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Inside Family Medicine

De: American Academy of Family Physicians
  • Resumen

  • A podcast produced by the American Academy of Family Physicians for family doctors and related health care professionals.
    ©2024
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Episodios
  • FFFM | When Supreme Court Rulings Affect Family Medicine
    Jul 11 2024

    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.

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    17 m
  • CME | Getting Beyond the Administrative Pizza Party
    Jul 3 2024
    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 Go00:30 Meet the Hosts01:51 Discussing Physician Well-being05:01 Understanding Happiness11:24 The Importance of Physician Well-being14:47 Burnout and Depression in Physicians26:07 Setting Boundaries and Job Crafting33:29 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.20190019Herbst, 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.13102Lampe, 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:10.1177/10398562231191662Rapp 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 ProgramAAFP 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...
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    38 m
  • CME | Blood Rush: Swift Solutions for Hematologic Emergencies
    Jun 27 2024
    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 Go00:30 Meet the Hosts01:55 Introduction to Hematologic Emergencies03:13 Common Hematologic Emergencies06:00 Transfusion Strategies and Protocols11:55 Thrombocytopenia and ITP17:51 DIC and Other Coagulopathies21:46 Outpatient Considerations23:13 Heavy Menstrual Bleeding and Potential Coagulopathy28:39 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 ...
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    31 m

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