AAFP Government Relations Vice President David Tully recaps the Academy’s federal advocacy over the past month. Resources July 2024 Family Medicine Advocacy Rounds newsletter (for chapter staff only) AAFP statement and In the Trenches blog post on the 2025 Medicare physician fee schedule proposed rule. AAFP Members only: Speak Out campaign supporting the Strengthening Medicare for Patients and Providers Act (H.R. 2474) Recommendations to Senate Finance Committee on how to reform payment and coverage to better value primary care. The AAFP’s letter for the record in response to a House Ways and Means Health Subcommittee hearing on improving value-based payment for clinicians and patients. AAFP letters in response to the Ways and Means and Energy and Commerce Committees' respective hearings on improving value-based payment for clinicians and payments. AAFP statement in response to the U.S. Supreme Court upholding EMTALA. AAFP Fighting for Family Medicine podcast episode: “When Supreme Court Rulings Affect Family Medicine” AAFP recommendations to Senate Finance Committee on graduate medical education reform. AAFP letter to CISA on CIRCIA reporting. AAFP FY25 letter to the House Appropriations Committee on the federal budget. Topics by Timestamp 00:00 Welcome to Fighting for Family Medicine 00:37 AAFP reaction to the 2025 Medicare physician fee schedule proposed rule 02:03 Academy guidance to Senate Finance Committee on primary care value and payment 03:00 Supreme Court update 04:12 Graduate medical education reform 04:58 Advocacy centered on the Cyber Incident Reporting for Critical Infrastructure Act 05:42 AAFP win on e-prescribing standards 06:17 Academy recommendations to House Appropriations Committee on 2025 federal spending 07:12 Closing Disclaimer: Copyright 2024. 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.

The CME on the Go series of the Inside Family Medicine podcast lets you earn up to 0.5 CME credits per episode — join the hosts as they dive into the complexities of weight loss medications, from historical perspectives to modern practices. Discover the nuanced conversations around BMI, patient-centered care, and the latest in weight loss treatments.  The hosts explore the history and controversies surrounding BMI, off-label medication use, and the evolution of weight loss treatments from the 1800s to today. The conversation emphasizes the need for patient-centered language, compassionate care, and a comprehensive approach that includes both lifestyle and pharmacological interventions. The hosts also touch on the mental health implications of obesity and the importance of forming a supportive partnership with patients.  Your hosts for this episode are Lauren Brown-Berchtold, MD, FAAFP, program director for the San Joaquin General Family Medicine Residency in French Camp, Calif.; Jason Marker, MD, MPA, FAAFP, associate director of the Memorial Hospital Family Medicine Residency program in South Bend, Ind.; and Tamaan Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access.  Whether you're navigating patient queries or seeking to enhance your clinical knowledge, this episode offers valuable insights and practical advice for family physicians. Tune in now and earn CME credit with every listen!   Credit Claiming After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.   https://www.aafp.org/assessment/take/15313/e Learning Objectives:   Discover the mechanisms of action of common weight loss drugs. Evaluate the efficacy and safety profiles of weight loss medications.  Discuss the appropriate indications, contraindications, and monitoring parameters for prescribing weight loss drugs in clinical practice. References  Li, Z., Hong, K., Yip, I., Huerta, S., Bowerman, S., Walker, J., Wang, H., Elashoff, R., Go, V. L., & Heber, D. (2003). Body weight loss with phentermine alone versus phentermine and fenfluramine with very-low-calorie diet in an outpatient obesity management program: A retrospective study. Current Therapeutic Research, Clinical and Experimental, 64(7), 447-460. https://doi.org/10.1016/S0011-393X(03)00126-7 American Academy of Family Physicians. (2022). Several drugs are effective for weight loss in obese or overweight adults; it is unclear whether they improve health outcomes. American Family Physician, 106(1), online. Retrieved from https://www.aafp.org/pubs/afp/issues/2022/0700/poems-weight-loss-drugs.html American Academy of Family Physicians. (2023). Medications to promote weight loss: Guidelines from the American Gastroenterological Association. American Family Physician, 108(4), 424-426. Retrieved from https://www.aafp.org/pubs/afp/issues/2023/1000/practice-guidelines-medications-weight-loss.html The New York Times. (1997, September 23). How fen-phen, a diet miracle, rose and fell. Retrieved from https://www.nytimes.com/1997/09/23/science/how-fen-phen-a-diet-miracle-rose-and-fell.html Resources AAFP: Treatment of Patients with Obesity -  AAFP: Practical Approaches to Improving Obesity Care, members-only free CME AAFP: Addressing Health Disparities for Patients with Obesity, a free practice manual ADA-AAFP Collaborative Podcasts: Medical Management of Overweight and Obesity | Journals Gateway | American Diabetes Association (diabetesjournals.org)  Topics by Timestamp 00:00 Introduction to CME On the Go 00:44 Meet the Hosts 01:16 Episode Overview: Weight Loss Medications 01:36 Patient Conversations on Weight Loss 03:25 Historical Context of Obesity in Medicine 07:43 BMI and Its Controversies 12:41 Medication Management for Obesity 17:52 Modern Weight Loss Medications 23:22 Partnering with Patients on Weight Loss 28:03 Future Topics and Resources 28:42 Moments of Gratitude 30:05 Conclusion and CME Information  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 2024. 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. 

The U.S. Supreme Court closed its 2024 session with a number of rulings in high-profile cases, some of which could affect family physicians. The AAFP closely monitored several of these cases with the help of Leavitt Partners, a Washington, D.C., consulting firm specializing in health care policy. In this episode of the Fighting for Family Medicine podcast series, Shannon Deere of Leavitt Partners talks with Academy Government Relations Vice President David Tully about how the courts factor into the Academy’s advocacy and the impacts the latest rulings may have on family medicine.  Resources Statement: AAFP Commends Surgeon General’s Commitment to Stem Firearm Violence  Statement: Family Physicians Relieved SCOTUS Preserves Access to Mifepristone, Preserves Patient-Physician Relationship  Statement: Family Physicians Encouraged SCOTUS Decision Safeguards Access to Care  Topics by Timestamp 00:00 Welcome to the Fighting for Family Medicine series for a conversation about how the Academy monitors U.S. Supreme Court cases 00:34 Meet Shannon Deere of Leavitt Partners, a key AAFP advocacy consultant 01:30 Supreme Court basics 02:30 The mifepristone decision 05:25 How the AAFP determines which SCOTUS cases to watch 07:12 The Chevron Doctrine and how a new related ruling may affect family medicine 08:37 What happens after the court rules 10:55 Potential impacts of this SCOTUS term on family physicians 14:55 What’s coming up next term? 16:10 Closing Disclaimer: Copyright 2024. 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.

You have the ability to earn up to 0.5 CME credits per episode by listening to the CME on the Go series of Inside Family Medicine. This episode explores the complexities of physician well-being, happiness, and boundaries. The co-hosts discuss the importance of distinguishing between burnout and depression, the value of setting inclusive boundaries, and practical strategies for enhancing job satisfaction and professional resilience. The conversation delves into the cultural and systemic challenges faced by family physicians and emphasizes the need for intentional approaches to maintaining mental health and professional fulfillment. The co-hosts also highlight resources and tips for navigating these challenges while maintaining a high standard of patient care. The AAFP's Physician Health First® initiative and an Inside Family Medicine earlier episode on mental health were mentioned. Your co-hosts for the CME on the Go series are: Lauren Brown-Berchtold, MD, FAAFP, program director for the San Joaquin General Family Medicine Residency in French Camp, Calif. Jason Marker, MD, MPA, FAAFP, associate director of the Memorial Hospital Family Medicine Residency program in South Bend, Ind. Tamaan Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access Credit Claiming: After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. Learning Objectives: Discover the concept of work-life balance for family physicians and the importance of setting boundaries with patients and coworkers. Discuss the challenges that family physicians face in maintaining work-life balance, including long hours, emotional demands, and blurred boundaries between personal and professional life. Prepare an overview of the benefits of establishing clear boundaries, such as reduced stress, improved job satisfaction, and better patient care outcomes. Offer practical tips and strategies for setting boundaries with patients and coworkers, including communication techniques, time management strategies, and self-care practices. Topics by Timestamp 00:00 Introduction to CME On The Go 00:30 Meet the Hosts 01:51 Discussing Physician Well-being 05:01 Understanding Happiness 11:24 The Importance of Physician Well-being 14:47 Burnout and Depression in Physicians 26:07 Setting Boundaries and Job Crafting 33:29 Conclusion and Gratitude References Friedman, Susan Hatters, and Richard P Martinez. “Boundaries, Professionalism, and Malpractice in Psychiatry.” Focus (American Psychiatric Publishing) vol. 17,4 (2019): 365-371. doi:10.1176/appi.focus.20190019 Herbst, Rachel et al. “Staying in bounds: A framework for setting workplace boundaries to promote physician wellness.” Journal of hospital medicine vol. 18,12 (2023): 1139-1143. doi:10.1002/jhm.13102 Lampe, Lisa et al. “Being a 'good' doctor: Understanding and managing professional boundaries is challenging and can lead to stress and burnout.” Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists vol. 31,6 (2023): 764-767. doi:10.1177/10398562231191662 Rapp DJ, Hughey JM, Kreiner GE. Boundary work as a buffer against burnout: evidence from healthcare workers during the COVID-19 pandemic. J Appl Psychol. 2021; 106(8): 1169-1187. Sanok, J. A Guide to Setting Better Boundaries. HBR. https://hbr.org/2022/04/a-guide-to-setting-better-boundaries. Accessed March 14 2024. Resources: AAFP Leading Physician Well-being Certificate Program AAFP Physician Health and Well-being Conference On-Demand Clinical Workflow Efficiencies to Alleviate Physician Burnout and Reduce Work After Clinic | AAFP Physician Well-being 2.0: Where Are We and Where Are We Going (Shanafelt) The Power of Coaching: Supercharge Your Personal and Professional Well-Being | AAFP Administrative Simplification 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 2024. 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.

You have the ability to earn up to 0.5 CME credits per episode by listening to the CME on the Go series of Inside Family Medicine. In this episode, our co-hosts explore the complexities of managing hematologic emergencies in family medicine. They cover critical conditions such as profound anemia, thrombocytopenia, and coagulopathies, offering practical diagnostic strategies and treatment approaches. Emphasizing the importance of restrictive transfusion strategies, setting appropriate hemoglobin thresholds, and understanding massive transfusion protocols, they discuss when to involve subspecialty support, particularly in cases like disseminated intravascular coagulation (DIC) and idiopathic thrombocytopenic purpura (ITP). The co-hosts share personal experiences and insights into leveraging advancements in medical technology and provide valuable tips to enhance patient care in family medicine settings. Your co-hosts for the CME on the Go series are: Lauren Brown-Berchtold, MD, FAAFP, program director for the San Joaquin General Family Medicine Residency in French Camp, Calif. Jason Marker, MD, MPA, FAAFP, associate director of the Memorial Hospital Family Medicine Residency program in South Bend, Ind. Tamaan Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access Claiming Credit: After listening to the podcast episode, claim 0.5 AAFP credit by going to https://www.aafp.org/assessment/take/15291/e Learning Objectives Identify common hematologic emergencies encountered in primary care practice, such as thrombocytopenia, anemia, and coagulopathies. Review the clinical presentation and diagnostic approach to hematologic emergencies. Discuss initial management strategies, including transfusion therapy, pharmacologic interventions, and referral criteria for specialized care. Topics by Timestamp 00:00 Welcome to CME On The Go 00:30 Meet the Hosts 01:55 Introduction to Hematologic Emergencies 03:13 Common Hematologic Emergencies 06:00 Transfusion Strategies and Protocols 11:55 Thrombocytopenia and ITP 17:51 DIC and Other Coagulopathies 21:46 Outpatient Considerations 23:13 Heavy Menstrual Bleeding and Potential Coagulopathy 28:39 Conclusion and Gratitude References/ Resources Diagnosis of abnormal uterine bleeding in reproductive-aged women: Practice Bulletin No. 128. American College of Obstetricians and Gynecologists. Obstet Gynecol 2012;120:197–206. UpToDate Article on RBC Transfusion Thresholds: UpToDate. (n.d.). Indications and hemoglobin thresholds for RBC transfusion in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/indications-and-hemoglobin-thresholds-for-rbc-transfusion-in-adults JAMA Article on Restrictive Threshold: JAMA Network. (n.d.). Restrictive threshold. Retrieved June 24, 2024, from https://jamanetwork.com/journals/jama/fullarticle/2810754#:~:text=Restrictive%20threshold%20 UpToDate Article on Massive Blood Transfusion: UpToDate. (n.d.). Massive blood transfusion. Retrieved June 24, 2024, from https://www.uptodate.com/contents/massive-blood-transfusion AAFP Article on Postpartum Hemorrhage: American Academy of Family Physicians. (2020, July 1). Postpartum hemorrhage. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2020/0701/p30.html AAFP Practice Guidelines on Postpartum Hemorrhage: American Academy of Family Physicians. (2023, April). Practice guidelines: Postpartum hemorrhage. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2023/0400/practice-guidelines-postpartum-hemorrhage.html AAFP Article on Thrombocytopenia: American Academy of Family Physicians. (2022, September). Thrombocytopenia. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2022/0900/thrombocytopenia.html UpToDate Article on Diagnostic Approach to Thrombocytopenia: UpToDate. (n.d.). Diagnostic approach to thrombocytopenia in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/diagnostic-approach-to-thrombocytopenia-in-adults UpToDate Article on DIC in Adults: UpToDate. (n.d.). Evaluation and management of disseminated intravascular coagulation (DIC) in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/evaluation-and-management-of-disseminated-intravascular-coagulation-dic-in-adults UpToDate Article on Platelet Function Testing: UpToDate. (n.d.). Platelet function testing. Retrieved June 24, 2024, from https://www.uptodate.com/contents/platelet-function-testing 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 2024. 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.

The Academy’s advocacy for administrative simplification kicks into another gear this summer with the reintroduction of the Improving Seniors’ Timely Access to Care Act: a widely supported, bipartisan bill that would finally rein in prior authorization in Medicare Advantage plans. In this episode, AAFP Vice President of Government Relations David Tully talks about this legislation with Peggy Tighe of the Regulatory Relief Coalition, a powerful bloc of national physician specialty organizations, including the AAFP, advocating to reduce administrative burdens in Medicare. Their conversation explains what the bill does, why it’s important and what Academy members can do to help it pass.  “This issue is something you guys know cold,” Tighe says of AAFP members and their knowledge of prior authorization’s burden and their unique ability to advocate for its reform. “You know how to talk about this. It's what you live with.”  Resources related to this episode include:  More about the CMS rulemaking on prior authorization — a win for the Academy — mentioned in this episode.   For AAFP members: Add your voice to a new Speak Out campaign to pass the Seniors’ Timely Access to Care Act.   Take back your time: Find tools and practice tips on the AAFP’s administrative simplification resource page.  Prior authorization is a top contributor to the complexities fueling physician burnout. The AAFP’s Physician Well-being page offers resources to support family physicians.  Topics by Timestamp 00:00 Welcome 00:15 Reintroduced legislation to combat prior authorization 01:24 Introducing Peggy Tighe, of the Regulatory Relief Coalition   02:00 The power of collective advocacy   03:50 What’s different about the Seniors’ Timely Access to Care Act this time  07:07 Why is the bill even more popular now and more likely to pass?   08:20 Getting to the finish line, including potential obstacles  12:53 What AAFP members can do to pass this bill  15:20 Closing remarks Disclaimer: Copyright 2024. 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.

This episode of 'Inside Family Medicine' features an insightful conversation with Alex Sheen, founder of the Because I Said I Would movement, author, TEDx speaker, and humanitarian. Hosted by Emily Holwick of Team AAFP, the discussion delves into the importance of making and keeping promises, particularly in the realm of family medicine. Alex shares the origin story of Because I Said I Would, which was inspired by his late father's ethos of integrity and reliability, and how it evolved into a global movement aimed at fostering resilience and mental health through promise-keeping. Through powerful stories, including a remarkable confession shared via social media that went viral, Alex illustrates the profound impact individual commitments can have. Furthermore, Alex discusses the significance of promises in the medical profession and offers resources for personal development and resilience available through his organization's website. He also provides resources and strategies to help family physicians and others build and maintain resilience in their professional and personal lives. Alex Sheen is a keynote speaker for the 2024 National Conference for Family Medicine Residents and Students. Topics by Timestamp 00:00 Introduction to Inside Family Medicine 00:12 Meet Alex Sheen: Humanitarian and Keynote Speaker 00:47 The Power of Promises: Alex Sheen's Journey and Mission 02:29 The Birth of 'Because I Said I Would' and Its Global Impact 05:50 The Promise Card: A Simple Tool with Profound Impact 07:34 Memorable Commitments: Stories of Impact and Responsibility 11:44 The Intersection of Promises and Medicine 12:58 Engaging with 'Because I Said I Would': Resources and Advice 16:55 The Importance of Individual Actions and Goal Setting 18:57 Closing Remarks Disclaimer:Copyright 2024. 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.

You have the ability to earn up to 0.5 CME credits per episode by listening to the CME on the Go series of Inside Family Medicine. The new CME on the Go series of the Inside Family Medicine podcast lets you earn up to 0.5 CME credits per episode — beginning with this inaugural episode that underscores the critical role of family physicians in caring for LGBTQ+ patients and reducing health care inequities. Listen as three family physicians discuss how to create welcoming environments and adapt medical care to the needs of all patients, as well as the importance of understanding gender identity and sexual orientation. Your hosts for this episode are Lauren Brown-Berchtold, MD, FAAFP, program director for the San Joaquin General Family Medicine Residency in French Camp, Calif.; Jason Marker, MD, MPA, FAAFP, associate director of the Memorial Hospital Family Medicine Residency program in South Bend, Ind.; and Tamaan Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access. These family physician leaders share personal experiences, highlight the significance of visual cues for inclusivity and discuss further gender-affirming care learning opportunities. The conversation encourages continuous learning, humility and a commitment from family physicians to create safe spaces for LGBTQ+ patients. Credit Claiming After listening to the podcast episode, claim 0.5 AAFP credit on AAFP.org.  Learning Objectives Explore the unique health needs and challenges faced by LGBTQ+ individuals. Discuss best practices for creating inclusive healthcare environments for LGBTQ+ patients. Recognize the disparities in healthcare access and quality experienced by LGBTQ+ communities. Discuss ways to provide guidance on gender-affirming care and supporting the health and well-being of transgender and non-binary patients. Topics by Timestamp 00:00 Welcome to Inside Family Medicine 00:18 Meet Your Hosts 02:15 Podcast Vision: Centering Family Physicians 03:18 Introduction to LGBTQ+ Care 03:39 Diving Deep into LGBTQ+ Care in Family Medicine 04:30 Importance of Inclusive Care 06:56 Training and Resources for LGBTQ+ Care 12:59 Creating a Welcoming Environment for All Patients 17:20 Screening Guidelines for Transgender Patients 20:53 Final Thoughts and Continual Learning 24:58 Closing Remarks References https://www.itspronouncedmetrosexual.com/2015/03/the-genderbread-person-v3/ Killermann S. The Genderbread Person, version 4. Genderbread.org. 2017. [2023-06-27]. https://www.genderbread.org Sterling J, Garcia MM. Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model. Transl Androl Urol. 2020 Dec;9(6):2771-2785. doi: 10.21037/tau-20-954. Safer JD, Tangpricha V. Care of Transgender Persons. N Engl J Med. 2019 Dec 19;381(25):2451-2460. doi: 10.1056/NEJMcp1903650. Iwamoto SJ, Grimstad F, Irwig MS, Rothman MS. Routine Screening for Transgender and Gender Diverse Adults Taking Gender-Affirming Hormone Therapy: a Narrative Review. J Gen Intern Med. 2021 May;36(5):1380-1389. doi: 10.1007/s11606-021-06634-7. Reisner SL, Mateo C, Elliott MN, et al. Analysis of Reported Health Care Use by Sexual Orientation Among Youth. JAMA Netw Open. 2021;4(10):e2124647. doi:10.1001/jamanetworkopen.2021.24647 Nigro NN, Chandnani N, Doshi A, Fritsch A, Marroquin NA, Zueger M, Sivesind TE, Dellavalle R, Dunnick C. Distinguishing Gender Identity From Biological Sex in Dermatologic Health Care: Methods, Harms, and Paths Forward. JMIR Dermatol. 2023 Jul 18;6:e47118. doi: 10.2196/47118. Resources: https://transcare.ucsf.edu/guidelines https://www.glma.org/resources.php https://www.aafp.org/cme/all/health-equity/lgbtq-plus-patient-strategies.html https://www.aafp.org/family-physician/patient-care/care-resources/lbgtq/tools-resources.html https://www.aafp.org/family-physician/patient-care/care-resources/lbgtq.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 2024. 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.

AAFP board member Teresa L. Lovins, MD, FAAFP, and Lilian White, MD, talk about their careers in family medicine and their decisions to establish direct primary care (DPC) practices. Dr. Lovins shares her journey through various medical roles to founding Lovin My Health DPC, attributing the transition to experiencing the benefits of longer patient appointments and integrated care. Starting DPC later in her career, she highlights the simplicity and satisfaction found in this model. Dr. White discusses her immediate move into DPC after residency and outlines the value of time and relationship-building in patient care. Both guests emphasize the supportive community within DPC, the importance of patient-physician relationships, and offer advice to medical professionals considering this path. The discussion underlines direct primary care as a viable, rewarding option for family medicine practitioners seeking closer connections with their patients and a respite from the traditional healthcare system's pressures. Some resources related to this episode include: Why Wait? I Opened My DPC Practice Right After Residency AAFP Board of Directors: Teresa Lovins, MD, FAAFP DPC Summit, June 20-23 in Dallas, Texas AAFP Policy on Direct Primary Care Direct Primary Care as a tool to Reduce Documentation Burden DPC Summit 2023 On Demand CME Topics by Timestamp 00:00 Welcome to Inside Family Medicine: Meet the Experts 01:08 Choosing Family Medicine: Personal Journeys 03:06 The Direct Primary Care Path: Insights and Experiences 05:17 Direct Primary Care After Residency: A Bold Move 07:24 Starting Out in DPC: Lessons Learned 09:35 Building Patient Relationships and Health Outcomes in DPC 11:21 Measuring Success in Direct Primary Care 12:39 Final Takeaways: The Value of Direct Primary Care Disclaimer: Copyright 2024. 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.

In this episode of Inside Family Medicine, Lauren Brown-Berchtold, MD, FAAFP, a passionate advocate for mental health care and physician well-being, talks about her journey from tragedy to advocacy. It is an important conversation during May, which is Mental Health Awareness Month. The episode highlights the crucial role family physicians play in providing mental health care and reducing the stigma of seeking mental health help. Dr. Brown-Berchtold, the program director for the San Joaquin General Hospital Family Medicine Residency Program, shares her personal journey into family medicine, influenced by experiences in Indonesia and a tragic family loss that underscored the importance of mental health. She emphasizes that family physicians are well-positioned to recognize and treat mental health conditions and discusses how behavioral health integration can make mental health care more accessible. Dr. Brown-Berchtold also highlights the stigma within the medical community regarding mental health and considers solutions to better support physician wellness. The episode closes with Dr. Brown-Berchtold discussing strategies to facilitate open conversations about mental health between physicians and patients, and the significance of self-care and professional support for physicians. Some resources related to this episode include: Mental and Behavioral Health Clinical Guidance | AAFP Leading Physician Well-being Program | AAFP Physician Well-being | AAFP Mental Health and Behavior | AAFP CME Dr. Brown-Berchtold Family Doc Focus FamilyDoctor.org Patient Resources Topics by Timestamp 00:00 Welcome to Inside Family Medicine: A Deep Dive into Mental Health and Well-being 01:06 Discovering Family Medicine: A Personal Journey 04:39 The Importance of Mental Health in Family Medicine 05:25 A Personal Tragedy: Fueling a Passion for Mental Health 09:43 The Role of Family Physicians in Mental Health Care 13:45 Behavioral Health Integration: Enhancing Patient Care 15:11 Prioritizing Physician Well-being: Strategies and Insights 19:17 Empowering Residents: Teaching and Modeling Mental Health Care 22:10 Closing Thoughts: A Commitment to Mental Health and Well-being Disclaimer: Copyright 2024. 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.