IFM | FASDs in Primary Care: Recognition, Prevention, and Support
Release Date: 06/08/2026
FFFM | Advocacy in action: Members take key issues from clinics to Congress
Inside Family Medicine
In this episode of Fighting for Family Medicine, David Tully, AAFP Vice President of Government Relations, reviews the Academy’s July advocacy efforts, including proposed Medicare payment improvements, physician workforce policies, Medicaid coverage protections and efforts to reduce administrative burdens. He also highlights AAFP advocacy related to Public Service Loan Forgiveness, federal research grants, Medicare Advantage reform, overdose prevention and Primary Care for America’s Triple Double campaign to expand investment in and access...
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IFM | AAFP x Unbiased Science: Behind Every Vaccine Question Is a Person
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IFM | From Hypertension to Hypopneas: Bringing Obstructive Sleep Apnea Management into Primary Care Practice
Inside Family Medicine
In this special episode of the Inside Family Medicine podcast, brought to you by Resmed, host Darren Sextro talks with family physician James Bigham, MD, MPH, FAAFP about how he has successfully integrated sleep health and OSA management into his practice. He discusses the well-established connection between OSA and hypertension and explains how screening and treatment can become a natural part of chronic disease management. The conversation highlights the barriers he’s faced in practice, from uncertainty around role ownership...
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CME | From Heat Waves to Health Risks: Climate Change in Primary Care
Inside Family Medicine
In this episode of CME On the Go, our hosts discuss how changing climate and weather patterns are already affecting patient health and family medicine practice. They examine the health consequences associated with extreme heat, worsening air quality, wildfire smoke, longer pollen seasons, expanding vector-borne diseases, food and water insecurity and climate-related mental health concerns. They also highlight how these effects can compound existing cardiovascular, respiratory, renal and pregnancy-related risks, particularly among older adults, children,...
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IFM | Direct Primary Care: Building Autonomy, Access and Sustainability
Inside Family Medicine
IFM | Direct Primary Care: Building Autonomy, Access and Sustainability AAFP Vice President of Practice Advancement Dr. Karen Johnson, PhD, welcomes Dr. Maryal Concepcion, MD, FAAFP, a full-scope family physician, founder and CEO of , and host of the podcast, to discuss direct primary care (DPC) as an evolving practice model for family physicians. Drawing from her own transition out of corporate medicine, Dr. Concepcion shares how DPC has allowed her to build a sustainable practice centered on physician autonomy, meaningful...
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IFM | Strengthening Vaccine Confidence and Adult Immunization
Inside Family Medicine
AAFP Vaccine Science Fellows James Bigham, MD, MPH, FAAFP, and Amra Resic, MD, FAAFP, join host Emily Holwick to discuss practical strategies for improving adult vaccination rates in primary care. Drawing from their clinical experience and fellowship work, they explore how family physicians can build vaccine confidence through strong recommendations, trusted patient relationships, and team-based workflows. The conversation covers presumptive vaccine recommendations, shared clinical decision-making, increasing vaccine confidence with empathy, integrating the...
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CME | Dementia Demystified: From Early Signs to Everyday Management
Inside Family Medicine
In this CME On the Go episode, our hosts discuss evaluating and managing dementia-related concerns in primary care using a common scenario: an older patient brought in by an adult child concerned about Alzheimer’s disease and possible nursing home placement. They emphasize that these visits are time intensive and require history from both the patient and family, distinguishing normal aging from functional cognitive decline across domains such as memory, judgment, language and orientation, while remaining aware of family dynamics. Key exam priorities include...
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IFM | Family Physician Compensation: Myths, Models and Using the AAFP Career Benchmark Dashboard
Inside Family Medicine
In this episode of Inside Family Medicine, we hear from Norman Chenven, MD, founding CEO of Austin Regional Clinic (ARC), and AAFP Director of Career and Practice, Tracey Allen-Ehrhart. They discuss family physician compensation, common income myths, and tools for evaluating job offers. Chenven explains why he chose family medicine and outlines how compensation varies by geography, practice type, work hours, productivity, coding, patient satisfaction, and value-based quality measures. Allen-Ehrhart highlights the AAFP Career Benchmark Dashboard, which offers family...
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FFFM | What federal student loan borrowers need to know
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In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of government relations, reviews June advocacy efforts, including the Family Medicine Advocacy Summit, where more than 300 physicians advocated for policies to improve access to care. He also highlights AAFP positions on H-1B physician policy, Medicaid work requirements, ACA marketplace changes, rural training and hospital payments, and reducing prior authorization burdens. Tully then discusses student loan changes from the...
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IFM | Firearm Injury Prevention in the Exam Room: A Conversation with Family Physicians
Inside Family Medicine
In this episode of Inside Family Medicine, James Bigham, MD, MPH, and Sanjay Batish, MD, discuss the family physician’s role in preventing firearm injuries and addressing gun violence through relationship-based, upstream care. Bigham describes training clinicians in culturally aware counseling, secure firearm storage and collaboration with gun shop owners through and the nonprofit SAFE, or Scrubs Addressing the Firearm Epidemic, emphasizing a public health approach that uses population data, including that firearm injury is the leading cause of death...
info_outlineAAFP Chief Medical Officer and Senior Vice President of Education, Inclusiveness and Physician Well-Being Margot Savoy, MD, MPH, FAAFP, welcomes back Jeffrey Quinlan, MD, FAAFP, a family physician and University of Iowa department leader with a 28-year US Navy career, to discuss his AAFP work on fetal alcohol spectrum disorders (FASDs) and substance use in pregnancy. He emphasizes that alcohol is a teratogen with no safe amount or timing in pregnancy and outlines associated neurodevelopmental, craniofacial, organ, growth and behavioral effects.
The conversation covers primary care screening and early identification using exposure history and clinical signs, common diagnostic frameworks (COFASP and the University of Washington 4-digit code), multidisciplinary care coordination and prevention through routine screening (AUDIT-C or NIAAA single-question), preconception counseling and stigma reduction. For longitudinal care, Quinlan highlights early intervention, individualized care plans, family support and training, school accommodations, behavioral therapies, nutrition support and medications for comorbid conditions, all using a strength-based approach.
Topics by Timestamp
00:00 Welcome and Guest Intro
00:51 Clinical Background and Exposure
01:55 No Safe Alcohol in Pregnancy
04:02 Screening and Diagnosis Basics
06:46 Building the Care Team
09:05 Preventing Alcohol Exposed Pregnancy
12:38 Long Term Care and Interventions
20:13 Key Takeaways and Closing
Additional Resources
Clinician Resources
- Substance use disorders: Clinical guidance and practice resources from the AAFP
- Alcohol use during pregnancy and fetal alcohol spectrum disorders: Educational supplement on improving screening, diagnosis and treatment of children and families with FASDs, and improving support services and access to care for impacted women and families
- IFM | Medical insights on cannabis and alcohol use during pregnancy: Jeffrey Quinlan, MD, FAAFP, addresses alcohol and cannabis use during pregnancy in primary care
- Treating excessive alcohol use: Guidance for screening, diagnosing and treating excessive alcohol use in primary care settings
- Tobacco and nicotine use | Prevention and cessation resources: Comprehensive toolkit to assist in helping patients stop smoking or prevent them from starting
Patient Resources
- Substance use disorder: Evidence-based patient educational resource
- Opioid addiction: Evidence-base patient educational resources
Related AAFP CME Activities
- Substance Use Disorders Edition 2: CME meeting DEA-mandated eight hours of Medication Access and Training Expansion (MATE) Act
- Addiction Treatment and Care CME for Family Physicians: Free, on-demand CME to gain deeper understanding of the neurobiology and psychosocial dimensions of substance use disorders, and learn practical strategies to integrate harm reduction, trauma-informed approaches and culturally responsive care into your practice
Funding Statement: This activity is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $1,219,331 with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.
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.