Episodios

  • CME | Let's Talk Flu Shots: Clearing the Air on Flu Vaccine Safety

    CME | Let's Talk Flu Shots: Clearing the Air on Flu Vaccine Safety
    Dec 9 2025
    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. https://www.aafp.org/assessment/take/19581/e 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). CDC 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 ...
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    33 m
  • CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind

    CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind
    Dec 1 2025
    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. https://www.aafp.org/assessment/take/19579/e 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 https://www.sciencedirect.com/science/article/pii/S1470211823000052#bib0003 Novel screening tool for secondary headache in acute care—A pilot study. https://doi.org/10.1016/j.clinme.2023.100005 https://ichd-3.org/ 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.
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    36 m
  • FFFM | November 2025 Advocacy Rounds

    FFFM | November 2025 Advocacy Rounds
    Nov 25 2025
    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 Speak Out | AAFP Downcoding letter Family Physicians Respond to Final 2026 Medicare Physician Fee Schedule | AAFP Leading Physician Groups: Department of Education's PSLF Rule Will Hurt Patients and Physicians | 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.   
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    6 m
  • IFM | Supporting Family Caregivers in 2025: How Family Physicians Can Strengthen Healthcare's Hidden Workforce

    IFM | Supporting Family Caregivers in 2025: How Family Physicians Can Strengthen Healthcare's Hidden Workforce
    Nov 24 2025
    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 Caregiving in the US 2025: Key Trends, Strains, and Policy Needs Caregiving in the U.S. 2025 - AARP Research Report Geriatric Medicine 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.
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    31 m
  • IFM | Exploring Rural Health and Private Practice with Dr. Brittney Anderson

    IFM | Exploring Rural Health and Private Practice with Dr. Brittney Anderson
    Nov 20 2025
    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 Rural Health | AAFP | AAFP Rural Health | AAFP (member interest group) Rural Health Information Hub Starting, Closing, or Selling a Practice | AAFP Business of Medicine for Physicians | AAFP Business Fundamentals for New Physicians CME | AAFP AAFP starting a practice tool: https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/start-a-practice.xlsx Independent Solo/Small Group Practice | AAFP (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.
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    22 m
  • CME | Get In, Learner, we're Doing Family Medicine!

    CME | Get In, Learner, we're Doing Family Medicine!
    Nov 17 2025
    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. https://www.aafp.org/assessment/take/19541/e 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 https://www.aafp.org/pubs/afp/issues/2020/0801/p140.html https://www.stfm.org/facultyskillscourse https://www.teachingphysician.org/\ 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.
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    28 m
  • FFFM | 2026 Medicare Physician Fee Schedule: Key Updates and Advocacy Efforts

    FFFM | 2026 Medicare Physician Fee Schedule: Key Updates and Advocacy Efforts
    Nov 14 2025
    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: Final 2025 MPFS brings primary care payment boost and other wins AAFP Voices blog post: Some good news for primary care: the 2026 Medicare physician fee schedule AAFP executive summary of the 2026 Medicare physician fee schedule final rule AAFP News story on the Academy's letter to CMS on the proposed MPFS AAFP advocacy focus: Medicare physician payment AAFP H.R. 1 member resource FPM: What is the RUC? AAFP Medicare physician payment Speak Out campaign AAFP Advocacy Ambassadors 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.  
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    10 m
  • IFM | Evaluating Changes to Meningococcal Vaccination Schedules

    IFM | Evaluating Changes to Meningococcal Vaccination Schedules
    Nov 13 2025
    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 Assessing the Impact of Revising MenACWY Vaccination Schedule for Adolescents in the United States: A Modelling Study by Affan Shoukat, Chad Wells, Thomas Shin, Lilia Potter-Schwartz, Alison P. Galvani, Seyed M. Moghadas :: SSRN Quadrivalent Conjugate Vaccine and Invasive Meningococcal Disease in US Adolescents and Young Adults | Public Health | JAMA Network Open | JAMA Network Article by podcast guest Dr Jana Shaw - Risks of removing the age 11–12-year meningococcal vaccine dose from the US immunization schedule - ScienceDirect Clinician Resources: Meningitis information on aafp.org Patient Resources: https://familydoctor.org/condition/meningitis/ Related Activities: Leading Edge LinkedIn Live, October 5, 2025 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.
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    17 m