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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 | Brain Health and Chronic Conditions: Lifelong Connections Mar 27, 2026
    Show notes

    In this episode of Inside Family Medicine, we hear from Dr. Ariel Cole, a family and geriatric medicine physician and fellowship/residency leader at AdventHealth Orlando, about the family physician's role in cognitive aging, Alzheimer's disease and related dementias. Dr. Cole describes her experience caring for patients across the cognitive decline spectrum and emphasizes prevention. The conversation covers barriers like time and system awareness, strategies for sensitive discussions about shame and independence, and leveraging community resources such as Area Agencies on Aging, Meals on Wheels, caregiver supports, adult day programs, the Alzheimer's Association, and referrals to neurology or geriatrics.

    Topics By Timestamp

    00:00 Welcome and Guest Intro

    00:47 Dr. Cole's Background

    01:15 Prevention and Risk Factors

    02:58 Screening Tools in Primary Care

    03:50 Barriers and Team Based Care

    04:58 Talking About Cognitive Decline

    06:13 Community Resources and Referrals

    07:34 Assessing Home Support Needs

    08:27 Key Takeaways for Clinicians

    09:21 Wrap Up and Resources

    09:50 Disclaimers and Copyright

    Additional Resources

    • Brain Health: Clinical Guidance and Practice Resources | AAFP

    • Dementia | Family Doctor

    • Alzheimer's Disease | Family Doctor

    • Evaluation of Suspected Dementia | AAFP

    • Blood Biomarkers in Alzheimer's Dementia FREE CME | AAFP

    • Utilization of the AAFP Cognitive Care Kit FREE CME | AAFP

    Disclaimer: Copyright 2026. 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 | Tiny Ties & Big Opinions: Hot Takes in Peds Mar 23, 2026
    Show notes

    In this episode of CME on The Go, our hosts discuss a postpartum patient with painful breastfeeding and concerns about milk supply. They emphasize listening, cultural context, and early breastfeeding discussions. The episode reviews baby‑friendly hospital practices, noting risks when taken too far, and affirms that formula supplementation may be appropriate. Practical guidance includes assessing latch and positioning, supportive tools, tongue‑tie considerations, and concludes with neonatal circumcision as an elective, culturally influenced procedure.

    Learning Objectives

    1. Evaluate the current evidence and identify gaps regarding tongue tie, neonatal circumcision, and breastfeeding.

    1. Apply effective, empathetic communication strategies utilizing shared decision-making with patients and caregivers in regard to tongue tie, neonatal circumcision, and breastfeeding.

    The AAFP has reviewed Tiny Ties & Big Opinions: Hot Takes in Peds and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 03/23/2026 to 6/4/2027. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The American Academy of Family Physicians designates this Enduring Materials for a maximum of 0.50 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit.

    After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.

    https://www.aafp.org/assessment/take/19731/e

    References and Resources

    https://firstdroplets.com/

    https://womenshealth.gov/breastfeeding/learning-breastfeed/getting-good-latch

    https://my.clevelandclinic.org/health/articles/breastfeeding-latch

    https://my.clevelandclinic.org/health/articles/5182-breastfeeding

    https://nurturingmilk.com/how-to-get-a-deep-latch/

    https://www.sbcc.sg/breastfeeding-101-tips-for-first-time-mums/

    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 | Downcoding: How Payers Are Cutting Payments and What Family Physicians Can Do Mar 19, 2026
    Show notes

    Guest host Karen Johnson, PhD, VP of Practice Advancement for the AAFP, talks with Dr. Tina Philip, DO, a solo family physician in Round Rock, Texas, and AAFP CEO, Shawn Martin, about payer downcoding, where insurers reduce billed evaluation and management levels (e.g., 99214 to 99213), lowering payment and adding administrative burden. Dr. Philip describes how downcoding most often affects moderate-to-high complexity office visits and stresses physicians must monitor claims beyond denials by working with billing/coding staff to confirm expected reimbursement. Martin explains downcoding as an evolution of coding integrity programs amplified by AI-enabled scale and as a less visible cost-control approach than prior authorization, often with limited transparency and historically few appeals.

    Topics By Timestamp

    01:01 Why Family Medicine

    02:32 What Downcoding Means

    04:02 Why Payers Downcode

    08:40 Spotting It in Practice

    10:51 Who Should Investigate

    12:07 AAFP Advocacy Efforts

    15:17 Undercoding and Appeals

    18:04 Tools and Next Steps

    20:29 Final Thoughts

    Additional Resources

    Coding for Evaluation and Management Services: FAQs

    Letter template for writing to payers about ending downcoding policies

    The AAFP Advocates Against Payer Downcoding Policies and For Improved Primary Care Payment

    AAFP urges feds to investigate downcoding as threat to primary care | Advocacy and Government

    Cigna's downcoding policy gets pushback from physician groups | AAFP

    Disclaimer:Copyright 2026. 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 | Primary Care and Cognitive Concerns: Screening, Diagnosis, and Support Mar 17, 2026
    Show notes

    Host Michael Monroe interviews Dr. Brianna Wynne, a board-certified geriatric medicine physician, about how family physicians can support prevention, screening, and early detection of cognitive aging and Alzheimer's disease. Dr. Wynne distinguishes normal aging (slower processing speed) from mild cognitive impairment (objective test deficits with preserved function) and dementia as a spectrum from mild functional difficulties with instrumental activities to severe end-stage dependence. She describes how concerns typically surface through caregivers or during routine visits such as Medicare annual wellness visits and emphasizes proactive questioning. She highlights practical tools and resources including the Mini-Cog, AAFP shared decision-making guidance to help differentiate dementia types, the Alzheimer's Association for patient and caregiver support, and familydoctor.org for accessible, bite-sized clinical information.

    Topics By Timestamp

    00:00 Welcome and Guest Intro

    00:47 Dr. Wynne Background

    01:40 Cognitive Decline Basics

    05:11 What Family Docs See

    07:05 Starting the Conversation

    08:51 Screening Tools and Resources

    11:18 CME and Quick References

    12:22 Future of Dementia Care

    14:38 Wrap Up

    Additional Resources

    • 6 tips for talking about brain health across the lifespan
    • Brain Health: Clinical Guidance and Practice Resources | AAFP

    • Dementia | Family Doctor

    • Alzheimer's Disease | Family Doctor

    • Evaluation of Suspected Dementia | AAFP

    Disclaimer: Copyright 2026. 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 | Primary Care at the Center of Fighting Chronic Disease Mar 13, 2026
    Show notes

    Yalda Jabbarpour, MD, of the AAFP's Robert Graham Center, interviews rural family physician Jennifer Bacani McKenney, MD, FAAFP, about the Robert Graham Center's report "Investing in Primary Care: The Missing Strategy in America's Fight Against Chronic Disease," co-funded by the Milbank Memorial Fund and the Physicians Foundation. The report uses national data to show that having a usual source of primary care increases preventive services and screening, reduces emergency department visits and hospitalizations for people with chronic disease and lowers Medicare costs. The discussion highlights rural impacts, policy levers such as Medicare payment improvements and community health center funding, and how data supports advocacy and practice-level resource requests.

    Topics by Timestamp

    00:00 Introduction

    01:20 Meet Dr. Bacani McKenney

    01:51 Key findings snapshot

    03:24 Rural practice stories

    06:29 Scorecard to deep dive

    09:13 Policy levers and payment

    12:10 Using data for advocacy

    19:31 Rural access and ER strain

    24:19 Validation and takeaways

    25:59 Closing and resources

    Additional Resources

    The Health of US Primary Care: 2026 Thematic Report

    Robert Graham Center Maps, Data, and Tools

    Jennifer Bacani McKenney, MD, FAAFP

    Disclaimer: Copyright 2026. 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 | Hot Takes and Flashbacks of Menopause Mar 09, 2026
    Show notes

    In this episode of CME On the Go, our hosts revisit menopause through a case of a 51-year-old with seven months of amenorrhea, vasomotor and cognitive symptoms, and osteopenia-range DEXA findings, highlighting that she is perimenopausal. They note the limited role of FSH/LH testing and the need to rule out other causes. The episode focuses on systemic hormone therapy, recommending 17β-estradiol with progesterone for patients with an intact uterus, favoring transdermal routes for lower risk, gradual dose titration, shared decision making, and supportive lifestyle measures.

    Learning Objectives

    1. Learn how to select proper dosing and route of administration for estrogen replacement therapy including initiation, adjustments through monitoring, and discontinuation.

    1. Discuss non-medicinal strategies for healthy aging in the menopausal woman including issues around sleep management, general cardiovascular fitness, and dementia.

    The AAFP has reviewed Hot Takes and Flashbacks of Menopause and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 03/09/2026 to 6/4/2027. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The American Academy of Family Physicians designates this Enduring Materials for a maximum of 0.50 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit.

    After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.

    https://www.aafp.org/assessment/take/19730/e

    References and Resources

    • Menopause and Perimenopause Livestream: https://www.aafp.org/cme/all/womens/menopause-perimenopause-hrt.html

    • Menopause Management: When Hormone Therapy Is Appropriate: https://www.aafp.org/pubs/afp/issues/2026/0200/editorials-menopause-management.html

    • Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Women: https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2017.16952?utm_source=openevidence&utm_medium=referral

    • Blog Article: More people than ever are interested in menopause. Family physicians should be, too: https://www.aafp.org/news/blogs/aafp-voices/menopause-perimenopause-education.html

    • ACOG President Says Label Change on Estrogen Will Increase Access to Hormone Therapy: https://www.acog.org/news/news-releases/2025/11/acog-president-says-label-change-on-estrogen-will-increase-access-to-hormone-therapy

    • https://www.webmd.com/menopause/which-type-of-estrogen-hormone-therapy-is-right-for-you

    • https://www.ncbi.nlm.nih.gov/books/NBK493191/

    • https://pmc.ncbi.nlm.nih.gov/articles/PMC12463494/#:~:text=Estrogen%2C%20with%20or%20without%20progestogen,genitourinary%20symptoms%20after%20medication%20termination.

    • The NAMS 2017 Hormone Therapy Position Statement Advisory Panel. The 2017 hormone therapy position statement of The North American Menopause Society. Menopause. 2017;24(7):728-753. doi:10.1097/GME.0000000000000921

    • . Yet, the latest update from WHI showed that HT with CEE + MPA or with CEE alone was not associated with risk of all-cause, cardiovascular or cancer mortality during a cumulative follow-up of 18 years (Manson et al., 2017

    • Manson JE, Aragaki AK, Rossouw JE, Anderson GL, Prentice RL, LaCroix AZ, Chlebowski RT, Howard BV, Thomson CA, Margolis KLet al. Menopausal hormone therapy and long-term all-cause and cause-specific mortality: the Women's Health Initiative randomized trials. JAMA 2017;318:927–938.

    • Clare Oliver-Williams, Marija Glisic, Sara Shahzad, Elizabeth Brown, Cristina Pellegrino Baena, Mahmuda Chadni, Rajiv Chowdhury, Oscar H Franco, Taulant Muka, The route of administration, timing, duration and dose of postmenopausal hormone therapy and cardiovascular outcomes in women: a systematic review, Human Reproduction Update, Volume 25, Issue 2, March-April 2019, Pages 257–271, https://doi.org/10.1093/humupd/dmy039

    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 | Coverage and Care: What Family Physicians Should Know About Disability Insurance Mar 04, 2026
    Show notes

    On this episode of 'Inside Family Medicine', you'll hear from Jered Hunt, president of AAFP Insurance Services, and Eric Muehlbach, disability insurance manager, about why disability insurance is a critical part of a family physician's financial plan. They emphasize protecting a physician's greatest asset, future earning potential, by securing coverage early to lock in insurability due to intensive medical underwriting. The discussion covers how to start by reviewing existing employer benefits, common limitations such as own-occupation caps, monthly benefit caps, offsets, taxation of employer-paid benefits, and poor portability, and how personally owned policies can supplement coverage and travel throughout a career.

    Topics by Timestamp

    00:32 Meet the Guests

    01:09 Why Disability Matters

    02:40 How to Get Covered

    03:11 Evaluating Employer Plans

    05:19 Choosing Coverage Amounts

    06:47 Picking the Right Advisor

    08:28 Claims and New Benefits

    10:25 Career Stage Advice

    11:52 Wrap Up and Resources

    Additional Resources

    Home - AAFP Insurance Program

    Individual Disability Income - AAFP Insurance Program

    Complimentary Insurance Review - AAFP Insurance Program

    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 | February 2026 Advocacy Rounds Feb 27, 2026
    Show notes

    David Tully, AAFP vice president of government relations, recaps the Academy's February 2026 advocacy efforts. He highlights passage of a government funding package that keeps agencies operating and includes reauthorization of the Teaching Health Center GME program through 2029, continued funding for community health centers and the National Health Service Corps and a two-year extension of telehealth flexibilities. The episode outlines the AAFP's push for Congress to address Medicare Advantage practices that strain primary care, including downcoding and prior authorization delays; and to pass bipartisan bills to speed decisions, ensure fair payment and protect patients nationwide.

    Topics By Timestamp

    00:00 February advocacy recap

    00:37 Federal funding wins

    01:36 Insurance barriers spotlight

    03:03 Medicare Advantage oversight

    04:32 NHSC loan repayment

    05:05 Disability nondiscrimination

    05:59 Primary care research findings

    07:16 Advocacy Summit invitation

    08:00 Get involved and closing

    Additional Resources

    • NHSC Loan Repayment Program | NHSC

    • https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/LT-HHS-Section504-011926.pdf

    • AAFP Comments to CMS on CY27 Medicare Advantage Proposed Rule - January 23, 2026

    • Investing in Primary Care: The Missing Strategy in America's Fight Against Chronic Disease | Milbank Memorial Fund

    • AAFP Letter for House Hearings with Health Insurance CEOs - January 22, 2026

    Disclaimer: Copyright 2026, 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 | Recognizing and Managing COPD Exacerbations in Primary Care: A Conversation with Dr. Barbara Yawn Feb 25, 2026
    Show notes

    In this episode of Inside Family Medicine we hear from Dr. Barbara Yawn, a family physician and clinical researcher and former Chief Science Officer at the COPD Foundation, about recognizing and managing COPD exacerbations in primary care. Dr. Yawn explains why COPD is often missed due to gradual symptom onset and patients minimizing symptoms, and stresses asking targeted questions about dyspnea, activity tolerance, chronic cough, sputum changes, and frequent colds. She reviews recognizing exacerbations, instructions to call the office, outpatient treatment with short courses of systemic corticosteroids and antibiotics, and considering alternative diagnoses such as heart failure, pulmonary embolus, and pneumonia.

    Topics by Timestamp

    01:16 Why Family Medicine

    02:20 Spotting Early COPD Signs

    04:42 Asking Better Questions

    06:44 Guidelines and Acute Exacerbations

    09:07 Post Exacerbation Follow Up

    10:20 When to Consult Pulmonology

    12:40 Preventing Future Exacerbations

    15:06 Shared Decision-Making SHARE

    18:14 Advanced and Newer Therapies

    22:40 Key Takeaways and Wrap Up

    Additional Resources

    COPD Clinical Guidance | AAFP

    COPD | Family Doctor

    CME Activities:

    • ABFM Board Review Self-Study - CME 2025 | AAFP

    • Care of Chronic Conditions CME | AAFP

    • Adult Medicine 11th Edition – Online CME | 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.


    IFM | Understanding Yourself: Personal Journeys into Family Medicine Feb 20, 2026
    Show notes

    Hosted by Dr. Margot Savoy, this episode highlights the AAMC Careers in Medicine "Understanding Yourself" phase and free tools at careersinmedicine.aamc.org. Three board‑certified family physicians share their paths: Anthony Okolo on home‑based care and adaptability during COVID; Chase Mussard on returning to Appalachia for full‑spectrum practice; and Anita Ravi on trauma‑informed, justice‑focused work and policy research, with mentorship support and practical resources for learners.

    Topics By Timestamp

    00:00 Welcome to Inside Family Medicine & What to Expect

    00:12 AAFP Future Conference: Why It's a Big Deal for Students & Residents

    01:27 Careers in Medicine Resources & "Understanding Yourself"

    02:38 Dr. Anthony Olo: A Home-Visit Origin Story (and the Roots of Family Medicine)

    07:07 Dr. Chase Mussard: Coming Back to Appalachia & Community-Based Care

    11:40 Imposter Syndrome, Team Support, and Why Patients Need You

    14:16 Dr. Anita Ravi: Trauma-Informed Care & Advocating for Survivors

    17:28 Not a Traditional Path: Mentors, Identity, and Finding Your "Why"

    27:23 Closing Thoughts, Links, and Episode Disclaimers

    Additional Resources

    Register for FUTURE

    Career Options in Family Medicine

    AAMC Careers in Medicine

    Disclaimer: Copyright 2026, 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.


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