAQ) Mar 03, 2020

Overview: This lecture will focus on the problem of chronic pain, its burden on the patient, and the societal consequences that result from mismanagement. The faculty will present strategies for pharmacologic (opioid and non-opioid) and nonpharmacologic management of chronic pain and the evidence behind them. With improved insight into controlling and managing opioid therapy as well as medication-assisted treatment for opioid use disorder, you can help protect your patients from the opioid epidemic.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published.

Guest: Esther M. Benedetti, MD, FIPP

Recorded at Pri-Med South

Milk: Whole, Skim or Something In Between? - Frankly Speaking EP 162 (Live from Pri-Med South) Mar 02, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-162

Overview: This episode will review four recent publications that help guide milk consumption in children and adults.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Too Sweet! Rates of Prediabetes in US Adolescents and Young Adults - Frankly Speaking EP 161 Feb 24, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-161

Overview: The incidence and prevalence of prediabetes and Type II Diabetes Mellitus in adolescents and young adults has increased over the past decade. A recent cross-sectional study of 12 years of NHANES data suggests that this population has an associated increased cardiometabolic risk. Listen as our team discusses these findings and some prevention strategies to help improve health outcomes.

Guest: Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Treating Strep Throat in Half the Time - Frankly Speaking EP 160 Feb 17, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-160

Overview: This episode will review clinical decision-making tools for diagnosing and treating streptococcal pharyngitis and will discuss a recent randomized controlled trial utilizing a 5-day course of Penicillin for treatment.

Guest: Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Ask the Expert: Psychiatry (Recorded at Pri-Med South) Feb 11, 2020

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: http://www.pri-med.com/online-education/Podcast/south-2020-vollmer-ask-the-expert

Overview: Get your questions answered by expert faculty in Psychiatry. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7th 2020, and they are subject to change as new information is published.

Guest: Shirah Vollmer, MD

Adolescent Mental Health: Family Relationships Matter - Frankly Speaking EP 159 Feb 10, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-159

Overview: Join us as we discuss data from the National Longitudinal Study of Adolescent to Adult Health examining how family relationships impact depression.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Ask the Expert: Obesity Management (Recorded at Pri-Med South) Feb 09, 2020

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: http://www.pri-med.com/online-education/podcast/south-2020-kushner-obesity-ask-the-expert

Overview: Get your questions answered by expert faculty in Endocrinology. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020 and they are subject to change as new information is published.

Guest: Robert F. Kushner, MD, FACP

Ask the Expert: Nephrology (Recorded at Pri-Med South) Feb 09, 2020

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: http://www.pri-med.com/online-education/Podcast/south-2020-raghaven-nephrology

Overview: Get your questions answered by expert faculty in Nephrology. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7, 2020, and they are subject to change as new information is published.

Guest: Rajeev Raghavan, MD

Ask the Expert: Rheumatology (Recorded at Pri-Med South) Feb 09, 2020

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: http://www.pri-med.com/online-education/podcast/south-2020-fan-rheumatology-ask-the-expert

Overview: Get your questions answered by expert faculty in Rheumatology. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published.

Guest: Peng Thim Fan, MD, FACP

Ask the Expert: Chronic Pain (Recorded at Pri-Med South) Feb 09, 2020

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: http://www.pri-med.com/online-education/podcast/south-2020-benedetti-chronic-pain

Overview: This lecture will focus on the problem of chronic pain, its burden on the patient, and the societal consequences that result from mismanagement. The faculty will present strategies for pharmacologic (opioid and non-opioid) and nonpharmacologic management of chronic pain and the evidence behind them. With improved insight into controlling and managing opioid therapy as well as medication-assisted treatment for opioid use disorder, you can help protect your patients from the opioid epidemic.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published.

Guest: Esther M. Benedetti, MD, FIPP

Ask the Expert: Infectious Disease (Recorded at Pri-Med South) Feb 09, 2020

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: http://www.pri-med.com/online-education/Podcast/south-2020-sax-ask-the-expert

Overview: Get your questions answered by an expert faculty in Infectious Disease. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7, 2020, and they are subject to change as new information is published.

Guest: Guest: Paul E. Sax, MD

Coronavirus: Frankly Speaking Special Update Feb 04, 2020

Listen to Dr. Frank Domino provide a timely update regarding the recent Coronavirus outbreak, and provide resources in order to get the most up-to-date information.

The Dangers of Non-Nutritive Sweeteners: What Does the Data Say? - Frankly Speaking EP 158 Feb 03, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-158

Overview: Review the latest research on the impact of Non-Nutritive Sweeteners (NNS) on mortality, disease, and intermediate outcomes like microbiome and gut hormones.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Heartburn – Why “Test and Treat” Is Best - Frankly Speaking EP 157 Jan 27, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-157

Overview: Heartburn is a frequent complaint in primary care practices. The etiology is broad, from reflux to H. pylori infection and PUD. While many clinicians treat symptomatically, this may not lead to patient satisfaction. A recent network meta-analysis published in The BMJ, concluded that a ‘test and treat’ approach resulted in the lowest reports for patients to remain symptomatic at follow-up.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Cannabis Use in Pregnancy: A Worrisome Trend - Frankly Speaking EP 156 Jan 20, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-156

Overview: Cannabis use has been increasing as numerous states have decriminalized or even legalized cannabis possession and use. As a result, the rates of pregnant women who use cannabis have been rising. Learn more about these trends and the risks associated with cannabis use in pregnancy.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

A Brief Update of the Guidelines on the Management of Type 2 Diabetes - Frankly Speaking EP 155 Jan 13, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-155

Overview: Join us as we discuss key points from the 2019 update to the American Diabetes Association and the European Association for the Study of Diabetes consensus report. This update is now reflected in the American Diabetes Association's Standards of Medical Care—2020.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Skip the Colonoscopy? - Frankly Speaking EP 154 Jan 06, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-154

Overview: Join us as we discuss a recent report in the British Medical Journal that reviewed data on the effectiveness of colorectal cancer screening programs. The report presented new guidelines which recommend a “shared decision-making model,” and suggest that individuals with an estimated 15-year colorectal cancer risk below 3% undergo no screening at all. This session will review the recently published guidelines to understand the data behind their recommendations and discuss how best to implement such an approach in your practice.

Guest: Robert Baldor, MD,FAAFP

Music Credit: Richard Onorato

Improving Communication Between Parents and Teens - Frankly Speaking EP 153 Dec 30, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-153

Overview: Discuss a recently published randomized controlled trial that examined methods to help parents improve their ability to discuss important health issues with their teenagers (ex.sexual activity, substance use).

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Winter’s Here – Time to Review the Latest Community-Acquired Pneumonia Guidelines - Frankly Speaking EP 152 Dec 23, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-152

Overview: The Infectious Disease Society of America in conjunction with the American Thoracic Society have updated their guidelines on diagnosing and treating Community Acquired Pneumonia (CAP) in adults. Recommended changes from the 2007 guidelines include how to address the growing issue of antibiotic resistance. We will review this latest recommendation, focusing on the best approach for outpatient care.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Vaping: Health Threats in a Rapidly Changing Landscape - Frankly Speaking EP 151 Dec 16, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-151

Overview: Every day new information on e-cigarettes is in the media – the explosion of teen use with a resulting epidemic of nicotine addiction and most recently, increasing cases of serious lung related illness associated with vaping. Join us as we discuss this epidemic and the emergence of VAPI (Vaping Associated Pulmonary Injury)

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Red Meat: Confusion and Conflicts of Interest - Frankly Speaking EP 150 Dec 09, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-150

Overview: Join us as we review a landmark paper that reached the conclusion that limiting red meat would not have a large impact on patient outcomes.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Transgender Care: Breaking the Barriers and Acknowledging Bias - Frankly Speaking EP 149 Dec 02, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-149

Overview: Join us as we discuss best practices for providing care to the transgender population.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Screening for Autism Spectrum Disorders: We Need Better Tools - Frankly Speaking EP 148 Nov 25, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-148

Overview: Universal screening of young children is recommended by the American Academy of Pediatrics (AAP) for diagnosing Autism Spectrum Disorders (ASD), as early intervention leads to improvements in function. The U.S. Preventive Services Task Force (USPSTF), however, has concluded there isn't enough evidence about the efficacy of universal screening to recommend it. To assess the effectiveness of the Modified Checklist for Autism in Toddlers with Follow-Up (M-CHAT/F), a study of 26,000 children was completed at the Children's Hospital of Philadelphia. This episode will review the current guidelines for ASD screening and the results of this study—which revealed significant shortcomings in current screening tools—as well as discuss how to counsel concerned parents.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Put Your Phone Down: The Association Between Adolescent Mental Health and Social Media Use - Frankly Speaking EP 147 Nov 18, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-147

Overview: Social media use is ubiquitous across American society. There has also been an increase in adolescent mood disorders, such as anxiety and depression, as well as teen suicidal behavior. Join us as we discuss the association between social media use and adolescent mental health.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Curbside Consults: Chronic Kidney Disease (FAQ) Nov 15, 2019

This talk will address common questions asked about patients with chronic kidney disease (CKD). What is a good blood pressure target for my patient? How should I use ACE-inhibitors and angiotensin receptor blockers (ARBs) in CKD? Or evaluate for secondary hypertension? What about new treatments like sodium bicarbonate and SGLT2 inhibitors? As well as answering these questions, the faculty will discuss the goals of the executive order from the Department of Health and Human Services signed in July 2019: reducing the risk of kidney failure, improving access and quality of person-centered treatment options, and increasing access to transplants.

Guest: James Paparello, MD

What’s New in Obesity Management? (FAQ) Nov 15, 2019

Obesity has reached epidemic levels in the U.S., and it is a contributor to the development of diabetes, cardiovascular disease, obstructive sleep apnea, some forms of cancer, and many other diseases. It is imperative that primary care clinicians incorporate obesity care into their medical practice. This presentation will address a practical and time efficient approach for the assessment of patients with obesity and help to formulate a treatment plan. The medical paradigm of lifestyle management, pharmacotherapy, and bariatric surgery will be reviewed along with guidance on how to intensify therapy when indicated.

Guest: Robert F. Kushner, MD, FACP

Cases in Geriatrics: Navigating Polypharmacy in the Elderly (FAQ) Nov 15, 2019

In this case-based session, the faculty will review differences in prescribing for in older adults and age-associated changes in metabolism. Real-world examples will demonstrate common adverse drug effects, a systematic approach to deprescribing, and tools such as the updated 2019 AGS Beers criteria. You will walk away from this talk with tips to enhance safe medication use in your practice.

Guest: Sara M. Bradley, MD, FACP

Fad Diets: Keto, Elimination, and More (FAQ) Nov 15, 2019

Guest: Bethany Doerfler, MS, RDN

Cases in Infectious Disease: How the Recent Medical Literature Might Influence Your Clinical Practice (FAQ) Nov 15, 2019

Infectious diseases syndromes are common in primary care practices. However, staying current with relevant literature that may influence appropriate evaluation and treatment of patients with these syndromes can be difficult, given the volumes of applicable articles and diversity of journals publishing these reports. This session will present some common infectious disease scenarios and provide crucial literature updates. You will learn about how responding to histories of penicillin allergy may result in adverse patient outcomes, the proper timing of influenza vaccination, the influence of substance abuse on risk medication adherence and infectious diseases risk, the appropriate evaluation of patients with suspected cellulitis syndromes, and the role of preoperative urine screening.

Guest: Richard A. Martinello, MD

Medical Literature Updates: Pediatric Highlights from 2018-2019 (FAQ) Nov 15, 2019

Using Choosing Wisely, AAP, and CDC recommendations as a foundation, the faculty will review the evidence-based guidelines for the following topics: diagnosis/management of upper respiratory infections (e.g., otitis media), the efficacy of PPI/H2B in young children, the new updates in blood pressure screening, universal HIV screening in adolescents, and mental health tools that assist in screening for depression, anxiety, and ADHD.

Guest: Tomitra Latimer, MD

Breast Density and Supplemental Imaging: Detecting Advanced Breast Cancer - Frankly Speaking EP 146 Nov 11, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-146

Overview: Join us as we discuss breast density and the use of supplemental imaging to assess risk for advanced breast cancer.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

COPD Exacerbations: Who Needs Antibiotics? - Frankly Speaking EP 145 Nov 04, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-145

Overview: Patients with COPD frequently have exacerbations, often triggered by an acute upper respiratory infection (URI). C-reactive protein (CRP) testing is a new way of assessing whether or not antibiotics are needed to treat.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Basal Insulin in Type 2 Diabetes: Therapy Choices and Adjustments for Therapy That Is Just Right (Part 3) Oct 31, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/basal-insulin-type-2-diabetes-pt-3

Overview: Primary care clinicians (PCCs) are ideally suited to educate and advise people with type 2 diabetes about basal insulin. This program will inform PCCs about current recommendations and advances in the safe and effective use of basal insulin, so they can provide individualized, appropriate care for their patients.

Getting Glutened: Early Childhood Gluten Consumption and the Risk of Celiac Disease - Frankly Speaking EP 144 Oct 28, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-144

Overview: The degree to which early exposure to gluten-containing foods affects the risk of developing celiac disease is controversial. Join us as we discuss a recent Norwegian study suggesting that the timing of introduction of gluten in the diet may be less important than the amount of gluten in the diet at 18 months of age.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Antibiotic Use in the US: A Look into How Americans Use Antibiotics Without a Prescription - Frankly Speaking EP 143 Oct 21, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-143

Overview: A recent scoping review revealed that nonprescription antibiotic use is a prevalent and understudied public health concern in the US. Inappropriate antibiotic prescribing and use has been a well-documented concern and these new findings only reinforce the need for more comprehensive approaches to this problem. Join us while we discuss the scoping review findings and some strategies for implementing antibiotic stewardship into your practice.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Saving the Brain: How Long Is Too Long to Pursue Endovascular Reperfusion After a Stroke? - Frankly Speaking EP 142 Oct 16, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-142

Overview: There has been increasing interest in the use of endovascular reperfusion for patients who have suffered an ischemic stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have jointly developed a nationwide registry to evaluate the benefits of these techniques on stroke outcomes. During this episode we will review a recent retrospective cohort study of almost 7,000 patients presenting with an acute ischemic stroke that demonstrates a significant benefit to endovascular reperfusion, even several hours after the onset of symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Basal Insulin in Type 2 Diabetes: Therapy Choices and Adjustments That Are “Just Right” (Part 2) Oct 15, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/basal-insulin-type-2-diabetes-pt-2

Overview: Primary care clinicians (PCCs) are ideally suited to educate and advise people with type 2 diabetes about basal insulin. This program will inform PCCs about current recommendations and advances in the safe and effective use of basal insulin, so they can provide individualized, appropriate care for their patients.

Gun Safety in Pediatric Populations: Exploring New Data and Assessing Risk - Frankly Speaking EP 141 Oct 07, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-141

Overview: Join us as we discuss gun safety and injury prevention in primary care practice.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Basal Insulin in Type 2 Diabetes: Therapy Choices and Adjustments That Are “Just Right” (Part 1) Oct 01, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/basal-insulin-type-2-diabetes-pt-1

Overview: Primary care clinicians (PCCs) are ideally suited to educate and advise people with type 2 diabetes about basal insulin. This program will inform PCCs about current recommendations and advances in the safe and effective use of basal insulin, so they can provide individualized, appropriate care for their patients.

Weight Loss with Apps – Do they Work? - Frankly Speaking 140 Sep 30, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-140

Overview: This session will discuss the utility of digital apps and daily self-weight measurement for weight loss.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Needlepoint for the Heart: An Integrative Option for Chronic Stable Angina - Frankly Speaking EP 139 Sep 23, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-139

Overview: Join us as we discuss acupuncture as an adjunctive therapy in patients with chronic stable angina.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Real World Evidence and NOAC Therapy: Take-Home Points Sep 20, 2019

Listen as expert Pri-Med faculty Dr. Ty Gluckman summarizes major take-home points about real work evidence and the impact of role real word evidence on NOAC therapy for stroke prevention for patient with atrial fibrillation.

What Does Exercise Have to Do with It: What Is the Relationship Between a Healthy Lifestyle and Genetic Risk of Dementia? - Frankly Speaking EP 138 Sep 16, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-138

Overview: Genetic and lifestyle risk factors have been implicated in the development of Alzheimer’s dementia (AD) as well as other subtypes of dementia. Specific genetic protein mutations have been identified in individuals who develop AD. There is also an abundant amount of evidence that suggests the risk of dementia can be reduced by avoiding tobacco smoking, limiting alcohol consumption, keeping physically active, and maintaining a healthy diet. Join our discussion of a recent study that shows a healthy lifestyle is associated with decreased risk of dementia in those with both low and high genetic risk.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato

Unmasking Lupus: Your Questions Answered Sep 13, 2019

Credits: 0.50 AMA PRA Category 1 Credits™,

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/cl-lupus-faq-podcast

Overview: Have questions about systemic lupus erythematosus? Listen to this podcast to hear from a rheumatologist about the most popular topics in diagnosis, monitoring, and management of this complex disease.

Statins After 75 Years of Age in Healthy Seniors? Still No - Frankly Speaking EP 137 Sep 09, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-137

Overview: In this episode we expand on the rationale for not screening and treating hyperlipidemia in patients without CV disease, diabetes, renal failure or heart failure.

Guest: Robert A. Baldor, MD

Music Credit: Richard Onorato

Boning Up on Treatment for Osteopenia - Frankly Speaking EP 136 Sep 02, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-136

Overview: Bisphosphonates help prevent fractures in elderly women with osteoporosis, but their benefit in women with osteopenia has been unclear. A recent trial showed that a yearly injection of zoledronic acid can reduce fractures in women with osteopenia.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

What Channel Are You On? Video Visits for Primary Care - Frankly Speaking EP 135 Aug 26, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-135

Overview: Measles were declared eliminated in 2000; however, in June 2019, the CDC announced that there were > 1,000 cases identified in the US—the largest number of cases since 1992. Join us as we discuss the causes of this increase in a vaccine-preventable disease (VPD) and strategies for containing this looming public health concern.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Back to the Future: Measles Resurgence and Vaccine Hesitancy - Frankly Speaking EP 134 Aug 19, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-134

Overview: Measles were declared eliminated in 2000; however, in June 2019, the CDC announced that there were > 1,000 cases identified in the US—the largest number of cases since 1992. Join us as we discuss the causes of this increase in a vaccine-preventable disease (VPD) and strategies for containing this looming public health concern.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

An Uncomfortable Problem: Recurrent Urinary Tract Infections (UTIs) in Women - Frankly Speaking EP 133 Aug 12, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-133

Overview: Join us as we discuss a new guideline for women with recurrent UTIs.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

What Is Your Purpose in Life? Impact of Perceived Life Purpose on Life Expectancy - Frankly Speaking EP 132 Aug 05, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-132

Overview: A recently published study looked at the association between a perceived life purpose (using modified Ryff and Keyes Scales of Psychological Well-being) and mortality in individuals participating in the Health and Retirement Study (HRS). The results seem to indicate that a strong sense of purpose to one’s life is associated with decreased mortality. Join us as we discuss the implications of this study and how to apply it in practice to improve your patients’ health and well-being as well as your own.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato

Diagnosed Prostate Cancer: How to Choose A Treatment - Frankly Speaking EP 131 Jul 29, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-131

Overview: After the debate on whether to screen for prostate cancer comes the debate on how to treat it. Options include “watchful waiting,” radiation, surgery, and androgen deprivation. This session will focus on how to help your patient diagnosed with prostate cancer decide on a treatment plan using a cohort-based decision tool.

Guest: Susan Feeney, DNP, FNP & Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Taking Aim Against Shingles: Strategies for Success (Part 3) Jul 23, 2019

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/taking-aim-at-shingles-strategies-for-success-pt-3

Overview: Shingles, or herpes zoster (HZ), is a common secondary infection. More than 95% of immunocompetent individuals aged > 50 years are seropositive for the varicella zoster virus (VZV) and are at risk of developing shingles. This podcast series will address the pathophysiology, clinical presentation, and complications of shingles, in addition to the strategies to prevent it.

Guest: Susan Burke, MD, FACP

Weed Indeed! - Frankly Speaking EP 130 Jul 22, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-130

Overview: This study looked at hospitalizations following legislation that legalized marijuana use in Colorado compared to two states that have not legalized marijuana, New York and Oklahoma. The goal was to determine what impact this law might have on common and chronic conditions. It found hospitalizations for some conditions increased while issues of social anxiety disorder decreased

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato

Mammography Screening: Sorting through Conflicting Guidelines - Frankly Speaking EP 129 Jul 15, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-129

Overview: Multiple organizations have issued guidelines on breast cancer screening, but these guidelines are often conflicting. Recently, the American College of Physicians (ACP) reviewed the data supporting seven different guideline recommendations and issued new guidance on breast cancer screening for average-risk women. Join our discussion of the recommendations to help develop a consistent approach to breast cancer screening in your practice.

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato

Taking Aim Against Shingles: Strategies for Success (Part 2) Jul 09, 2019

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/taking-aim-at-shingles-strategies-for-success-pt-2

Overview: Shingles, or herpes zoster (HZ), is a common secondary infection. More than 95% of immunocompetent individuals aged > 50 years are seropositive for the varicella zoster virus (VZV) and are at risk of developing shingles. This podcast series will address the pathophysiology, clinical presentation, and complications of shingles, in addition to the strategies to prevent it.

Guest: Susan Burke, MD, FACP

The Challenges of Managing Bone Loss: Separating Fact from Fiction - Frankly Speaking EP 128 Jul 08, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-128

Overview: Conflicting evidence-based guidelines and medication risks have complicated the care of individuals with low bone density. The Endocrine Society just released its most recent recommendations for pharmacologic management of postmenopausal women with osteoporosis. Their goal was to address the most challenging aspects of low bone density management with clear evidence-based guidance. Join us as we review their new recommendations, compare them with other guidelines, and discuss their impact on your practice.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato

Gabapentinoid Drugs Off-Label Use: Stay in Your Lane! - Frankly Speaking EP 127 Jul 01, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-127

Overview: Join us as we discuss the increased off-label use of gabapentinoids most likely in response to the treatment of pain.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Taking Aim Against Shingles: Strategies for Success (Part 1) Jun 25, 2019

Credits: 0.25 AMA PRA Category 1 Credit™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/taking-aim-at-shingles-strategies-for-success

Overview: Shingles, or herpes zoster (HZ), is a common secondary infection. More than 95% of immunocompetent individuals aged > 50 years are seropositive for the varicella zoster virus (VZV) and are at risk of developing shingles. This podcast series will address the pathophysiology, clinical presentation, and complications of shingles, in addition to the strategies to prevent it.

Guest: Susan Burke, MD, FACP

Reading to Your Toddler: Is There a Difference Between Reading an Ebook and a Traditional Book? - Frankly Speaking EP 126 Jun 24, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-126

Overview: Reading to young children is a well-established activity that can impact neuro-cognitive and emotional development in children. Since many parents use E-readers and other digital platforms to read to their kids, in this episode we will explore whether there is a difference or benefit to using a particular type of book. Join us as we discuss the recent findings on parent-toddler interactions when reading from a print book versus an E-reader.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato

Cases in Psychiatry: Psychopharmacology for the PCP (FAQ) Jun 17, 2019

Overview: FAQ for Cases in Psychiatry: Psychopharmacology for the PCP (Not for CME)

Guest: Shirah Vollmer, MD

Medical Update: New Drugs in Primary Care Practice (FAQ) Jun 17, 2019

Overview: FAQ for Medical Update: New Drugs in Primary Care Practice (Not for CME)

Guest: Gerald W. Smetana, MD

LGBTQ Mental Health: From Closets to Communities (FAQ) Jun 17, 2019

Overview: FAQ for LGBTQ Mental Health: From Closets to Communities (Not for CME)

Guest: Petros Levounis, MD, MA

Seasonal Influenza: When, Who, and How to Manage? (FAQ) Jun 17, 2019

Overview: FAQ for Seasonal Influenza: When, Who, and How to Manage? (Not for CME)

Guest: Robert H. Hopkins, Jr, MD, MACP, FAAP &
Charles Vega, MD, FAAFP

Menopause Hormone Therapy: Where Are We Now? (FAQ) Jun 17, 2019

Overview: FAQ for Menopause Hormone Therapy: Where Are We Now? (Not for CME)

Guest: Martin A. Quan, MD

GAIT: An Eyeblink Diagnosis (FAQ) Jun 17, 2019

Overview: FAQ for GAIT: An Eyeblink Diagnosis (Not for CME)

Guest: Salvatore Mangione, MD

A Perfect 10: 5 Ways to Live Longer and 5 Keys to Lasting Happiness (FAQ) Jun 17, 2019

Overview: FAQ for A Perfect 10: 5 Ways to Live Longer and 5 Keys to Lasting Happiness (Not for CME)

Guest: Sanjiv Chopra, MD, MACP

Extended Learning - Doctor’s Lounge- LFT’s ( Abnormal Liver Tests) (FAQ) Jun 17, 2019

Overview: FAQ for Extended Learning - Doctor's Lounge- LFT's ( Abnormal Liver Tests) (Not for CME)

Guest: Sanjiv Chopra, MD, MACP

Cardiovascular Updates: Important Takeaways That Will Change Clinical Practice (FAQ) Jun 17, 2019

Overview: FAQ for Cardiovascular Updates: Important Takeaways That Will Change Clinical Practice (Not for CME)

Guest: Ty J. Gluckman, MD, FACC, FAHA

“Is There a Doctor Onboard?”: Medical Emergencies on Commercial Flights (FAQ) Jun 17, 2019

Overview: FAQ for “Is There a Doctor Onboard?”: Medical Emergencies on Commercial Flights (Not for CME)

Guest: Theodore Eric Macnow, MD

Updates On Screening from the USPSTF (FAQ) Jun 17, 2019

Overview: FAQ for Updates On Screening from the USPSTF (Not for CME)

Guest: Susan Burke, MD, FACP

Cases in Treating Chronic Pain: Best Approaches to Management (FAQ) Jun 17, 2019

Overview: FAQ for Cases in Treating Chronic Pain: Best Approaches to Management (Not for CME)

Guest: Katherine E. Galluzzi, DO, CMD, FACOFP

Cases in Diabetes Management (FAQ) Jun 17, 2019

Overview: FAQ for Cases in Diabetes Management (Not for CME)

Guest: Martin J. Abrahamson, MD, FACP

Cases in Infectious Disease: How the Recent Medical Literature Might Influence Your Clinical Practice (FAQ) Jun 17, 2019

Overview: FAQ for Cases in Infectious Disease: How the Recent Medical Literature Might Influence Your Clinical Practice (Not for CME)

Guest: Richard J. Hamill, MD

Barriers to Physical Activity: Women’s Breast Size - Frankly Speaking EP 125 Jun 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-125

Overview: Join us as we discuss barriers to physical activity and how providers can help to address these issues, particularly in women with large breast size.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Saving Money on Insulin - Frankly Speaking EP 124 Jun 10, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-124

Overview: When patients with T2DM have difficulty controlling their glucose with standard approaches, or are newly diagnosed but severely hyperglycemic, insulin is commonly used to help control their metabolism. Using long acting, once a day agents is a standard of care but in the last 15 years, the costs of insulin has skyrocketed. During this episode we will review a study examining the effects of using Neutral Protamine Hagedorn Insulin (NPH) rather than once a day insulin on A1c control and risk for hypoglycemia and discuss their findings, which suggest NPH can be used with equivalent glycemic control and with no additional risk.

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato

Contraceptive Education: Educate Your Patients While They Wait - Frankly Speaking EP 123 Jun 03, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-116-push-ups

Overview: Join us as we discuss decision aids used to assess contraceptive knowledge and intentions that can be easily incorporated in primary care practice.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Fear Not the Fungus Treatment - Frankly Speaking EP 122 May 27, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: Since their arrival, oral anti-fungal agents have been thought to induce liver disease. Often, these medications are avoided or used with caution and frequent laboratory testing. Join us in a discussion of a recent study that builds on previous work showing the risk with using these agents is extremely small.

Guest: Susan Feeney, DNP, FNP

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-122

Preventing Perinatal Depression: Recommendations to Improve Outcomes for Moms and Their Babies - Frankly Speaking EP 121 May 20, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: According to the latest data, 1 in 7 US women experience perinatal depression, described as depression occurring during pregnancy and up to one year after childbirth. There is compelling evidence that perinatal depression can have short and long-term effects on both women and their children. The USPSTF has published new recommendations encouraging clinicians to screen pregnant and postpartum persons for depression and provide those who are at increased risk of perinatal depression with counseling interventions. (Grade B recommendation).

Guest: Susan Feeney, DNP, FNP

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-121

Artificial Sweeteners and Postmenopausal Women – Is there an Increased Risk for Stroke and CVD Events? - Frankly Speaking EP 120 May 13, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: In a recent study of postmenopausal women in the WHI Observational Study who consumed > 2 ASB per day, there appeared to be an association between increased intake of ASB with increased risk of ischemic stroke, CVD, and all cause mortality. Join us as we discuss these findings, what it adds to our knowledge about ASB, and potential strategies to apply this new evidence into your practice.

Guest: Susan Feeney, DNP, FNP

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-120

Powerful Cancer Prevention: HPV Vaccination - Frankly Speaking EP 119 May 06, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: Join us as we discuss HPV vaccination and the growing evidence of the benefits to those who receive the vaccine and the protection of those who are not vaccinated.

Guest: Jill Terrien PhD, ANP-BC

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-119

Avoiding Unnecessary Antibiotics: The Quick Take - Frankly Speaking EP 118 Apr 29, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: Antibiotics are frequently prescribed for upper respiratory infections, even when they are likely due to viral etiologies, or will resolve just as quickly without antibiotics. Many clinicians believe convincing patients they do not need to take an antibiotic is time consuming and frustrating for both parties. In fact, patients are often receptive to information on appropriate use, and the conversation can be done efficiently with practice.

Guest: Alan Ehrlich MD, FAAFP

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-118

Slow the Flow – Managing Diarrhea in the Outpatient Setting Apr 22, 2019

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/slow-the-flow

Overview: This podcast is a case-based discussion around diagnosis and management of chronic diarrhea in the outpatient setting. The conversation between a PCP and an expert will address clinical presentation, differential diagnosis, workup, and treatment of IBS-D.

Guests: Darren M. Brenner, MD & Susan Burke, MD, FACP

Releasing the Grip – Managing Constipation in the Outpatient Setting Apr 22, 2019

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/releasing-the-grip

Overview: This podcast is a case-based discussion around practical approaches to caring for patients with CIC and IBS-C. The conversation between a PCP and an expert will address the clinical presentation, differential diagnosis, workup, and treatment of CIC and IBS-C.

Guests: Darren M. Brenner, MD & Susan Burke, MD, FACP

Are E-Cigarettes Effective Tools for Smoking Cessation or Are We Just Blowing Smoke? - Frankly Speaking EP 117 Apr 22, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: The FDA has not approved any ENDS product as an effective or safe smoking cessation tool. Earlier evidence did not indicate that ENDS were effective or sustainable. Most of these studies were done on earlier prototypes of e-cigarettes. A recent study from the UK found that newer generation ENDs were more successful than approved NRT products for smoking cessation. Join us as we discuss this new evidence and how it impacts strategies to assist with smoking cessation.

Guests: Jill Terrien PhD, ANP-BC & Susan Feeney, DNP, FNP

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-117-smoking

Screening and Management of High Blood Pressure in Children and Teens – Who, When, Why and What? - Frankly Speaking EP 103 Apr 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-103-bp-screening

Overview: The AAP released new guidelines for the screening and management of high BP in children and teens in 2017. The last recommendations were published in 2004. Join us as we discuss these updated recommendations and their impact on your practice.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato

Technology: Tetris Improves Flow, Lowers Stress; Social Media Increases Depression and Loneliness – Frankly Speaking EP 102 Apr 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-102-flow

Overview: This podcast will explore the results of 3 recent studies that evaluate how the “state of flow” or mental absorption (also called being “in the zone”) alters a person’s ability to handle stress and how intentional use of distractions affect emotions.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato

Postmenopausal Vaginal Dryness: What Are the Treatment Options? - Frankly Speaking EP 107 Apr 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-107-postmenopausal

Overview: Postmenopausal women experience vulvovaginal symptoms that in 50% of the population go untreated. Join us as we discuss a randomized trial that compares common treatments available to this population and help you determine best practice options.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Leg Cramps in Seniors: Could Alcohol be the Cause? - Frankly Speaking EP 105 Apr 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-105-leg-cramps

Overview: This episode will discuss a Case Control study of seniors to determine if there is a relationship between regular alcohol consumption and nocturnal leg cramps.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato

Is Aspirin Effective for Primary Prevention? - Frankly Speaking EP 104 Apr 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-104-aspirin

Overview: For patients with established cardiovascular disease,aspirin is clearly beneficial as part of secondary prevention. However, when used as primary prevention in patients without documented cardiovascular disease, its benefit is much less certain. This podcast will explore 3 recent trials that evaluated aspirin in different populations and found nobenefit for its use as primary prevention.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato

Finding Your Balance – Does Tai Chi Prevent Falls in Older Adults? - Frankly Speaking 108 Apr 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-108-tai-chi-2

Overview: Falls in the older population are associated with significant morbidity and mortality yet little evidence exists to determine best practices for prevention. Join us while we discuss a recent RCT that examined Tai Chi versus more traditional exercising in older individuals and its impact on reduction in falls for those at greatest risk.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato

What’s the Skinny on Treating Blood Fats? - Frankly Speaking EP 106 Apr 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-106-lipids

Overview: Managing cholesterol is one of the most common clinical problems. Recently, the American College of Cardiology and the American Heart Association issued new guidance on the management of blood cholesterol. Ten other societies participated in the development of the guidelines. Listen to find out who should be treated with statins, what the treatment targets are, and when other cholesterol-lowering medications should be added.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato

Push-Ups: No-Cost Assessment of Future CV Risk? - Frankly Speaking EP 116 Apr 15, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: Join us as we discuss a recent study of push-up capacity in middle-aged men and the association with CVD risk.

Guest: Jill Terrien PhD, ANP-BC

Landing Page: https://www.pri-med.com/online-education/Podcast/frankly-speaking-cme-116-push-ups

How Do I Use CGRP Inhibitors to Prevent Episodic and Chronic Migraines? Apr 10, 2019

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/cgrp-inhibitors-migraines-podcast

Overview: In this podcast, Drs. Unger and Rapoport will differentiate the main differences between this new class of drugs and traditional approaches, as well as provide general practical tips on how to start using CGRP inhibitors in primary care to prevent episodic and chronic migraine headaches.

Guests: Alan M. Rapoport, MD and Jeff Unger, MD, FACE, FAAFP

A Chief Complaint: Older Adults, Cognition and Sexuality - Frankly Speaking EP 114 Apr 01, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-114-older-sexuality-2

Overview: This episode focuses on older adults and caregivers/partners in relation to their intimacy and sexuality for patients experiencing changes in cognition.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Older Patients, Less Medications: Just Ask - Frankly Speaking EP 113 Mar 25, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing-2

Overview: Join us as we discuss deprescribing; the provider-supervised process of discontinuing inappropriate medication(s). We will review minimizing risk, improving quality of life and maximizing patient-centered care.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Sexting and US Teens: What Is It and What Should You Know About It? - Frankly Speaking EP 112 Mar 18, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-112-teen-sexting

Overview: Sexting is increasing among U.S. youth. As cellular technology evolves, so does the behavior. There is some evidence that can help inform teens and their parents of risk, which includes increased risk of high-risk sexual behavior and non-consensual sharing of personal digital data. This episode provides clinicians important evidence on teens and sexting to inform their care of teens and their families.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato

What’s Cooking With Food Allergies In Adults?- Frankly Speaking EP 111 Mar 11, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-111-allergies

Overview: Many adults report having food allergies. However, many of those who have a food allergy have not been diagnosed by a physician and many who report having a food allergy may not have one at all. Join us for a discussion and recent review of data about the prevalence of food allergies in adults, and how to assess and manage food allergies.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato

Pre Exposure Prophylaxis: Preventing HIV at Hand - Frankly Speaking EP 110 Mar 04, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-110-prep-2

Overview: The USPSTF recently issued a Draft Grade A recommendation that all at-risk patients be offered pre-exposure prophylaxis to prevent the transmission of HIV. This multi drug, single pill regimen can lower risk of HIV and potentially prevent lifelong burden of disease. While only a draft recommendation, the USPSTF expects, after stakeholder comment, to continue to support an A recommendation to offer for all patients who are increased risk.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Re-Engineering Your Clinical Practice for the Patient and Clinician Well-Being (FAQ) Feb 27, 2019

FAQ for Re-Engineering Your Clinical Practice for the Patient and Clinician Well-Being (Not for CME credit)

Guest: Jay Winner, MD, FAAFP

Case Studies in Pulmonary Medicine for the Primary Care Clinician (FAQ) Feb 27, 2019

FAQ for Case Studies in Pulmonary Medicine for the Primary Care Clinician (Not for CME credit)

Guest: Timothy J. Scialla, MD

HIV Update for the Non-ID Specialist: What Every Clinician Needs to Know (FAQ) Feb 27, 2019

FAQ for HIV Update for the Non-ID Specialist: What Every Clinician Needs to Know (Not for CME credit)

Guest: Paul E. Sax, MD

ADD & ADHD in Children and Adults: Beyond Stimulants (FAQ) Feb 27, 2019

FAQ for ADD & ADHD in Children and Adults: Beyond Stimulants (Not for CME credit)

Guest: Daniel Press, MD

Caring for Me, Caring for You: Strategies to Pursue Personal Health and Create a Culture of Wellness (FAQ) Feb 27, 2019

FAQ for Caring for Me, Caring for You: Strategies to Pursue Personal Health and Create a Culture of Wellness (Not for CME credit)

Guest: Catherine F. Pipas, MD, MPH

Current Approaches to Stroke Prevention in Atrial Fibrillation (FAQ) Feb 27, 2019

FAQ for Current Approaches to Stroke Prevention in Atrial Fibrillation (Not for CME credit)

Guest: Gregory Piazza, MD, MS

Breast Cancer Screening Updates (FAQ) Feb 27, 2019

FAQ for Breast Cancer Screening Updates (Not for CME credit)

Guest: Erin Marcus, MD, MPH

Best Practices: Geriatric Update (FAQ) Feb 27, 2019

FAQ for Best Practices: Geriatric Update (Not for CME credit)

Guest: Lee A. Lindquist, MD, MPH, MBA

The Pharmacotherapy of Alcohol and Opioid Use Disorders (FAQ) Feb 27, 2019

FAQ for The Pharmacotherapy of Alcohol and Opioid Use Disorders (Not for CME credit)

Guest: Petros Levounis, MD, MA

Thyroid Disorders (FAQ) Feb 27, 2019

FAQ for Thyroid Disorders (Not for CME credit)

Guest: Violet Lagari, DO, MPH

Updates from the 2018 ACC Scientific Sessions: Important Takeaways That Will Change Clinical Practice (FAQ) Feb 27, 2019

FAQ for Updates from the 2018 ACC Scientific Sessions: Important Takeaways That Will Change Clinical Practice (Not for CME credit)

Guest: Ty J. Gluckman, MD, FACC, FAHA

e-Cigarettes and Vaping: The Good, the Bad, and the Ugly (FAQ) Feb 27, 2019

FAQ for e-Cigarettes and Vaping: The Good, the Bad, and the Ugly (Not for CME credit)

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Chronic Fatigue Syndrome (FAQ) Feb 27, 2019

FAQ for Chronic Fatigue Syndrome (Not for CME credit)

Guest: Peng Thim Fan, MD, FACP

To Be or Not to Be Gluten Free: Food Elimination Diets for Allergies, Intolerances and Wellness (FAQ) Feb 27, 2019

FAQ for To Be or Not to Be Gluten Free: Food Elimination Diets for Allergies, Intolerances and Wellness (Not for CME credit)

Guest: Bethany Doerfler, MS, RDN

Common Eye Problems Seen in Primary Care (FAQ) Feb 27, 2019

FAQ for Common Eye Problems Seen in Primary Care (Not for CME credit)

Guest: Yvonne I. Chu, MD, MBA

Primary Care Provider’s Guide to Autism (FAQ) Feb 27, 2019

FAQ for Primary Care Provider’s Guide to Autism (Not for CME credit)

Guest: Jeffrey P. Brosco, MD, PhD

Updates On Screening from the USPSTF (FAQ) Feb 27, 2019

FAQ for Updates On Screening from the USPSTF (Not for CME credit)

Guest: Ronald Adler, MD, FAAFP

Alcohol Use: Perhaps It Is for the Faint of Heart - Frankly Speaking EP 109 Feb 26, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-109-alcohol-hf

Overview: In a recent study, data from the Cardiovascular Health Study examined the association between alcohol consumption and incident HF. It was found that moderate alcohol consumption was associated with a survival benefit, implying that individuals 65 years and older with newly diagnosed HF may not need to stop their alcohol use. Join the discussion about these findings and learn how they may impact the care of your patients with HF.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato