Inside Family Medicine

Jaksot

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  IFM | AAFP x Unbiased Science: Behind Every Vaccine Question Is a Person 27.07.2026 24min

  Vaccine conversations have changed. Patients are asking new questions, trust is harder to earn, and clinicians are navigating increasingly complex discussions in limited time. In this episode of Inside Family Medicine, host Rebecca Fuller Beeler, PhD, vice president of Integrated Marketing Communications at AAFP is joined by public health scientist and founder of Unbiased Science Jess Steier, DrPH. Together, they discuss why facts alone are often not enough, how empathy and listening can strengthen vaccine conversations, and what physicians can do to support patients before, during, and after clinical visits.  Drawing on thousands of conversations with people seeking credible health information, Steier shares insights into the concerns, emotions, and information ecosystems that shape patients' decisions. The conversation offers practical strategies for building trust, addressing uncertainty, and helping patients make informed decisions—while reminding clinicians that even small conversations can plant seeds that matter. Whether discussing vaccines or any health topic where trust and clarity are essential, this episode highlights the power of meeting people where they are.  Steier emphasizes practical communication strategies such as listening first, understanding a patient's perspective, sharing personal experiences, leveraging the entire care team and extending education beyond the exam room. Listen in to this conversation that highlights the critical role family physicians continue to play as trusted sources of health information and offer encouragement for clinicians working to foster informed, compassionate conversations in an era of misinformation.  
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  IFM | From Hypertension to Hypopneas: Bringing Obstructive Sleep Apnea Management into Primary Care Practice 22.07.2026 25min

  In this special episode of the Inside Family Medicine podcast, brought to you by Resmed, host Darren Sextro talks with family physician James Bigham, MD, MPH, FAAFP about how he has successfully integrated sleep health and OSA management into his practice. He discusses the well-established connection between OSA and hypertension and explains how screening and treatment can become a natural part of chronic disease management.   The conversation highlights the barriers he's faced in practice, from uncertainty around role ownership to patient hesitation, and the practical solutions he's implemented to make sleep and OSA care more feasible in primary care settings. The discussion covers the importance of early diagnosis and therapy referrals as well as outlines effective workflow strategies for primary care teams.    Topics by Timestamp  00:00 – Welcome and episode overview   02:14 – Dr. Bigham's path to family medicine   03:15 – How OSA became part of primary care   05:59 – Early barriers to OSA management   09:37 – Barriers colleagues face in primary care   12:07 – Practical ways to integrate obstructive sleep apnea care   14:07 – Improving patient engagement in evaluation and treatment   17:38 – Working with sleep medicine and cardiology   20:16 – Impact on patients and practice   25:56 – First steps for family physicians and care teams   29:00 – Closing and resources     Additional resources for your team include:   OSA in primary care: a practical clinical guide from Resmed  Explore practical tools and guidance to help primary care teams identify patients at risk for OSA, support evaluation and navigate treatment conversations.    Resources from the American Academy of Family Physicians:  Cardiometabolic health for family physicians | AAFP  Find clinical guidance, educational resources and patient-centered tools for managing hypertension, diabetes, obesity, chronic kidney disease and related conditions.    This episode is brought to you by Resmed.   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.  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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  CME | From Heat Waves to Health Risks: Climate Change in Primary Care 20.07.2026 36min

  In this episode of CME On the Go, our hosts discuss how changing climate and weather patterns are already affecting patient health and family medicine practice.  They examine the health consequences associated with extreme heat, worsening air quality, wildfire smoke, longer pollen seasons, expanding vector-borne diseases, food and water insecurity and climate-related mental health concerns. They also highlight how these effects can compound existing cardiovascular, respiratory, renal and pregnancy-related risks, particularly among older adults, children, outdoor workers and historically marginalized communities.  The hosts offer practical strategies family physicians can use to prepare their practices and protect patients, including broadening clinical differentials, discussing heat safety and hydration, helping patients monitor air quality, recommending appropriate protection from smoke and insects and identifying patients who may lack access to cooling or other essential resources. They also explore opportunities for community advocacy, climate resilience and sustainable changes within medical practices.  Learning objectives  Identify climate‑related environmental changes that directly affect patient health, including heat, air quality, allergens, infectious disease patterns, and extreme weather events.  Recognize emerging climate‑related trends in clinical practice and implement strategies to anticipate and respond to these changes in patient care.  Describe the role of physicians in climate advocacy, including practical ways clinicians can engage without compromising professionalism or clinical boundaries.     The AAFP has reviewed CME On the Go, Season 3 and deemed it acceptable for AAFP credit(s). Term of Approval is from 07/20/2026 to 07/06/2028. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   This session, "CME | From Heat Waves to Health Risks: Climate Change in Primary Care" is approved for 0.50 credits Enduring Materials, Self-Study, AAFP Prescribed credit(s).   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 activity for a maximum of 1.00 AMA PRA Category 1 credit(s)™. 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.   https://www.aafp.org/assessment/take/20236/e      Resources   Climate-Smart Health Care: Family Medicine's Role in Climate Action and Resilience (American Family Physician) Read the article  Climate Change and Health (New England Journal of Medicine) Read the article  AAFP Environmental Health and Climate Change Resources Explore AAFP resources  Medical Society Consortium on Climate and Health (AAFP) Learn about the consortium  Medical Society Consortium for Climate & Health Visit the consortium website    References  Romanello M, Ballester J, Cai W, et al. The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action. Lancet. 2024;404(10465):1847-1896. doi:10.1016/S0140-6736(24)01822-1  Neven JCG, Quispel C. Extreme heat and pregnancy: A growing public health concern. Case Reports in Women's Health. 2025;49:e00762. Published October 30, 2025. doi:10.1016/j.crwh.2025.e00762  Romanello M, Amann M, Ayeb-Karlsson S, et al. Climate change and health. New England Journal of Medicine. 2019;380(26):2519-2529. doi:10.1056/NEJMra1807873     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 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.  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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  IFM | Direct Primary Care: Building Autonomy, Access and Sustainability 15.07.2026 30min

  IFM | Direct Primary Care: Building Autonomy, Access and Sustainability  AAFP Vice President of Practice Advancement Dr. Karen Johnson, PhD, welcomes Dr. Maryal Concepcion, MD, FAAFP, a full-scope family physician, founder and CEO of Big Trees MD, and host of the My DPC Story podcast, to discuss direct primary care (DPC) as an evolving practice model for family physicians. Drawing from her own transition out of corporate medicine, Dr. Concepcion shares how DPC has allowed her to build a sustainable practice centered on physician autonomy, meaningful patient relationships, and comprehensive, community-focused care.  The conversation explores Dr. Concepcion's journey into family medicine and direct primary care, practical considerations for launching and growing a DPC practice, strategies for managing financial and operational challenges, and the flexibility DPC provides to meet community needs. She also discusses common misconceptions about direct primary care, improving access to care in rural and underserved communities, and why supporting diverse practice models is essential to the future of family medicine.    Topics by Timestamp  00:00 Welcome and Guest Introduction  02:13 Why Family Medicine  05:04 Transitioning from Corporate Medicine to Direct Primary Care  09:15 Launching a DPC Practice and Lessons Learned  12:16 Financial and Operational Decisions for Long-Term Sustainability  16:15 Growing the Practice and Managing Risk  19:30 Building a Direct Primary Care Practice  21:30 Improving Access Through Transparent, Patient-Centered Care  24:24 Expanding Community Services Through Innovation  26:47 Addressing Equity and Access in Direct Primary Care  30:33 Supporting Diverse Practice Models and the Future of Family Medicine  32:07 Closing Remarks    Additional Resources  Clinician Resources:    Direct Primary Care  Patient Resources:   Direct Primary Care for Patients  Related AAFP CME Activities:   DPC Summit  DPC Summit on Demand   Business Fundamentals for New Physicians Medical Practice Management Essentials    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. 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 the American Academy of Family Physicians. 
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  IFM | Strengthening Vaccine Confidence and Adult Immunization 13.07.2026 17min

  AAFP Vaccine Science Fellows James Bigham, MD, MPH, FAAFP, and Amra Resic, MD, FAAFP, join host Emily Holwick to discuss practical strategies for improving adult vaccination rates in primary care. Drawing from their clinical experience and fellowship work, they explore how family physicians can build vaccine confidence through strong recommendations, trusted patient relationships, and team-based workflows.  The conversation covers presumptive vaccine recommendations, shared clinical decision-making, increasing vaccine confidence with empathy, integrating the assessment of immunization reviews into every patient visit, and empowering the entire care team to support vaccination efforts. Dr. Bigham and Dr. Resic also discuss workflow strategies such as standing orders, pre-visit planning, EMR reminders, and consistent messaging that make adult vaccination a routine part of preventive care while helping patients make informed decisions that protect themselves, their families, and their communities.    Topics by Timestamp  00:00 Welcome and Guest Introductions  03:00 The AAFP Vaccine Science Fellowship Experience  04:35 Starting Vaccine Conversations with Adult Patients  06:03 Vaccination as Routine Preventive Care  07:02 Understanding Low Adult Vaccination Rates  09:17 Team-Based Strategies to Improve Vaccine Uptake  12:20 Shared Clinical Decision-Making and Building Trust  15:07 Empowering the Care Team to Build Vaccine Confidence  16:28 Key Takeaways for Family Physicians  18:45 Closing Remarks    Additional Resources:  Clinician Resources:   Immunizations Shared Decision-making and Clinical Guidance Resources   Immunizations And Vaccines For Family Physicians  Immunization Resources  AAFP Vaccine Advocacy: Strengthening Immunization Access | AAFP  Patient Resources:   Immunizations | Family Doctor  Immunization Schedules | Family Doctor  Funding Statement: This podcast episode was independently developed by the AAFP with support provided by GlaxoSmithKline.   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. 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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  CME | Dementia Demystified: From Early Signs to Everyday Management 06.07.2026 37min

  In this CME On the Go episode, our hosts discuss evaluating and managing dementia-related concerns in primary care using a common scenario: an older patient brought in by an adult child concerned about Alzheimer's disease and possible nursing home placement. They emphasize that these visits are time intensive and require history from both the patient and family, distinguishing normal aging from functional cognitive decline across domains such as memory, judgment, language and orientation, while remaining aware of family dynamics. Key exam priorities include vision, hearing and depression screening. They review brief and extended cognitive screening tools, labs for reversible causes and selective imaging. The episode outlines definitions of normal aging, mild cognitive impairment and dementia, along with practical, safety-focused management, medication options and the family physician's role in long-term planning and caregiver support.    Learning Objectives  Recognize early signs and symptoms of dementia and distinguish them from normal aging and potentially reversible causes of cognitive change.  Differentiate behavioral and psychological symptoms of dementia (BPSD) from unmet needs or environmental triggers, clarifying what BPSD is—and what it is not.  Share practical, evidence‑informed management pearls with patients and caregivers, focusing on nonpharmacologic strategies and realistic expectations for disease progression.    The AAFP has reviewed CME On the Go, Season 3 and deemed it acceptable for AAFP credit(s). Term of Approval is from 07/06/2026 to 07/06/2028. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  This session, "Dementia Demystified: From Early Signs to Everyday Management" is approved for 0.50 credits Enduring Materials, Self-Study, AAFP Prescribed credit(s).  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 activity for a maximum of 1.00 AMA PRA Category 1 credit(s)™. 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.  https://www.aafp.org/assessment/take/20235/e    References and Resources  All AAFP Dementia topics:   https://www.aafp.org/pubs/afp/topics/by-topic.dementia.html  Dementia Diagnosis and Care: CME for Family Physicians  https://www.aafp.org/cme-and-events/topics/geriatrics-end-of-life-care/dementia-on-demand  Article from AAFP titled "Evaluation of Suspected Dementia" https://www.aafp.org/pubs/afp/issues/2025/1200/suspected-dementia-evaluation.html    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 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.  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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  IFM | Family Physician Compensation: Myths, Models and Using the AAFP Career Benchmark Dashboard 29.06.2026 17min

  In this episode of Inside Family Medicine, we hear from Norman Chenven, MD, founding CEO of Austin Regional Clinic (ARC), and AAFP Director of Career and Practice, Tracey Allen-Ehrhart. They discuss family physician compensation, common income myths, and tools for evaluating job offers. Chenven explains why he chose family medicine and outlines how compensation varies by geography, practice type, work hours, productivity, coding, patient satisfaction, and value-based quality measures. Allen-Ehrhart highlights the AAFP Career Benchmark Dashboard, which offers family physicians real-world compensation data and includes filters by role and state for tailored searches. They also compare employed roles and practice ownership, discuss risks associated with private equity and health system stability, and share advice and resources for evaluating employers and reviewing contracts.     Topics by Timestamp  00:00 Welcome and Guests  01:20 Why Family Medicine  02:27 Compensation Basics  05:05 Benchmark Dashboard  06:27 Ownership vs Employment  09:52 Myths and Reality  10:50 Advice for New Docs  13:42 Negotiate Your Worth  16:17 Resources and Wrap Up    Additional Resources  Comparing Physician Compensation   Family Medicine Compensation and Career Satisfaction Benchmark Dashboard   Understanding and Improving Your Work RVUs    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. 
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  FFFM | What federal student loan borrowers need to know 26.06.2026 19min

  In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of government relations, reviews June advocacy efforts, including the Family Medicine Advocacy Summit, where more than 300 physicians advocated for policies to improve access to care.  He also highlights AAFP positions on H-1B physician policy, Medicaid work requirements, ACA marketplace changes, rural training and hospital payments, and reducing prior authorization burdens.  Tully then discusses student loan changes from the U.S.  Department of Education under H.R.1 with members of the AAFP government relations team, Meagan Mortimer and Mandi Neff, outlining new repayment rules, elimination of programs and borrowing caps,.    Topics by Timestamp 00:00 Student Loan Changes Ahead  01:02 June Advocacy Wins  02:17 Policy Updates Roundup  05:26 DOE Loan Overhaul Explained  06:19 AAFP Pushback on HR1  08:42 Borrowing Caps Timeline  10:28 Exceptions and Legacy Plans  11:48 Mitigation and Advocacy Strategy  15:58 How Members Can Help  18:26 Closing and Disclaimers    Additional Resources   Blog: Policymakers have a roadmap to ease medical student debt  Advocacy topic: Medical student debt relief  Managing student loan debt  Loan repayment strategies for medical students and residents  Letter to the Department of Education to Protect Medical Training Pathways  AAFP on X: "Every patient deserves access to a family physician. The AAFP is encouraged by a federal court's decision to halt the proposed $100,000 H-1B application fee. We urge Congress to pass the bipartisan H-1Bs for Physicians and the Healthcare Workforce Act, which would codify this https://t.co/mDqeYPpi8L" / X  AAFP on X: "The AAFP is deeply concerned that Medicaid work reporting requirements will result in massive coverage losses for beneficiaries. When patients can access Medicaid, communities are healthier. https://t.co/ZvAx2In0Nm https://t.co/7fd9LjIAiC" / X  Speak Out: Support the Medicare Advantage Improvement Act of 2026  Letter in Resposne to IPPS Rule  Speak Out: Chronic Care Management Improvement Act  Speak Out: Support H-1B Physicians  Primary Care Innovation Network    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. 
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  IFM | Firearm Injury Prevention in the Exam Room: A Conversation with Family Physicians 22.06.2026 22min

  In this episode of Inside Family Medicine, James Bigham, MD, MPH, and Sanjay Batish, MD, discuss the family physician's role in preventing firearm injuries and addressing gun violence through relationship-based, upstream care. Bigham describes training clinicians in culturally aware counseling, secure firearm storage and collaboration with gun shop owners through and the nonprofit SAFE, or Scrubs Addressing the Firearm Epidemic, emphasizing a public health approach that uses population data, including that firearm injury is the leading cause of death among people ages 1 to 19. Batish explains how treating the long-term physical and mental health effects of firearm injuries led him into research, including an AAFP Foundation RapSDI pilot that tested a firearm safety score tool in nonurban primary care settings and found unexpectedly high risk. Both physicians recommend universal screening, nonjudgmental counseling focused on suicide risk, practical storage planning, community resources and clinician training tools.     Topics by Timestamp  00:00 Welcome and Guests  01:52 Why Family Medicine  02:39 Why Firearm Prevention Matters  05:40 Public Health Lens  07:04 RAPSODI Research Findings  09:23 Screening and Counseling Tips  11:36 Handling Discomfort  12:52 Stories and Blind Spots  17:53 Advice and Resources  21:19 Closing and Disclaimers    Additional Resources  Gun Violence, Prevention of (Position Paper) | AAFP  Prevention of Gun Violence (Policy Statement) | AAFP  https://www.aafp.org/news/blogs/aafp-voices/storage-conversations.html  https://aafp.libsyn.com/ifm-the-aafp-foundations-signature-research-program    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.   
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  CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind 19.06.2026 35min

  In this re-released episode of CME on the Go, originally published on 12/1/2025, 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 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.  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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  IFM | FASDs in Primary Care: Recognition, Prevention, and Support 08.06.2026 22min

  AAFP Chief Medical Officer and Senior Vice President of Education, Inclusiveness and Physician Well-Being Margot Savoy, MD, MPH, FAAFP, welcomes back Jeffrey Quinlan, MD, FAAFP, a family physician and University of Iowa department leader with a 28-year US Navy career, to discuss his AAFP work on fetal alcohol spectrum disorders (FASDs) and substance use in pregnancy. He emphasizes that alcohol is a teratogen with no safe amount or timing in pregnancy and outlines associated neurodevelopmental, craniofacial, organ, growth and behavioral effects.  The conversation covers primary care screening and early identification using exposure history and clinical signs, common diagnostic frameworks (COFASP and the University of Washington 4-digit code), multidisciplinary care coordination and prevention through routine screening (AUDIT-C or NIAAA single-question), preconception counseling and stigma reduction. For longitudinal care, Quinlan highlights early intervention, individualized care plans, family support and training, school accommodations, behavioral therapies, nutrition support and medications for comorbid conditions, all using a strength-based approach.    Topics by Timestamp  00:00 Welcome and Guest Intro  00:51 Clinical Background and Exposure  01:55 No Safe Alcohol in Pregnancy  04:02 Screening and Diagnosis Basics  06:46 Building the Care Team  09:05 Preventing Alcohol Exposed Pregnancy  12:38 Long Term Care and Interventions  20:13 Key Takeaways and Closing    Additional Resources Clinician Resources Substance use disorders: Clinical guidance and practice resources from the AAFP Alcohol use during pregnancy and fetal alcohol spectrum disorders: Educational supplement on improving screening, diagnosis and treatment of children and families with FASDs, and improving support services and access to care for impacted women and families IFM | Medical insights on cannabis and alcohol use during pregnancy: Jeffrey Quinlan, MD, FAAFP, addresses alcohol and cannabis use during pregnancy in primary care Treating excessive alcohol use: Guidance for screening, diagnosing and treating excessive alcohol use in primary care settings Tobacco and nicotine use | Prevention and cessation resources: Comprehensive toolkit to assist in helping patients stop smoking or prevent them from starting Patient Resources Substance use disorder: Evidence-based patient educational resource Opioid addiction: Evidence-base patient educational resources  Related AAFP CME Activities Substance Use Disorders Edition 2: CME meeting DEA-mandated eight hours of Medication Access and Training Expansion (MATE) Act Addiction Treatment and Care CME for Family Physicians: Free, on-demand CME to gain deeper understanding of the neurobiology and psychosocial dimensions of substance use disorders, and learn practical strategies to integrate harm reduction, trauma-informed approaches and culturally responsive care into your practice   Funding Statement: This activity is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $1,219,331 with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.   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.  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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  CME | Menopause, Minus the Mystery: What Every Clinician Should Know 05.06.2026 35min

  In this re-released episode of CME on the Go, originally published on 9/2/2025, our hosts delve into menopause, providing family physicians with essential insights, treatment options, and the latest research findings. While discussing hormone replacement therapy, non-hormonal treatments, and the interpretation of the Women's Health Initiative, the hosts emphasize patient-centered care and the natural progression of menopause. This episode aims to equip physicians with practical tools and knowledge, enhancing their ability to support patients through this critical stage of life.    Learning Objectives Recognize the spectrum of menopausal symptoms across age groups, including premature menopause, and assess appropriate treatment and contraceptive options.   Evaluate the risks and benefits of hormone therapy in postmenopausal women, including red flags that warrant closer monitoring or alternative management.   Recommend evidence-based non-hormonal strategies for managing menopausal symptoms and support patient-centered conversations that normalize and destigmatize the menopause experience.      After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.  https://www.aafp.org/assessment/take/18338/e   Additional Resources AFP 7/2025: https://www.aafp.org/pubs/afp/issues/2025/0700/editorials-menopausal-hormone-therapy.html AFP 7/2023: https://www.aafp.org/pubs/afp/issues/2023/0700/menopausal-symptoms.html AFP 5/2025: Testosterone for menopause?: https://www.aafp.org/pubs/afp/issues/2025/0500/fpin-ci-topical-testosterone-menopausal-symptoms.html  The Menopause Society with certification: https://menopause.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 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.  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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  FFFM | FamMedPAC: How Family Physicians Engage in Policy and Politics 29.05.2026 26min

  In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of government relations, previews recent AAFP advocacy updates and interviews Domenic Casablanca, MD, FAAFP at FMX about the Family Medicine Political Action Committee (FamMedPAC).   Highlights include urging HHS to preserve family medicine representation on the United States Preventive Services Task Force, AAFP advocacy efforts around Medicare payment reform and student loan repayment updates.  Casablanca explains how a political action committee pools member donations to support vetted, bipartisan candidates, describes the importance of relationship-building with lawmakers and cites AAFP advocacy wins. He also shares how physicians can stay involved and make their voices heard.    Topics by Timestamp 00:00 Welcome and Episode Setup  00:38 Advocacy Highlights Roundup  01:34 Medicare Payment Reform Push  02:40 Workforce Loans and Visas  04:33 Pharmacist Services Concerns  05:22 Meet the FamMedPAC Chair  06:11 What a PAC Does  06:56 Easy Ways to Advocate  08:29 How Candidates Are Chosen  09:50 Why Bipartisan Matters  11:38 Relationship Building Stories  13:44 Election Cycle Strategy  16:28 PAC Wins for Family Medicine  18:25 Hot Policy Issues Now  20:41 Career Advice for New Docs  24:10 Final Call to Engage  25:13 Wrap Up and Resources   Additional Resources  Op-ed: Making America healthy again needs more than a committee  [2026-04-14] Kaine & Courtney Lead Bicameral Resolution to Repeal...  ICYMI: Congresswoman Schrier Introduces Bipartisan Legislation to Expand Childhood Vaccine Access | Representative Kim Schrier  Will AI destroy or boost healthcare? Medical professionals weigh in  Physician groups react to visa freeze reversal with praise, questions  Joint Letter Requesting National Interest Exceptions and Expedited Visa Processing for Physicians - April 8, 2026  Furr Testimony  Health Hearing: Examining the Medicare Physician Fee Schedule, MACRA, and Opportunities for Payment Reforms    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.
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  IFM | Whole Health: Medicine's Course Correction 20.05.2026 33min

  In this episode of Inside Family Medicine Andrew Bazemore, MD, MPH, and Beth Polk, MD, FAAFP join us to discuss whole health in primary care. Dr. Bazemore distinguishes whole health (physical, behavioral, spiritual and socioeconomic well-being across individuals, families and communities) from whole health care (how care is organized), emphasizing a shift from "What's the matter with you?" to "What matters to you?" Dr. Polk connects whole health to lifestyle medicine's pillars and stresses addressing drivers of outcomes beyond the exam room, including social needs. They cite examples from the VA whole health model and community health centers, discuss team-based care, group visits and using existing evaluation and management (E/M) billing while advocating for payment reform. The episode highlights training needs in residency programs, small, actionable practice changes, clinician well-being and the risks and opportunities of AI in supporting whole health.    Topics by timestamp  00:00 Welcome and guests    01:25 Why family medicine    03:36 Why whole health now    05:22 Defining whole health    08:22 Lifestyle medicine link    10:54 Principles and team care    13:03 Real-world examples    16:09 Billing and payment reality    22:05 Training and resources    25:57 Takeaways and next steps    29:51 Salutogenesis explained    30:57 AI and closing    Additional resources  Family Physicians: Leaders in Whole Health   AAFP Pilot Program Shows Value of Lifestyle Medicine   Prevention & Wellness  Scaling Whole Health Strategies in Primary Care: Action Brief   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.  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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  CME | From Awkward to Affirming: Mastering the Sexual History 18.05.2026 31min

      In this episode of CME On the Go, our hosts discuss how family physicians can take a comprehensive, sensitive sexual history. They highlight common discomfort and bias in asking "Are you sexually active?" and emphasize using respectful, gender-inclusive language, humility, trauma-informed care and clear medical purpose to avoid voyeurism, with supportive EHR documentation when possible. They review terminology around sex, gender and sexuality and outline the CDC "Five Ps" framework—partners, practices, protection from STIs, past history of STIs and pregnancy intention—adding two additional Ps: permission and primary sexual and gender identity. They suggest open-ended questions, assess STI risk and prevention, address sexual function and trauma and revisit the sexual history during major life transitions.       Learning Objectives  Recognize the clinical and relational consequences of poorly conducted sexual histories, including the role of implicit bias and documentation challenges in EMRs and patient portals.   Differentiate between sex, gender, and sexual identity to enhance inclusive, respectful communication during sexual history taking.  Demonstrate strategies to reduce personal discomfort and foster a safe, affirming environment for patients during sensitive conversations.    The AAFP has reviewed From Awkward to Affirming: Mastering the Sexual History and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 05/18/2026 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.  https://www.aafp.org/assessment/take/19939/e    References and Resources  Yale Reflections – Gender Glossary A clear, accessible glossary of terms related to sex, gender and sexual orientation.  https://reflections.yale.edu/article/sex-gender-power-reckoning/gender-glossary  CDC – Taking a Sexual History CDC guidance on taking an inclusive, patient-centered sexual history in clinical care.  https://www.cdc.gov/sti/hcp/clinical-guidance/taking-a-sexual-history.html  American Family Physician – Sexual Health History: Techniques and Tips Evidence-based strategies for comprehensive, affirming sexual health histories in primary care.  https://www.aafp.org/pubs/afp/issues/2020/0301/p286.html#afp20200301p286-b3    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 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.  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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  IFM | Mental Health Month: Behavioral Health Integration 14.05.2026 18min

  In this episode of Inside Family Medicine, Shannon Connolly, MD, FAAFP, associate medical director at the Planned Parenthood of Orange and San Bernardino Counties, discusses family physicians' crucial role as the first and sometimes only point of contact for mental health care, especially in underserved settings. She explains how psychosocial and behavioral factors underlie many primary care challenges such as complex pain, substance use disorders and uncontrolled chronic disease. Connolly shares a patient story illustrating how integrated support (therapy, social work and appropriate medications) improved both mental health and diabetes outcomes. She outlines behavioral health integration models, including physician-delivered care, co-located primary care behavioral health and the registry-driven collaborative care model, highlighting benefits for patient outcomes and physician workload. The conversation also addresses access barriers, telehealth as a scaling strategy and the importance of destigmatizing physicians seeking mental healthcare to combat burnout, depression and anxiety.    Topics By Timestamp  00:00 Welcome and Guest Intro  01:00 Why Family Medicine  01:38 Path to Behavioral Health  02:51 Family Docs as First Line  03:52 Patient Story Real Impact  06:47 What Is Behavioral Integration  07:05 Models Collaborative Care  08:46 Benefits for Patients and Docs  10:32 Access for Underserved Patients  12:12 Overcoming Implementation Barriers  13:52 Physician Mental Health Matters  16:38 Resources and Closing    Additional Resources  Mental and Behavioral Health Clinical Guidance | AAFP  FPM Topic Collection: Behavioral Health | AAFP  Integrating Behavioral Health Into Primary Care | AAFP  Free CME: Behavioral Health Integration On Demand | AAFP  CME collection: Mental Health and Behavior | AAFP CME  Behavioral Health Integration (BHI) Collaborative | American Medical Association  Compendium of behavioral health integration resources for physician practices | American Medical Association    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.
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  IFM | Innovative Diagnostic Tools and Workflows for Suspected Alzheimer's in Primary Care 12.05.2026 20min

  In this special edition of Inside Family Medicine, sponsored by Roche Diagnostics, host Darren Sextro talks with brain health experts Deanna Willis, MD, MBA, a board-certified family physician, and Jared Brosch, MD, board-certified neurologist, on the use of blood-based biomarkers (BBBMs) in primary care settings for Alzheimer's disease and related dementias. Their discussion explores how BBBMs can make referrals more efficient and enhance the evaluation of patients with cognitive decline. The conversation highlights the value of early diagnosis and therapy referrals as well as outlines effective workflow strategies for primary care teams.    This episode is brought to you by Roche Diagnostics.    Topics by Timestamp  00:00 Introduction  01:03 Meet the experts  02:22 Dr. Willis' journey  04:32 Dr. Brosch's journey  05:32 Connection between family medicine and neurology  07:24 New tools for early detection  11:19 Workflow models and biomarkers  14:08 Best practices for referrals  16:35 Biomarkers in practice  19:47 Conclusion and additional resources    Additional Resources:  Roche Diagnostics Elecsys Phospho-Tau (181P) Plasma decision summary  https://www.accessdata.fda.gov/cdrh_docs/reviews/K252163.pdf  2024 CEOi recommendations for clinical implementation of blood-based biomarkers for Alzheimer's disease: https://doi.org/10.1002/alz.14184  2025 Alzheimer's Association clinical guidelines for primary care: https://doi.org/10.1002/alz.14333  Implementing early detection of cognitive impairment in primary care to improve care for older adults: https://doi.org/10.1111/joim.20098  FPM journal article: Blood Biomarkers and Early Detection of Alzheimer's Disease and Related Dementias  Brain health hub on AAFP.org including newest brain health resources  Brain health resources for patients from the AAFP    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.  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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  CME | Private Practice, Public Impact: Finding Your Fit in Modern Medicine 04.05.2026 33min

      In this episode of CME On the Go, Jason Marker, MD, MPA, FAAFP and Lauren Brown-Berchtold, MD, FAAFP, discuss how private practice in family medicine is evolving and how physicians can evaluate different models in 2026. They review trends showing a shift from 50/50 self-owned vs. other-owned practices in 2016 to about 75% other-owned and 25% private practice today, note rural workforce losses, and highlight rapid growth in direct primary care (DPC) and concierge models, alongside increasing corporate ownership. They compare employed practice vs. independent practice trade-offs, outline traditional fee-for-service, DPC, and hybrid structures, define the Triple Aim and related aims, and emphasize aligning practice choice with desired autonomy, scope, patient relationships, and community investment, with resources available through AAFP.      Learning Objectives  Compare the structures and implications of direct primary care (DPC), fee-for-service (FFS), and hybrid practice models to identify how each can impact patient access, continuity of care, and physician satisfaction.   Evaluate the trade-offs between employed and independent practice models, focusing on how physician autonomy can influence clinical decision-making, patient relationships, and practice sustainability.   Formulate personalized strategies for incorporating "private practice" principles—such as relationship-based care and operational efficiency—into any clinical setting to enhance both patient experience and professional fulfillment.    The AAFP has reviewed Private Practice, Public Impact: Finding Your Fit in Modern Medicine and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 05/04/2026 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.  https://www.aafp.org/assessment/take/19938/e    References and Resources  Direct Primary Care  https://www.aafp.org/family-physician/practice-and-career/delivery-payment-models/direct-primary-care.html    Managing Your Practice    https://www.aafp.org/family-physician/practice-and-career/managing-your-practice.html    Eskew, P. M., & Klink, K. (2015). Direct Primary Care: An Alternative to Fee-for-Service. Journal of the American Board of Family Medicine. Eskew PM, Klink K. Direct Primary Care: Practice Distribution and Cost Across the Nation. J Am Board Fam Med. 2015 Nov-Dec;28(6):793-801. doi: 10.3122/jabfm.2015.06.140337. PMID: 26546656.  Sinsky, C. A., et al. (2013). Joy in Practice: Innovative Professional Models. Lessons on operational efficiency. Sinsky CA, Willard-Grace R, Schutzbank AM, Sinsky TA, Margolius D, Bodenheimer T. In search of joy in practice: a report of 23 high-functioning primary care practices. Ann Fam Med. 2013 May-Jun;11(3):272-8. doi: 10.1370/afm.1531. PMID: 23690328; PMCID: PMC3659145.  Physician Employment Eclipses Practice Ownership: The Ongoing Trend and Its Effect on Family Medicine  JULIE HYPPOLITE, MD, MPH, BRIAN ANTONO, MD, MPH, STEPHEN PETTERSON, PhD, AND YALDA JABBARPOUR, MD  Am Fam Physician. 2021;104(4):351-352  Fogarty CT, Byun H, Huffstetler AN. Family Physician Workforce Trends: The Toll on Rural Communities. Ann Fam Med. 2025 Nov 24;23(6):535-538. doi: 10.1370/afm.240549. PMID: 41285597; PMCID: PMC12751282.  Zhu JM, Marsh T, Polsky D, Huntington A, Song Z. Growth In Number Of Practices And Clinicians Participating In Concierge And Direct Primary Care, 2018-23. Health Aff (Millwood). 2025 Dec;44(12):1473-1481. doi: 10.1377/hlthaff.2025.00656. PMID: 41329882; PMCID: PMC12965179.    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 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.  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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  FFFM | April 2026 Advocacy Rounds 30.04.2026 7min

  David Tully, AAFP vice president of government relations, recaps the AAFP's April 2026 advocacy efforts.   AAFP led a coalition letter urging the Departments of Homeland Security and State to speed visa and immigration processing for international medical graduates, citing delays with J-1 waivers, H-1B extensions, and green cards that disrupt care in rural and underserved areas.   AAFP warned the Department of Education that a proposed Workforce Pell rule could exclude physicians with graduate degrees from short-term training support, worsening workforce gaps.   The organization backed legislation to eliminate Medicare's 20% coinsurance for chronic care management, joined a CMS convening on the new ACO LEAD model, and submitted regulatory comments opposing added administrative burden and HRSA's proposed 340B rebate model.    Topics by Timestamp  00:00 April Advocacy Recap  00:34 Supporting IMG Visas  01:57 Workforce Pell Concerns  02:34 Chronic Care Management Bill  03:16 CMS ACO Lead Model  03:57 Regulatory Burden Pushback  05:01 GME IQ Data Tool  05:26 Primary Care Underinvestment  06:32 Get Involved and Wrap Up    Additional Resources  Hearing on "Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape" | Democrats, Energy and Commerce Committee  Shawn Martin Testimony to Energy and Commerce Committee  Exploring Opportunities to Improve Patient Access to Care through Strategic Changes to Graduate Medical Education: A Workshop  Measuring the Impact of Family Medicine Graduate Medical Education (GME) on Community Need: Introducing the GME-IQ | Annals of Family Medicine  Joint Letter Requesting National Interest Exceptions and Expedited Visa Processing for Physicians - April 8, 2026  AAFP letter to HRSA on 340B Rebate Pilot RFI- April 20, 2026  AAFP Letter to FDA on Flavored Electronic Nicotine Delivery Systems  AAFP Letter to CMS on CRUSH RFI  LEAD (Long-term Enhanced ACO Design) Model | CMS  Joint Letter in Support of Chronic Care Management Improvement Act - April 14, 2026  AAFP Response to Education Department on AHEAD PR - April 8, 2026    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.    
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  CME | A Crash Course in Thyroid Confusion 23.04.2026 31min

  In this episode of CME On the GO, the hosts discuss a practical approach to hypothyroidism, using a case of a 50-year-old woman with nonspecific symptoms (weight gain, fatigue, edema, constipation). They emphasize thorough history and physical exam, then outline key thyroid testing: TSH as the initial screening test (often with reflex free T4), free T4 for confirmation and special situations (including pregnancy), and limited uses for T3 tests. They review antibody testing (TPO for Hashimoto's, thyroglobulin antibodies in select cases) and note tests for Graves disease outside this episode. They cover sick thyroid considerations, subclinical hypothyroidism controversy, pregnancy management with tighter TSH goals and dose increases, and treatment preferences favoring standardized levothyroxine over desiccated thyroid, with limited/controversial use of combination T4/T3 therapy.    Learning Objectives  Interpret key thyroid laboratory tests—including TSH, T4, fT4, T3, fT3, and thyroid antibodies—within the framework of thyroid physiology and the hypothalamic-pituitary-thyroid axis.   Compare the efficacy, safety, and clinical indications of thyroid hormone replacement options such as levothyroxine, liothyronine (Cytomel), and desiccated thyroid extract.   Explain the clinical significance of subclinical hypothyroidism and apply evidence-based reasoning to common patient scenarios with borderline thyroid function.    The AAFP has reviewed A Crash Course in Hypothyroid Confusion and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 04/20/2026 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, complete and submit the evaluation to claim 0.5 AAFP credit by following the provided link.  https://www.aafp.org/assessment/take/19856/e    References and Resources  Hypothyroidism: Diagnosis and Treatment: https://www.aafp.org/pubs/afp/issues/2021/0515/p605.html  Thyroiditis: Evaluation and Treatment: https://www.aafp.org/pubs/afp/issues/2021/1200/p609.html  Hypothyroidism A Review: https://jamanetwork.com/journals/jama/fullarticle/2838457?utm_source=openevidence&utm_medium=referral  Hyperthyroidism A Review:   https://jamanetwork.com/journals/jama/fullarticle/2810692?utm_source=openevidence&utm_medium=referral  Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism: https://www.nejm.org/doi/full/10.1056/NEJMoa1603825  Hypothyroidism: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0140673624016143?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0140673624016143%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F  Article on lab testing: https://pmc.ncbi.nlm.nih.gov/articles/PMC10517335/  https://pmc.ncbi.nlm.nih.gov/articles/PMC7640752/    Ahluwalia R, Baldeweg SE, Boelaert K, et al. Use of liothyronine (T3) in hypothyroidism: Joint British Thyroid Association/Society for endocrinology consensus statement. Clin Endocrinol (Oxf). 2023;99(2):206-216. doi:10.1111/cen.14935    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 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.  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.