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Inside Family Medicine

Inside Family Medicine

De: American Academy of Family Physicians
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A podcast produced by the American Academy of Family Physicians for family doctors and related health care professionals.©2025 Economía Enfermedades Físicas Higiene y Vida Saludable
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
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