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    Inside Family Medicine

    A podcast produced by the American Academy of Family Physicians for family doctors and related health care professionals.

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    Copyright: ©2024

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    Latest Episodes:
    FFFM | How H.R. 1 Will Affect Family Medicine Aug 08, 2025
    Show notes

    H.R. 1 is now law, and it will affect family physicians and their communities in numerous ways. In this episode, AAFP Government Relations Vice President David Tully talks with members of the AAFP's GR team about H.R. 1's impacts on primary care. You'll also hear about what happens next, and how AAFP members can get involved, starting with advocacy this month during Congress' August recess.

    Topics By Timestamp:

    00:00 Introduction

    01:02 Team introductions

    01:30 Medicaid barriers in H.R. 1

    • With some exemptions, individuals ages 19-64 in expansion states will have to document that they work or volunteer at least 80 hours a month to be eligible for Medicaid; this is required by 2027, but states can implement sooner.

    • States must conduct eligibility redeterminations at least every six months for adults enrolled in Medicaid expansion;

    • Retroactive coverage will be limited to one month prior to application for expansion enrollees and two months prior to application for traditional enrollees.

    06:52: Provider taxes

    08:40: Wins in H.R. 1

    • A proposal to exclude medical and dental residents from participating in the Public Service Loan Forgiveness Program (PLSF) program was removed from the final version of the bill.

    • A ban on Medicaid funds being used to pay for gender-affirming care services for any individuals also was removed.

    • The law will allow people with health savings accounts to use those funds to pay for direct primary care (DPC) arrangements, beginning Jan. 1. The AAFP had long called for this change, in line with its DPC advocacy.

    10:45: Nutrition impacts

    • Supplemental Nutrition Assistance Program (SNAP) barriers in H.R. 1:

      • No re-evaluation of SNAP benefits beyond inflation,

      • SNAP benefits will not be updated based on future changes to nutritional guidelines and

      • State-federal cost sharing for states with payment error rates over 6% (about 47 states).

    12:50: Workforce impacts

    • More about the PSLF win (following the AAFP's 2025 Family Medicine Advocacy Summit)

    • Elimination of GRAD Plus

    • Caps on student loans

    17:09: Tax policy win for independent practices: 20% pass-through deduction

    20:03: Medicare physician payment relief

    22:59: What's next in Congress

    29:13: Congress' August recess: It's easy for AAFP members to advocate this month.

    32:40: Conclusion

    Additional Resources

    • AAFP Advocacy Ambassadors

    • FFFM podcast: Inside the 2025 Family Medicine Advocacy Summit

    • AAFP Voices: Make August Count for Family Medicine Advocacy Where You Are. Here's How

    • AAFP News: AAFP summary of 2026 proposed MPFS outlines payment boost, other potential wins

    • AAFP News: Against AAFP objections, new CMS coverage rule will hinder care access

    • AAFP News: Threatened loan forgiveness program is 'a lifeline' to this FP—and her patients

    • AAFP News: Academy Pushes for Tax Policy Favoring FPs

    • AAFP News: AAFP urges Senate to stave off 'tsunami'

    Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    CME | Contraception: The Comprehensive Conversation Our Patients Deserve to Have Aug 04, 2025
    Show notes

    In this episode of CME on the Go, our hosts discuss various birth control options and their clinical relevance. The podcast provides insights into long-acting reversible contraceptives (LARCs), vasectomy, and oral contraceptives, addressing common misconceptions and patient counseling strategies. Key topics include the history and types of contraceptives, the importance of pain management during IUD insertion, and assessing patient suitability for different methods. The discussion also emphasizes the role of family physicians in guiding patients through their contraceptive choices while being mindful of personal beliefs and practices.

    Topics By Timestamp

    00:00 Welcome to CME on the Go

    00:19 Meet Your Hosts

    01:03 Diving into Birth Control

    01:58 Clinical Scenarios and Contraceptive Conversations

    05:28 Oral Contraceptives: The Pill

    10:54 Long-Acting Reversible Contraception (LARCs)

    21:14 Vasectomies: A Permanent Solution

    26:41 The Importance of Vasectomy Consultations

    27:43 Contraceptive Options Overview

    29:28 Addressing Contraceptive Counseling Challenges

    30:44 Understanding Natural Family Planning

    31:29 Educational Resources for Contraception

    32:41 Effectiveness of Various Contraceptive Methods

    35:12 Choosing the Right Birth Control Pill

    37:18 Risk Factors and Considerations for OCPs

    43:12 Phasic vs. Monophasic Birth Control Pills

    44:52 Seasonal and Continuous OCP Use

    46:44 De-prescribing Contraceptives

    48:06 Final Thoughts and Gratitude

    Credit Claiming

    https://www.aafp.org/assessment/take/18253/e

    Learning Objectives

    1. Compare contraceptive options—including OCPs, LARC, and vasectomy—based on patient-specific factors, access to resources, and clinical context.

    2. Demonstrate strategies for integrating equitable, patient-centered contraceptive counseling into practice, regardless of resource setting or personal provider beliefs.

    3. Select appropriate oral contraceptive formulations based on individual patient needs, comorbidities, and preferences.

    Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.

    All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.

    Disclaimer: Copyright 2025. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    IFM: Celebrating 100 Episodes: Inspiring Journeys in Family Medicine Jul 31, 2025
    Show notes

    In the 100th episode of Inside Family Medicine, we commemorate this milestone by featuring the personal stories and pivotal moments of several family physicians from past episodes. You will hear from Dr. Yalda Jabbarpour, Dr. Sarah Cole, Dr. Kate Tian, Dr. Kevin Wang, Dr. Jerry Abraham, and Dr. Jen Caudle. The episode reflects on the specialty's commitment to people, relationships, and communities, celebrating the depth and breadth of family medicine.

    Topics By Timestamp

    00:00 Introduction

    00:46 Dr. Yalda Jabbarpour

    03:02 Dr. Sarah Cole

    05:03 Dr. Kate Tian

    07:33 Dr. Kevin Wang

    10:08 Dr. Jerry Abraham

    12:16 Dr. Jen Caudle

    14:04 Conclusion and Celebration of 100 Episodes

    Additional Resources

    Career Options in Family Medicine

    AAFP FUTURE - National Conference for the Future of Fmaily Medicine

    AAFP FMX - Premier Family Medicine Conference

    Choosing Family Medicine

    Disclaimer

    Copyright 2025. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    FFFM | July 2025 Advocacy Rounds Jul 29, 2025
    Show notes

    In this Advocacy Rounds update on the Inside Family Medicine podcast, AAFP Government Relations Vice President David Tully recaps the past few weeks of the Academy's work on Capitol Hill, starting with initial AAFP reaction to the 2026 Medicare physician fee schedule proposed rule. The episode also talks about the health care impacts of H.R. 1 and the Academy's recent feedback to regulators about health care artificial intelligence strategy.

    00:00 Introduction

    00:32 2026 Medicare physician fee schedule proposed rule

    01:38 Protecting the integrity of the U.S. Preventive Services Task Force

    02:20 Family Medicine Advocacy Summit

    03:10 H.R. 1 and health care cuts

    03:40 Advocacy Ambassadors program

    04:15 Artificial intelligence in family medicine

    05:14 CMS rule changes to Affordable Care Act Marketplace coverage

    06:19 Conclusion

    Additional Resources

    • July 2025 Family Medicine Advocacy Rounds Newsletter

    • Family Physicians Respond to 2026 Proposed Medicare Physician Fee Schedule | AAFP

    • AAFP summary of 2026 proposed MPFS outlines payment boost, other potential wins | Advocacy and Government

    • AAFP Advocacy Ambassadors

    • AAFP's Ethical AI Policy

    • AAFP Statement on H.R. 1

    • Medscape Op-Ed on FMAS Priorities

    • USPSTF Coalition Letter

    Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    IFM | Designing a Meaningful Life in Family Medicine with Dr. Marc Levin Jul 23, 2025
    Show notes

    In this episode of 'Inside Family Medicine', Dr. Levin shares how his experiences in underserved communities, including his work with Doctors Without Borders, have shaped his medical career. He discusses his current roles at Norton Sound Health Corporation in Alaska, Tulane University, and Mount Sinai, and offers valuable insights and advice for medical students and residents. Dr. Levin emphasizes the unique opportunities family medicine offers and the importance of finding what causes 'a revolution in your heart.'

    00:11 Meet Dr. Marc Levin

    01:06 Choosing Family Medicine

    01:47 Diverse Experiences in Family Medicine

    05:24 Urban vs. Rural Healthcare Challenges

    08:24 International Medical Missions

    13:24 Advice for Aspiring Family Physicians

    19:34 Conclusion and Resources

    Additional Resources

    FUTURE 2025 | Formerly National Conference for Family Medicine | AAFP

    Students and Residents | AAFP

    https://www.aafp.org/students-residents/medical-students.html

    https://www.aafp.org/students-residents/residents.html

    Disclaimer

    Copyright 2025. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    CME | What Men (Don't) Talk About: Making Men's Health Less Awkward Jul 21, 2025
    Show notes

    In this episode of 'CME on the Go', our hosts focus on discussing men's health issues with family physicians. Key topics covered include benign prostatic hyperplasia (BPH), erectile dysfunction, low testosterone, and prostatitis. The hosts emphasize the importance of overcoming barriers to communication in men's health, provide clinical scenarios, treatment strategies, and insights on having sensitive conversations. They also share personal experiences and practical tips on diagnosing and treating these common conditions, highlighting the interplay between different diagnoses and the significance of normalizing these discussions.

    Topics By Timestamp

    00:46 Episode Overview: Men's Health

    02:16 Clinical Scenarios in Men's Health

    04:48 Strategies for Discussing Men's Health

    11:03 Deep Dive: Benign Prostatic Hypertrophy (BPH)

    15:09 Deep Dive: Erectile Dysfunction

    22:13 Deep Dive: Low Testosterone

    26:14 Deep Dive: Prostatitis

    33:44 Final Thought

    Credit Claiming

    https://www.aafp.org/assessment/take/18252/e

    Learning Objectives

    1. Demonstrate effective, non-intimidating communication techniques for discussing sensitive men's health issues, including erectile dysfunction, BPH, low testosterone, and prostatitis.

    2. Identify key clinical features and treatment pearls for common urologic and hormonal conditions affecting men.

    3. Recognize the atypical presentation of behavioral health conditions—such as depression and anxiety—in male patients to improve diagnostic accuracy and patient engagement.

    Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.

    All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.

    Disclaimer: Copyright 2025. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    IFM | Chronic Kidney Disease Care: Essential Insights for Family Physicians Jul 16, 2025
    Show notes

    In this episode of Inside Family Medicine, host Emily Holwick discusses chronic kidney disease (CKD) and the pivotal role family physicians play in its management. In this episode we are joined by Dr. Jay Shubrook, DO, FAAFP, FACOFP and Katelyn Laue from the National Kidney Foundation (NKF). They dive into the importance of early CKD screening, the advancements in treatment, and how family physicians can collaborate with other healthcare professionals to improve patient outcomes. The episode emphasizes the necessity of integrating CKD care into primary care practices and highlights valuable resources for both physicians and patients. The conversation also covers patient education strategies and the utilization of a multidisciplinary care team to enhance disease management.

    Topics By Timestamp

    00:17 Meet the Experts: Dr. Jay Shubrook and Katelyn Laue

    01:41 Dr. Shubrook's Journey in Family Medicine

    02:25 Focus on Chronic Kidney Disease

    03:39 National Kidney Foundation's Role

    04:52 Challenges in CKD Diagnosis and Management

    05:51 Advancements in CKD Treatment

    07:34 Collaborative Care for CKD Patients

    12:20 Strategies for Patient Adherence

    13:23 Resources for CKD Support

    16:40 Final Thoughts and Key Takeaways

    Additional Resources

    www.aafp.org/ckd

    www.kidney.org

    https://www.kidney.org/professionals/ckdintercept

    NKF Patient Journey education program kidney.org/ckd-journey

    The EveryONE Project | AAFP

    Neighborhood Navigator | AAFP

    Disclaimer

    Copyright 2025. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    CME | Rash Decisions: Sorting the Serious from the Silly Jul 07, 2025
    Show notes

    In this episode of CME on the Go, our hosts discuss the challenges family physicians face when diagnosing dermatological conditions. The hosts discuss the importance of recognizing rashes on different skin types, taking high-quality photos for documentation, and knowing when to refer patients to dermatologists. They also emphasize using reliable resources for accurate diagnosis and the value of doing biopsies when necessary. Topics By Timestamp 00:20 Meet the Hosts 00:51 Dermatology: A Challenging Field 04:19 Basic Dermatological Terms and Descriptions 07:50 Using Technology in Dermatology 09:31 Identifying Serious Rashes 13:15 The Importance of Biopsies 17:40 Educational Resources and Diversity in Dermatology 22:44 Conclusion and Gratitude Credit Claiming https://www.aafp.org/assessment/take/18190/e Learning Objectives 1. Identify key terminology and descriptive language used in classifying dermatologic findings to improve clinical communication and diagnostic accuracy. 2. Apply a practical framework for differentiating high-risk or urgent rashes from the benign or self-limited rashes in a primary care. 3. Recommend reliable online educational resources for ongoing learning and support in diagnosing and managing dermatologic conditions.

    Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.

    All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.

    Disclaimer: Copyright 2025. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    FFFM | Inside the 2025 Family Medicine Advocacy Summit Jul 01, 2025
    Show notes

    The AAFP just wrapped up its 2025 Family Medicine Advocacy Summit, which brought more than 300 Academy members to Washington, D.C., to meet with their lawmakers and congressional staff and advance our policy goals. In this Fighting for Family Medicine podcast episode, David Tully, vice president of Government Relations for the Academy, talks with two FMAS participants. Members also hear how they can amplify their colleagues' in-person advocacy.

    Topics by Timestamp

    00:00 Welcome to Fighting for Family Medicine for a conversation with FMAS participants.

    02:02 Introducing John Cawley, MD, of Colorado, chair of the AAFP's Commission on Federal and State Policy; and Laura Bowshier, MD, of Iowa, vice chair of the Family Medicine Political Action Committee's advisory board

    02:48 Drs. Bowshier and Cawley talk about their top advocacy issues.

    03:48 How Medicaid cuts would affect Dr. Bowshier's practice

    05:05 What Drs. Bowshier and Cawley want lawmakers to understand about ACIP

    07:27 Advice to first-time FMAS attendees

    10:24 Talking about the AAFP's Advocacy Ambassadors program

    13:16 How cuts to the Medicare physician fee schedule have affected Drs. Bowshier's and Cawley's practices

    16:13 How you can get involved

    17:06 Conclusion

    Resources related to this episode

    • AAFP Advocacy Ambassadors

    • AAFP Speak Out Campaigns

    • AAFP Chapter Advocacy

    • What the AAFP is doing about ACIP

    • The AAFP's push to safeguard Medicaid

    • The AAFP's message to the Senate on Medicare

    • The Academy's work to preserve student loan repayment programs.

    • Family Medicine PAC

    Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


    CME | Too Young, Too Old, Too Bold: Ageism and Sexism in the House of Medicine Jun 23, 2025
    Show notes

    This episode of CME On The Go addresses the complex issues of ageism and sexism in medical practice. Topics that are discussed include the historical and ongoing biases in treatment, research, and workplace policies that affect both patients and healthcare professionals. The episode emphasizes the importance of recognizing and addressing implicit biases, understanding the limitations of existing data, and advocating for more inclusive and supportive policies across the healthcare system.

    Topics by Timestamp

    00:20 Meet the Hosts 00:46 Addressing Concerns About the Episode 02:07 Introduction to Age and Gender in Medicine 03:31 Case Presentation: Ageism and Sexism in Medicine 05:10 Pain Management in Older Adults 08:32 Gender Bias in Medical Research 12:10 Generational Differences in Medicine 17:25 Parental Leave and Gender Expectations 23:45 Senior Physicians and Competency 25:57 Key Takeaways and Gratitude

    Credit Claiming

    https://www.aafp.org/assessment/take/18198/e

    Learning Objectives

    1. Identify and describe how ageism and sexism can impact professional relationships and communication in clinical practice, and explore strategies to mitigate these biases to improve team dynamics and patient care. 2. Discuss the implications of generational differences in work expectations and leadership styles, and evaluate how embracing diverse perspectives can enhance collaboration, reduce burnout, and strengthen the practice of family medicine. 3. Examine institutional policies and cultural norms that affect equity and inclusion in medicine—such as fitness-to-practice evaluations and gendered assumptions—and explore how addressing these systems can support a more effective and compassionate healthcare workforce.

    Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.

    All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.

    Disclaimer: Copyright 2025. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.


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