Inside Family Medicine
AAFP 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...
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In this re-released episode of CME on the Go, originally published on 9/2/2025, our hosts delve into menopause, providing family physicians with essential insights, treatment options, and the latest research findings. While discussing hormone replacement therapy, non-hormonal treatments, and the interpretation of the Women's Health Initiative, the hosts emphasize patient-centered care and the natural progression of menopause. This episode aims to equip physicians with practical tools and knowledge, enhancing their ability to support patients through this critical stage of life. ...
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In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of government relations, previews recent AAFP advocacy updates and interviews Domenic Casablanca, MD, FAAFP at FMX about the Family Medicine Political Action Committee (FamMedPAC). Highlights include urging HHS to preserve family medicine representation on the United States Preventive Services Task Force, AAFP advocacy efforts around Medicare payment reform and student loan repayment updates. Casablanca explains how a political action...
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In this episode of Inside Family Medicine Andrew Bazemore, MD, MPH, and Beth Polk, MD, FAAFP join us to discuss whole health in primary care. Dr. Bazemore distinguishes whole health (physical, behavioral, spiritual and socioeconomic well-being across individuals, families and communities) from whole health care (how care is organized), emphasizing a shift from “What’s the matter with you?” to “What matters to you?” Dr. Polk connects whole health to lifestyle medicine’s pillars and stresses addressing drivers of...
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In this episode of CME On the Go, our hosts discuss how family physicians can take a comprehensive, sensitive sexual history. They highlight common discomfort and bias in asking “Are you sexually active?” and emphasize using respectful, gender-inclusive language, humility, trauma-informed care and clear medical purpose to avoid voyeurism, with supportive EHR documentation when possible. They review terminology around sex, gender and sexuality and outline the CDC “Five Ps” framework—partners, practices, protection from STIs, past history of STIs...
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In this episode of Inside Family Medicine, Shannon Connolly, MD, FAAFP, associate medical director at the Planned Parenthood of Orange and San Bernardino Counties, discusses family physicians’ crucial role as the first and sometimes only point of contact for mental health care, especially in underserved settings. She explains how psychosocial and behavioral factors underlie many primary care challenges such as complex pain, substance use disorders and uncontrolled chronic...
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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...
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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....
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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...
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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...
info_outlineH.R. 1 is now law, and it will affect family physicians and their communities in numerous ways. In this episode, AAFP Government Relations Vice President David Tully talks with members of the AAFP’s GR team about H.R. 1’s impacts on primary care. You’ll also hear about what happens next, and how AAFP members can get involved, starting with advocacy this month during Congress’ August recess.
Topics By Timestamp:
00:00 Introduction
01:02 Team introductions
01:30 Medicaid barriers in H.R. 1
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With some exemptions, individuals ages 19-64 in expansion states will have to document that they work or volunteer at least 80 hours a month to be eligible for Medicaid; this is required by 2027, but states can implement sooner.
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States must conduct eligibility redeterminations at least every six months for adults enrolled in Medicaid expansion;
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Retroactive coverage will be limited to one month prior to application for expansion enrollees and two months prior to application for traditional enrollees.
06:52: Provider taxes
08:40: Wins in H.R. 1
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A proposal to exclude medical and dental residents from participating in the Public Service Loan Forgiveness Program (PLSF) program was removed from the final version of the bill.
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A ban on Medicaid funds being used to pay for gender-affirming care services for any individuals also was removed.
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The law will allow people with health savings accounts to use those funds to pay for direct primary care (DPC) arrangements, beginning Jan. 1. The AAFP had long called for this change, in line with its DPC advocacy.
10:45: Nutrition impacts
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Supplemental Nutrition Assistance Program (SNAP) barriers in H.R. 1:
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No re-evaluation of SNAP benefits beyond inflation,
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SNAP benefits will not be updated based on future changes to nutritional guidelines and
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State-federal cost sharing for states with payment error rates over 6% (about 47 states).
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12:50: Workforce impacts
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More about the PSLF win (following the AAFP’s 2025 Family Medicine Advocacy Summit)
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Elimination of GRAD Plus
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Caps on student loans
17:09: Tax policy win for independent practices: 20% pass-through deduction
20:03: Medicare physician payment relief
22:59: What’s next in Congress
29:13: Congress’ August recess: It’s easy for AAFP members to advocate this month.
32:40: Conclusion
Additional Resources
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FFFM podcast: Inside the 2025 Family Medicine Advocacy Summit
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AAFP News: Academy Pushes for Tax Policy Favoring FPs
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AAFP News: AAFP urges Senate to stave off ‘tsunami’
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.