Twice a month, faculty and residents of the University of Arizona College of Medicine-Phoenix Family Medicine Residency discuss key clinical points from each issue of American Family Physician (AFP). AFP publishes clinical reviews that help keep physicians current with advances in diagnosis and treatment. Contributing editor: Dr. Steven Brown.
MRI breast cancer screening in dense breasts (5:40), positive pressure ventilation for chronic obstructive pulmonary disease (8:30), supplemental oxygen in acute coronary syndrome (10:10), the preparticipation physical evaluation (12:20), emergency contraception (16:10), muscle relaxants for acute low back pain (18:40), and a COVID-19 research brief (19:30).
Ectopic pregnancy (2:30), varicose veins (7:20), screening for abdominal aortic aneurysm (8:30), the older driver (11:10), atopic dermatitis (13:10), top 20 POEMs of 2019 (18:10), and a COVID-19 research brief (20:40).
Tranexamic acid (2:50), IBSchek for irritable bowel syndrome (6:10), endometrial biopsy (8:10), megestrol for palliative care (11:30), migraines in children (14:00), chronic dyspnea (16:20), antibody testing for SARS-CoV-2 (19:00).
“Breathe” by Renée Crichlow, MD (1:00), combination therapy for hypertension (6:00), esketamine for depression (10:20), guidelines for group B Streptococcus disease (13:30), medication use to reduce breast cancer risk (19:30), genital ulcers (22:00), clinical answers quick-fire (26:30).
Point-of-care ultrasonography (1:40), vitamin and mineral supplementation for maintaining cognitive function (5:30), upper gastrointestinal bleeding (8:10), probiotics for antibiotic-associated diarrhea (13:40), emotional support animals (16:20), music therapy for depression (19:10), and tai chi for fibromyalgia (21:40).
Screening and counseling adolescents and young adults (1:40), the sexual health history (5:10), onabotulinumtoxinA (Botox) for prevention of migraine (7:50), breast cancer screening (10:00), and Clostridioides difficile infection (12:20)
The 100th episode spectacular! Amblyopia (3:50), the case against coronary artery calcium scoring (11:00), cirrhosis (15:40), baloxavir for influenza (23:10), and a point-of-care guide for deep vein thrombosis (28:40). Also messages from special guests, highlights from our first 100 episodes, and...wait for it...a new song to close out the show.
Alpha blockers for nephrolithiasis (1:30), influenza (4:20), pelvic floor muscle training (9:30), cold weather injuries (10:50), combined oral contraceptives for heavy menstrual bleeding (16:00), and general health checks (18:40).
The changing climate and health impacts (1:40), gestational hypertension and preeclampsia (8:50), as needed treatment for asthma (12:40), depression in children and adolescents (13:50), platelet rich plasma for rotator cuff symptoms (17:10), preexposure prophylaxis for HIV infection (17:40).
Lead screening (1:30), predicting postoperative pulmonary complications (4:40), toilet training (6:10), postpartum care (11:10), influenza vaccination (16:30), elagolix for endometriosis pain (19:20), and Where I Listen (22:20).
Hand-foot-and-mouth disease (1:30), opioid use disorder (3:30), thickened feeds for infants with gastroesophogeal reflux (8:00), hypertension in pregnancy (9:50), antibiotics for acute rhinosinusitis (12:10), anticoagulation in atrial fibrillation (14:50), and a new song “Health is Primary” from Mehul Sheth, MD, FAAFP, a family physician in Kenner, LA (16:50).
Interview with Alison Block, MD, family physician and faculty member at Contra Costa Family Medicine Residency in Martinez, CA. Dr. Block is Executive Producer of the The Nocturnists, "a live show and podcast where doctors share stories from the world of medicine." This bonus episode includes clips from family physicians on The Nocturnists. Topics discussed in the interview include: stories as advocacy, a non-linear career path, the origin of The Nocturnists, and music from your teen years.
Treatment of the common cold (1:30), tonsillectomy in children (5:30), treatment of threatened miscarriage (7:20), venous ulcers (9:50), radicular low back pain (13:20), prostate cancer decision making (15:10).
Ingrown toenail (1:30), Should you prescribe metformin for abnormal blood glucose not meeting criteria for diabetes? (4:10), hirsutism in women (11:30), infantile hemangioma (15:20), and skin-to-skin contact for improved duration of breastfeeding (18:00).
Lead poisoning in children (1:30), Helicobacter pylori testing (3:40), polypharmacy (6:30), helping patients cope with grief (10:40), preventing spontaneous abortion (13:50), heart failure with preserved ejection fracture (16:40), and a World Cup bonus (19:10).
Aspirin for the prevention of cardiovascular disease (1:50), anticoagulation for the treatment of venothromboembolism in patients with cancer (6:00), varicose veins (8:30), adolescent substance use (12:10), caregiver care (19:30), and “Where I Listen” (24:00).
The Musical Episode! Interview with Bill Dabbs, MD, family physician, musical creator for the AFP Podcast, and core faculty member at the University of Tennessee - Knoxville Family Medicine Residency. Topics include: teaching family medicine, creating music, our first tries at the theme song, the triple aim, and Dr. Zoster and Pox.
Pain in growing bones (1:30), chronic cough in children (8:00), lice and scabies (10:20), screening for intimate partner violence (14:40), colon cancer screening (16:20), deprescribing (17:50), Deprescribing Priorities game (19:00) and song (26:50).
Interview with Kara Odom Walker, MD, MPH, MSHS, family physician and Cabinet Secretary for the Delaware Department of Health and Social Services. Dr. Walker previously worked as Deputy Chief Science Officer at the Patient-Centered Outcomes Research Institute (PCORI) and was elected to the National Academy of Medicine in 2018. Topics discussed include engaging in public policy, leadership, social determinants of health, community engagement, mentorship, and flower arranging.
Critical congenital heart disease screening in newborns (1:30), abnormal uterine bleeding (3:10), statins for primary prevention of cardiovascular disease (6:30), concussions (7:50), human papillomavirus virus vaccine (10:10), and an editorial on the high cost of insulin (12:40).
Coaching patients about successful blood pressure management (1:30), anticonvulsants for low back pain (4:10), Everybody Needs a Family Doctor (5:10), lower extremity peripheral arterial disease (9:10), Right Care for children (13:50), recurrent urinary tract infections (16:20), primary care of breast cancer survivors (17:30).
Acute hand infections (1:20), cervical cancer screening (4:10), manipulative therapies (10:50), metformin for nonalcoholic fatty liver disease and nonalcoholic steatohepatitis (15:30), and type 2 diabetes therapies (17:40).
Counseling in primary care (1:30), slow uptake of evidence-based medicine (6:10), school absenteeism (9:30), screening for peripheral artery disease (12:10), adult well-male examination (15:20), and evaluating anticoagulation (21:40).
Care for transgender persons (2:10), dental problems (9:10), short-term medical trips (12:30), Crohn's disease (15:50), preventing diabetes (19:40), deep vein thrombosis (20:50), and Faith in Subtraction: De-prescribing (22:00).
Incarcerated patients (1:30), Lown Right Care (6:40), cardiac testing (8:40), osteoporosis (11:40), Name That Drug (15:10), glecaprevir/pibrentasvir for chronic hepatitis C (17:40), conduct disorder (19:50), hoarseness (23:30).
Knee pain evaluation (2:30), culture-specific asthma education (5:10), type 2 diabetes in children (6:40), gun violence (9:20), knee osteoarthritis (14:40), type 2 diabetes guideline (15:50), Song: 'Everybody Needs a Family Doctor' (17:10), epidural anesthesia (21:00), common acute medical problems in the pregnant patient (22:10), meconium-stained amniotic fluid (24:50)
Shingles vaccine (1:30), urinary retention (4:20), the flu shot (8:50), high blood pressure in children and adolescents (13:50), long-acting muscarinic antagonist use in asthma (16:40), and a review of prostate cancer screening (18:00).
Interview with Margot Savoy, MD, MPH, Chair and Associate Professor, Department of Family and Community Medicine at Temple University Lewis Katz School of Medicine. Topics discussed include heath equity, leadership, advice for medical students, profound clinical experiences, music, and inspiration from quotes.
Hepatitis B, stimulant and designer drugs, low back pain, marijuana counseling, delivering bad or life-altering news, behavior counseling for skin cancer, and a special guest piece: “A Cautionary Tale for Quinquagenarians”.
Statin use for LDL over 190 (2:10), allergy testing (4:30), procalcitonin to guide antibiotic therapy (10:30), medical decision-making capacity (13:00), bronchiolitis (16:30), antibiotic course duration (21:40), and the doorknob phenomenon (24:00). Please nominate the AFP Podcast for a Podcast Award in the Science and Medicine category by visiting www.podcastawards.com before July 31st!
General parenting strategies (1:40), adults with developmental disabilities (5:50), colorectal cancer screening and prevention (9:50), infectious diarrhea (15:50), maternal obesity and labor induction (21:10), and implantable buprenorphine (22:20).
Interview with outgoing editor of American Family Physician Jay Siwek, MD, and incoming editor-in-chief Sumi Makkar Sexton, MD. Topics include the past and future of American Family Physician, the leading primary care journal in the United States. We also hear from Dr. Sexton on what inspired her to a career in family medicine and in editing, her work as a leader in her medical practice, her experience as a soccer mom, and her surprising talent.
Pityriasis rosea (1:10), young febrile infants (4:10), stents (8:00), ear pain (10:30), female genital mutilation or cutting (12:50), insulin in patients with type 2 diabetes (15:10), moisturizers and eczema (20:20), and our highlights of 2017 (22:10).
Elevated liver transaminase levels (1:10), topical capsaicin for treatment of chronic neuropathic pain (6:30), hyperosmolar hyperglycemic state (9:00), local anaesthesia for IUD insertion (13:50), USPSTF recommendation updates (15:30), and "Where I Listen" (17:20).
Cardiomyopathy (1:10), gout (3:20), glucose management in hospital patients (5:30), latent tuberculosis screening (10:10), herpes zoster (12:00), sleep apnea (14:40), and an interview with family physician, educator, and writer Sandra Miller, MD, author of the new novel Only Rock is Real (20:50).
Introducing Greyscale, a podcast created by Ben Davis, MD, family physician and faculty member at Swedish First Hill Family Medicine Residency in Seattle, Washington. Greyscale "takes a look at the not-so-clear areas of medicine by sharing physicians' own difficult encounters." The stories "showcase what can often be forgotten - the humanity behind the physician." We speak with Dr. Davis about his podcast, his inspiration for producing it, and his career path in family medicine.
Hair loss (1:10), the opioid epidemic (3:20), vitamin B12 deficiency (6:10), antibiotics for cellulitis (10:00), steroids for hives (11:10), steroids for osteoarthritis (12:20), and lifestyle change in diabetes (14:50).
Lower extremity limb abnormalities in children (1:10), health literacy (5:40), preventing falls in older persons (8:30), the routine pelvic exam (10:50), cerumen impaction (12:50), and dexamethasone for sore throat (14:50).
LIVE recording from the American Academy of Family Physicians National Conference of Family Medicine Residents and Medical Students in Kansas City, Missouri on July 29th, 2017. Topics include: Physical examination maneuvers that matter, delayed antibiotic prescriptions, severe asymptomatic hypertension, medical mnemonics, podcast origin story, a systematic cookbook review, meniscal surgery, Choosing Wisely, and an interview with AAFP President John Meigs, MD, FAAFP.
Laceration repair (1:30), chronic insomnia (3:20), migraine prophylaxis in children (5:30), the European risk score for cardiovascular disease (6:30), perioperative cardiovascular medication management (8:10), venous leg ulcers (12:20), and colon cancer screening (15:00).
End-of-life care (1:10), latent tuberculosis (5:50), preterm labor (7:30), antipsychotics in delirium (12:50), multiple myeloma (14:50), and an interview with Ranit Mishori, MD, discussing her unique career path, advocacy, community engagement, and social determinants of health (18:20).
Deep vein thrombosis and pulmonary embolism (1:10), addressing the needs of LGBT patients (6:20), syncope (8:50), brief resolved unexplained events (BRUEs) (14:20), buprenorphine (17:10), and seborrheic dermatitis (20:00).
Acute coronary syndrome (1:10), rifaximin (6:10), top medical schools for Family Medicine (8:40), proteinuria in children (10:00), antenatal steroids (13:30), and the Prevention Priorities Game (16:10).
Interview with Mark H. Greenawald, MD, Professor and Vice Chair for Academic Affairs, Department of Family and Community Medicine, Carilion Clinic and Virginia Tech Carilion School of Medicine and Course Director of the AAFP’s Chief Resident Leadership Development Program. Topics discussed include physician wellness, mentorship, listening to patient stories, and Bison Chips.
Antiepileptic drugs (1:50), dizziness (3:40), statins and dementia (8:10), jaundice in adults (9:00), practice guidelines for Botox (11:10), sertraline (12:40), and treatment of peripheral vascular disease (14:20).
Interview with John Meigs, MD, FAAFP, President of the American Academy of Family Physicians and family physician in Centreville, Alabama. Topics discussed include: expected changes in healthcare in 2017 and beyond, how students and family physicians can become more engaged, his favorite football team, and hidden talents.
Autism spectrum disorder (1:10), pediatric head injury (8:20), pediatric cholesterol guidelines (11:00), gastrointestinal complications in diabetes (13:20), and “Listening for a kinder, gentler, hospital experience” by Caroline Wellbery MD PhD and Eathan Janney (19:50).
Croup (1:10), skin cancer screening (4:00), clinical diagnosis of gout (6:10), STEPs for a new medicine for rosacea (8:00), atrial fibrillation (9:40), a look at diagnostic errors in medicine (13:10), and a response to a letter from a listener (16:00).