IFM | Recognizing and Managing COPD Exacerbations in Primary Care: A Conversation with Dr. Barbara Yawn

In this episode of Inside Family Medicine we hear from Dr. Barbara Yawn, a family physician and clinical researcher and former Chief Science Officer at the COPD Foundation, about recognizing and managing COPD exacerbations in primary care. Dr. Yawn explains why COPD is often missed due to gradual symptom onset and patients minimizing symptoms, and stresses asking targeted questions about dyspnea, activity tolerance, chronic cough, sputum changes, and frequent colds. She reviews recognizing exacerbations, instructions to call the office, outpatient treatment with short courses of systemic corticosteroids and antibiotics, and considering alternative diagnoses such as heart failure, pulmonary embolus, and pneumonia. Topics by Timestamp 01:16 Why Family Medicine 02:20 Spotting Early COPD Signs 04:42 Asking Better Questions 06:44 Guidelines and Acute Exacerbations 09:07 Post Exacerbation Follow Up 10:20 When to Consult Pulmonology 12:40 Preventing Future Exacerbations 15:06 Shared Decision-Making SHARE 18:14 Advanced and Newer Therapies 22:40 Key Takeaways and Wrap Up Additional Resources COPD Clinical Guidance | AAFP COPD | Family Doctor CME Activities: ABFM Board Review Self-Study - CME 2025 | AAFP Care of Chronic Conditions CME | AAFP Adult Medicine 11th Edition – Online CME | 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.  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.