Inside Family Medicine

A podcast produced by the American Academy of Family Physicians for family doctors and related health care professionals.

CME | Navigating the Latest in Atrial Fibrillation Guidelines: Bedside Implementation 02/02/2026

CME | Navigating the Latest in Atrial Fibrillation Guidelines: Bedside Implementation 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. 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) 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39828770

FFFM | January 2026 Advocacy Rounds 01/30/2026

FFFM | January 2026 Advocacy Rounds 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 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.    /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39902040

IFM | Empowering Patient Research: Inside FamilyDoctor.org 01/21/2026

IFM | Empowering Patient Research: Inside FamilyDoctor.org 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 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39748220

CME | Expecting the Unexpected: The Pregnancy Side Effects Nobody Warned You About 01/19/2026

CME | Expecting the Unexpected: The Pregnancy Side Effects Nobody Warned You About 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. 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). 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 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39717440

FFFM | The Power of Advocacy: Insights from the 2025 Family Medicine Advocacy Summit 01/16/2026

FFFM | The Power of Advocacy: Insights from the 2025 Family Medicine Advocacy Summit 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 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 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.    /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39699465

IFM | Exploring Leadership Development: An Insight into AAFP Foundation’s Emerging Leader Institute 01/07/2026

IFM | Exploring Leadership Development: An Insight into AAFP Foundation’s Emerging Leader Institute 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 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39618065

CME | Not a Lecture, just a Conversation: Hormones & Transgender Care 01/05/2026

CME | Not a Lecture, just a Conversation: Hormones & Transgender Care 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. References and Resources Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People. UCSF Gender Affirming Health Program. World Professional Association for Transgender Health (WPATH), including their "Standards of Care Version 8." 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39461075

IFM | Top Highlights from Your Favorite 3 Episodes of 2025 12/31/2025

FFFM | December 2025 Advocacy Rounds 12/22/2025

FFFM | December 2025 Advocacy Rounds 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 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.    /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39475445

IFM | Reconnecting with the AAFP: Dr. Kaci Larsen's Journey in Family Medicine 12/17/2025

CME | Beyond Judgement: What Actually Works for Weight Loss? 12/15/2025

CME | Beyond Judgement: What Actually Works for Weight Loss? 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. 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39271525

FFFM | Members at the Center of Advocacy in 2025 12/12/2025

FFFM | Members at the Center of Advocacy in 2025 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 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.    /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39279040

CME | Let’s Talk Flu Shots: Clearing the Air on Flu Vaccine Safety 12/09/2025

CME | Let’s Talk Flu Shots: Clearing the Air on Flu Vaccine Safety 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. 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). 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.  /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39323810

CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind 12/01/2025

CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind 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. 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 Novel screening tool for secondary headache in acute care—A pilot study. 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39223485

FFFM | November 2025 Advocacy Rounds 11/25/2025

FFFM | November 2025 Advocacy Rounds 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 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.    /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39156215

IFM | Supporting Family Caregivers in 2025: How Family Physicians Can Strengthen Healthcare’s Hidden Workforce 11/24/2025

IFM | Supporting Family Caregivers in 2025: How Family Physicians Can Strengthen Healthcare’s Hidden Workforce 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 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39022325

IFM | Exploring Rural Health and Private Practice with Dr. Brittney Anderson 11/20/2025

IFM | Exploring Rural Health and Private Practice with Dr. Brittney Anderson 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 (member interest group) AAFP starting a practice tool: (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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38983745

CME | Get In, Learner, we're Doing Family Medicine! 11/17/2025

CME | Get In, Learner, we're Doing Family Medicine! 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. 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 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38993950

FFFM | 2026 Medicare Physician Fee Schedule: Key Updates and Advocacy Efforts 11/14/2025

FFFM | 2026 Medicare Physician Fee Schedule: Key Updates and Advocacy Efforts 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: AAFP Voices blog post: of the 2026 Medicare physician fee schedule final rule on the Academy’s letter to CMS on the proposed MPFS FPM: AAFP Medicare physician payment 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.   /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38998235

IFM | Evaluating Changes to Meningococcal Vaccination Schedules 11/13/2025

IFM | Evaluating Changes to Meningococcal Vaccination Schedules 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 Article by podcast guest Dr Jana Shaw - Clinician Resources: Patient Resources: Related Activities: 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/39013070

CME | Stimulants & Strategy: Integrating ADHD Treatments Into Daily Practice 11/03/2025

CME | Stimulants & Strategy: Integrating ADHD Treatments Into Daily Practice 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. 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 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 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 Published Online: 17 May 2022 The Impact of Pharmacotherapy of Childhood-Onset Psychiatric Disorders on the Development of Substance Use Disorders Authors: , , , , , and 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: 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38864230

FFFM | October 2025 Advocacy Rounds 10/31/2025

FFFM | Navigating Health Policy in Congress: A Conversation with Dr. Herb Conaway 10/23/2025

FFFM | Navigating Health Policy in Congress: A Conversation with Dr. Herb Conaway 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 , MD, JD AAFP member resource page: Fighting for Family Medicine podcast:       AAFP    The Academy’s 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.   /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38748885

CME | Transitioning to the Final Chapter: Rethinking Retirement in Family Medicine 10/20/2025

CME | Transitioning to the Final Chapter: Rethinking Retirement in Family Medicine 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. 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.  /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38566385

IFM | The Role of AI in Primary Care 10/09/2025

IFM | The Role of AI in Primary Care 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 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38519285

CME | A Practical Guide to PCOS and AUB 10/06/2025

CME | A Practical Guide to PCOS and AUB 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. 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.  /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38413000

FFFM | September 2025 Advocacy Rounds 09/30/2025

FFFM | September 2025 Advocacy Rounds 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             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.   /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38399585

IFM | Paving the Pathway for Women in Family Medicine 09/24/2025

IFM | Paving the Pathway for Women in Family Medicine 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 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38143340

IFM | AAFP Fall Immunizations Recommendations 09/16/2025

IFM | AAFP Fall Immunizations Recommendations In this episode of Inside Family Medicine, we hear from Dr. Margot Savoy and Dr. Marie Ramas about the American Academy of Family Physicians’ Fall immunization recommendations for the 2025-26 respiratory season. Dr. Savoy, Chief Medical Officer of the AAFP, and Dr. Ramas, Chair of the AAFP's Commission on Health of the Public and Science, discuss the process of developing these recommendations, how they compare to CDC guidelines, and the impact of recent changes to federal vaccine recommendation processes. They provide detailed insights into flu, COVID-19, and RSV vaccine recommendations across different age groups and scenarios, stressing the importance of evidence-based guidelines and the collaboration with other specialties and stakeholders. Topics by Timestamp 00:00 Introduction 00:21 Meet the Experts: Dr. Margot Savoy and Dr. Marie Ramas 01:21 Understanding the AAFP's Immunization Recommendation Process 04:23 The Role of the Commission on Health of the Public and Science 06:24 Impact of Changes in Federal Vaccine Recommendations 10:37 AAFP's Flu Vaccine Recommendations 16:32 AAFP's COVID-19 Vaccine Recommendations 25:16 AAFP’s RSV Vaccine and Antibodies for Infants Recommendations 31:19 Staying Updated with AAFP's Vaccine Guidance 34:46 Conclusion Additional Resources Download sharable versions of AAFP’s graphics here: 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. /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38225080

CME | Onychomycosis, This Little Piggy Needs Terbinafine 09/15/2025

CME | Onychomycosis, This Little Piggy Needs Terbinafine In this episode of CME on the Go, our hosts discuss the common yet rarely discussed subject of toenail fungus (onychomycosis). The episode is filled with clinical insights and thorough discussions on diagnosing and treating toenail fungus in family medicine. They cover the effectiveness of topical versus oral treatments, the value of podiatrist referrals, and even delve into home remedies. Topics By Timestamp 00:00 Introduction and Hosts Introduction 00:42 Opening Joke and Light Banter 01:28 Discussing Toenail Fungus 03:04 Causes and Diagnosis of Toenail Fungus 08:55 Treatment Options: Topicals vs. Orals 10:39 Oral Medications and Their Efficacy 14:17 Toenail Removal and Specialist Referrals 17:52 Alternative Treatments and Home Remedies 21:24 Final Thoughts and Gratitude 25:21 Conclusion and Credits After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. Learning Objectives 1. Identify clinical signs and underlying causes of onychomycosis to support accurate diagnosis and patient education. 2. Differentiate between topical and oral antifungal treatments, and explain the rationale for treatment selection—including realistic expectations and monitoring protocols. 3. Discuss indications for nail removal and referral, and counsel patients with chronic fungal nail infections using clear, compassionate communication. 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.  /episode/index/show/28201698-87b5-4bd6-bf3a-bc85c6c0e2bd/id/38142975

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