Inside Family Medicine

Latest Episodes:

FFFM | The Art of Family Medicine Leadership Oct 10, 2024

Show notes

In this episode of the Fighting for Family Medicine podcast series, AAFP Government Relations Vice President David Tully and Inside Family Medicine host Emily Holwick speak with Steve Crawford, M.D., FAAFP, whose four-decade career is a remarkable illustration of family medicine's spectacular breadth. In that time, he has been not only a family physician but also an effective advocate for the specialty, a highly respected educator and a leader in Oklahoma as well as among his peers nationwide.

Topics

00:00 Welcome to Fighting for Family Medicine for a conversation, specially recorded at FMX, with Dr. Steve Crawford

0:34 Welcome, Dr. Crawford

1:07 Choosing family medicine and becoming involved in advocacy

2:41 How do you balance the art of your calling with the business of family medicine today?

3:52 The genesis and evolution of the AAFP's Family Medicine Political Action Committee

6:16 How advocacy wins have translated into improving patient care

8:10 Why advocacy is within anyone's reach

11:12 Mentorship in family medicine and the future of the specialty

12:59 Conclusion

Resources

Steven A. Crawford M.D. Leadership & Health Policy Fellowship

AAFP Family Medicine PAC

Disclaimer:Copyright 2024, 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 | From Prescriptions to Prevention: How Lifestyle Medicine Can Change Your Practice and Your Patients Oct 03, 2024

Show notes

The CME on the Go series of the Inside Family Medicine podcast lets you earn up to 0.5 CME credits per episode — join us as we explore the transformative power of lifestyle medicine, focusing on its role in preventing, treating, and reversing chronic diseases. Discover how implementing small, sustainable changes in key lifestyle areas can dramatically improve both patient outcomes and physician satisfaction.

In this episode, we dive into the foundational principles of lifestyle medicine, a growing field that places prevention and whole-person care at the forefront of medical practice. Experts discuss the six pillars of lifestyle medicine—nutrition, physical activity, stress management, sleep, avoidance of risky substances, and relationships—and how these factors contribute to disease prevention and overall well-being. Listeners will also gain practical tips for incorporating lifestyle medicine into busy medical practices, motivating patients to make lasting changes, and navigating reimbursement challenges. This episode highlights the power of a lifestyle-first approach in reshaping both patient care and physician fulfillment.

Your host for this episode is Tamaan Osbourne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access. Joined by guests, Amy Mechley, MD, FAAFP, DipABFM, DipABLM, Chair of the Board for the American and International Boards of Lifestyle Medicine and co-founder of a direct primary care practice in Cincinnati, Ohio; Beth Polk, MD, FAAFP, DipABLM, Associate Professor at Virginia Tech Carilion School of Medicine, focused on integrating lifestyle medicine into medical education and chronic disease management; and Brenda Rea, MD, DrPH, PT, RD, FACLM, DipABLM, Medical Director of Education for the American College of Lifestyle Medicine and faculty member at Loma Linda University Health.

Whether you're navigating patient queries or seeking to enhance your clinical knowledge, this episode offers valuable insights and practical advice for family physicians. Tune in now and earn CME credit!

Credit Claiming

After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/15584/e

Learning Objectives:

Define lifestyle medicine and explain how it differs from traditional medical practices.
Identify the pillars of lifestyle medicine and how they can improve health outcomes and prevent chronic diseases.
Describe practical strategies to implement lifestyle medicine in daily practice with patients.
Discuss the challenges and opportunities of getting reimbursement for lifestyle medicine interventions.

Topics

00:00 Introduction to Lifestyle Medicine
01:22 Meet the Experts
02:36 Defining Lifestyle Medicine
07:13 The Six Pillars of Lifestyle Medicine
15:38 Implementing Lifestyle Medicine in Practice
20:28 Motivating Patients for Lifestyle Changes
25:07 Reimbursement and Financial Considerations
29:18 Future of Lifestyle Medicine
33:28 Gratitude and Conclusion

Resources

References

Naderpoor N, Barmare A, Skouteris H, Jack B, Teede H. Editorial: Using technology for healthy lifestyle and weight management. Front Endocrinol (Lausanne). 2022 Aug 4;13:973006. doi: 10.3389/fendo.2022.973006. PMID: 35992147; PMCID: PMC9386469.

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 2024. 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 Leadership and Advocacy Sep 30, 2024

Show notes

As the AAFP recognizes Family Medicine Week, Inside Family Medicine welcomes Tochi Iroku-Malize, MD, MPH, MBA, FAAFP. She is the outgoing board chair of the AAFP. Dr. Iroku-Malize reflects on her six-year tenure, emphasizing her accomplishments in advocating for telehealth, addressing social determinants of health, and combating misinformation about COVID-19 vaccines. She shares her future hopes for family medicine and offers advice to aspiring leaders in the field. The episode also highlights ongoing initiatives aimed at supporting students, residents, and new physicians in family medicine.

Related Resources

Topics

00:00 Introduction and Welcome
00:57 Dr. Tochi Iroku-Malize's Path to Leadership
01:50 Proudest Moments and Key Accomplishments
03:24 Challenges and Overcoming Them
04:37 Future of Family Medicine
05:45 Key Areas for Advancement
06:31 Influence and Legacy
07:47 Initiatives for Future Generations
10:44 Advice for Aspiring Leaders
11:38 Final Words and Gratitude
12:41 Final Message and Conclusion

Disclaimer: Copyright 2024. 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 | A Journey into Family and Sports Medicine Sep 26, 2024

Show notes

Marcia Faustin, MD, FAAFP, shares her journey into family and sports medicine, inspired by her own experiences as an athlete. She talks with host Emily Holwick in observance of Women in Medicine month in September.

Dr. Faustin is co-head team physician for the USA Gymnastics Women's National Team and a family physician specializing in sports medicine. She shares her journey from her undergraduate years at Loyola University Chicago, where she was inspired to pursue a career in sports medicine, to her current roles at the University of California, Davis Medical Center, UC Davis Athletics and USA Gymnastics.

She discusses her passion for the intersection of mental and physical health, her experiences with elite athletes such as Olympic medalist Sunni Lee and Simone Biles, and the importance of mentorship and representation in medicine.

Dr. Faustin also provides valuable advice for aspiring sports medicine practitioners and reflects on her memorable moments from the Paris Olympics.

Related Resources

Topics

00:00 Introduction to Inside Family Medicine
00:12 Meet Dr. Marcy Faustin
01:01 Journey into Family and Sports Medicine
01:43 Role with USA Gymnastics
03:08 Handling Pressure and Patient Care
04:40 Guiding Elite Athletes Through Health Challenges
06:39 Mental Health in Sports Medicine
9:35 Inspiring Future Physicians
12:15 Memorable Moments from the Olympics
13:33 Closing Remarks and Future Plans

FFFM | September Family Medicine Advocacy Rounds Sep 23, 2024

Show notes

AAFP Government Relations Vice President David Tully recaps the Academy's federal advocacy over the past month.

Topics

00:00 Welcome to Fighting for Family Medicine
00:31 The Academy's detailed response to CMS' 2025 Medicare physician fee schedule proposed rule
01:48 What Congress must do for primary care by the end of 2024
02:54 AAFP reaction to injunction against nationwide noncompete ban
03:34 Vot-ER partnership encouraging family physicians to ensure they are registered to vote
04:22 Closing

Resources

In the Trenches blog post: Medicare Physician Payment Reform Must Start Now
In the Trenches blog post: Your Advocacy Includes Making Sure You're Registered and Ready to Vote
AAFP comment letter on 2025 Medicare physician fee schedule proposed rule
AAFP policy recommendations to Congress on year-end health care priorities
AAFP Members only: Speak Out campaign supporting the Strengthening Medicare for Patients and Providers Act (H.R. 2474)
AAFP Members only: Speak Out campaign supporting the Improving Seniors' Timely Access to Care Act (H.R. 8702/S. 4532)
AAFP Members only: Speak Out campaign urging Congress to make a multi-year investment in the THCGME program

Disclaimer: Copyright 2024. 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 | Sleep Tight, Breathe Right: Unraveling OSA Mysteries Sep 19, 2024

Show notes

The CME on the Go series of the Inside Family Medicine podcast lets you earn up to 0.5 CME credits per episode — join the hosts as they dive into This episode explores the intricacies of obstructive sleep apnea (OSA), examining its diagnosis, treatment options, and broader health impacts. Our expert panel discusses the bi-directional relationship between OSA and other health conditions, along with practical tips to improve patient outcomes and CPAP adherence. In this episode, we take an in-depth look at obstructive sleep apnea (OSA), a condition that affects millions yet often goes undiagnosed. Our hosts discuss the critical role family physicians play in identifying OSA and managing its wide-reaching health impacts, from cardiovascular risks to quality-of-life issues. They explore diagnostic criteria, such as the STOP BANG screening tool, and provide practical tips for improving CPAP adherence. Listeners will also learn about surgical options, equity issues in OSA management, and the importance of addressing this condition holistically to improve overall patient care.

Your hosts for this episode are Lauren Brown-Berchtold, MD, FAAFP, program director for the San Joaquin General Family Medicine Residency in French Camp, Calif.; Jason Marker, MD, MPA, FAAFP, associate director of the Memorial Hospital Family Medicine Residency program in South Bend, Ind.; and Tamaan Osbourne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access.

Credit Claiming - After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/15583/e

Learning Objectives:

Describe the pathophysiology and clinical manifestations of obstructive sleep apnea (OSA) in adults.
Discuss the diagnostic criteria and screening tools for OSA in primary care practice.
Review treatment options and management strategies for patients with OSA, including lifestyle modifications, continuous positive airway pressure (CPAP), and surgical interventions.

References Gawrys B, Silva TW, Herness J. Obstructive Sleep Apnea in Adults: Common Questions and Answers. Am Fam Physician. 2024 Jul;110(1):27-36. PMID: 39028778. Gleeson M, McNicholas WT. Bidirectional relationships of comorbidity with obstructive sleep apnoea. Eur Respir Rev. 2022 May 4;31(164):210256. doi: 10.1183/16000617.0256-2021. PMID: 35508332; PMCID: PMC9488957.

Topics

00:00 Introduction to Sleep Apnea

01:16 Meet the Hosts

02:01 Understanding Sleep Apnea

05:06 Diagnostic Criteria for OSA

09:01 Treatment Options for OSA

14:46 Improving CPAP Adherence

17:03 Surgical Interventions for OSA

19:00 Equity in Sleep Apnea Management

20:38 Final Thoughts and Gratitude

23:15 Upcoming Episodes and Events

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.

FFFM | Tales From the Hill Sep 12, 2024

Show notes

In this episode, AAFP Government Relations Vice President David Tully talks with three Academy members who have testified before Congress in recent months: AAFP President Steven Furr, Jennifer Gholson and Bob Rauner. We'll talk about their time in "the hot seat," what it means for the Academy's advocacy to have earned such high visibility on Capitol Hill — and about how family physicians can educate lawmakers about primary care even without traveling to D.C.

Topics

00:00 Welcome to Fighting for Family Medicine for a conversation about the AAFP's increasing prominence among the experts and stakeholders called to testify before Congress.
0:22 Introduction
2:15 Welcome, Drs. Furr, Gholson and Rauner
2:31 What is it like to be in the chamber, and what goes on behind the scenes?
4:33 Dr. Gholson talks about her noncompete testimony and the impact it seemed to make.
5:37 Did you walk away from your testimony feeling understood?
6:44 The importance of lawmakers' staff and engaging with them
9:44 What can family physicians do right now in their home states?
11:23 Dr. Rauner traces the roots of his advocacy, focusing on primary care spend.
13:25 How did each of you prepare to testify?
16:45 Conclusion

Resources

AAFP President Steven Furr, M.D., FAAFP: testimony on administrative simplification and testimony on primary care payment
Jennifer Gholson, M.D.: testimony on noncompete agreements
Bob Rauner, M.D., M.P.H., FAAFP: testimony on primary care investment
AAFP News: Congressional Testimony Shows Need for Primary Care Investment
AAFP News: AAFP President Delivers Senate Testimony on Medicare Payment
In the Trenches: Is This the Year We Reform Prior Authorization?
For AAFP members: active Speak Out campaigns and grassroots advocacy resources

IFM | Medical Insights on Cannabis and Alcohol Use During Pregnancy Sep 09, 2024

Show notes

In this episode of Inside Family Medicine, Jeffrey Quinlan, MD, FAAFP, a family physician and academic leader discusses his work with the American Academy of Family Physicians' (AAFP) on fetal alcohol spectrum disorder (FASD) and delves into the rising concerns about cannabis use during pregnancy.

He highlights the impact of alcohol and cannabis on maternal and child health, the importance of preconception counseling, and effective strategies for family physicians to screen and counsel patients about substance use during pregnancy.

For more information, view Cannabis Use During Pregnancy, a supplement published in the July / August 2024 issue of the Family Practice Management journal. You can also visit the AAFP's Substance Use webpage.

Topics

00:00 Introduction to Inside Family Medicine
00:12 Meet Dr. Jeffrey Quinlan
00:58 Choosing Family Medicine
02:27 Transition from Navy to Academic Medicine
04:25 Involvement with AAFP and FASD
05:54 Cannabis Use During Pregnancy
12:38 Counseling Patients on Substance Use
15:30 Key Takeaways and Conclusion

Funding Statement: This podcast episode is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $603,907.00 with 100 percent funded by CDC/HHS. The contents are those of the guest(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.

CME | Mindfulness and Self-Care Practices Sep 05, 2024

Show notes

The CME on the Go series of the Inside Family Medicine podcast lets you earn up to 0.5 CME credits per episode — join the hosts as they dive into essential mindfulness and self-care strategies designed specifically for family physicians. This episode offers actionable insights to seamlessly incorporate mindfulness into your daily routine, helping you boost well-being and manage stress in the high-pressure world of family medicine.

In this insightful episode, family physicians explore the transformative power of mindfulness and self-care practices tailored to their unique challenges. The discussion delves into practical techniques that can be easily woven into daily routines, offering a pathway to enhanced well-being and stress management. By adopting these strategies, physicians can not only improve their own mental health but also bring a renewed sense of balance and resilience to their professional lives. This episode is a must-listen for those looking to sustain their passion for medicine while prioritizing personal wellness.

After listening to the podcast episode, claim 0.5 AAFP credit at https://www.aafp.org/assessment/take/15315/e.

Learning Objectives

Consider the concept of mindfulness and its potential benefits for promoting well-being and reducing stress among family physicians.
Offer guidance on integrating mindfulness and self-care practices into clinical practice and fostering a culture of well-being within healthcare organizations.

Resources

Topics by Timestamp

00:00 Introduction to Mindfulness and Self Care
00:37 Meet the Hosts
01:52 Initial Reactions to Mindfulness
04:49 Historical and Scientific Perspective on Mindfulness
08:57 Practical Mindfulness Techniques
15:28 Advanced Mindfulness Practices and Flow States
18:52 Mindfulness as a Leadership Skill
20:29 Mindfulness in Patient Care and Education
26:01 Conclusion and Gratitude
27:59 Next Episode Preview and Credits

References

Hofmann, S. G., & Gómez, A. F. (2017). Mindfulness-Based Interventions for Anxiety and Depression. Psychiatric Clinics of North America, 40(4), 739-749. https://doi.org/10.1016/j.psc.2017.08.008
Schuman-Olivier, Z., Trombka, M., Lovas, D. A., et al. (2020). Mindfulness and Behavior Change. Harvard Review of Psychiatry, 28(6), 371-394. https://doi.org/10.1097/HRP.0000000000000277
Macrynikola, N., Mir, Z., Gopal, T., et al. (2024). The impact of mindfulness apps on psychological processes of change: a systematic review. npj Mental Health Research, 3, 14. https://doi.org/10.1038/s44184-023-00048-5
American Academy of Family Physicians. (2013). Mindfulness-Based Interventions for Anxiety and Depression. American Family Physician, 87(6), 402-403. Retrieved from https://www.aafp.org/pubs/afp/issues/2013/0315/p402.html
Singh, S. P. (2023). Sakshi and Dhyana: The origin of mindfulness-based therapies. BJPsych Bulletin, 47(2), 94-97. https://doi.org/10.1192/bjb.2022.39
Balban, M. Y., Neri, E., Kogon, M. M., et al. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1), 100895. https://doi.org/10.1016/j.xcrm.2022.100895

All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose. Disclaimer: Copyright 2024. 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 | August Family Medicine Advocacy Rounds Aug 29, 2024

Show notes

AFP Government Relations Vice President David Tully recaps the Academy's federal advocacy over the past month.

Topics by Timestamp

00:00 Welcome to Fighting for Family Medicine
00:30 AAFP members sharing policy priorities with lawmakers during Congress' August recess
02:05 Academy calls for increasing the number of practicing family medicine physicians on U.S. Food and Drug Administration advisory committees
02:37 AAFP advocacy during National Immunization Awareness Month
05:12 Closing

Resources

In the Trenches blog post on the AAFP's August recess advocacy https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/LT-FDA-AdvisoryCommittees-080924.pdf AAFP Members only: Speak Out campaign supporting the Strengthening Medicare for Patients and Providers Act (H.R. 2474) AAFP Members only: Speak Out campaign supporting the Improving Seniors' Timely Access to Care Act (H.R. 8702/S. 4532) AAFP Members only: Speak Out campaign urging Congress to make a multi-year investment in the THCGME program AAFP President Steven Furr in MedPage Today: "Congress Should Simplify Medicare's Vaccine Coverage" Disclaimer: Copyright 2024. 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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