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    Health & Fitness

    Frankly Speaking About Family Medicine

    A weekly Podcast series covering newsworthy topics in primary care medicine. Thoughts? Suggestions? Email us at
    FranklySpeaking@pri-med.com

    Advertise

    Copyright: © Copyright 2023 All rights reserved.

    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    A Clear Path to Acne Management: Key Takeaways from the Latest Guidelines - Frankly Speaking Ep 430 Apr 28, 2025
    Show notes

    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-430

    Overview: Stay up to date with the latest evidence-based acne treatment guidelines from the American Academy of Dermatology (AAD). Learn how to optimize topical and oral therapies, minimize antibiotic resistance, and apply new best practices to improve outcomes for adolescents and young adults. Don’t miss these key updates for enhancing patient care.

    Episode resource links:

    • J Am Acad Dermatol 2024;90:1006.e1-30. doi.org/10.1016/j.jaad.2023.12.017

    Guest: Robert A. Baldor MD, FAAFP
    Music Credit: Matthew Bugos

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


    Colorectal Cancer Screening—Does the New Blood Test Measure Up? - Frankly Speaking Ep 429 Apr 21, 2025
    Show notes

    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-429

    Overview: Colorectal cancer screening saves lives, yet many patients remain unscreened. This episode explores current screening methods, the evidence behind the new DNA blood test, and how it compares to existing options. Gain practical insights to guide patient discussions and improve screening rates in your practice.

    Episode resource links:

    • N Engl J Med. 2024 Mar 14;390(11):973-983. doi: 10.1056/NEJMoa2304714
    • N Engl J Med 2024;390:984-93. DOI: 10.1056/NEJMoa2310336

    Guest: Jillian Joseph, MPAS, PA-C

    Music Credit: Matthew Bugos

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


    Adding to the Playbook: Primary Prevention of Stroke and Life’s Essential 8 - Frankly Speaking Ep 428 Apr 14, 2025
    Show notes

    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-428

    Overview: Stay ahead in stroke prevention with the latest guidelines. In this episode, we cover new considerations for social determinants of health, interventions across the lifespan, and evidence-based strategies to reduce stroke risk. Learn how to integrate these updates into primary care for more effective patient outcomes.

    Episode resource links:

    • Bushnell, C., Kernan, W. N., Sharrief, A. Z., Chaturvedi, S., Cole, J. W., Cornwell, W. K., 3rd, Cosby-Gaither, C., Doyle, S., Goldstein, L. B., Lennon, O., Levine, D. A., Love, M., Miller, E., Nguyen-Huynh, M., Rasmussen-Winkler, J., Rexrode, K. M., Rosendale, N., Sarma, S., Shimbo, D., Simpkins, A. N., … Whelton, P. K. (2024). 2024 Guideline for the Primary Prevention of Stroke: A Guideline From the American Heart Association/American Stroke Association. Stroke, 55(12), e344–e424. https://doi.org/10.1161/STR.0000000000000475

    • Ravichandran, S., Gajjar, P., Walker, M. E., Prescott, B., Tsao, C. W., Jha, M., Rao, P., Miller, P., Larson, M. G., Vasan, R. S., Shah, R. V., Xanthakis, V., Lewis, G. D., & Nayor, M. (2024). Life's Essential 8 Cardiovascular Health Score and Cardiorespiratory Fitness in the Community. Journal of the American Heart Association, 13(9), e032944. https://doi.org/10.1161/JAHA.123.032944

    • Kumar, M., Orkaby, A., Tighe, C., Villareal, D. T., Billingsley, H., Nanna, M. G., Kwak, M. J., Rohant, N., Patel, S., Goyal, P., Hummel, S., Al-Malouf, C., Kolimas, A., Krishnaswami, A., Rich, M. W., Kirkpatrick, J., Damluji, A. A., Kuchel, G. A., Forman, D. E., & Alexander, K. P. (2023). Life's Essential 8: Optimizing Health in Older Adults. JACC. Advances, 2(7), 100560. https://doi.org/10.1016/j.jacadv.2023.100560

    • Life’s Essential 8 tools for providers and patient information: https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8

    Guest: Jill M. Terrien PhD, ANP-BC
    Music Credit: Matthew Bugos

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


    Movement Matters—Is There an Optimal Exercise Routine for Treating Hypertension? - Frankly Speaking Ep 427 Apr 07, 2025
    Show notes

    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-427

    Overview: Discover how to optimize hypertension management with evidence-based exercise prescriptions. This episode reviews a large-scale meta-analysis on the effectiveness of various exercise routines for lowering blood pressure, helping you confidently integrate nonpharmacologic strategies into patient care. Learn which exercises work best and when to recommend them for improved cardiovascular health.

    Episode resource links:

    • Edwards JJ, Deenmamode AHP, Griffiths M, et al. Br J Sports Med 2023;57:1317–1326.

    Guest: Robert A. Baldor MD, FAAFP
    Music Credit: Matthew Bugos

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


    Morning Cups of Joe Are the Way to Go - Frankly Speaking Ep 426 Mar 31, 2025
    Show notes

    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-426

    Overview: Drinking coffee offers potential health benefits—but does timing affect outcomes? This episode dives into new research on how morning vs. all-day coffee consumption impacts cardiovascular disease and all-cause mortality risk. Gain practical insights to optimize patient recommendations based on the latest evidence.

    Episode resource links:

    • European Heart Journal (2025) 00, 1–11 https://doi.org/10.1093/eurheartj/ehae871
    • The Journal of Clinical Endocrinology & Metabolism, 2024, 00, 1–11 https://doi.org/10.1210/clinem/dgae552

    Guest: Jillian Joseph, MPAS, PA-C
    Music Credit: Matthew Bugos

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


    Obstructive Sleep Apnea Breakthroughs: Emerging and Newly Approved Treatment Updates - Frankly Speaking Ep 425 Mar 24, 2025
    Show notes

    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-425

    Overview: In this episode we discuss updates on the treatment and management of obstructive sleep apnea (OSA). This is a common health concern, but it is often underdiagnosed and can have significant health impacts. We review its prevalence and standard treatments, highlighting the recently used medication therapy that has been found to be effective in treating OSA, particularly in individuals with obesity.

    Episode resource links:

    • https://www.aafp.org/pubs/afp/issues/2023/0300/uspstf-obstructive-sleep-apnea.html
    • https://emedicine.medscape.com/article/295807-overview
    • Malhotra, A., Grunstein, R. R., Fietze, I., Weaver, T. E., Redline, S., Azarbarzin, A., ... & Bednarik, J. (2024). Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity. New England Journal of Medicine.
    • Mangione, C. M., Barry, M. J., Nicholson, W. K., Cabana, M., Chelmow, D., Coker, T. R., ... & US Preventive Services Task Force. (2022). Screening for obstructive sleep apnea in adults: US Preventive Services Task Force recommendation statement. Jama, 328(19), 1945-1950.
    • https://aasm.org/rising-prevalence-of-sleep-apnea-in-u-s-threatens-public-health/

    Guest: Mariyan L. Montaque, DNP, FNP-BC
    Music Credit: Matthew Bugos

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


    UTI Guidelines for Primary Care: What’s New in Diagnosis, Treatment, and Prevention? - Frankly Speaking Ep 424 Mar 17, 2025
    Show notes

    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-424

    Overview: Urinary tract infections (UTIs) are one of the most common infections seen in primary care. In this episode, we discuss the latest guidelines addressing the diagnosis, treatment, and prevention of UTIs. Tune in to enhance your clinical expertise and provide superior care to your patients with UTIs.

    Episode resource links:

    • Nelson Z, Aslan AT, Beahm NP, et al. Guidelines for the Prevention, Diagnosis, and Management of Urinary Tract Infections in Pediatrics and Adults: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2024 Nov 4;7(11):e2444495

    Guest: Alan M. Ehrlich, MD, FAAFP

    Music Credit: Matthew Bugos

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


    Toddlers and Screen Time—How Much Is Too Much? - Frankly Speaking Ep 423 Mar 10, 2025
    Show notes

    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-423

    Overview: The use of electronic devices has increased across all ages, cultures, and socio-economic levels. Usage was also affected by the COVID-19 pandemic. There is a growing body of evidence that screen time can impact cognition and executive function in developing minds, and both the American Academy of Pediatrics (AAP) and the WHO have recommendations on screen time exposure for children. Join us as we discuss recent evidence looking at the impact of screentime on toddlers’ cognition and executive function over time.

    Episode resource links:

    • Fitzpatrick, C., Florit, E., Lemieux, A., Garon-Carrier, G, Mason, L. Associations between preschooler screentime trajectories and executive function. Academic Pediatrics, Volume 0, Issue 0, 102603.

    • Schmidt-Persson J, Rasmussen MGB, Sørensen SO, et al. Screen Media Use and Mental Health of Children and Adolescents: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024;7(7):e2419881. doi:10.1001/jamanetworkopen.2024.19881

    • AAP Screen Time Guidelines

    • Schmidt-Persson J, Rasmussen MGB, Sørensen SO, et al. Screen Media Use and Mental Health of Children and Adolescents: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024;7(7):e2419881. doi:10.1001/jamanetworkopen.2024.19881

    • Raj D, Ahmad N, Mohd Zulkefli NA, Lim PY. Stop and Play Digital Health Education Intervention for Reducing Excessive Screen Time Among Preschoolers From Low Socioeconomic Families: Cluster Randomized Controlled Trial. J Med Internet Res. 2023;25:e40955. Published 2023 May 4. doi:10.2196/40955

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

    Music Credit: Matthew Bugos

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


    The Wine Debate: Cardiovascular Benefits Vs Cancer Risks - Frankly Speaking Ep 422 Mar 03, 2025
    Show notes

    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-422

    Overview: Conflicting data on alcohol’s health effects leave clinicians uncertain about patient guidance. In this episode, we review the PREDIMED trial’s findings on wine and cardiovascular outcomes, explore objective biomarkers for intake, and examine the National Academy of Sciences’ recent report to clarify the risks and benefits of moderate consumption, giving you confidence in counseling patients.

    Episode resource links:

    • Inés Domínguez-López, Rosa M Lamuela-Raventós, Cristina Razquin, et al. Urinary tartaric acid as a biomarker of wine consumption and cardiovascular risk: the PREDIMED trial, European Heart Journal, 2024;, ehae804, https://doi.org/10.1093/eurheartj/ehae804

    • National Academies of Sciences, Engineering, and Medicine. 2025. Review of Evidence on Alcohol and Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/28582

    Guest: Robert A. Baldor MD, FAAFP

    Music Credit: Matthew Bugos

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


    The Nurse Practitioner Will See You Now - Frankly Speaking Ep 421 Feb 24, 2025
    Show notes

    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-421

    Overview: Join us as we discuss a recent meta-analysis examining randomized controlled trials to investigate healthcare costs, quality of care, and patient well-being when delivered by advanced nurse practitioners (ANPs). Explore the evidence behind ANPs’ effectiveness and their potential to enhance patient outcomes while optimizing healthcare resources.

    Episode resource links:

    • Melati Fajarini, Agus Setiawan, Chien-Mei Sung, Ruey Chen, Doresses Liu, Chiu-Kuei Lee, Shu-Fen Niu, Kuei-Ru Chou, Effects of advanced practice nurses on health-care costs, quality of care, and patient well-being: A meta-analysis of randomized controlled trials, International Journal of Nursing Studies, Volume 162, 2025,104953, ISSN 0020-7489, https://doi.org/10.1016/j.ijnurstu.2024.104953

    • The miseducation of America’s nurse practitioners, July 24, 2024

    • Perloff, J., Clarke, S., DesRoches, C. M., O'Reilly-Jacob, M., & Buerhaus, P. (2019). Association of State-Level Restrictions in Nurse Practitioner Scope of Practice With the Quality of Primary Care Provided to Medicare Beneficiaries. Medical care research and review : MCRR, 76(5), 597–626. https://doi.org/10.1177/1077558717732402

    • Yang, B. K., Johantgen, M. E., Trinkoff, A. M., Idzik, S. R., Wince, J., & Tomlinson, C. (2021). State Nurse Practitioner Practice Regulations and U.S. Health Care Delivery Outcomes: A Systematic Review. Medical care research and review : MCRR, 78(3), 183–196. https://doi.org/10.1177/1077558719901216

    • Taylor K (2023) Bridging the Gap to Health Care Access: The Role of the Nurse Practitioner. Int Arch Public Health Community Med 7:091. doi.org/10.23937/2643-4512/1710091

    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


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