IFM | Primary Care and Cognitive Concerns: Screening, Diagnosis, and Support

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 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.