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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:
    IFM | Empowering Family Physicians Through Vaccine Science Fellowship Aug 22, 2024
    Show notes

    In this episode of Inside Family Medicine, host Emily Holwick is joined by Dr. Neha Chande and Dr. Llewellyn Mensah, recent graduates of the AAFP's Vaccine Science Fellowship. They discuss their motivations for choosing family medicine, share their experiences and learnings from the fellowship, and highlight how the program strengthens their ability to guide patients on vaccinations. Key takeaways include the importance of understanding vaccine policy development, combatting vaccine hesitancy, and the continuous support from the fellowship community. For those interested in the intersection of family medicine and public health, this episode provides valuable insights and encourages applying to the fellowship.

    Timestamps

    • 00:00 Introduction to Inside Family Medicine
    • 00:12 Meet the Vaccine Science Fellows
    • 01:19 Why Choose Family Medicine?
    • 02:51 Discovering the Vaccine Science Fellowship
    • 04:28 What the Fellowship Entails
    • 05:40 Key Learnings and Surprises
    • 08:19 Impact on Clinical Practice
    • 09:36 Encouragement for Future Applicants
    • 11:01 Final Thoughts and Takeaways
    • 12:25 Closing Remarks and Resources

    Resources

    Immunization Schedules | AAFP

    Immunizations & Vaccines | AAFP

    Quick Conversation Guide on COVID-19 Vaccinations for Children 6 Months and Older (aafp.org)

    How to Approach Conversations With Parents About Routine Pediatric Vaccinations (aafp.org)

    COVID-19: Improving Pediatric Vaccination Rates CME | AAFP

    AAFP Vaccine Science Fellowship | AAFP

    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 | Grip and Grin: Conquering Carpal Tunnel Challenges Aug 15, 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 co-hosts as they dive into the complexities of carpal tunnel syndrome. In this episode, they explore its diagnosis, common risk factors, and effective treatment options, sharing valuable insights and practical advice to help family physicians manage this prevalent condition in their practice.

    They discuss the latest diagnostic techniques, identify common risk factors, and review a range of effective treatment options. The episode features expert insights and practical tips aimed at helping family physicians better understand and manage this condition in their patients. Tune in to gain valuable knowledge that can enhance patient care and improve outcomes for those suffering from carpal tunnel syndrome.

    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.

    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/15314/e

    Learning Objectives

    1. Recognize the clinical features and risk factors associated with carpal tunnel syndrome (CTS).
    2. Discuss the diagnostic evaluation and differential diagnosis of CTS.
    3. Review conservative and surgical management options for patients with CTS, including indications, outcomes, and complications.

    Topics By Timestamp

    • 00:00 Introduction to Carpal Tunnel Syndrome
    • 01:09 Meet the Hosts
    • 01:53 Case Presentation: A 36-Year-Old Female
    • 02:30 Understanding Carpal Tunnel Syndrome
    • 04:05 Diagnostic Evaluation Techniques
    • 10:24 Conservative Management Options
    • 12:41 Corticosteroid Injections: Pros and Cons
    • 15:23 Surgical Management and Outcomes
    • 20:17 Differential Diagnosis: What Else Could It Be?
    • 22:55 Conclusion and Final Thoughts
    • 23:33 Gratitude and Acknowledgements
    • 25:04 Outro and Next Episode Preview

    References/Resources

    1. American Family Physician. (2024, June). Point-of-Care Guides: Carpal Tunnel Syndrome. Retrieved from https://www.aafp.org/pubs/afp/issues/2024/0600/pocg-carpal-tunnel-syndrome.html.
    2. American Family Physician. (2016, November 15). Carpal Tunnel Syndrome: Diagnosis and Management. Retrieved from https://www.aafp.org/pubs/afp/issues/2016/1115/p830.html.
    3. American Family Physician. (2024, January). Cochrane for Clinicians: Carpal Tunnel Syndrome. Retrieved from https://www.aafp.org/pubs/afp/issues/2024/0100/cochrane-carpal-tunnel-syndrome.html.
    4. American Family Physician. (2016, December 15). Carpal Tunnel Syndrome: Treatment Options. Retrieved from https://www.aafp.org/pubs/afp/issues/2016/1215/p993.html.
    5. JAMA. (2022). Carpal Tunnel Syndrome. Retrieved from https://jamanetwork.com/journals/jama/fullarticle/2793920.
    6. Nature. (2024). Comprehensive Review on Carpal Tunnel Syndrome. Retrieved from https://www.nature.com/articles/s41572-024-00521-1.
    7. Biomedicines. (2023). Advances in Carpal Tunnel Syndrome Research. Retrieved from https://www.mdpi.com/2227-9059/11/6/1744.
    8. Washington State Department of Labor and Industries. (2024). Long-term Burden of Carpal Tunnel Syndrome. Retrieved from https://lni.wa.gov/safety-health/safety-research/completed-projects/long-term-burden-of-carpal-tunnel-syndrome.
    9. Gabrielli AS, Lesiak AC, Fowler JR. (2020). The Direct and Indirect Costs to Society of Carpal Tunnel Release. Hand (N Y), 15(2), NP1-NP5. doi:10.1177/1558944718810855.
    10. Brodeur PG, Patel DD, Licht AH, Loftus DH, Cruz AI Jr, Gil JA. (2021). Demographic Disparities amongst Patients Receiving Carpal Tunnel Release: A Retrospective Review of 92,921 Patients. Plast Reconstr Surg Glob Open, 9(11), e3959. doi:10.1097/GOX.0000000000003959.
    11. Ergonomics. Overview of Joint Protection. Retrieved from https://www.uptodate.com/contents/overview-of-joint-protection?search=carpal%20tunnel%20syndrome%20ergonomics&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1.
    12. UpToDate. Carpal Tunnel Syndrome: Clinical Manifestations and Diagnosis. Retrieved from https://www.uptodate.com/contents/carpal-tunnel-syndrome-clinical-manifestations-and-diagnosis?search=carpal%20tunnel%20syndrome&source=search_result&selectedTitle=2%7E140&usage_type=default&display_rank=2.

    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.


    FFFM | Strengthening the Primary Care Workforce Aug 13, 2024
    Show notes

    In this episode, AAFP Government Relations Vice President David Tully talks with Yalda Jabbarpour, M.D., director of the Academy's Robert Graham Center, about its recently published primary care scorecard and what it tells us about the workforce issues the AAFP advocates to improve. Next: a conversation with AAFP members and veteran family medicine advocates Dominic Casablanca, M.D., and Renee Crichlow, M.D., about how Academy members can begin their own advocacy journeys — starting with this month's congressional recess.

    Topics by Timestamp

    • 00:00 Welcome to Fighting for Family Medicine for a conversation about the primary care workforce, the AAFP's workforce advocacy and how you can add your voice to it.
    • 1:10 Welcome Dr. Jabbarpour
    • 1:40 How important is community-based training?
    • 2:44 What is the state of play in graduate medical education?
    • 3:55 What should lawmakers understand about the Teaching Health Center GME program?
    • 8:30 The Robert Graham Center this year marks its 25th anniversary. How has its workforce research evolved and where is it going from here?
    • 12:44 Feedback from family physicians since this year's scorecard came out
    • 15:47 August recess advocacy introduction
    • 17:00 How do you make the most of your in-person advocacy?
    • 18:50 What does a family physician need to know about getting time with their lawmakers?
    • 21:00 The power of storytelling
    • 23:38 How can we build and diversify the family medicine workforce?
    • 28:40 What do you need to know about the Family Medicine Advocacy Summit?
    • 31:00 The importance of getting involved
    • 34:44 Conclusion

    Resources

    • AAFP Speak Out Campaigns
    • The Robert Graham Center
    • The Health of U.S. Primary Care: 2024 Scorecard Report
    • AAFP GME and THCGME advocacy
    • In the Trenches: Make August Count for Family Medicine Advocacy Where You Are. Here's How
    • AAFP Family Medicine Advocacy Summit 2024: Hundreds of AAFP Members Meet With Lawmakers in D.C.
    • FMAS 2024

    Robert Graham Center research:

    • Projecting U.S. Primary Care Physician Workforce Needs: 2010-2025
    • Estimating the Residency Expansion Required to Avoid Projected Primary Care Physician Shortages by 2035
    • The Gender Wage Gap Among Early-Career Family Physicians

    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 | Educating Primary Care Clinicians about 2024 Immunization Schedules Aug 08, 2024
    Show notes

    In this episode of Inside Family Medicine, Dr. Anne Schneider, a family physician and AAFP Vaccine Science Fellow, talks about the latest immunization schedules approved by the CDC. She discusses the importance of vaccines, especially for respiratory diseases like RSV, influenza, and COVID-19, and provides detailed updates from the June 2024 ACIP meeting. Dr. Schneider shares strategies to boost vaccine confidence and integrate CDC recommendations into family medicine practices. The episode emphasizes the role of physicians in educating patients about vaccines and using credible resources to stay informed.

    Some resources related to this episode include:

    • ACIP Vaccine Update for Children & Adults at FMX 2024 in Phoenix • Immunization Schedules | AAFP • Immunizations & Vaccines | AAFP • Conversation Guide on COVID-19 Vaccinations for Children 6 Months and Older (aafp.org) • How to Approach Conversations With Parents About Routine Pediatric Vaccinations (aafp.org) • COVID-19: Improving Pediatric Vaccination Rates CME | AAFP

    Topics by Timestamp

    • 00:00 Introduction to Inside Family Medicine
    • 00:12 Meet Dr. Anne Schneider
    • 00:50 Why Family Medicine?
    • 02:50 The Importance of Vaccination
    • 04:32 New CDC Immunization Recommendations
    • 05:52 RSV Vaccine Updates
    • 10:59 COVID-19 and Flu Vaccine Updates
    • 17:12 Integrating CDC Recommendations in Practice
    • 23:24 Childhood Vaccination Importance
    • 24:49 Increasing Vaccine Confidence
    • 27:07 Final Thoughts and Key Takeaways
    • 28:02 Closing Remarks and Resources

    This podcast episode is supported by an unrestricted grant from Merck.

    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 | Navigating Opportunities for Leadership: Pathways to Impact and Influence Aug 01, 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 co-hosts as they dive in to discover the varied paths to leadership in family medicine with practical advice and personal stories that highlight diverse opportunities and strategies for becoming an effective leader.

    In this episode, we explore the multiple routes to leadership in family medicine, sharing actionable advice and inspiring stories from those who have walked the path. We discuss the various leadership styles and opportunities within policy, academia, and clinical practice. Listeners will learn how to chart their own course and make a meaningful impact in their careers. Tune in for insights on becoming a confident leader and inspiring others in the family medicine community.

    Your co-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.

    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/15316/e

    Learning Objectives:

    1. Explore the diverse leadership opportunities available to family physicians in various healthcare settings, including clinical practice, academia, research, administration, advocacy, and community engagement.
    2. Discuss the benefits and challenges of pursuing leadership roles in different areas of medicine and highlight the unique contributions that family physicians can make as leaders within interdisciplinary healthcare teams and organizations.
    3. Provide guidance on how to identify and seize leadership opportunities, build networks, and position oneself for leadership success.
    4. Share inspiring stories and examples of family physician leaders who have made significant contributions to healthcare innovation, quality improvement, and patient advocacy, and offer insights into the leadership pathways they have pursued.

    Resources

    • Leadership Development for the Family Physician On-Demand Package
    • AAFP Leadership Conference

    Topics by Timestamp

    • 00:00 Welcome to CME On The Go
    • 00:27 Meet Your Hosts
    • 01:04 Diverse Leadership Journeys
    • 02:24 Jason's Leadership Path
    • 04:15 Lauren's Leadership Path
    • 06:27 Tamaan's Leadership Path
    • 08:43 Defining Leadership
    • 12:39 Counseling Future Leaders
    • 18:23 Leadership Development Programs
    • 28:32 Gratitude and Closing Remarks

    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.


    FFFM | July Family Medicine Advocacy Rounds Jul 25, 2024
    Show notes

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

    Resources

    • July 2024 Family Medicine Advocacy Rounds newsletter (for chapter staff only)
    • AAFP statement and In the Trenches blog post on the 2025 Medicare physician fee schedule proposed rule.
    • AAFP Members only: Speak Out campaign supporting the Strengthening Medicare for Patients and Providers Act (H.R. 2474)
    • Recommendations to Senate Finance Committee on how to reform payment and coverage to better value primary care.
    • The AAFP's letter for the record in response to a House Ways and Means Health Subcommittee hearing on improving value-based payment for clinicians and patients.
    • AAFP letters in response to the Ways and Means and Energy and Commerce Committees' respective hearings on improving value-based payment for clinicians and payments.
    • AAFP statement in response to the U.S. Supreme Court upholding EMTALA.
    • AAFP Fighting for Family Medicine podcast episode: "When Supreme Court Rulings Affect Family Medicine"
    • AAFP recommendations to Senate Finance Committee on graduate medical education reform.
    • AAFP letter to CISA on CIRCIA reporting.
    • AAFP FY25 letter to the House Appropriations Committee on the federal budget.

    Topics by Timestamp

    • 00:00 Welcome to Fighting for Family Medicine
    • 00:37 AAFP reaction to the 2025 Medicare physician fee schedule proposed rule
    • 02:03 Academy guidance to Senate Finance Committee on primary care value and payment
    • 03:00 Supreme Court update
    • 04:12 Graduate medical education reform
    • 04:58 Advocacy centered on the Cyber Incident Reporting for Critical Infrastructure Act
    • 05:42 AAFP win on e-prescribing standards
    • 06:17 Academy recommendations to House Appropriations Committee on 2025 federal spending
    • 07:12 Closing

    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 | Slim Solutions: Navigating Weight Loss Medications Jul 18, 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 the complexities of weight loss medications, from historical perspectives to modern practices. Discover the nuanced conversations around BMI, patient-centered care, and the latest in weight loss treatments.

    The hosts explore the history and controversies surrounding BMI, off-label medication use, and the evolution of weight loss treatments from the 1800s to today. The conversation emphasizes the need for patient-centered language, compassionate care, and a comprehensive approach that includes both lifestyle and pharmacological interventions. The hosts also touch on the mental health implications of obesity and the importance of forming a supportive partnership with patients.

    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 Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access.

    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 with every listen! Credit Claiming After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/15313/e

    Learning Objectives:

    1. Discover the mechanisms of action of common weight loss drugs.
    2. Evaluate the efficacy and safety profiles of weight loss medications.
    3. Discuss the appropriate indications, contraindications, and monitoring parameters for prescribing weight loss drugs in clinical practice.

    References Li, Z., Hong, K., Yip, I., Huerta, S., Bowerman, S., Walker, J., Wang, H., Elashoff, R., Go, V. L., & Heber, D. (2003). Body weight loss with phentermine alone versus phentermine and fenfluramine with very-low-calorie diet in an outpatient obesity management program: A retrospective study. Current Therapeutic Research, Clinical and Experimental, 64(7), 447-460. https://doi.org/10.1016/S0011-393X(03)00126-7

    American Academy of Family Physicians. (2022). Several drugs are effective for weight loss in obese or overweight adults; it is unclear whether they improve health outcomes. American Family Physician, 106(1), online. Retrieved from https://www.aafp.org/pubs/afp/issues/2022/0700/poems-weight-loss-drugs.html

    American Academy of Family Physicians. (2023). Medications to promote weight loss: Guidelines from the American Gastroenterological Association. American Family Physician, 108(4), 424-426. Retrieved from https://www.aafp.org/pubs/afp/issues/2023/1000/practice-guidelines-medications-weight-loss.html

    The New York Times. (1997, September 23). How fen-phen, a diet miracle, rose and fell. Retrieved from https://www.nytimes.com/1997/09/23/science/how-fen-phen-a-diet-miracle-rose-and-fell.html

    Resources AAFP: Treatment of Patients with Obesity - AAFP: Practical Approaches to Improving Obesity Care, members-only free CME AAFP: Addressing Health Disparities for Patients with Obesity, a free practice manual ADA-AAFP Collaborative Podcasts: Medical Management of Overweight and Obesity | Journals Gateway | American Diabetes Association (diabetesjournals.org)

    Topics by Timestamp

    • 00:00 Introduction to CME On the Go
    • 00:44 Meet the Hosts
    • 01:16 Episode Overview: Weight Loss Medications
    • 01:36 Patient Conversations on Weight Loss
    • 03:25 Historical Context of Obesity in Medicine
    • 07:43 BMI and Its Controversies
    • 12:41 Medication Management for Obesity
    • 17:52 Modern Weight Loss Medications
    • 23:22 Partnering with Patients on Weight Loss
    • 28:03 Future Topics and Resources
    • 28:42 Moments of Gratitude
    • 30:05 Conclusion and CME Information

    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.


    FFFM | When Supreme Court Rulings Affect Family Medicine Jul 11, 2024
    Show notes

    The U.S. Supreme Court closed its 2024 session with a number of rulings in high-profile cases, some of which could affect family physicians.

    The AAFP closely monitored several of these cases with the help of Leavitt Partners, a Washington, D.C., consulting firm specializing in health care policy.

    In this episode of the Fighting for Family Medicine podcast series, Shannon Deere of Leavitt Partners talks with Academy Government Relations Vice President David Tully about how the courts factor into the Academy's advocacy and the impacts the latest rulings may have on family medicine.

    Resources

    • Statement: AAFP Commends Surgeon General's Commitment to Stem Firearm Violence
    • Statement: Family Physicians Relieved SCOTUS Preserves Access to Mifepristone, Preserves Patient-Physician Relationship
    • Statement: Family Physicians Encouraged SCOTUS Decision Safeguards Access to Care

    Topics by Timestamp

    • 00:00 Welcome to the Fighting for Family Medicine series for a conversation about how the Academy monitors U.S. Supreme Court cases
    • 00:34 Meet Shannon Deere of Leavitt Partners, a key AAFP advocacy consultant
    • 01:30 Supreme Court basics
    • 02:30 The mifepristone decision
    • 05:25 How the AAFP determines which SCOTUS cases to watch
    • 07:12 The Chevron Doctrine and how a new related ruling may affect family medicine
    • 08:37 What happens after the court rules
    • 10:55 Potential impacts of this SCOTUS term on family physicians
    • 14:55 What's coming up next term?
    • 16:10 Closing

    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 | Getting Beyond the Administrative Pizza Party Jul 03, 2024
    Show notes

    You have the ability to earn up to 0.5 CME credits per episode by listening to the CME on the Go series of Inside Family Medicine.

    This episode explores the complexities of physician well-being, happiness, and boundaries. The co-hosts discuss the importance of distinguishing between burnout and depression, the value of setting inclusive boundaries, and practical strategies for enhancing job satisfaction and professional resilience.

    The conversation delves into the cultural and systemic challenges faced by family physicians and emphasizes the need for intentional approaches to maintaining mental health and professional fulfillment.

    The co-hosts also highlight resources and tips for navigating these challenges while maintaining a high standard of patient care. The AAFP's Physician Health First® initiative and an Inside Family Medicine earlier episode on mental health were mentioned.

    Your co-hosts for the CME on the Go series 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.
    • Tamaan Osborne-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.

    Learning Objectives:
    1. Discover the concept of work-life balance for family physicians and the importance of setting boundaries with patients and coworkers.
    2. Discuss the challenges that family physicians face in maintaining work-life balance, including long hours, emotional demands, and blurred boundaries between personal and professional life.
    3. Prepare an overview of the benefits of establishing clear boundaries, such as reduced stress, improved job satisfaction, and better patient care outcomes.
    4. Offer practical tips and strategies for setting boundaries with patients and coworkers, including communication techniques, time management strategies, and self-care practices.
    Topics by Timestamp
    • 00:00 Introduction to CME On The Go
    • 00:30 Meet the Hosts
    • 01:51 Discussing Physician Well-being
    • 05:01 Understanding Happiness
    • 11:24 The Importance of Physician Well-being
    • 14:47 Burnout and Depression in Physicians
    • 26:07 Setting Boundaries and Job Crafting
    • 33:29 Conclusion and Gratitude
    References
    • Friedman, Susan Hatters, and Richard P Martinez. "Boundaries, Professionalism, and Malpractice in Psychiatry." Focus (American Psychiatric Publishing) vol. 17,4 (2019): 365-371. doi:10.1176/appi.focus.20190019
    • Herbst, Rachel et al. "Staying in bounds: A framework for setting workplace boundaries to promote physician wellness." Journal of hospital medicine vol. 18,12 (2023): 1139-1143. doi:10.1002/jhm.13102
    • Lampe, Lisa et al. "Being a 'good' doctor: Understanding and managing professional boundaries is challenging and can lead to stress and burnout." Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists vol. 31,6 (2023): 764-767. doi:10.1177/10398562231191662
    • Rapp DJ, Hughey JM, Kreiner GE. Boundary work as a buffer against burnout: evidence from healthcare workers during the COVID-19 pandemic. J Appl Psychol. 2021; 106(8): 1169-1187.
    • Sanok, J. A Guide to Setting Better Boundaries. HBR. https://hbr.org/2022/04/a-guide-to-setting-better-boundaries. Accessed March 14 2024.
    Resources:
    • AAFP Leading Physician Well-being Certificate Program
    • AAFP Physician Health and Well-being Conference On-Demand
    • Clinical Workflow Efficiencies to Alleviate Physician Burnout and Reduce Work After Clinic | AAFP
    • Physician Well-being 2.0: Where Are We and Where Are We Going (Shanafelt)
    • The Power of Coaching: Supercharge Your Personal and Professional Well-Being | AAFP
    • Administrative Simplification

    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.


    CME | Blood Rush: Swift Solutions for Hematologic Emergencies Jun 27, 2024
    Show notes

    You have the ability to earn up to 0.5 CME credits per episode by listening to the CME on the Go series of Inside Family Medicine. In this episode, our co-hosts explore the complexities of managing hematologic emergencies in family medicine. They cover critical conditions such as profound anemia, thrombocytopenia, and coagulopathies, offering practical diagnostic strategies and treatment approaches.

    Emphasizing the importance of restrictive transfusion strategies, setting appropriate hemoglobin thresholds, and understanding massive transfusion protocols, they discuss when to involve subspecialty support, particularly in cases like disseminated intravascular coagulation (DIC) and idiopathic thrombocytopenic purpura (ITP). The co-hosts share personal experiences and insights into leveraging advancements in medical technology and provide valuable tips to enhance patient care in family medicine settings.

    Your co-hosts for the CME on the Go series 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.
    • Tamaan Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access

    Claiming Credit: After listening to the podcast episode, claim 0.5 AAFP credit by going to https://www.aafp.org/assessment/take/15291/e

    Learning Objectives

    1. Identify common hematologic emergencies encountered in primary care practice, such as thrombocytopenia, anemia, and coagulopathies.
    2. Review the clinical presentation and diagnostic approach to hematologic emergencies.
    3. Discuss initial management strategies, including transfusion therapy, pharmacologic interventions, and referral criteria for specialized care.
    Topics by Timestamp
    • 00:00 Welcome to CME On The Go
    • 00:30 Meet the Hosts
    • 01:55 Introduction to Hematologic Emergencies
    • 03:13 Common Hematologic Emergencies
    • 06:00 Transfusion Strategies and Protocols
    • 11:55 Thrombocytopenia and ITP
    • 17:51 DIC and Other Coagulopathies
    • 21:46 Outpatient Considerations
    • 23:13 Heavy Menstrual Bleeding and Potential Coagulopathy
    • 28:39 Conclusion and Gratitude
    References/ Resources

    Diagnosis of abnormal uterine bleeding in reproductive-aged women: Practice Bulletin No. 128. American College of Obstetricians and Gynecologists. Obstet Gynecol 2012;120:197–206.

    UpToDate Article on RBC Transfusion Thresholds: UpToDate. (n.d.). Indications and hemoglobin thresholds for RBC transfusion in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/indications-and-hemoglobin-thresholds-for-rbc-transfusion-in-adults

    JAMA Article on Restrictive Threshold: JAMA Network. (n.d.). Restrictive threshold. Retrieved June 24, 2024, from https://jamanetwork.com/journals/jama/fullarticle/2810754#:~:text=Restrictive%20threshold%20

    UpToDate Article on Massive Blood Transfusion: UpToDate. (n.d.). Massive blood transfusion. Retrieved June 24, 2024, from https://www.uptodate.com/contents/massive-blood-transfusion

    AAFP Article on Postpartum Hemorrhage: American Academy of Family Physicians. (2020, July 1). Postpartum hemorrhage. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2020/0701/p30.html

    AAFP Practice Guidelines on Postpartum Hemorrhage: American Academy of Family Physicians. (2023, April). Practice guidelines: Postpartum hemorrhage. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2023/0400/practice-guidelines-postpartum-hemorrhage.html

    AAFP Article on Thrombocytopenia: American Academy of Family Physicians. (2022, September). Thrombocytopenia. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2022/0900/thrombocytopenia.html

    UpToDate Article on Diagnostic Approach to Thrombocytopenia: UpToDate. (n.d.). Diagnostic approach to thrombocytopenia in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/diagnostic-approach-to-thrombocytopenia-in-adults

    UpToDate Article on DIC in Adults: UpToDate. (n.d.). Evaluation and management of disseminated intravascular coagulation (DIC) in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/evaluation-and-management-of-disseminated-intravascular-coagulation-dic-in-adults

    UpToDate Article on Platelet Function Testing: UpToDate. (n.d.). Platelet function testing. Retrieved June 24, 2024, from https://www.uptodate.com/contents/platelet-function-testing

    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.


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