Inside Family Medicine

Episod

• 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.
• 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. 
• 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.     
• 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.
• 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.   
• 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. 
• 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.    
• 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.           
• FFFM | Lawmaker Spotlight: Physician Voices Shaping Health Policy 17.04.2026 39min

      David Tully, AAFP vice president of government relations, speaks with U.S. Rep. Mike Kennedy, MD, a family physician and former Utah state legislator, about why he chose family medicine, how having more clinicians in public office can lead to bipartisan physician collaboration on health care policy and the need for greater professional autonomy. We also hear from U.S. Rep. Maxine Dexter, MD, a pulmonary/critical care physician and former Oregon state legislator who helped pass a state law expanding naloxone access, about how policy affects public health. She also discusses harms from cutting Medicaid and Medicare and allowing ACA premium tax credits to expire, the need for long-term Medicare payment reform and less administrative burden, and pushing back against misinformation and threats to evidence-based medicine.    Topics by Timestamp  00:00 Show intro and guest  00:50 Why family medicine  02:55 From clinic to Congress  04:51 Surprises in Washington  08:08 Doctors shaping policy  13:46 Advice on running for office  18:00 Dr. Kennedy wrap-up  18:25 Meet Dr. Maxine Dexter  19:03 Policy meets medicine  21:02 HR1 and Medicaid fallout  24:31 Fixing physician payment  28:43 Defending science and trust  33:50 Dr. Dexter's advice to physicians    Additional Resources  Rep. Mike Kennedy, MD  Rep. Maxine Dexter, MD  AAFP H.R. 1 advocacy  AAFP member resource page: H.R. 1  Fighting for Family Medicine podcast: How H.R. 1 Will Affect Family Medicine  AAFP Advocacy Ambassadors   Advocate for Family Medicine     AAFP Chapter Advocacy    The Academy's Family Medicine Advocacy Summit    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.        
• IFM | Dr. Bayo Curry-Winchell: Delivering Maternal Health Care and Equity 15.04.2026 19min

  In this episode of Inside Family Medicine, Bayo Curry-Winchell, MD, MS, discusses maternal health care and the role of family physicians in providing consistent care from preconception through pregnancy and postpartum. Dr. Curry-Winchell shares why she chose family medicine and her nontraditional path from a Certified Nursing Assistant to Physicians Assistant to physician, including the risks she took to attend medical school. She describes her own near-fatal postpartum complication following a cesarean section and emphasizes the importance of self-advocacy. She also highlights postpartum risks in the fourth trimester, including hypertension, diabetes, mental health concerns, and postpartum preeclampsia, as well as the value of doulas and midwives.    Topics By Timestamp  00:00 Welcome and Guest Intro  01:10 Why Family Medicine  01:45 Nontraditional Path to MD  03:30 Maternal Care Continuum  04:38 Reducing Maternal Mortality  06:17 Exam Room Prevention  07:29 Her Birth Health Scare  09:48 Self Advocacy and Bias  11:24 Postpartum Fourth Trimester  13:12 Postpartum Preeclampsia Story  16:01 Clinicians Who Care    Additional Resources  Center for Women's Health | AAFP  Women's Health Resources | AAFP  Maternal Health | AAFP  Perinatal Mood and Anxiety Disorders  Maternity & ALSO Program | AAFP CME  Fourth Trimester Care CME | AAFP  The EveryONE Project | AAFP  Neighborhood Navigator | AAFP  Podcast: Optimizing Postpartum Care | Dr. Keyona Oni: Prioritizing Perinatal Mental Health Podcast: Optimizing Postpartum Care | Dr. Beth Oller: Reducing Perinatal Mental Health Stigma  Do No Harm - Dr. Bayo's TEDx Talk  Why Black Patients Don't Trust the Healthcare System - Dr. Bayo's TEDx Talk  DoctorBayo.com  Beyond Clinical Walls Podcast - Dr. Bayo's podcast   Follow Dr. Bayo on social media:  Instagram  TikTok  Bluesky  YouTube    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.    
• IFM | From Clinic to Community: Advancing Health Equity in Rural Settings 08.04.2026 21min

  In this episode of Inside Family Medicine, host Emily Holwick speaks with Calin Kirk, MD, family physician at the Cherokee Nation's Sam Hider Health Center in Jay, Oklahoma, and Sarah Gerrish, MD, full-spectrum family physician and assistant professor at the University of Washington School of Medicine, to discuss advancing health equity in rural and tribal communities. They share why family medicine's broad scope of practice and continuity of care matter, and outline barriers like distance, transportation, insurance gaps, language access and limited mental health care.      Topics by Timestamp  00:00 Welcome and Guests  01:37 Why Family Medicine  03:05 Defining Health Equity  05:38 Inequities in Practice  10:38 Rural Barriers and Solutions  14:51 Tools and Resources  15:41 Training Future Doctors  19:02 Calls to Action  20:28 Wrap Up and Disclaimers    Additional Resources  The EveryONE Project | AAFP  Neighborhood Navigator | AAFP  Education and Practice-Based Resources | AAFP  Anti-Racism and Social Determinants of Health | AAFP  Community Engagement | AAFP  Health Equity CME | AAFP  Health Equity Online CME | AAFP  Native American family physician brings trust and healing home to Cherokee Nation | Family Doc Focus    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.    
• CME | Twisted Truths: What You Didn't Learn About Sickle Cell 06.04.2026 26min

  In this episode of CME On the Go, the hosts discuss sickle cell disease (SCD) and the role of family medicine in recognizing, screening, and preventing complications. They review SCD as an autosomal recessive hemoglobin disorder distinct from sickle cell trait and highlight major complications such as anemia, infection risk, pain crises, and acute chest syndrome. The episode emphasizes global prevalence, newborn screening (and potential gaps), and risk beyond African ancestry. It also covers hemoglobin electrophoresis patterns, preventive care including penicillin prophylaxis and vaccines, recommended screenings, preconception and genetic counseling, and the use, dosing, and monitoring of hydroxyurea.    Learning Objectives  Differentiate between sickle cell trait and disease and interpret screening results across the lifespan to guide patient and family education.  Apply evidence-based screening recommendations and routine treatment strategies for sickle cell disease across the lifespan to support longitudinal care in primary care.    The AAFP has reviewed Twisted Truths: What You Didn't Learn About Sickle Cell and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 04/06/2026 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/19787/e    References and Resources Management of Sickle Cell Disease: Recommendations from the 2014 Expert Panel Report. BARBARA P. YAWN, MD, MSc, MSPH, AND JOYLENE JOHN-SOWAH, MD, MPH. Am Fam Physician. 2015;92(12):1069-1076A  Elendu C, Amaechi DC, Alakwe-Ojimba CE, et al. Understanding Sickle cell disease: Causes, symptoms, and treatment options. Medicine (Baltimore). 2023;102(38):e35237. doi:10.1097/MD.0000000000035237  https://www.cdc.gov/sickle-cell/data/index.html  Obeagu EI, Obeagu GU. Immunization strategies for individuals with sickle cell anemia: A narrative review. Medicine (Baltimore). 2024 Sep 20;103(38):e39756. doi: 10.1097/MD.0000000000039756. PMID: 39312357; PMCID: PMC11419550.  https://www.cdc.gov/contraception/media/pdfs/2024/07/us-mec-summary-chart-color-508.pdf    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. 
• IFM | Enhancing Knowledge About mRNA Vaccines 03.04.2026 22min

  In this episode of Inside Family Medicine, host Michael Monroe speaks with AAFP Vaccine Science fellows Anne Schneider, DO, FAAFP, and Mina Saleem Khan, MD, FAAFP, about why mRNA vaccines matter and how family physicians can address patient questions and misinformation. They explain mRNA basics, review COVID-19 vaccine safety and efficacy, address common myths, and share practical communication strategies—such as empathetic counseling, presumptive recommendations, and team-based systems—to reduce missed vaccination opportunities.    Topics by Timestamp  00:00 Welcome   01:15 Why Family Medicine  02:37 mRNA Vaccine Basics  04:47 Safety and Evidence  06:46 Myths and Misinformation  10:08 Trust Building Talk  11:47 Motivational Interviewing  16:25 Team Systems for Vaccines  19:59 Key Takeaways  21:26 Resources and Wrap Up    Additional Resources  Immunizations & Vaccines | AAFP  Influenza | AAFP  Immunizations | Family Doctor  Colds and the Flu | Family Doctor    This content was independently developed by the AAFP with support provided by Moderna.    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.      
• FFFM | March 2026 Advocacy Rounds 31.03.2026 9min

  David Tully, AAFP vice president of government relations, recaps the AAFP's March 2026 advocacy efforts. Academy EVP and CEO Shawn Martin testified before Congress on how underinvestment fuels workforce shortages, longer waits and practice closures. Chronic disease drives 90% of the $4.9 trillion the US spends on health care each year, but primary care receives less than 5% of those funds. With that in mind, the AAFP urged Congress to improve patients' access and costs by making primary care affordable, supporting science-based vaccine policy, advancing targeted tax policies, protecting medical student loans (including the Public Service Loan Forgiveness program) and funding the Agency for Healthcare Research and Quality at $500 million.    Topics by Timestamp   00:00 March advocacy recap  00:35 Primary care underfunding  01:48 Capitol Hill meetings  02:03 Affordable access message  02:42 Science-based vaccine policy  03:03 Tax incentives to improve the PC workforce  03:37 Student loan protections  05:23 AI principles in care  07:35 Fund AHRQ research  08:48 Closing and resources    Additional Resources  Six ways Congress can make health care affordable for doctors and patients  Joint Letter in Support of Fiscal Year 2027 AHRQ Funding - 030226  AAFP Comments to ASTP-ONC on HTI-5 PR - February 25, 2026  The Starfield Signal: A Shared Vision and Roadmap for AI in Primary Care  Health IT End-Users Alliance Response to ASTP-ONC on HHS Health Sector AI RFI - February 20, 2026  AI Is in the Doctor's Bag—And Primary Care Is Ready to Use It | Rock Health  AAFP Response to Education Department on RISE PR - February 24, 2026  AAFP Letter to Education and Workforce Subcommittee on Higher Education and Workforce Development Hearing on Cost of Higher Education – February 18, 2026  Health Subcommittee: Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape    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.      
• IFM | Brain Health and Chronic Conditions: Lifelong Connections 27.03.2026 10min

  In this episode of Inside Family Medicine, we hear from Dr. Ariel Cole, a family and geriatric medicine physician and fellowship/residency leader at AdventHealth Orlando, about the family physician's role in cognitive aging, Alzheimer's disease and related dementias. Dr. Cole describes her experience caring for patients across the cognitive decline spectrum and emphasizes prevention. The conversation covers barriers like time and system awareness, strategies for sensitive discussions about shame and independence, and leveraging community resources such as Area Agencies on Aging, Meals on Wheels, caregiver supports, adult day programs, the Alzheimer's Association, and referrals to neurology or geriatrics.    Topics By Timestamp  00:00 Welcome and Guest Intro  00:47 Dr. Cole's Background  01:15 Prevention and Risk Factors  02:58 Screening Tools in Primary Care  03:50 Barriers and Team Based Care  04:58 Talking About Cognitive Decline  06:13 Community Resources and Referrals  07:34 Assessing Home Support Needs  08:27 Key Takeaways for Clinicians  09:21 Wrap Up and Resources  09:50 Disclaimers and Copyright    Additional Resources  Brain Health: Clinical Guidance and Practice Resources | AAFP   Dementia | Family Doctor   Alzheimer's Disease | Family Doctor   Evaluation of Suspected Dementia | AAFP   Blood Biomarkers in Alzheimer's Dementia FREE CME | AAFP  Utilization of the AAFP Cognitive Care Kit FREE CME | 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.         
• CME | Tiny Ties & Big Opinions: Hot Takes in Peds 23.03.2026 29min

  In this episode of CME on The Go, our hosts discuss a postpartum patient with painful breastfeeding and concerns about milk supply. They emphasize listening, cultural context, and early breastfeeding discussions. The episode reviews baby‑friendly hospital practices, noting risks when taken too far, and affirms that formula supplementation may be appropriate. Practical guidance includes assessing latch and positioning, supportive tools, tongue‑tie considerations, and concludes with neonatal circumcision as an elective, culturally influenced procedure.    Learning Objectives  Evaluate the current evidence and identify gaps regarding tongue tie, neonatal circumcision, and breastfeeding.  Apply effective, empathetic communication strategies utilizing shared decision-making with patients and caregivers in regard to tongue tie, neonatal circumcision, and breastfeeding.    The AAFP has reviewed Tiny Ties & Big Opinions: Hot Takes in Peds and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 03/23/2026 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/19731/e      References and Resources   https://firstdroplets.com/  https://womenshealth.gov/breastfeeding/learning-breastfeed/getting-good-latch  https://my.clevelandclinic.org/health/articles/breastfeeding-latch  https://my.clevelandclinic.org/health/articles/5182-breastfeeding  https://nurturingmilk.com/how-to-get-a-deep-latch/  https://www.sbcc.sg/breastfeeding-101-tips-for-first-time-mums/    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. 
• IFM | Downcoding: How Payers Are Cutting Payments and What Family Physicians Can Do 19.03.2026 22min

  Guest host Karen Johnson, PhD, VP of Practice Advancement for the AAFP, talks with Dr. Tina Philip, DO, a solo family physician in Round Rock, Texas, and AAFP CEO, Shawn Martin, about payer downcoding, where insurers reduce billed evaluation and management levels (e.g., 99214 to 99213), lowering payment and adding administrative burden. Dr. Philip describes how downcoding most often affects moderate-to-high complexity office visits and stresses physicians must monitor claims beyond denials by working with billing/coding staff to confirm expected reimbursement. Martin explains downcoding as an evolution of coding integrity programs amplified by AI-enabled scale and as a less visible cost-control approach than prior authorization, often with limited transparency and historically few appeals.    Topics By Timestamp  01:01 Why Family Medicine  02:32 What Downcoding Means  04:02 Why Payers Downcode  08:40 Spotting It in Practice  10:51 Who Should Investigate  12:07 AAFP Advocacy Efforts  15:17 Undercoding and Appeals  18:04 Tools and Next Steps  20:29 Final Thoughts    Additional Resources   Coding for Evaluation and Management Services: FAQs   Letter template for writing to payers about ending downcoding policies  The AAFP Advocates Against Payer Downcoding Policies and For Improved Primary Care Payment  AAFP urges feds to investigate downcoding as threat to primary care | Advocacy and Government  Cigna's downcoding policy gets pushback from physician groups | 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. 
• IFM | Primary Care and Cognitive Concerns: Screening, Diagnosis, and Support 17.03.2026 15min

  Host Michael Monroe interviews Dr. Brianna Wynne, a board-certified geriatric medicine physician, about how family physicians can support prevention, screening, and early detection of cognitive aging and Alzheimer's disease. Dr. Wynne distinguishes normal aging (slower processing speed) from mild cognitive impairment (objective test deficits with preserved function) and dementia as a spectrum from mild functional difficulties with instrumental activities to severe end-stage dependence. She describes how concerns typically surface through caregivers or during routine visits such as Medicare annual wellness visits and emphasizes proactive questioning. She highlights practical tools and resources including the Mini-Cog, AAFP shared decision-making guidance to help differentiate dementia types, the Alzheimer's Association for patient and caregiver support, and familydoctor.org for accessible, bite-sized clinical information.     Topics By Timestamp  00:00 Welcome and Guest Intro  00:47 Dr. Wynne Background  01:40 Cognitive Decline Basics  05:11 What Family Docs See  07:05 Starting the Conversation  08:51 Screening Tools and Resources  11:18 CME and Quick References  12:22 Future of Dementia Care  14:38 Wrap Up    Additional Resources  6 tips for talking about brain health across the lifespan Brain Health: Clinical Guidance and Practice Resources | AAFP  Dementia | Family Doctor  Alzheimer's Disease | Family Doctor  Evaluation of Suspected Dementia | 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. 
• FFFM | Primary Care at the Center of Fighting Chronic Disease 13.03.2026 27min

  Yalda Jabbarpour, MD, of the AAFP's Robert Graham Center, interviews rural family physician Jennifer Bacani McKenney, MD, FAAFP, about the Robert Graham Center's report "Investing in Primary Care: The Missing Strategy in America's Fight Against Chronic Disease," co-funded by the Milbank Memorial Fund and the Physicians Foundation. The report uses national data to show that having a usual source of primary care increases preventive services and screening, reduces emergency department visits and hospitalizations for people with chronic disease and lowers Medicare costs. The discussion highlights rural impacts, policy levers such as Medicare payment improvements and community health center funding, and how data supports advocacy and practice-level resource requests.     Topics by Timestamp  00:00 Introduction  01:20 Meet Dr. Bacani McKenney  01:51 Key findings snapshot  03:24 Rural practice stories  06:29 Scorecard to deep dive  09:13 Policy levers and payment  12:10 Using data for advocacy  19:31 Rural access and ER strain  24:19 Validation and takeaways  25:59 Closing and resources    Additional Resources  The Health of US Primary Care: 2026 Thematic Report  Robert Graham Center Maps, Data, and Tools  Jennifer Bacani McKenney, MD, FAAFP    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. 
• CME | Hot Takes and Flashbacks of Menopause 09.03.2026 31min

  In this episode of CME On the Go, our hosts revisit menopause through a case of a 51-year-old with seven months of amenorrhea, vasomotor and cognitive symptoms, and osteopenia-range DEXA findings, highlighting that she is perimenopausal. They note the limited role of FSH/LH testing and the need to rule out other causes. The episode focuses on systemic hormone therapy, recommending 17β-estradiol with progesterone for patients with an intact uterus, favoring transdermal routes for lower risk, gradual dose titration, shared decision making, and supportive lifestyle measures.    Learning Objectives  Learn how to select proper dosing and route of administration for estrogen replacement therapy including initiation, adjustments through monitoring, and discontinuation.  Discuss non-medicinal strategies for healthy aging in the menopausal woman including issues around sleep management, general cardiovascular fitness, and dementia.    The AAFP has reviewed Hot Takes and Flashbacks of Menopause and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 03/09/2026 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/19730/e    References and Resources   Menopause and Perimenopause Livestream: https://www.aafp.org/cme/all/womens/menopause-perimenopause-hrt.html  Menopause Management: When Hormone Therapy Is Appropriate: https://www.aafp.org/pubs/afp/issues/2026/0200/editorials-menopause-management.html  Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Women: https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2017.16952?utm_source=openevidence&utm_medium=referral  Blog Article: More people than ever are interested in menopause. Family physicians should be, too: https://www.aafp.org/news/blogs/aafp-voices/menopause-perimenopause-education.html  ACOG President Says Label Change on Estrogen Will Increase Access to Hormone Therapy: https://www.acog.org/news/news-releases/2025/11/acog-president-says-label-change-on-estrogen-will-increase-access-to-hormone-therapy  https://www.webmd.com/menopause/which-type-of-estrogen-hormone-therapy-is-right-for-you  https://www.ncbi.nlm.nih.gov/books/NBK493191/  https://pmc.ncbi.nlm.nih.gov/articles/PMC12463494/#:~:text=Estrogen%2C%20with%20or%20without%20progestogen,genitourinary%20symptoms%20after%20medication%20termination.  The NAMS 2017 Hormone Therapy Position Statement Advisory Panel. The 2017 hormone therapy position statement of The North American Menopause Society. Menopause. 2017;24(7):728-753. doi:10.1097/GME.0000000000000921  . Yet, the latest update from WHI showed that HT with CEE + MPA or with CEE alone was not associated with risk of all-cause, cardiovascular or cancer mortality during a cumulative follow-up of 18 years (Manson et al., 2017  Manson JE, Aragaki AK, Rossouw JE, Anderson GL, Prentice RL, LaCroix AZ, Chlebowski RT, Howard BV, Thomson CA, Margolis KLet al. Menopausal hormone therapy and long-term all-cause and cause-specific mortality: the Women's Health Initiative randomized trials. JAMA 2017;318:927–938.  Clare Oliver-Williams, Marija Glisic, Sara Shahzad, Elizabeth Brown, Cristina Pellegrino Baena, Mahmuda Chadni, Rajiv Chowdhury, Oscar H Franco, Taulant Muka, The route of administration, timing, duration and dose of postmenopausal hormone therapy and cardiovascular outcomes in women: a systematic review, Human Reproduction Update, Volume 25, Issue 2, March-April 2019, Pages 257–271, https://doi.org/10.1093/humupd/dmy039    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. 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