Inside Family Medicine

In this special edition of Inside Family Medicine, sponsored by Roche Diagnostics, host Darren Sextro talks with brain health experts Deanna Willis, MD, MBA, a board-certified family physician, and Jared Brosch, MD, board-certified neurologist, on the use of blood-based biomarkers (BBBMs) in primary care settings for Alzheimer's disease and related dementias. Their discussion explores how BBBMs can make referrals more efficient and enhance the evaluation of patients with cognitive decline. The conversation highlights the value of early diagnosis and therapy referrals as well as outlines effective workflow strategies for primary care teams.    This episode is brought to you by Roche Diagnostics.    Topics by Timestamp  00:00 Introduction  01:03 Meet the experts  02:22 Dr. Willis' journey  04:32 Dr. Brosch's journey  05:32 Connection between family medicine and neurology  07:24 New tools for early detection  11:19 Workflow models and biomarkers  14:08 Best practices for referrals  16:35 Biomarkers in practice  19:47 Conclusion and additional resources    Additional Resources:  Roche Diagnostics Elecsys Phospho-Tau (181P) Plasma decision summary  https://www.accessdata.fda.gov/cdrh_docs/reviews/K252163.pdf  2024 CEOi recommendations for clinical implementation of blood-based biomarkers for Alzheimer's disease: https://doi.org/10.1002/alz.14184  2025 Alzheimer's Association clinical guidelines for primary care: https://doi.org/10.1002/alz.14333  Implementing early detection of cognitive impairment in primary care to improve care for older adults: https://doi.org/10.1111/joim.20098  FPM journal article: Blood Biomarkers and Early Detection of Alzheimer's Disease and Related Dementias  Brain health hub on AAFP.org including newest brain health resources  Brain health resources for patients from the 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.   

    In this episode of CME On the Go, Jason Marker, MD, MPA, FAAFP and Lauren Brown-Berchtold, MD, FAAFP, discuss how private practice in family medicine is evolving and how physicians can evaluate different models in 2026. They review trends showing a shift from 50/50 self-owned vs. other-owned practices in 2016 to about 75% other-owned and 25% private practice today, note rural workforce losses, and highlight rapid growth in direct primary care (DPC) and concierge models, alongside increasing corporate ownership. They compare employed practice vs. independent practice trade-offs, outline traditional fee-for-service, DPC, and hybrid structures, define the Triple Aim and related aims, and emphasize aligning practice choice with desired autonomy, scope, patient relationships, and community investment, with resources available through AAFP.      Learning Objectives  Compare the structures and implications of direct primary care (DPC), fee-for-service (FFS), and hybrid practice models to identify how each can impact patient access, continuity of care, and physician satisfaction.   Evaluate the trade-offs between employed and independent practice models, focusing on how physician autonomy can influence clinical decision-making, patient relationships, and practice sustainability.   Formulate personalized strategies for incorporating "private practice" principles—such as relationship-based care and operational efficiency—into any clinical setting to enhance both patient experience and professional fulfillment.    The AAFP has reviewed Private Practice, Public Impact: Finding Your Fit in Modern Medicine and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 05/04/2026 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/19938/e    References and Resources  Direct Primary Care  https://www.aafp.org/family-physician/practice-and-career/delivery-payment-models/direct-primary-care.html    Managing Your Practice    https://www.aafp.org/family-physician/practice-and-career/managing-your-practice.html    Eskew, P. M., & Klink, K. (2015). Direct Primary Care: An Alternative to Fee-for-Service. Journal of the American Board of Family Medicine. Eskew PM, Klink K. Direct Primary Care: Practice Distribution and Cost Across the Nation. J Am Board Fam Med. 2015 Nov-Dec;28(6):793-801. doi: 10.3122/jabfm.2015.06.140337. PMID: 26546656.  Sinsky, C. A., et al. (2013). Joy in Practice: Innovative Professional Models. Lessons on operational efficiency. Sinsky CA, Willard-Grace R, Schutzbank AM, Sinsky TA, Margolius D, Bodenheimer T. In search of joy in practice: a report of 23 high-functioning primary care practices. Ann Fam Med. 2013 May-Jun;11(3):272-8. doi: 10.1370/afm.1531. PMID: 23690328; PMCID: PMC3659145.  Physician Employment Eclipses Practice Ownership: The Ongoing Trend and Its Effect on Family Medicine  JULIE HYPPOLITE, MD, MPH, BRIAN ANTONO, MD, MPH, STEPHEN PETTERSON, PhD, AND YALDA JABBARPOUR, MD  Am Fam Physician. 2021;104(4):351-352  Fogarty CT, Byun H, Huffstetler AN. Family Physician Workforce Trends: The Toll on Rural Communities. Ann Fam Med. 2025 Nov 24;23(6):535-538. doi: 10.1370/afm.240549. PMID: 41285597; PMCID: PMC12751282.  Zhu JM, Marsh T, Polsky D, Huntington A, Song Z. Growth In Number Of Practices And Clinicians Participating In Concierge And Direct Primary Care, 2018-23. Health Aff (Millwood). 2025 Dec;44(12):1473-1481. doi: 10.1377/hlthaff.2025.00656. PMID: 41329882; PMCID: PMC12965179.    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 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. 

David Tully, AAFP vice president of government relations, recaps the AAFP's April 2026 advocacy efforts.   AAFP led a coalition letter urging the Departments of Homeland Security and State to speed visa and immigration processing for international medical graduates, citing delays with J-1 waivers, H-1B extensions, and green cards that disrupt care in rural and underserved areas.   AAFP warned the Department of Education that a proposed Workforce Pell rule could exclude physicians with graduate degrees from short-term training support, worsening workforce gaps.   The organization backed legislation to eliminate Medicare's 20% coinsurance for chronic care management, joined a CMS convening on the new ACO LEAD model, and submitted regulatory comments opposing added administrative burden and HRSA's proposed 340B rebate model.    Topics by Timestamp  00:00 April Advocacy Recap  00:34 Supporting IMG Visas  01:57 Workforce Pell Concerns  02:34 Chronic Care Management Bill  03:16 CMS ACO Lead Model  03:57 Regulatory Burden Pushback  05:01 GME IQ Data Tool  05:26 Primary Care Underinvestment  06:32 Get Involved and Wrap Up    Additional Resources  Hearing on "Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape" | Democrats, Energy and Commerce Committee  Shawn Martin Testimony to Energy and Commerce Committee  Exploring Opportunities to Improve Patient Access to Care through Strategic Changes to Graduate Medical Education: A Workshop  Measuring the Impact of Family Medicine Graduate Medical Education (GME) on Community Need: Introducing the GME-IQ | Annals of Family Medicine  Joint Letter Requesting National Interest Exceptions and Expedited Visa Processing for Physicians - April 8, 2026  AAFP letter to HRSA on 340B Rebate Pilot RFI- April 20, 2026  AAFP Letter to FDA on Flavored Electronic Nicotine Delivery Systems  AAFP Letter to CMS on CRUSH RFI  LEAD (Long-term Enhanced ACO Design) Model | CMS  Joint Letter in Support of Chronic Care Management Improvement Act - April 14, 2026  AAFP Response to Education Department on AHEAD PR - April 8, 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.    

In this episode of CME On the GO, the hosts discuss a practical approach to hypothyroidism, using a case of a 50-year-old woman with nonspecific symptoms (weight gain, fatigue, edema, constipation). They emphasize thorough history and physical exam, then outline key thyroid testing: TSH as the initial screening test (often with reflex free T4), free T4 for confirmation and special situations (including pregnancy), and limited uses for T3 tests. They review antibody testing (TPO for Hashimoto's, thyroglobulin antibodies in select cases) and note tests for Graves disease outside this episode. They cover sick thyroid considerations, subclinical hypothyroidism controversy, pregnancy management with tighter TSH goals and dose increases, and treatment preferences favoring standardized levothyroxine over desiccated thyroid, with limited/controversial use of combination T4/T3 therapy.    Learning Objectives  Interpret key thyroid laboratory tests—including TSH, T4, fT4, T3, fT3, and thyroid antibodies—within the framework of thyroid physiology and the hypothalamic-pituitary-thyroid axis.   Compare the efficacy, safety, and clinical indications of thyroid hormone replacement options such as levothyroxine, liothyronine (Cytomel), and desiccated thyroid extract.   Explain the clinical significance of subclinical hypothyroidism and apply evidence-based reasoning to common patient scenarios with borderline thyroid function.    The AAFP has reviewed A Crash Course in Hypothyroid Confusion and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 04/20/2026 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, complete and submit the evaluation to claim 0.5 AAFP credit by following the provided link.  https://www.aafp.org/assessment/take/19856/e    References and Resources  Hypothyroidism: Diagnosis and Treatment: https://www.aafp.org/pubs/afp/issues/2021/0515/p605.html  Thyroiditis: Evaluation and Treatment: https://www.aafp.org/pubs/afp/issues/2021/1200/p609.html  Hypothyroidism A Review: https://jamanetwork.com/journals/jama/fullarticle/2838457?utm_source=openevidence&utm_medium=referral  Hyperthyroidism A Review:   https://jamanetwork.com/journals/jama/fullarticle/2810692?utm_source=openevidence&utm_medium=referral  Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism: https://www.nejm.org/doi/full/10.1056/NEJMoa1603825  Hypothyroidism: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0140673624016143?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0140673624016143%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F  Article on lab testing: https://pmc.ncbi.nlm.nih.gov/articles/PMC10517335/  https://pmc.ncbi.nlm.nih.gov/articles/PMC7640752/    Ahluwalia R, Baldeweg SE, Boelaert K, et al. Use of liothyronine (T3) in hypothyroidism: Joint British Thyroid Association/Society for endocrinology consensus statement. Clin Endocrinol (Oxf). 2023;99(2):206-216. doi:10.1111/cen.14935    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 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.           

    David Tully, AAFP vice president of government relations, speaks with U.S. Rep. Mike Kennedy, MD, a family physician and former Utah state legislator, about why he chose family medicine, how having more clinicians in public office can lead to bipartisan physician collaboration on health care policy and the need for greater professional autonomy. We also hear from U.S. Rep. Maxine Dexter, MD, a pulmonary/critical care physician and former Oregon state legislator who helped pass a state law expanding naloxone access, about how policy affects public health. She also discusses harms from cutting Medicaid and Medicare and allowing ACA premium tax credits to expire, the need for long-term Medicare payment reform and less administrative burden, and pushing back against misinformation and threats to evidence-based medicine.    Topics by Timestamp  00:00 Show intro and guest  00:50 Why family medicine  02:55 From clinic to Congress  04:51 Surprises in Washington  08:08 Doctors shaping policy  13:46 Advice on running for office  18:00 Dr. Kennedy wrap-up  18:25 Meet Dr. Maxine Dexter  19:03 Policy meets medicine  21:02 HR1 and Medicaid fallout  24:31 Fixing physician payment  28:43 Defending science and trust  33:50 Dr. Dexter's advice to physicians    Additional Resources  Rep. Mike Kennedy, MD  Rep. Maxine Dexter, MD  AAFP H.R. 1 advocacy  AAFP member resource page: H.R. 1  Fighting for Family Medicine podcast: How H.R. 1 Will Affect Family Medicine  AAFP Advocacy Ambassadors   Advocate for Family Medicine     AAFP Chapter Advocacy    The Academy's Family Medicine Advocacy Summit    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.        

In this episode of Inside Family Medicine, Bayo Curry-Winchell, MD, MS, discusses maternal health care and the role of family physicians in providing consistent care from preconception through pregnancy and postpartum. Dr. Curry-Winchell shares why she chose family medicine and her nontraditional path from a Certified Nursing Assistant to Physicians Assistant to physician, including the risks she took to attend medical school. She describes her own near-fatal postpartum complication following a cesarean section and emphasizes the importance of self-advocacy. She also highlights postpartum risks in the fourth trimester, including hypertension, diabetes, mental health concerns, and postpartum preeclampsia, as well as the value of doulas and midwives.    Topics By Timestamp  00:00 Welcome and Guest Intro  01:10 Why Family Medicine  01:45 Nontraditional Path to MD  03:30 Maternal Care Continuum  04:38 Reducing Maternal Mortality  06:17 Exam Room Prevention  07:29 Her Birth Health Scare  09:48 Self Advocacy and Bias  11:24 Postpartum Fourth Trimester  13:12 Postpartum Preeclampsia Story  16:01 Clinicians Who Care    Additional Resources  Center for Women's Health | AAFP  Women's Health Resources | AAFP  Maternal Health | AAFP  Perinatal Mood and Anxiety Disorders  Maternity & ALSO Program | AAFP CME  Fourth Trimester Care CME | AAFP  The EveryONE Project | AAFP  Neighborhood Navigator | AAFP  Podcast: Optimizing Postpartum Care | Dr. Keyona Oni: Prioritizing Perinatal Mental Health Podcast: Optimizing Postpartum Care | Dr. Beth Oller: Reducing Perinatal Mental Health Stigma  Do No Harm - Dr. Bayo's TEDx Talk  Why Black Patients Don't Trust the Healthcare System - Dr. Bayo's TEDx Talk  DoctorBayo.com  Beyond Clinical Walls Podcast - Dr. Bayo's podcast   Follow Dr. Bayo on social media:  Instagram  TikTok  Bluesky  YouTube    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.    

In this episode of Inside Family Medicine, host Emily Holwick speaks with Calin Kirk, MD, family physician at the Cherokee Nation's Sam Hider Health Center in Jay, Oklahoma, and Sarah Gerrish, MD, full-spectrum family physician and assistant professor at the University of Washington School of Medicine, to discuss advancing health equity in rural and tribal communities. They share why family medicine's broad scope of practice and continuity of care matter, and outline barriers like distance, transportation, insurance gaps, language access and limited mental health care.      Topics by Timestamp  00:00 Welcome and Guests  01:37 Why Family Medicine  03:05 Defining Health Equity  05:38 Inequities in Practice  10:38 Rural Barriers and Solutions  14:51 Tools and Resources  15:41 Training Future Doctors  19:02 Calls to Action  20:28 Wrap Up and Disclaimers    Additional Resources  The EveryONE Project | AAFP  Neighborhood Navigator | AAFP  Education and Practice-Based Resources | AAFP  Anti-Racism and Social Determinants of Health | AAFP  Community Engagement | AAFP  Health Equity CME | AAFP  Health Equity Online CME | AAFP  Native American family physician brings trust and healing home to Cherokee Nation | Family Doc Focus    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.    

In this episode of CME On the Go, the hosts discuss sickle cell disease (SCD) and the role of family medicine in recognizing, screening, and preventing complications. They review SCD as an autosomal recessive hemoglobin disorder distinct from sickle cell trait and highlight major complications such as anemia, infection risk, pain crises, and acute chest syndrome. The episode emphasizes global prevalence, newborn screening (and potential gaps), and risk beyond African ancestry. It also covers hemoglobin electrophoresis patterns, preventive care including penicillin prophylaxis and vaccines, recommended screenings, preconception and genetic counseling, and the use, dosing, and monitoring of hydroxyurea.    Learning Objectives  Differentiate between sickle cell trait and disease and interpret screening results across the lifespan to guide patient and family education.  Apply evidence-based screening recommendations and routine treatment strategies for sickle cell disease across the lifespan to support longitudinal care in primary care.    The AAFP has reviewed Twisted Truths: What You Didn't Learn About Sickle Cell and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 04/06/2026 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/19787/e    References and Resources Management of Sickle Cell Disease: Recommendations from the 2014 Expert Panel Report. BARBARA P. YAWN, MD, MSc, MSPH, AND JOYLENE JOHN-SOWAH, MD, MPH. Am Fam Physician. 2015;92(12):1069-1076A  Elendu C, Amaechi DC, Alakwe-Ojimba CE, et al. Understanding Sickle cell disease: Causes, symptoms, and treatment options. Medicine (Baltimore). 2023;102(38):e35237. doi:10.1097/MD.0000000000035237  https://www.cdc.gov/sickle-cell/data/index.html  Obeagu EI, Obeagu GU. Immunization strategies for individuals with sickle cell anemia: A narrative review. Medicine (Baltimore). 2024 Sep 20;103(38):e39756. doi: 10.1097/MD.0000000000039756. PMID: 39312357; PMCID: PMC11419550.  https://www.cdc.gov/contraception/media/pdfs/2024/07/us-mec-summary-chart-color-508.pdf    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 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. 

In this episode of Inside Family Medicine, host Michael Monroe speaks with AAFP Vaccine Science fellows Anne Schneider, DO, FAAFP, and Mina Saleem Khan, MD, FAAFP, about why mRNA vaccines matter and how family physicians can address patient questions and misinformation. They explain mRNA basics, review COVID-19 vaccine safety and efficacy, address common myths, and share practical communication strategies—such as empathetic counseling, presumptive recommendations, and team-based systems—to reduce missed vaccination opportunities.    Topics by Timestamp  00:00 Welcome   01:15 Why Family Medicine  02:37 mRNA Vaccine Basics  04:47 Safety and Evidence  06:46 Myths and Misinformation  10:08 Trust Building Talk  11:47 Motivational Interviewing  16:25 Team Systems for Vaccines  19:59 Key Takeaways  21:26 Resources and Wrap Up    Additional Resources  Immunizations & Vaccines | AAFP  Influenza | AAFP  Immunizations | Family Doctor  Colds and the Flu | Family Doctor    This content was independently developed by the AAFP with support provided by Moderna.    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.      

David Tully, AAFP vice president of government relations, recaps the AAFP's March 2026 advocacy efforts. Academy EVP and CEO Shawn Martin testified before Congress on how underinvestment fuels workforce shortages, longer waits and practice closures. Chronic disease drives 90% of the $4.9 trillion the US spends on health care each year, but primary care receives less than 5% of those funds. With that in mind, the AAFP urged Congress to improve patients' access and costs by making primary care affordable, supporting science-based vaccine policy, advancing targeted tax policies, protecting medical student loans (including the Public Service Loan Forgiveness program) and funding the Agency for Healthcare Research and Quality at $500 million.    Topics by Timestamp   00:00 March advocacy recap  00:35 Primary care underfunding  01:48 Capitol Hill meetings  02:03 Affordable access message  02:42 Science-based vaccine policy  03:03 Tax incentives to improve the PC workforce  03:37 Student loan protections  05:23 AI principles in care  07:35 Fund AHRQ research  08:48 Closing and resources    Additional Resources  Six ways Congress can make health care affordable for doctors and patients  Joint Letter in Support of Fiscal Year 2027 AHRQ Funding - 030226  AAFP Comments to ASTP-ONC on HTI-5 PR - February 25, 2026  The Starfield Signal: A Shared Vision and Roadmap for AI in Primary Care  Health IT End-Users Alliance Response to ASTP-ONC on HHS Health Sector AI RFI - February 20, 2026  AI Is in the Doctor's Bag—And Primary Care Is Ready to Use It | Rock Health  AAFP Response to Education Department on RISE PR - February 24, 2026  AAFP Letter to Education and Workforce Subcommittee on Higher Education and Workforce Development Hearing on Cost of Higher Education – February 18, 2026  Health Subcommittee: Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape    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.      

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.         

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

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. 

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. 

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. 

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

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. 

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.    

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. 

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.          

In this episode of CME on the Go, our hosts discuss the integration of psychedelic substances like ketamine, psilocybin, iboga, and various social stimulants into treatment practices. The conversation delves into the therapeutic potential and risks associated with these substances, particularly for treatment-resistant conditions like depression and opioid addiction. The hosts emphasize the importance of setting, intention, and evidence-based practice while navigating the emerging landscape of psychedelics in medicine.    Learning Objectives  Examine the emerging evidence on therapeutic uses and risks of substances like psilocybin, ketamine, and other quasi-illicit drugs, while recognizing historical and cultural influences on their stigma.   Discuss strategies for counseling patients about the actual versus perceived risks of these substances, including legal, safety, and harm reduction considerations.   Recognize the impact of regional attitudes and biases on clinician-patient conversations around quasi-illicit substances and develop approaches to foster open, nonjudgmental dialogue.    The AAFP has reviewed Magic, Microdosing, and Moral Panic: A Primary Care Look at Substances with Abuse Potential and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 02/16/2026 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/19664/e     References and Resources  National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Sciences Policy; Forum on Neuroscience and Nervous System Disorders; Stroud C, Posey Norris SM, Matney C, et al., editors. Washington (DC): National Academies Press (US); 2022 Sep 1.  Penn A, Yehuda R. Preventing the Gaps in Psychedelic Research from Becoming Practice Pitfalls: A Translational Research Agenda. Psychedelic Med (New Rochelle). 2023;1(4):198-209. Published 2023 Dec 13. doi:10.1089/psymed.2023.0017  Pollan, Michael. How to Change Your Mind: What the New Science of Psychedelics Teaches Us About Consciousness, Dying, Addiction, Depression, and Transcendence. Penguin Press, 2018.  Smausz R, Neill J, Gigg J. Neural mechanisms underlying psilocybin's therapeutic potential - the need for preclinical in vivo electrophysiology. J Psychopharmacol. 2022;36(7):781-793. doi:10.1177/02698811221092508  Adeyinka D, Forsyth D, Currie S, Faraone N. Neurobiology of psilocybin: a comprehensive overview and comparative analysis of experimental models. Front Syst Neurosci. 2025;19:1585367. Published 2025 Aug 5. doi:10.3389/fnsys.2025.1585367  Matthew W. Johnson, Roland R. Griffiths, Peter S. Hendricks, Jack E. Henningfield. The abuse potential of medical psilocybin according to the 8 factors of the Controlled Substances Act. Neuropharmacology,Volume 142,2018,Pages 143-166,ISSN 0028-3908, https://doi.org/10.1016/j.neuropharm.2018.05.012.  Shah K, Trivedi C, Kamrai D, Akbar M, Tankersley W. Association of Psilocybin Use in Adolescents with Major Depressive Episode. Eur Psychiatry. 2022;65(Suppl 1):S329. Published 2022 Sep 1. doi:10.1192/j.eurpsy.2022.837  https://pmc.ncbi.nlm.nih.gov/articles/PMC9010394/  https://www.nature.com/articles/s41386-023-01629-w  https://pubmed.ncbi.nlm.nih.gov/37732856/  https://aafp.libsyn.com/cme-psychedelics-and-mental-health-a-new-frontier-for-medicine    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.   

In this episode of Fighting for Family Medicine, you'll hear from Shana Ntiri, MD, MPH, and Patrick Connolly, MD, about their advocacy journeys and their involvement in the AAFP's Advocacy Ambassadors Program. They discuss their experiences advocating for family medicine, the impact of their advocacy at both state and national levels and the importance of engaging new physicians in advocacy from the beginning of their careers. The episode also touches on the integration of AI in health care, the future of advocacy and the Academy's role in supporting family physicians through various challenges.    Topics by Timestamp  00:00 Introduction to Advocacy Ambassadors Program  00:31 Meet the Advocates: Drs. Shana Ntiri and Patrick Connolly  01:05 Dr. Connolly's advocacy journey  02:11 Dr. Naii's advocacy journey  02:53 State vs. federal advocacy  05:06 Pressing issues in health care  08:08 The Advocacy Ambassadors program  12:59 Impactful moments in family medicine  15:22 Advice for new physicians  17:22 The role of AI in family medicine  19:54 Final thoughts and encouragement  21:38 Conclusion and how to get involved    Additional Resources  AAFP Advocacy Ambassadors    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.      

In this episode of CME on the Go, Dr. Eddie Needham, MD, an experienced family medicine educator, discusses recent updates in the classification and management of atrial fibrillation. He outlines the new classification system introduced by the American College of Cardiology and the American Heart Association, including risk factors, and the importance of early rhythm control. He emphasizes the important role of lifestyle modifications and the influence of social determinants of health in treating atrial fibrillation. The conversation also includes practical strategies for patient counseling and shared decision-making.     Learning Objectives  Discuss recent updates to the AF clinical guidelines and their impact on health outcomes.  Discuss the influence of social determinants of health on AF patients.  Explore the role of shared decision-making in improving patient outcomes.    The AAFP has reviewed Navigating the Latest in Atrial Fibrillation Guidelines: Bedside Implementation and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 02/02/2026 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/19663/e    References and Resources  Board Review Express  Hybrid: Offered both in-person (in Atlanta) and livestream   Wednesday, Feb. 18 – Saturday, Feb. 21, 2026 (3.5 days)   www.aafp.org/BRE2026     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. 

In this episode of Fighting for Family Medicine, David Tully, vice president of Government Relations at AAFP, provides an overview of the Academy's advocacy work for family medicine in January. Key topics include urging Congress to improve health care accessibility, advocating for better primary care investments, supporting telehealth policy extensions, opposing changes to childhood vaccine schedules and responding to proposed changes to the public charge rule. Additionally, Tully shares information about how to register for the upcoming Family Medicine Advocacy Summit. The summary concludes with ways to get involved and a reminder to visit the AAFP website for more details.    Topics by Timestamp  00:00 Introduction and overview  00:33 Advocacy efforts in January  01:15 Expanding family medicine training  01:56 Telehealth flexibilities and policies  02:41 Vaccine policy and advocacy  03:55 Immigration and public health  05:00 Modernizing Medicare physician payment  06:06 Family Medicine Advocacy Summit  06:55 Conclusion and call to action    Additional Resources  Immunization Schedules | AAFP  AAFP Comments to DEA on Special Registrations for Telemedicine CS Prescribing PR - March 17, 2025  Joint AAFP-CAFM Comments on FY 2026 IPPS Proposed Rule - June 10, 2025  AAFP Letter to DHS on Public Charge Proposed Rule - December 17, 2025  Sign-on Letter to DHS on Public Charge Proposed Rule - December 19, 2025  Family Medicine Advocacy Summit | AAFP  Joint Letter Requesting Congressional Oversight of New Childhood Vaccine Schedule - January 9, 2026  Joint Letter on US Childhood Immunization Schedule - January 7, 2026  AAFP Letter for Energy and Commerce Hearing on Medicare Legislation - January 8, 2026  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.      

In this episode of Inside Family Medicine, we hear from Dr. Alex McDonald and Dr. Alexa Mieses Malchuk. They discuss how family physicians can effectively engage with patients who conduct their own research before appointments. Dr. McDonald and Dr. Mieses Malchuk share their insights on how family medicine has shaped their careers, the importance of building relationships with patients, and strategies for addressing misinformation. The conversation also highlights the American Academy of Family Physicians' (AAFP) patient-facing website, familydoctor.org, and the new features and improvements of familydoctor.org, designed to better serve both physicians and patients in finding credible health information.    Topics by Timestamp  00:00 Introduction to Inside Family Medicine  00:11 Meet the Experts: Dr. McDonald and Dr. Mieses Malchuk  01:31 Choosing Family Medicine: Personal Stories  03:40 Engaging Patients Who Do Their Own Research  05:39 Navigating Online Medical Information  14:50 FamilyDoctor.org: A Valuable Resource  17:56 Final Thoughts and Takeaways  20:48 Closing Remarks and Contact Information    Additional Resources  Visit familydoctor.org    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.   

In this episode of CME on the Go, our hosts delve into a variety of topics crucial for the care of pregnant patients. They explore patient queries regarding travel, nutrition, exercise, and common pregnancy symptoms, offering evidence-based advice along the way. The episode also recommends various resources for both patients and healthcare providers, including useful apps and books to navigate the journey of pregnancy  Learning objectives  Describe common but often under-discussed pregnancy-related symptoms—such as round ligament pain, varicose veins, GERD, and sleep disturbances—and their appropriate management strategies.   Differentiate between typical nausea and vomiting in pregnancy and hyperemesis gravidarum, and recommend evidence-based non-pharmacologic treatments.   Summarize lifestyle guidance for pregnant patients, including safe exercise, nutrition, and environmental considerations, to support symptom relief and overall well-being.  The AAFP has reviewed Expecting the Unexpected: The Pregnancy Side Effects Nobody Warned You About and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 1/19/2026 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.    After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.   https://www.aafp.org/assessment/take/19632/e     References and Resources  Fejzo, M., Rocha, N., Cimino, I. et al. GDF15 linked to maternal risk of nausea and vomiting during pregnancy. Nature 625, 760–767 (2024). https://doi.org/10.1038/s41586-023-06921-9  The windsor definition for hyperemesis gravidarum: A multistakeholder international consensus definition Jansen, L.A.W. et al. European Journal of Obstetrics and Gynecology and Reproductive Biology, Volume 266, 15 - 22  Einarson A, Maltepe C, Boskovic R, Koren G. Treatment of nausea and vomiting in pregnancy: an updated algorithm. Can Fam Physician. 2007;53(12):2109-2111  https://www.cdc.gov/niosh/reproductive-health/prevention/heat.html?CDC_AAref_Val=https://www.cdc.gov/niosh/topics/repro/heat.html  https://www.nhs.uk/pregnancy/finding-out/health-things-you-should-know-in-pregnancy/  https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/04/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period    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.     

In this episode of Fighting for Family Medicine, David Tully, vice president of Government Relations, talks with Drs. Aaron George and Andrea DeSantis about their experiences at the 2025 Family Medicine Advocacy Summit (FMAS). They discuss the importance of advocacy in family medicine, building relationships with lawmakers and their staff and the significance of personal stories in influencing policy. They also share advice on mentorship, career decisions and how to become active in advocacy.     Registration is now open for the Academy's 2026 FMAS, June 14-16. Details here.    Topics By Timestamp  00:39 Meet the guests: Andrea DeSantis, DO, and Aaron George, DO.  01:16 The Importance of advocacy in family medicine  03:39 Experiences from the Family Medicine Advocacy Summit  04:08 Returning home: impact and reflections  07:50 Encouraging advocacy among family physicians  10:59 Personal stories and their impact on advocacy  15:13 Advice for new physicians  17:46 The Advocacy Ambassador program  19:21 Final thoughts and upcoming events    Additional Resources   AAFP Advocacy Ambassadors  Register for the Family Medicine Advocacy Summit     Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.    

In this episode of Inside Family Medicine, we hear from Dr. Jason Marker and Dr. Mackenzie Bredbenner about the AAFP Foundation's Emerging Leader Institute (ELI). Dr. Marker, a prominent leader in family medicine, discusses the inception and structure of the ELI program, designed to foster leadership skills in medical students and residents. Dr. Bredbenner shares her personal journey and growth through the ELI, emphasizing how the program's support and structured guidance enabled her to successfully lead a project addressing the needs of the unhoused population in Dover, Delaware. Both guests highlight the program's impact on developing future leaders in family medicine and the importance of mentorship in the process.    Topics By Timestamp 00:11 Meet the Guests: Dr. Jason Marker and Dr. Mackenzie Bredbenner  01:26 Why Choose Family Medicine?  03:23 Founding the Emerging Leader Institute  04:34 Tracks and Opportunities in ELI  05:05 Dr. Bredbenner's Journey with ELI  10:30 Impact of ELI on Family Medicine  12:19 How ELI Supports Its Scholars  18:22 Advice for Future ELI Applicants  21:07 Conclusion    Additional Resources   Family Medicine Leads Emerging Leader Institute | AAFP Foundation    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. 

In this episode of CME on the Go, our hosts tackle the nuanced topic of transgender patient care with the help of Dr. Evans Lodge, a specialist in gender affirming care. The discussion covers the basics of gender dysphoria, the importance of compassionate care, building therapeutic relationships, and the practicalities of hormone treatment. Dr. Lodge also touches on the significance of an interdisciplinary approach and the key medical monitoring guidelines for hormone therapies. This episode emphasizes the role of family physicians in providing comprehensive and inclusive care, aiming to reduce fear and promote familiarity with gender affirming practices.    Learning Objectives:   Describe the foundational concepts and terminology related to gender-affirming hormone therapy to improve communication and comfort with transgender patients.   Identify common hormone regimens, dosing considerations, and monitoring strategies for transgender patients, including potential side effects and lab tracking.   Engage in reflective dialogue with clinical experts to increase confidence in supporting transgender patients, even if not directly managing hormone therapy.    The AAFP has reviewed Not a Lecture, just a Conversation: Hormones & Transgender Care and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 1/5/2026 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/19631/e    References and Resources  Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People. UCSF Gender Affirming Health Program. Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People | Gender Affirming Health Program  World Professional Association for Transgender Health (WPATH), including their "Standards of Care Version 8." Home - WPATH    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 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. 

In this special episode of Inside Family Medicine, we revisit the top three most popular episodes of 2025. First, AAFP's Fall Immunization Recommendations for the 2025-2026 respiratory season. Next, Chronic Kidney Disease Care: Essential Insights for Family Physicians, emphasizing early screening and collaboration with nephrologists. Finally, the episode covers the transition from med school to residency, featuring personal stories and valuable tips for navigating this challenging phase. Tune in to relive standout moments and gain practical advice from your peers.    Topics by Timestamp  00:00 Introduction to Inside Family Medicine  00:28 Top Episode: Fall Immunization Recommendations  04:04 Highlight: Chronic Kidney Disease Care  06:14 From Med School to Residency: What We Wish We Knew  08:38 Conclusion and Listener Engagement    Additional Resources  Listen to: AAFP Fall Immunization Recommendations  Listen to: Chronic Kidney Disease Care: Essential Insights for Family Physicians  Listen to: From Med School to Residency: What We Wish We Knew     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. 

In this episode of Fighting for Family Medicine, David Tully, Vice President of Government Relations at AAFP, provides a detailed review of the organization's advocacy efforts for December. Topics covered include a new advisory committee vote on Hepatitis B vaccination, the decline in the rural family physician workforce, updates on value-based care models, feedback on AI-enabled medical devices, opposition to proposed HIPAA security rule, the harmful practice of downcoding by health plans, policies to make health care more affordable, IRS updates on health savings accounts for direct primary care services, and the reauthorization of the SUPPORT Act.     Topics by Timestamp  00:00 Introduction and Year-End Advocacy Overview  00:36 Hepatitis B Vaccine Policy Update  01:27 Rural Family Physician Workforce Decline  02:19 Value-Based Care and New Payment Models  02:56 AI in Medical Devices and Cybersecurity Concerns  04:05 Addressing Down Coding and Healthcare Costs  05:51 Direct Primary Care and Health Savings Accounts  06:37 Substance Use Disorder Legislation Success  07:10 Conclusion and How to Get Involved    Additional Resources   AAFP Supports Maintaining Universal Hepatitis B Vaccination at Birth | AAFP  AAFP Letter to Senate HELP Committee in Support of the SUPPORT Reauthorization Act - December 6, 2023  AAFP Statement for the Record for Senate Finance Committee Hearing on Affordability - November 19, 2025  Family Physician Workforce Trends: The Toll on Rural Communities | Annals of Family Medicine  AAFP Letter to DOJ, FTC and CMS on Downcoding - November 21, 2025  Sign-on Letter to HHS on Withdrawing HIPAA Cybersecurity Proposed Rule - December 8, 2025    Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.      

In this episode of Inside Family Medicine, guest host, Adam Bradley interviews Dr. Kaci Larsen, a regional medical director in Phoenix, Arizona, about her journey in family medicine and her involvement with the American Academy of Family Physicians (AAFP). Dr. Larsen discusses her early introduction to the AAFP, the importance of community and leadership within the organization, and the challenges and rewards of a career in family medicine. She also gives advice for new physicians on staying connected and maintaining work-life balance.     Topics By Timestamp  00:00 Introduction  01:14 Choosing Family Medicine  01:59 Early Involvement with AAFP  03:39 Leadership and Community in Family Medicine  07:35 Career Milestones and Personal Growth  13:37 Balancing Leadership and Clinical Practice  16:54 Impact of AAFP on Practice  22:26 Advice for New Physicians  25:50 Conclusion and Acknowledgements    Additional Resources  Student and Resident Leadership Opportunities | AAFP  FUTURE 2026 | Formerly National Conference for Family Medicine | AAFP  FMX 2026 in Nashville | Family Medicine Conference | AAFP  Family Medicine Compensation and Career Satisfaction Benchmark Dashboard | AAFP  Family Medicine Jobs – AAFP CareerLink  Advocacy Ambassadors | AAFP  Family Medicine Champions | 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. 

In this episode of CME on the go, our hosts focus on discussing GLP-1 agonists and their impact on obesity management. They delve into patients' varying perceptions and willingness to use these medications versus non-pharmacologic approaches like lifestyle, integrative, and preventive medicine. The hosts examine different dietary plans, such as the Mediterranean, DASH, and plant-based diets, and their efficacy in weight loss. They stress the importance of shared decision-making, individualized patient care, and considering cultural and socioeconomic factors. The episode concludes with gratitude reflections from the hosts.    After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.    https://www.aafp.org/assessment/take/19580/e    Learning Objectives   Differentiate between lifestyle, integrative, and preventive medicine approaches in weight management, including their roles in addressing genetic and chronic factors contributing to obesity.   Appraise the current evidence behind popular dietary strategies—such as intermittent fasting, ketogenic, and paleo diets—to effectively respond to common patient inquiries.   Develop patient-centered strategies that incorporate evidence-based practices and practical behavioral details to enhance long-term weight loss success without medication.    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. 

In this episode of Fighting for Family Medicine, David Tully, vice president of Government Relations and a member of the AAFP Advocacy team, reviews the significant advocacy efforts by the Academy and its members in 2025. Highlighting key legislative victories and member participation, Tully underscores the impact of family physicians in shaping health care policy. The episode features an interview with Dr. Adrienne Parad, a family physician and town council member in Ledyard, Connecticut, who shares her journey into public service and how her medical background informs her role in local government. Dr. Parad discusses balancing her professional responsibilities with her personal life and offers advice for family physicians interested in pursuing public office.    Topics By Timestamp  00:00 Introduction and overview  00:36 Advocacy achievements in 2025  01:56 Grassroots advocacy and member engagement  03:04 Political Action and Public Office  03:59 Interview with Dr. Adrienne Parad  10:34 Balancing medicine and public service  13:52 Encouraging more physicians in public service  18:40 Conclusion and resources    Additional Resources  'A Window for Helping My Patients': AAFP Member and California Assembly Member Jasmeet Bains, M.D.  FFFM | Advocacy in Action: Dr. Alex McDonald's Path to Public Service  AAFP Advocacy Ambassadors    Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.    

In this episode of CME on the Go, Dr. Jason Marker, Dr. Tamaan Osbourne-Roberts, and Dr. Lauren Brown-Berchtold discuss the importance of influenza vaccination. They share personal experiences, outline vaccine recommendations for various age groups, and address common safety concerns and myths about the flu vaccine. They emphasize the role family physicians play in preventing hospitalizations and deaths through effective vaccination campaigns. Listeners are encouraged to incorporate practical strategies for discussing vaccines with patients and to stay informed on the latest vaccine guidelines.  This CME podcast is supported by an educational grant to the AAFP from Seqirus.  After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.   https://www.aafp.org/assessment/take/19581/e    Learning Objectives:  Discuss common misconceptions about vaccine safety and the actual risk profile of commonly administered vaccines.  Highlight evidence-based recommendations for influenza vaccinations, recommendations, and updates for children, adults, and older adults, including vaccine safety, best practices for shared decision-making, and encouraging timely vaccination against influenza.    Key evidence-based recommendations   Universal recommendation  Annual vaccination for everyone ≥6 months each season (unless specific contraindication). AAFP  Timing  Aim for September–October for most people; earlier (July–August) for some groups can be reasonable, but avoid too-early vaccination in older adults if coverage through season is a concern. September–October balances getting protected before circulation starts and maintaining protection through the season. CDC+1   Children  Kids 6 months–8 years who are receiving influenza vaccine for the first time (or who previously received only 1 dose) need 2 doses at least 4 weeks apart.   FluMist (LAIV) is approved for ages 2–49 but has exclusions (certain medical conditions, recent wheeze/asthma in young children, pregnancy). Use age- and condition-appropriate vaccine choice for kids. CDC+1  Adults & special groups  Pregnancy: Inactivated or recombinant influenza vaccines may be given in any trimester; vaccination protects pregnant person and provides newborn protection by transplacental antibodies. CDC+1  Egg allergy: People with egg allergy may receive any age-appropriate flu vaccine (egg-based or non-egg-based). Severe egg allergy is not a reason to avoid flu vaccine, but observe basic precautions (clinic equipped for allergic reaction). CDC+1  Older adults (≥65 years)  Preferential recommendation: use high-dose (e.g., Fluzone High-Dose), adjuvanted (e.g., Fluad), or recombinant (e.g., Flublok) vaccines because they show improved protection and reduce hospitalizations compared with standard-dose unadjuvanted vaccines. If unavailable, any age-appropriate vaccine is acceptable. CDC+1  Safety & myth-busting   "You cannot get influenza from the inactivated vaccine — the seasonal shot contains killed virus or recombinant proteins; it can cause soreness or low-grade fever for a day or two, but serious reactions are rare." CDC  "Large studies show no increased risk of miscarriage or stillbirth after influenza vaccination in pregnancy; the vaccine is safe at any trimester." CDC  "If you're allergic to eggs, you can still get the flu vaccine; egg allergy alone is not a reason to skip vaccination." CDC  Shared decision-making — practical, 30-second clinician scripts  Use a presumptive + offer approach, then personalize briefly:  Presumptive opener (10–15s): "Today I recommend the flu vaccine for you/your child — it's the best way to reduce risk of serious flu, hospital visits, and to protect infants and older relatives."   If hesitant (10–20s): Ask one focused question: "What worries you most about the flu vaccine?" Listen 15s.  Targeted response (15–30s): Address their specific concern with a brief fact: e.g., "If you're worried about safety in pregnancy — large studies show it's safe and helps protect your baby for several months." Then close: "Would you like to get it now, or talk more about options (high-dose/LAIV/etc.)?"  If true medical uncertainty (e.g., some immunocompromised patients, transplant recipients): use shared decision-making to weigh individual risks and vaccine type (prefer inactivated or recombinant for immunocompromised). (See resources in show notes.) CDC+1  Quick patient-facing lines to encourage timely vaccination  "The best time to get protected before flu starts circulating is now — by late September or October — so schedule your vaccine this month." historyofvaccines.org   "Getting your flu shot protects you and helps protect babies under 6 months who cannot be vaccinated." CDC  "If you're 65 or older, ask for the high dose/adjuvanted/recombinant option for extra protection." CDC  https://www.cdc.gov/flu/highrisk/65over.htm  Between 70 percent and 85 percent of seasonal flu-related deaths have occurred in people 65 years and older, and between 50 percent and 70 percent of seasonal flu-related hospitalizations have occurred among people in this age group.  Specific flu shots for people 65 years and older  CDC and ACIP preferentially recommend the use of higher dose flu vaccines (high-dose inactivated and recombinant) or adjuvanted inactivated flu vaccine over standard-dose unadjuvanted flu vaccines for people 65 years and older. This recommendation is based on a review of available studies which suggests that, in this age group, these vaccines are potentially more effective than standard dose unadjuvanted flu vaccines. If one of these vaccines is not available at the time of administration, people in this age group should get a standard-dose unadjuvanted inactivated flu vaccine instead. There are other flu vaccines approved for use in people 65 years and older. People 65 years and older should not get a nasal spray vaccine.  Pneumococcal pneumonia is an example of a serious flu-related complication that can cause death.  People who are 50 years and older also should be up to date with pneumococcal vaccination. This vaccination helps protect against pneumococcal pneumonia and other serious infections.    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.  

In this episode of CME on the Go, our hosts discuss the complexities of diagnosing and treating headaches in primary care. They cover common challenges faced by family physicians, such as differentiating between primary and secondary headaches, the importance of taking thorough patient histories, and the appropriate use of diagnostic tests like MRI and CT scans. The episode offers a deep dive into treatment options for headaches, including pharmacologic and non-pharmacologic methods, with a special focus on managing chronic daily headaches, migraine disorders, and medication overuse headaches. The discussion also touches on the role of cognitive behavioral therapy, osteopathic manipulation, and the efficacy of various medications like NSAIDs, triptans, and beta blockers.     After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.    https://www.aafp.org/assessment/take/19579/e    Learning Objectives  Apply a standardized, evidence-informed diagnostic and treatment algorithm for evaluating patients with headache, while acknowledging alternative approaches.   Differentiate between appropriate and potentially problematic interventions, including the use of narcotics, in-office procedures, and newer pharmacologic therapies.   Reflect on provider discomfort and fatigue in managing headache complaints, and develop strategies to maintain empathy, clinical consistency, and patient rapport.    References and Resources  Bahra, A., & Evans, R. W. (2021). The secondary headaches. Cephalalgia, 41(4), 427-430.  Jairo Hernandez, Eduardo Molina, Ashley Rodriguez, Samuel Woodford, Andrew Nguyen, Grace Parker, Brandon Lucke-Wold. Headache Disorders: Differentiating Primary and Secondary Etiologies. J. Integr. Neurosci. 2024, 23(2), 43. https://doi.org/10.31083/j.jin2302043  https://www.sciencedirect.com/science/article/pii/S1470211823000052#bib0003  Novel screening tool for secondary headache in acute care—A pilot study.   https://doi.org/10.1016/j.clinme.2023.100005   https://ichd-3.org/    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.     

  As the holiday season approaches, David Tully, VP of Government Relations at the AAFP, recaps the organization's advocacy efforts in November. Key topics include the Medicare physician fee schedule; student loan debt for primary care physicians; and meetings with lawmakers to push for continued telehealth flexibilities, strengthening the primary care workforce and ensuring that the Medicare physician fee schedule is implemented as published. The AAFP also addresses the issue of down coding by health plans and the urgency to extend ACA health care tax credits. Listeners are encouraged to get involved through AAFP's advocacy programs and check the show notes for detailed information.    Topics By Timestamp  00:00 Introduction to the AAFP's advocacy efforts  00:37 Understanding the Medicare physician fee schedule  01:52 Advocating for student loan debt reduction  02:43 Meeting with lawmakers to improve care access  03:40 Addressing downcoding practices  04:24 Ensuring access to affordable health care  04:51 Conclusion and How to Get Involved    Additional Resources  November 2025 FMAR  Speak Out | AAFP  Downcoding letter  Family Physicians Respond to Final 2026 Medicare Physician Fee Schedule | AAFP  Leading Physician Groups: Department of Education's PSLF Rule Will Hurt Patients and Physicians | 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. 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.    

In this episode of Inside Family Medicine, we are joined by Rita Choula, AARP's Senior Director of Caregiving, and Dr. Ecler Jaqua, a family and geriatric medicine expert, to discuss how family physicians can support caregivers. Topics include the role and challenges faced by family caregivers, key findings from AARP's Caregiving in the US 2025 report, and important practices for family physicians to support caregivers. Both guests share personal experiences and underscore the importance of recognizing and supporting caregivers as a critical component of the health care system.    Topics By Timestamp  00:00 Introduction to Inside Family Medicine  00:12 Meet the Experts: Rita Chola and Dr. Ecler Jaqua  01:37 AARP's Role in Supporting Caregivers  03:37 Key Findings from AARP's Caregiving Report  05:49 Challenges Faced by Family Caregivers  07:22 Supporting Caregivers in Family Medicine  10:12 The Growing Caregiving Population  11:51 Training and Support for Caregivers  17:32 Unique Challenges of the Sandwich Generation  22:58 Personal Stories and Impactful Support  27:25 Final Takeaways and Resources    Additional Resources  Caregiving in the US 2025: Key Trends, Strains, and Policy Needs  Caregiving in the U.S. 2025 - AARP Research Report  Geriatric Medicine 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. 

In this episode of Inside Family Medicine, we hear from Dr. Brittney Anderson, a board-certified family physician and founder of Anderson Family Care in rural Alabama. Dr. Anderson discusses her journey from training to opening her private practice, the importance of providing comprehensive care in rural areas, and the challenges and rewards of owning a private practice. She emphasizes the significance of community involvement and shares valuable advice for physicians considering opening their own practices.    Topics By Timestamp  00:00 Introduction  00:11 Meet Dr. Brittney Anderson  01:07 Choosing Family Medicine  01:47 Practicing in Rural Alabama  06:17 Community Involvement and Impact  09:32 Starting a Private Practice  11:48 Balancing Clinical and Business Demands  16:02 Advice for Aspiring Private Practitioners  21:15 Conclusion and Resources    Additional resources  Rural Health | AAFP | AAFP  Rural Health | AAFP (member interest group)  Rural Health Information Hub  Starting, Closing, or Selling a Practice | AAFP  Business of Medicine for Physicians | AAFP  Business Fundamentals for New Physicians CME | AAFP  AAFP starting a practice tool: https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/start-a-practice.xlsx  Independent Solo/Small Group Practice | AAFP (member interest group)    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.   

In this episode of CME on the Go, our hosts delve into the nuances of medical teaching and education. They share personal experiences, teaching strategies, and the significance of engaging learners from different generations. The episode highlights the importance of questioning, respect, and collaborative learning in developing skilled family physicians. Special guest, Chief Resident Elaine Wong, provides insights into what makes teaching effective from a learner's perspective, emphasizing the value of interactive and respectful learning environments.    After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.  https://www.aafp.org/assessment/take/19541/e    Learning Objectives   Implement practical teaching strategies that actively engage learners in patient care, improving both educational outcomes and clinical efficiency.   Demonstrate how patient-centered teaching at the bedside can reinforce trust, model collaborative care, and strengthen the overall quality of family medicine practice.    References and Resources  https://www.aafp.org/pubs/afp/issues/2020/0801/p140.html  https://www.stfm.org/facultyskillscourse  https://www.teachingphysician.org/\    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.   

  In this episode of Fighting for Family Medicine, host David Tully, vice president of Government Relations at the AAFP, speaks with Kate Gilliard, the Academy's senior manager for federal policy and regulatory affairs, about the newly finalized 2026 Medicare physician fee schedule (MPFS). The conversation covers the MPFS' efficiency adjustment policy, adjustments for practice expense and the creation of new add-on codes for advanced primary care management (APCM) services.    Topics By Timestamp 00:00 Introduction  00:24 Breaking down the 2026 Medicare physician fee schedule  01:14 Understanding the conversion factors  01:59 The catch in the fee schedule  03:07 Efficiency adjustment explained  05:01 Practice expense information  06:44 New add-on codes and cost-sharing  08:43 Conclusion    Additional Resources  AAFP News: Final 2025 MPFS brings primary care payment boost and other wins  AAFP Voices blog post: Some good news for primary care: the 2026 Medicare physician fee schedule  AAFP executive summary of the 2026 Medicare physician fee schedule final rule  AAFP News story on the Academy's letter to CMS on the proposed MPFS  AAFP advocacy focus: Medicare physician payment  AAFP H.R. 1 member resource  FPM: What is the RUC?  AAFP Medicare physician payment Speak Out campaign  AAFP Advocacy Ambassadors    Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.   

In this special edition of 'Inside Family Medicine', sponsored by Sanofi, Dr. Jana Shaw and Dr. Peter Ziemkowski discuss potential changes to the meningococcal vaccination schedule. Key topics include the current two-dose vaccination schedule, proposed alternative schedules, recent research findings, and the potential implications of schedule changes on public health, health equity, and disease prevention. The episode emphasizes the importance of maintaining the current vaccination schedule for effective disease prevention and highlights the significance of timely vaccinations in protecting adolescents and young adults.    This episode was sponsored by Sanofi. The research discussed was developed through Sanofi funding.    Topics by Timestamp  00:00 Introduction to Inside Family Medicine  00:46 Meet the Experts: Dr. Jana Shaw and Dr. Peter Ziemkowski  02:13 Current Meningococcal Vaccination Schedule  04:23 Proposed Changes to the Vaccination Schedule  05:59 Research Findings on Vaccination Schedule Changes  09:19 Impact on Health Equity and Access  12:40 Advice for Family Physicians and Policymakers  16:24 Conclusion and Additional Resources    Additional Resources  Research studies and related articles  Assessing the Impact of Revising MenACWY Vaccination Schedule for Adolescents in the United States: A Modelling Study by Affan Shoukat, Chad Wells, Thomas Shin, Lilia Potter-Schwartz, Alison P. Galvani, Seyed M. Moghadas :: SSRN  Quadrivalent Conjugate Vaccine and Invasive Meningococcal Disease in US Adolescents and Young Adults | Public Health | JAMA Network Open | JAMA Network  Article by podcast guest Dr Jana Shaw - Risks of removing the age 11–12-year meningococcal vaccine dose from the US immunization schedule - ScienceDirect  Clinician Resources:   Meningitis information on aafp.org  Patient Resources:   https://familydoctor.org/condition/meningitis/  Related Activities:   Leading Edge LinkedIn Live, October 5, 2025    This episode was sponsored by Sanofi. The research discussed was developed through Sanofi funding.    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.

In this episode of CME on the go, recorded live at FMX in Anaheim, our hosts discuss the complexities of ADHD treatment. They cover initial thoughts on stimulant and non-stimulant medications, dosing guidelines, and the importance of addressing comorbid conditions. Listeners' feedback from a previous ADHD episode is highlighted, emphasizing the need for practical prescribing insights. The hosts also discuss the relevance of shared decision-making and strategies for managing ADHD amid potential substance abuse risks.     After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.  https://www.aafp.org/assessment/take/19540/e   Learning Objectives   Design efficient workflows for managing controlled substances in ADHD treatment, balancing regulatory requirements with patient care.   Analyze the pharmacology, clinical applications, and abuse potential of stimulant medications, including considerations for off-label use and misuse in non-ADHD populations. Integrate ADHD medications into treatment plans for patients with comorbid psychiatric conditions, such as depression, to enhance overall therapeutic outcomes.    References and Resources  https://chadd.org/for-adults/medication-management/  Chang Z, Lichtenstein P, Halldner L, et al. Stimulant ADHD medication and risk for substance abuse. J Child Psychol Psychiatry. 2014;55(8):878-885. doi:10.1111/jcpp.12164  https://chadd.org/for-parents/substance-abuse-and-adhd/  Volkow ND, Swanson JM. Does childhood treatment of ADHD with stimulant medication affect substance abuse in adulthood?. Am J Psychiatry. 2008;165(5):553-555. doi:10.1176/appi.ajp.2008.08020237  Journal of Child and Adolescent PsychopharmacologyVol. 32, No. 4  Published Online: 17 May 2022  The Impact of Pharmacotherapy of Childhood-Onset Psychiatric Disorders on the Development of Substance Use Disorders  Authors: Timothy E. Wilens https://orcid.org/0000-0002-5749-8503 [email protected], Diana W. Woodward, Je Deuk Ko, Amy F. Berger, Colin Burke, and Amy M. Yule  Molina BSG, Kennedy TM, Howard AL, et al. Association Between Stimulant Treatment and Substance Use Through Adolescence Into Early Adulthood. JAMA Psychiatry. 2023;80(9):933-941. doi:10.1001/jamapsychiatry.2023.2157  Olagunju AE, Ghoddusi F. Attention-Deficit/Hyperactivity Disorder in Adults. Am Fam Physician. 2024;110(2):157-166.  Attention-Deficit/Hyperactivity Disorder Medications for Adults: Drugs [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2024 Nov. Available from: https://www.ncbi.nlm.nih.gov/books/NBK610422/    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. 

In this episode, AAFP Vice President of Government Relations David Tully recaps the Academy's October advocacy efforts around vaccines, workforce and immigration.     Topics by Timestamp 00:37 Addressing the IMG Visa Issue 02:07 Advocating for the Safe Step Act 02:56 Impact of Government Shutdown on Healthcare 03:58 Combating Vaccine Misinformation 04:42 Celebrating New Leadership 05:34 Conclusion and Call to Action   Additional Resources October 2025 FMAR  Speak Out | AAFP  Letter to DHS on GME   Joint letter with the American Medical Association on Visas  AAFP Announces New Board of Directors and Officers | AAFP  Sarah C. Nosal, MD, FAAFP, Takes Office as AAFP President, Emphasizes Community-Centered Care | AAFP  Family Physicians Stand With Our Patients and Communities | AAFP  AAFP: Linking Vaccines to Autism is Unproven and Dangerous | 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. 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.   

In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of Government Relations, speaks with Herb Conaway, MD, JD, a physician and congressman representing New Jersey's Third Congressional District. They discuss the intersection of health care and policymaking, the significance of physician advocacy and the impacts of recent legislative decisions on Medicaid and Medicare. Dr. Conaway shares insights on promoting evidence-based practices amid political challenges and emphasizes the essential role physicians play in both health care and politics.     Topics by Timestamp  00:00 Introduction to Dr. Herb Conaway  00:58 Dr. Conaway's journey from medicine to politics  03:30 Impact of HR-1 on health care  04:13 Challenges in health care access and Medicaid cuts  10:50 Physician payment and Medicare reimbursement  14:53 Public health and vaccine advocacy  21:37 Encouraging physicians to run for office  27:57 Conclusion and resources for advocacy    Additional Resources  Rep. Herb Conaway, MD, JD  AAFP H.R. 1 advocacy  AAFP member resource page: H.R. 1  Fighting for Family Medicine podcast: How H.R. 1 Will Affect Family Medicine  AAFP Advocacy Ambassadors   Advocate for Family Medicine     AAFP Chapter Advocacy    The Academy's Family Medicine Advocacy Summit    Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.     

In this episode of CME on the Go, our hosts discuss retirement planning for family physicians. They cover insights tailored for different career stages, from early financial planning for students and residents to finding fulfilling post-retirement activities for mid-to-late career doctors. They also delve into the importance of maintaining joy in practice, setting up sustainable boundaries, and exploring financial literacy, all while preparing for a balanced and fulfilling retirement.     After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.  https://www.aafp.org/assessment/take/19535/e    Learning Objectives  1. Evaluate personal financial goals and retirement strategies to support long-term career sustainability and patient care continuity.  2. Differentiate between various retirement models (e.g., full retirement, part-time, teaching, side gigs) and their impact on maintaining clinical knowledge and practice stability.  References and Resources  The concept of a "happiness plateau," a point where increased income no longer significantly increases happiness, was popularized by a 2010 study by Daniel Kahneman and Angus Deaton, which suggested a plateau around $75,000 in 2010 dollars. However, later research, including a 2021 study by Matthew Killingsworth and a 2023 collaboration between Killingsworth and Kahneman, found that while this plateau may exist for some unhappy individuals, for most people, happiness and well-being continue to rise with income beyond $75,000.    The Original "Happiness Plateau" Theory  The 2010 Study: A study by Nobel laureates Daniel Kahneman and Angus Deaton found that while income boosts happiness, this relationship tends to level off at a certain point, around $75,000 in 2010 U.S. dollars.   Focus on Experienced Well-being: This finding primarily related to "experienced well-being," which refers to day-to-day feelings and emotions. After a certain income level, more money didn't seem to provide more daily satisfaction, though it could still contribute to overall life satisfaction.  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. 

In this episode of Inside Family Medicine, we speak with Karen Johnson, Vice President of Practice Advancement at AAFP, and Drs. Brent Sugimoto and Jennifer Pena. The discussion focuses on the integration of AI in primary care, addressing AI's potential to alleviate administrative burdens, enhance patient care, and improve clinician workflows. The guests share personal experiences, challenges, and the future outlook for AI in health care, emphasizing the need for clinician involvement in AI development and the importance of building trust and transparency between technology developers and healthcare professionals.    Topics By Timestamp 00:00 Introduction to Inside Family Medicine 00:11 Meet the Experts 01:35 Choosing Primary Care: Personal Stories 03:38 The Role of AI in Primary Care 05:35 Real-World AI Applications in Healthcare 11:13 Challenges and Barriers in AI Implementation 14:19 Building Bridges: Collaboration Between Clinicians and AI Developers 18:36 Future Directions and Stakeholder Actions 23:24 Conclusion and Resources   Additional Resources https://www.aafp.org/family-physician/practice-and-career/managing-your-practice/artificial-intelligence.html https://www.aafp.org/cme/all/practice-management/ai-in-family-medicine-transforming-your-practice.html   Disclaimer: Copyright 2025. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP.  The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.  AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use.  Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise.  AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians. 

In this episode of CME on the Go, our hosts delve into the complex domain of women's health with a particular focus on abnormal uterine bleeding and polycystic ovarian syndrome (PCOS). They begin by addressing various causes of abnormal uterine bleeding and the diagnostic criteria and treatment approaches for PCOS. Topics include the underutilized methodology for diagnosing PCOS, the controversial use of metformin, the efficacy of hormonal treatments, and the evolving research on the condition. The episode emphasizes the importance of listening to patients and addressing their concerns to improve treatment satisfaction and outcomes.    Topics By Timestamp 00:20 Meet Your Hosts  00:54 Today's Topic: Women's Health  03:13 Premenopausal Abnormal Uterine Bleeding  06:29 Postmenopausal Bleeding Overview  09:06 Diving into PCOS  12:58 PCOS Diagnosis Criteria  19:12 Treatment Options for PCOS  31:18 Concluding Thoughts and Gratitude    After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.  https://www.aafp.org/assessment/take/19534/e   Learning Objectives:  1.  Differentiate causes and management strategies for abnormal uterine bleeding in premenopausal vs. postmenopausal patients, including when to consider endometrial biopsy.  2.  Recognize the diverse presentations of PCOS beyond weight-related symptoms, and construct personalized treatment plans that include both medication and non-medication options.  3.  Evaluate current evidence and clinical updates in PCOS diagnosis and management to enhance patient-centered, stigma-free care.   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.    

In this edition of Family Medicine Advocacy Rounds, David Tully, AAFP vice president of Government Relations, recaps the Academy's September 2025 advocacy. Topics include public health, vaccines, telehealth flexibility, medical student debt and building the primary care workforce.      Topics by Timestamp  00:00 Introduction 00:38 The AAFP's call to end CDC turmoil and restore scientific integrity to the vaccine recommendation process  03:20 The Academy urges Congress to make Medicare telehealth flexibilities permanent, strengthen the primary care workforce and protect vaccine access  04:35 Make a difference by joining the Academy's Advocacy Ambassadors  05:26 AAFP urges reauthorization and funding for programs that expand primary care access, especially in rural and underserved areas; protect federal investments in critical health programs; and extend ACA premium tax credits.  06:31 Academy sends guidance to CMS on proposed 2026 Medicare physician fee schedule and Outpatient Prospective Payment System rule   07:56 The AAFP's latest advocacy to safeguard programs alleviating medical student debt  09:13 Conclusion    Additional Resources     AAFP Advocacy Ambassadors  AAFP Advocacy  Family Physicians Call on President to Reconsider Secretary Kennedy's Ability to Serve | AAFP   Leading Physician Organizations Say Turmoil at the CDC Puts Lives at Risk | AAFP   AAFP Letter to Congressional Leadership on Critical AAFP Priorities - September 4, 2025   AAFP Comments to CMS on CY 2026 OPPS Proposed Rule - September 12, 2025   AAFP Comment to ACIP Committee for September Meeting - September 12, 2025     Disclaimer: Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.     

In this episode of 'Inside Family Medicine,' we hear from Dr. Elizabeth (Betsy) Garrett, a seasoned family physician educator and professor Emerita at the University of Missouri School of Medicine. Dr. Garrett reflects on the evolution of women's roles in family medicine, the importance of mentorship, and her journey championing women in the field. She shares her insights on the unique strengths women bring to family medicine, the challenges they face, and offers advice to aspiring female physicians. The episode explores significant milestones in Dr. Garrett's career, the changing landscape of family medicine, and her hopes for the future of the specialty.    Topics By Timestamp  00:00 Introduction to Inside Family Medicine  00:20 Meet Dr. Elizabeth Garrett  01:34 Choosing Family Medicine  02:51 Transition to Teaching  04:19 Encouraging Women in Medicine  06:30 The Importance of Mentorship  10:00 Challenges and Changes for Women in Medicine  14:33 Hopes for the Future of Family Medicine  15:40 Words of Wisdom for Aspiring Physicians  18:07 Conclusion and Resources    Additional Resources Sustaining Women in Medicine  AAFP 2025 Career Benchmark Dashboard Survey  Negotiation Skills for Physicians  The Gender Pay Gap in Medicine: Current Efforts to Address an Age-Old Problem    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.