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Inside Family Medicine

Inside Family Medicine

By: American Academy of Family Physicians
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A podcast produced by the American Academy of Family Physicians for family doctors and related health care professionals.©2025 Economics Hygiene & Healthy Living Physical Illness & Disease
Episodes
  • IFM | Brain Health and Chronic Conditions: Lifelong Connections

    IFM | Brain Health and Chronic Conditions: Lifelong Connections
    Mar 27 2026
    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.
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    10 mins
  • CME | Tiny Ties & Big Opinions: Hot Takes in Peds

    CME | Tiny Ties & Big Opinions: Hot Takes in Peds
    Mar 23 2026
    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.
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    29 mins
  • IFM | Downcoding: How Payers Are Cutting Payments and What Family Physicians Can Do

    IFM | Downcoding: How Payers Are Cutting Payments and What Family Physicians Can Do
    Mar 19 2026
    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.
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    22 mins
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