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...
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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...
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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...
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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...
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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,...
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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...
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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...
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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...
info_outlineIn 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
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.