IFM | Chronic Kidney Disease Care: Essential Insights for Family Physicians
Release Date: 07/16/2025
Inside Family Medicine
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...
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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...
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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...
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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...
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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. ...
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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...
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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...
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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...
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Hosted by Dr. Margot Savoy, this episode highlights the AAMC Careers in Medicine “Understanding Yourself” phase and free tools at . 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...
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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...
info_outlineIn this episode of Inside Family Medicine, host Emily Holwick discusses chronic kidney disease (CKD) and the pivotal role family physicians play in its management. In this episode we are joined by Dr. Jay Shubrook, DO, FAAFP, FACOFP and Katelyn Laue from the National Kidney Foundation (NKF). They dive into the importance of early CKD screening, the advancements in treatment, and how family physicians can collaborate with other healthcare professionals to improve patient outcomes. The episode emphasizes the necessity of integrating CKD care into primary care practices and highlights valuable resources for both physicians and patients. The conversation also covers patient education strategies and the utilization of a multidisciplinary care team to enhance disease management.
Topics By Timestamp
00:17 Meet the Experts: Dr. Jay Shubrook and Katelyn Laue
01:41 Dr. Shubrook's Journey in Family Medicine
02:25 Focus on Chronic Kidney Disease
03:39 National Kidney Foundation's Role
04:52 Challenges in CKD Diagnosis and Management
05:51 Advancements in CKD Treatment
07:34 Collaborative Care for CKD Patients
12:20 Strategies for Patient Adherence
13:23 Resources for CKD Support
16:40 Final Thoughts and Key Takeaways
Additional Resources
NKF Patient Journey education program kidney.org/ckd-journey
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.