POPULARITY
Hey Doc—Let's talk about what it really costs to perform strength.Dr. Tolulope Olabintan is a family medicine physician, a private practice owner, and a woman of deep faith. She's also someone who—like so many of us—was raised to be “the strong one.” The Proverbs 31 woman. The helper. The one who keeps going, no matter what.Because “strong women” don't sit still.They endure. Power through. Serve.But what happens when that identity clashes with your actual humanity?In this conversation, Dr. Tolu shares her story of postpartum hypertension, pregnancy complications, hospital escapes (yes, literal), and learning to stop performing the role of the unshakable woman.We talk about:How she envisioned herself as a virtuous woman in motherhood — and how that image evolvedThe cost of silence when systems take advantage of your sacrificeHow postpartum hypertension, fatigue, and guilt finally led her to rewire everythingWhat it means to teach others how to love and support youDr. Tolu's story is full of grace, growth, and hard-won clarity.And you're going to feel every bit of it.Dr. Tolulope Olabintan, MD, FAAFP, DipABLM is a Board-Certified Family Physician, Board certified with American Board of Lifestyle Medicine, and a Fellow of the American Academy of Family Physicians. She also completed a Women's Health Fellowship and is a certified HIV specialist by the American Academy of HIV Medicine. She is fondly called by her patients as "Dr. O."Dr. O is also the owner and CEO of Livingspring Family Medical Center, a primary care center located in Mansfield, Texas. She has over 13 years of medical experience. She helps patients live long and well as she believes the quantity of life is just as important as the quality of life. She places emphasis on lifestyle changes that help patients thrive throughout life. Furthermore, Dr. O is a life-enthusiast, a Christian, wife, and mom who enjoys good cuisine and can't get enough of the colors teal and orange.For more information about Dr. O, you can visit her website and connect with her on Facebook, follow on Instagram, connect on Linkedin and subscribe to her What did you think of the episode, doc? Let me know! Remember to subscribe to "Stethoscopes and Strollers" on your favorite podcast platform so you never miss an episode of encouragement and empowerment. Apple Podcast | Spotify | YouTube Connect with me. Website | Instagram | Facebook Join my Email list to get tips on navigating motherhood in the medical field. If you feel you need direct support or someone to talk through the unique challenges of being a physician mom, schedule a free coaching session. Free Coaching Session with Dr. Toya
In this episode of The Beat, host Sandy Vance sits down with Solventum's Deputy Chief Medical Officer, Dr. Travis Bias, to explore how ambient clinician documentation is transforming healthcare. As AI-powered solutions continue to evolve, clinicians are under increasing pressure to deliver high-quality care while managing growing administrative demands. Dr. Bias shares how Solventum is leveraging artificial intelligence to support ambient listening tools that streamline documentation, without replacing the human touch. Together, they discuss the technology's accuracy, its role in clinical workflows, and why physicians who don't adapt may find themselves falling behind. Tune in to learn how ambient documentation has evolved, how it's being measured, and what it means for the future of care delivery.Learn More about Solventum HEREIn this episode, they talk about:What Solventum is doing with AI these daysHow clinicians can use ambient listening for documentation Clinicians are being asked to do more with less these daysAmbient documentation is a tool, not a replacementMeasuring accuracy by comparison and instances when they are usedThe evolution of ambient clinician documentation since its conceptionPhysicians will find themselves behind if they are not using itA Little About Travis:Travis Bias, DO, MPH, FAAFP, is a family medicine physician, chief medical officer, and business director of clinician productivity solutions for Solventum's Health Information Systems business. He is also co-director of a Comparative Health Systems course at the University of California, San Francisco Institute of Global Health Sciences.
In this episode, Drs. Shruti Javali and Adnaan Edun speak with Drs. Maryal Concepcion and Jeannine Rodems live from the CAFP All Member Advocacy Meeting to talk about Direct Primary Care (DPC), what DPC is, how it works with the patient relationship, and resources available for any family physician look at DPC as a potential career. Guests: Maryal Concepcion, MD, FAAFP is a board-certified rural family physician dedicated to serving patients in Northern California since 2012 and Calaveras County since 2015. Passionate about community-focused medicine, she provides comprehensive care for patients of all ages, from infants and expectant mothers to children and adults, including in-office procedures. Jeannine Rodems, MD, FAAFP is a board-certified family medicine physician who brings more than 25 years of experience to Santa Cruz Direct Primary Care. She is a graduate of UC Santa Cruz (go Slugs!), and completed her medical degree at the UCLA School of Medicine with her residency through the UCLA Family Medicine Residency program. She has been an active member of the local physician community in Santa Cruz County for several years. She has been the past president of the Santa Cruz County Medical Society. She has been very active with the California Academy of Family Physicians, having been a previous member of their board of directors, and served as a past president of the Santa Cruz – Monterey — San Benito CAFP Chapter. Shruti Javali, MD is family medicine physician who sees patients of all ages with a specific focus on obstetrics and women's health. In addition to each patient's medical condition, her approach also incorporates whole-person care, considering factors such as nutrition, exercise and work/life balance. Dr. Javali earned her medical degree from Saba University School of Medicine in the Dutch Caribbean and undergraduate degree from McMaster University in Hamilton, Canada. She completed her family medicine residency through Michigan State University at Mercy Health Grand Rapids in Michigan. Adnaan Edun, MD is a board-certified family medicine physician who provides preventive care, such as wellness checks, physicals, health counseling and more, he treats patients with chronic and complex conditions, including obesity, hypertension and depression. Growing up, Dr. Edun became interested in pursuing a career in healthcare as he watched his mother continue to increase her nursing knowledge by studying at home. That interest was solidified when he had open heart surgery, after which he saw healthcare through a different lens. The experience shaped his desire to study medicine and impacts how he provides care with compassion. Dr. Edun also is interested in global and rural medicine and learning about how medicine is practiced around the world. He has participated in medical trips to Peru, Guatemala and Kenya and hopes to continue to share his healthcare knowledge with other underserved communities in the future. Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: CAFP Direct Primary Care information - www.familydocs.org/dpc CAFP's New Physician Toolkit - www.familydocs.org/nptoolkit AAFP Direct Primary Care - https://www.aafp.org/family-physician/practice-and-career/delivery-payment-models/direct-primary-care.html DPC Summit (July 24-27, 2025) - https://www.dpcsummit.org/home.html CaliDPC - www.calidpc.com Inaugural CaliDPC Docs Summit (June 7-8, 2025) - https://www.calidpc.com/resources The Family Docs Podcast is hosted by Rob Assibey, MD, FAAFP. The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs Instagram - https://www.instagram.com/cafp_familydocs Facebook - https://www.facebook.com/familydocs
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
PeerView Family Medicine & General Practice CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
Refugees & Internally Displaced Persons (IDPs) face significant challenges to their health & well-being. Caring for people in these situations requires an understanding of their unique needs as well as having realistic goals regarding what can & cannot be done for them. Our experiences in providing healthcare for the victims of in Zaire, Indonesia, Pakistan, Myanmar, Afghanistan, Honduras, Nepal, Kurdistan, Turkey, Ukraine, Haiti, Philippines, & other places – both natural & manmade – highlight the need to be well prepared when serving in these difficult situations. Speaker(s): Mitch Duininck MD, FAAFP Session webpage: https://www.medicalmissions.com/events/gmhc-2024/sessions/caring-for-victims-of-humanitarian-disaster-and-military-conflict
Helping a patient with chronic pain can overwhelm even the most eager residents. Stephen K. Stacey, DO, introduces a transformative approach to whole-patient pain management which partners his osteopathic roots and military background. Dr Stacey guides listeners through the MAGIC model: Multimodal, Active, Goal-based, Interdisciplinary, and Comprehensive care, empowering residents to engage their patients in meaningful, multifaceted treatment. Faculty will gain insights into how teaching MAGIC reshapes resident attitudes, enhances clinical confidence, and creates deeper, more effective interactions with chronic pain patients.Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:An Interprofessional Approach to Chronic Pain Management and Education - Fam Med.Improving Chronic Pain Management in a Family Medicine Residency - Fam Med.Stephen K. Stacey, DO:Dr. Stephen Stacey is the Director of Osteopathic Education for the Mayo Clinic Family Medicine Residency in La Crosse, where he is dedicated to training future physicians in comprehensive, whole-person care. As a skilled osteopathic physician, he specializes in osteopathic manual medicine and holistic treatment for chronic pain, helping patients of all ages achieve better health and overcome barriers to an active lifestyle. Before joining Mayo Clinic, Dr. Stacey served as a battalion and flight surgeon in the U.S. Army. During his service, he deployed to Poland and Ukraine, where he played a vital role in training NATO allies in battlefield trauma care. His military experience has reinforced his deep commitment to patient-centered, hands-on medicine. Outside of his medical practice, Dr. Stacey is an avid outdoor enthusiast who enjoys trail running, mountain biking, and cross-country skiing. Most importantly, he loves spending quality time with his wife and five children. Dr. Stacey attended Kirksville College of Osteopathic Medicine and completed his residency at Family Medicine, Peak Vista Community Health Centers.Link:www.stfm.org/stfmpodcast052025
To be a good Doctor and to do good health you really need to understand farming and agriculture, because good farming also equals good health and overall wellness, once said Wendell Berry. Dr. Camilla Petersen owns her own concierge medical practice in Missoula Montana where creating good health starts with what we are putting into our bodies. Camilla is a ND, MD, FAAFP who grew up in the Ukraine and has practiced in Africa, South America, New Zealand, all over the USA and now in Missoula Montana where she is also a wife, mother of two, member of the Montana Medical Board, and a business owner. www.petersenconciergemedical.com
Meet the Twin Sister Docs—Dr. Elana McDonald, a Board Certified Pediatrician, and Dr. Delana Wardlaw, a Board Certified Family Medicine Physician. On their biweekly podcast, now streaming on YouTube and Spotify, they break down health topics that matter most to our communities—from nutrition and mental health to the impact of social media.
In this episode, Dr. Alex McDonald speaks with Dr. Todd Wolynn of the Trusted Messenger Program on the importance of building a trusted relationship with the physician and patient. Guests: Alex McDonald MD, FAAFP, CAQSM is a former professional triathlete, Family and Sports Medicine physician and core faculty of the Kaiser Permanente Fontana Family Medicine Reaidency Program. His professional interests include exercise and physical activity, baccine advocacy, social media and patient communication. Dr. McDonald holds degrees from Connecticut College, the University of Vermont Larnar College of Medicine, Southern California Kaiser Permanente as well as Duke University. Dr. McDonald lives in Southern, CA with his wife, 3 children and 3 dogs. He enjoys running, riding his bike, cooking, coffee and 8pm dance parties with his kids Todd Wolynn MD, MMM is the Executive Director of the Trusted Messenger Program, a part of the public health non-profit Public Good Projects. He's been a vaccine advocate Advocate for more than 30 years, through his work as a clinical vaccine researcher, immunizing pediatrician, and immunization confidence and communication researcher. Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: CAFP 2025-2027 Strategic Plan goals Advance Payment Reform and System Transformation Develop and diversify the family medicine workforce Champion public health, health equity, and evidence-based medicine Support member wellness and joy in medicine Public Good Project - publicgoodprojects.org Trusted Messenger Program PGP's health care professional networks, health care professional training program, and its significant health communications infrastructure form one program: the Trusted Messenger Program. The Trusted Messenger Program has no equivalent in health care and public health. It brings with it the support of national medical boards and public health associations, as well as sustainable funding from several of the largest health funders. The Trusted Messenger Program is supported by a rigorous evaluation protocol, counting among its partners and stakeholders the institutions that protect and provide the public's health. The Trusted Messenger Program offers the opportunity to strengthen our health systems and to build a bulwark against the continued erosion of trust in health information and intervention. AIMS Approach - Announce, Inquire, Mirror, and Secure Family Medicine POP! - www.familydocs.org/pop The Family Docs Podcast is hosted by Rob Assibey, MD. The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs Instagram - https://www.instagram.com/cafp_familydocs Facebook - https://www.facebook.com/familydocs
Episode Summary: Join host Mike Sacopulos in an engaging conversation with Lisa Herbert, MD, FAAFP, PCC, a board-certified family physician and the visionary founder and CEO of Just the Right Balance. Herbert shares her inspiring journey from an early interest in medicine to becoming a transformative coach for physician leaders. "Physicians being in a leadership role is crucial,” says Herbert. “We need people who have done the work and been in the frontlines to continue making important healthcare decisions." In this discussion, discover the pivotal role of physician leadership coaching in today's healthcare landscape. At a Glance: Early Inspiration: Herbert's passion for medicine was ignited by her grandfather's passing due to healthcare inequities. This personal experience motivated her to pursue a career in family medicine to prevent similar tragedies for others. Career Path: Influenced by mentors and driven by her desire to help others, she has held various roles, including medical director and private practice owner, gaining extensive experience in healthcare leadership. Transition to Coaching: Recognizing the profound impact coaching had on her life, Herbert dedicated herself to helping other physicians navigate their careers and develop essential leadership skills. Challenges in Healthcare: She emphasizes the urgent need for leadership development programs to address workforce shortages and combat physician burnout. Making a Lasting Impact: Herbert offers personalized coaching, focusing on achieving each physician's career goals and overcoming challenges. Learn More: Visit her website to explore her books: Physicians Rise Up and Take Back Your Life Connect with her on LinkedIn and Facebook Discover her insights on the Forbes Coaches Council and in the Huffington Post About Lisa Herbert, MD, FAAFP, PCC: Lisa Herbert is a distinguished family physician, executive leadership coach, and national speaker with more than 25 years of experience in healthcare. She holds an MD from Upstate Medical Center and is a professional certified coach recognized by the International Coaching Federation. Herbert is dedicated to bridging gaps in healthcare through her coaching, consulting, and training programs, aiming to create collaborative cultures where physicians thrive and patient outcomes improve. Learn more about the American Association for Physician Leadership.
CME in Minutes: Education in Rheumatology, Immunology, & Infectious Diseases
Please visit answersincme.com/SFM860 to participate, download slides and supporting materials, complete the post test, and obtain credit. In this activity, experts in family and emergency medicine discuss collaborative strategies for the optimal management of type 2 inflammatory diseases. Upon completion of this activity, participants should be better able to: Specify how type 2 inflammation contributes to the pathophysiology of chronic type 2 inflammatory diseases; Recognize the cardinal signs and symptoms of diseases presenting with type 2 inflammation; Apply treatment considerations for patients with multiple type 2 inflammatory diseases; and Outline strategies for optimizing care coordination for patients with type 2 comorbidities across providers and settings.
Please visit answersincme.com/SFM860 to participate, download slides and supporting materials, complete the post test, and obtain credit. In this activity, experts in family and emergency medicine discuss collaborative strategies for the optimal management of type 2 inflammatory diseases. Upon completion of this activity, participants should be better able to: Specify how type 2 inflammation contributes to the pathophysiology of chronic type 2 inflammatory diseases; Recognize the cardinal signs and symptoms of diseases presenting with type 2 inflammation; Apply treatment considerations for patients with multiple type 2 inflammatory diseases; and Outline strategies for optimizing care coordination for patients with type 2 comorbidities across providers and settings.
Please visit answersincme.com/SFM860 to participate, download slides and supporting materials, complete the post test, and obtain credit. In this activity, experts in family and emergency medicine discuss collaborative strategies for the optimal management of type 2 inflammatory diseases. Upon completion of this activity, participants should be better able to: Specify how type 2 inflammation contributes to the pathophysiology of chronic type 2 inflammatory diseases; Recognize the cardinal signs and symptoms of diseases presenting with type 2 inflammation; Apply treatment considerations for patients with multiple type 2 inflammatory diseases; and Outline strategies for optimizing care coordination for patients with type 2 comorbidities across providers and settings.
Family medicine professionals are deeply committed to providing high-quality care for their patients. However, they also recognize that political decisions significantly impact the communities they serve. In this episode, Nina DeJonghe, Director of Government Relations at STFM, shows us how to turn our passion for patient care into advocacy action. She pulls back the curtain on Congress and its operations, and champions the surprising efficacy of constituent letters. Ms DeJonghe highlights STFM resources to help you advocate at both the state & federal levels, shares ways you can influence national health care policies, and provides a plethora of resources to engage your powerful voice for change in family medicine. Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:Family Medicine DEI Advocacy ToolkitCAFM Advocacy Action Center - Voter VoiceAdvocacy Scholarship for New Faculty - scholarship to attend the Family Medicine Advocacy Summit (FMAS) in Washington DCSTFM Advocacy Resources and Key IssuesSTFM Advocacy CourseOther Podcast Episodes:URM JAM Podcast Episode 16: Serve Your Community Through Family Medicine Advocacy with Jehni S. Robinson, MD, FAAFPThe STFM Podcast July 2022: Family Medicine's Place in Advocacy with Andrea Anderson, MD, FAAFPGuest Bio:Nina DeJonghe, MPP, is a seasoned public policy professional with several years of leadership, legislative, and non-profit experience. As the Director of Government Relations for the Society of Teachers of Family Medicine (STFM), she oversees the advocacy functions for the Council of Academic Family Medicine (CAFM), which comprises the leadership of academic family medicine organizations. Nina liaises with Congress, federal agencies, external organizations, and relevant stakeholders to coordinate efforts that advance family medicine priorities. Her current advocacy efforts address critical issues such as workforce shortages, increasing funding for primary care research, expanding Graduate Medical Education (GME), and enhancing patient accessibility to healthcare services to improve community outcomes nationwide.Nina is a Michigan native. She holds a bachelor's degree in political science from Eastern Michigan University and a master's degree in public policy from George Mason University. She has significant success working towards effective policy solutions, thoughtful partnerships, and accessibility to critical funding and resources. She has dedicated her professional career to strengthening marginalized and underserved communities.Link:www.stfm.org/stfmpodcast042025
Early detection and monitoring of Type 1 Diabetes (T1D) are crucial for improving patient outcomes and quality of life. Join clinical experts Lubaina S. Presswala, DO, FACOI, FACE; Jeff Unger, MD, FAAFP, FACE, DACD; and Javier Morales, MD, FACP, FACE, as they discuss the growing prevalence of T1D, the importance of autoantibody screening, the different stages of T1D, screening guidelines, patient counseling, and how early intervention can help delay progression and reduce complications. Support for this podcast is provided by Sanofi.
Step into the future of primary care with Artificial Intelligence and Machine Learning (AI/ML). In this episode, you'll discover how these transformative technologies are revolutionizing healthcare as three expert voices from STFM's cutting-edge Artificial Intelligence and Machine Learning for Primary Care Curriculum reveal insider strategies to slash administrative burden—and maybe even carve out time for your dream vacation. Whether you're an educator eager to innovate, or a clinician ready to lead your team in implementing new tools, this dynamic panel delivers practical tips, ethical insights, and the inspiration you need to confidently participate in the AI revolution.Our Panelists:Cornelius James, MDJaky Kueper, PhDWinston Liaw, MD, MPHHosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:Artificial Intelligence and Machine Learning for Primary Care Curriculum (AiM-PC)Upcoming Opportunity - Ethical Use of AI in the Family Medicine Clinic - STFM Webinar scheduled for May 30, 2025 at 12pm CTArtificial Intelligence and Family Medicine: Better Together - Fam Med Generative Artificial Intelligence and Large Language Models in Primary Care Medical Education - Fam Med Artificial Intelligence-Prompted Explanations of Common Primary Care Diagnoses - PRiMER Guest Bio:Cornelius James, MDDr. James is an Assistant Professor in the Departments of Internal Medicine, Pediatrics and Learning Health Sciences at the University of Michigan (U-M). He is a general internist and a general pediatrician practicing as a primary care physician. He holds the James O. Woolliscroft, MD Endowment in Humane Patient Care.Dr. James has served in many educational roles across the continuum of medical education, including serving as the director of the University of Michigan Medical School evidence-based medicine curriculum, and an Associate Program Director for the U-M Internal Medicine Residency Program. He also serves on local and national committees, including the U-M Clinical Intelligence Committee and the International Advisory Committee for Artificial Intelligence. In multiple years Dr. James has been identified as one of the top teachers in the Department of Internal Medicine. In addition, in 2022 he received the Kaiser Permanente Excellence in Teaching award, the most prestigious teaching award given by the U-M medical school. Dr. James has completed the American Medical Association (AMA) Health Systems Science Scholars program, and he was also one of ten inaugural 2021 National Academy of Medicine Scholars in Diagnostic Excellence. His research interests include augmenting clinical reasoning with artificial intelligence, and equitable implementation of safe and effective digital health tools into clinical practice.His work has been published in JAMA, Annals of Internal Medicine, Academic Medicine, the Journal of General Internal Medicine, Cell Reports, and more. Jaky Kueper, PhDJaky Kueper, PhD, is an epidemiologist and computer scientist with the Scripps Research Digital Trials Center. Her work in AI for primary care ranges from investigating primary care AI needs and priorities to co-developing AI solutions with Community Health Centres. She's also been engaged in several AI for heal
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/DPF865. CME credit will be available until February 19, 2026.Diagnose Early, Communicate Clearly: Optimizing Alzheimer's Outcomes in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant by Eisai Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/DPF865. CME credit will be available until February 19, 2026.Diagnose Early, Communicate Clearly: Optimizing Alzheimer's Outcomes in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant by Eisai Inc.Disclosure information is available at the beginning of the video presentation.
PeerView Neuroscience & Psychiatry CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/DPF865. CME credit will be available until February 19, 2026.Diagnose Early, Communicate Clearly: Optimizing Alzheimer's Outcomes in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant by Eisai Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/DPF865. CME credit will be available until February 19, 2026.Diagnose Early, Communicate Clearly: Optimizing Alzheimer's Outcomes in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant by Eisai Inc.Disclosure information is available at the beginning of the video presentation.
PeerView Neuroscience & Psychiatry CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/DPF865. CME credit will be available until February 19, 2026.Diagnose Early, Communicate Clearly: Optimizing Alzheimer's Outcomes in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant by Eisai Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/DPF865. CME credit will be available until February 19, 2026.Diagnose Early, Communicate Clearly: Optimizing Alzheimer's Outcomes in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant by Eisai Inc.Disclosure information is available at the beginning of the video presentation.
PeerView Family Medicine & General Practice CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/DPF865. CME credit will be available until February 19, 2026.Diagnose Early, Communicate Clearly: Optimizing Alzheimer's Outcomes in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant by Eisai Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/DPF865. CME credit will be available until February 19, 2026.Diagnose Early, Communicate Clearly: Optimizing Alzheimer's Outcomes in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant by Eisai Inc.Disclosure information is available at the beginning of the video presentation.
Host Dr. Lawrence Kosinski is joined by Dr. Terry “Lee” Mills, Chief Medical Officer of Aetna Better Health of Oklahoma, to explore the evolving role of value-based care (VBC) from both the provider and payer perspectives. With his extensive background spanning health systems, payers, and pharmacy benefit management, Dr. Mills offers a rare perspective on how the industry can align incentives to improve patient care and reduce costs. Tune in for a compelling discussion on the future of VBC and what it means for GI specialists, payers, and policymakers alike. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
STFM President Joseph Gravel, MD, illustrates how he has staved off burnout by building a career around the life-giving practices of advocacy, service, and gratitude. Dr Gravel gives us a sneak peek into the strategic plan which will guide STFM in the coming years, centered around topics such as artificial intelligence (AI). He also lets us know about his dislike of the “P-Word” (“provider”) and why the labels used for family medicine professionals are so important to maintaining that professionalism which gives agency and appropriate voice to those giving relationship-based care in an era of corporatized medicine.Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:STFM Advocacy CourseProfessionalism in an Era of Corporate Medicine: Addressing Microlapses and Promoting Microacts as a New Model - Fam MedEmpowerment and the P-Word - Fam MedGet to Know Incoming STFM President Joseph Gravel, MD - STFM BlogGuest Bio:Joseph W. Gravel Jr., MD, FAAFPDr Gravel is Professor and Chair of the Department of Family and Community Medicine at the Medical College of Wisconsin in Milwaukee. During his 5+ years as Chair at MCW his department has created 3 new family medicine residency programs in Milwaukee (2) and Green Bay. He is a graduate of Tufts University School of Medicine in Boston and the Virginia Commonwealth University Fairfax Family Practice Center Family Medicine Residency. Dr Gravel served as a residency program director for over 20 years; he was founding residency program director of the Tufts University Family Medicine Residency in Malden, MA and was Chief Medical Officer and residency program director at the Greater Lawrence Family Health Center, a Teaching Health Center FQHC in Lawrence, MA. He previously held teaching appointments at the University of Massachusetts Medical School (Worcester) and Tufts University School of Medicine (Boston).Dr Gravel is currently President of the Society of Teachers of Family Medicine (2024-25). He also serves on the Wisconsin Academy of Family Physicians' Board of Directors and as the senior Wisconsin Delegate to the AAFP Congress of Delegates. He is a Technical Advisor for the HRSA THCGME program. He is a Past President of the Association of Family Medicine Residency Directors (AFMRD), the Family Medicine Education Consortium (FMEC), and the Massachusetts Academy of Family Physicians. He has also served on the ABFM Board of Directors, the ACGME Review Committee for Family Medicine, the ADFM Finance Committee, the STFM Foundation Board of Trustees, and as Chair of the Academic Family Medicine Advocacy Committee. His department created Wisconsin's first HRSA-funded Teaching Health Center in 2023. His residency programs participated in 3 national residency innovation initiatives- the P4 National Demonstration Project, the HRSA Teaching Health Center program (one of the original 11), and the ACGME Length of Training (LoT) Pilot. He was selected by Governor Deval Patrick to serve as a Commissioner on the Massachusetts Special Commission on Graduate Medical Education, has been deeply involved in national and statewide primary care workforce issues, and received the 2013 STFM Advocate Award. www.stfm.org/stfmpodcast022025
Welcome to another insightful episode of IDD Health Matters, hosted by Craig Escudé, MD, FAAFP, FAADM, president of IntellectAbility. In this episode, we explore pioneering approaches to healthcare for individuals with intellectual and developmental disabilities. Join us as Dr. Escude welcomes two distinguished guests from the international arena: Professor Angela Hassiotis from University College London and Dr. Rory Sheehan from King's College London. Professor Hassiotis, a seasoned consultant psychiatrist in the NHS, delves into her groundbreaking research and clinical work aimed at personalizing interventions for aggressive challenging behaviors in adults with IDD. She shares the promising beginnings of the PETAL study in the UK, designed to offer multimodal interventions to those in need. Dr. Sheehan discusses his role as a senior clinical lecturer and psychiatrist, focusing on patients with learning disabilities who encounter legal issues. He highlights the significance of utilizing large data sets to improve care delivery and touches upon the disparities in psychotropic medication use among the IDD population. Together, they discuss the intricacies of the UK's National Health Service and the critical need for specialized training and capacity building in the field of intellectual disability psychiatry. This episode not only sheds light on innovative research and clinical practices but also emphasizes the importance of incorporating lived experiences to enhance intervention strategies. For more insights and detailed discussions on improving healthcare outcomes for the IDD community, tune into this episode of IDD Health Matters. Don't forget to check the show notes for more information and links to further resources.
Welcome to another insightful episode of IDD Health Matters, hosted by Craig Escudé, MD, FAAFP, FAADM, president of IntellectAbility. In this episode, we explore pioneering approaches to healthcare for individuals with intellectual and developmental disabilities. Join us as Dr. Escude welcomes two distinguished guests from the international arena: Professor Angela Hassiotis from University College London and Dr. Rory Sheehan from King's College London. Professor Hassiotis, a seasoned consultant psychiatrist in the NHS, delves into her groundbreaking research and clinical work aimed at personalizing interventions for aggressive challenging behaviors in adults with IDD. She shares the promising beginnings of the PETAL study in the UK, designed to offer multimodal interventions to those in need. Dr. Sheehan discusses his role as a senior clinical lecturer and psychiatrist, focusing on patients with learning disabilities who encounter legal issues. He highlights the significance of utilizing large data sets to improve care delivery and touches upon the disparities in psychotropic medication use among the IDD population. Together, they discuss the intricacies of the UK's National Health Service and the critical need for specialized training and capacity building in the field of intellectual disability psychiatry. This episode not only sheds light on innovative research and clinical practices but also emphasizes the importance of incorporating lived experiences to enhance intervention strategies. For more insights and detailed discussions on improving healthcare outcomes for the IDD community, tune into this episode of IDD Health Matters. Don't forget to check the show notes for more information and links to further resources.
In this insightful episode of IDD Health Matters, hosted by Craig Escudé, MD, FAAFP, FAADM, president of IntellectAbility, welcomes Dr. Brandi Kelly, the Clinical Director for Louisiana's Developmental Disability Office. Dr. Kelly discusses her pivotal role in overseeing the state's virtual Resource Center, focusing on enhancing community and provider skills to better serve individuals with co-occurring intellectual, developmental, behavioral, and complex medical needs. Highlighting the unique challenges and innovative solutions in Louisiana, Dr. Kelly shares her personal connection to the field through her sister's experiences and emphasizes the importance of wellness, relationships, and clear communication in healthcare. Join us as we explore how simple adaptations in treatment and care can significantly impact health equity for those with intellectual and developmental disabilities.
In this insightful episode of IDD Health Matters, hosted by Craig Escudé, MD, FAAFP, FAADM, president of IntellectAbility, welcomes Dr. Brandi Kelly, the Clinical Director for Louisiana's Developmental Disability Office. Dr. Kelly discusses her pivotal role in overseeing the state's virtual Resource Center, focusing on enhancing community and provider skills to better serve individuals with co-occurring intellectual, developmental, behavioral, and complex medical needs. Highlighting the unique challenges and innovative solutions in Louisiana, Dr. Kelly shares her personal connection to the field through her sister's experiences and emphasizes the importance of wellness, relationships, and clear communication in healthcare. Join us as we explore how simple adaptations in treatment and care can significantly impact health equity for those with intellectual and developmental disabilities.
Overview: With the foundational knowledge from Episode 1, we transition from theory to practice. As these diagnostic tools become more widespread, primary care clinicians are at the forefront of their implementation. Listeners will gain insights from real-world experiences, learning actionable strategies to overcome challenges such as logistical barriers and resource limitations. By the end of this episode, primary care clinicians will have a roadmap for implementing blood tests into their practice. Guest: Deanna Willis, MD, MBA, FAAFP, FNAP; Jared Brosch, MD For more information, please visit: https://www.pri-med.com/clinical-resources/podcast/ceoi-alzheimers-diagnostics-pt-2
Welcome to another enlightening episode of IDD Health Matters, hosted by Craig Escudé, MD, FAAFP, FAADM, president of IntellectAbility, where we delve into health, wellness, and equity for individuals with intellectual and developmental disabilities. In this episode, we are joined by the talented Cody Clark, a magician and autistic self-advocate from Louisville, Kentucky. From a magical beginning in Gulf Shores, Alabama, Cody shares how a family vacation and an inspiring stage moment sparked his journey into the world of magic at the age of eleven. This episode isn't just about tricks; it's about transformation and advocacy. Cody discusses how embracing his autism publicly became a crucial part of his performances, allowing him to connect deeply with audiences and foster understanding about autism through his art. Cody also sheds light on how healthcare providers can better support individuals with autism, stressing the importance of clear communication and sensory-friendly environments. From the quietness of a dentist's office to the challenges at the pediatrician, Cody's insights offer invaluable advice for medical professionals. Tune in as Cody performs a couple of his thoughtful magic tricks live, demonstrating how magic can not only entertain but also educate and advocate for the autism community. Don't miss this magical blend of art and advocacy that Cody brings to our show. For more about Cody's work or to book him for an event, visit CodyClarkMagic.com. Dive deeper into this episode's content by watching the video version on our YouTube channel at IDD Health Matters Podcast.
Welcome to another enlightening episode of IDD Health Matters, hosted by Craig Escudé, MD, FAAFP, FAADM, president of IntellectAbility, where we delve into health, wellness, and equity for individuals with intellectual and developmental disabilities. In this episode, we are joined by the talented Cody Clark, a magician and autistic self-advocate from Louisville, Kentucky. From a magical beginning in Gulf Shores, Alabama, Cody shares how a family vacation and an inspiring stage moment sparked his journey into the world of magic at the age of eleven. This episode isn't just about tricks; it's about transformation and advocacy. Cody discusses how embracing his autism publicly became a crucial part of his performances, allowing him to connect deeply with audiences and foster understanding about autism through his art. Cody also sheds light on how healthcare providers can better support individuals with autism, stressing the importance of clear communication and sensory-friendly environments. From the quietness of a dentist's office to the challenges at the pediatrician, Cody's insights offer invaluable advice for medical professionals. Tune in as Cody performs a couple of his thoughtful magic tricks live, demonstrating how magic can not only entertain but also educate and advocate for the autism community. Don't miss this magical blend of art and advocacy that Cody brings to our show. For more about Cody's work or to book him for an event, visit CodyClarkMagic.com. Dive deeper into this episode's content by watching the video version on our YouTube channel at IDD Health Matters Podcast.
During this presentation, Robert Baillieu, MD, MPH, FAAFP, describes the current state of the overdose crisis and details SAMHSA/CSAT's role and associated strategies for addressing the overdose crisis.
Episode 179: Impact of intermittent fasting Impact on T2DMFuture Dr. Carlisle explains the physiology of fasting and how it can help revert type 2 diabetes. Dr. Arreaza adds details on how to do intermittent fasting. Written by Cameron Carlisle, MSIV, Ross University School of Medicine. Comments and edits by Hector Arreaza, MD, FAAFP.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is type 2 Diabetes Mellitus (T2DM)?-Type 2 Diabetes Mellitus (T2DM) is a metabolic disorder characterized by insulin resistance and impaired glucose regulation. -This impaired regulation can lead to hyperglycemia, contributing to complications in a myriad of organs: heart, kidneys, eyes, nerves, etc. (target organs). According to the CDC, more than 38 million Americans have T2DM (about 1/10 people). -Multiple mechanisms are believed to contribute to insulin resistance in obese patients with T2DM, such as increased lipid deposition throughout the body and systemic inflammation.What is Intermittent Fasting (IF)? Intermittent fasting (IF) has recently gained popularity as a dietary approach for health benefits, but it has been around for thousands of years. IF is an eating pattern that alternates between eating and fasting (no calories consumed) over a specific period of time. When you are fasting, you are allowed and encouraged to keep drinking water and non-caloric drinks, like coffee, tea, and even homemade bone broth.-According to the International Food Information Council Foundation (IFIC), 10% of Americans engage in IF daily. -According to Mark Mattson, a neuroscientist and IF expert for over 25 years, a mechanism called “metabolic switching” is seen with IF. This is when your body runs out of glucose and starts burning fat (i.e., fatty oxidation). These metabolic changes can help protect your organs and reduce the risk of chronic conditions, like T2DM. Common IF methods: Time-restricted eating: Most common method, involves eating within a specific time frame (e.g., the 16:8, 18:6, 12:12 method is also common. [16:8 means you have 16 hours of fasting and 8 hours of eating.]Alternate-day fasting: Alternating between fasting days and normal eating days. [Find more info in The Complete Guide to Fasting, by Jason Fung, who is a nephrologist, he explains that alternate-day is basically eating every other day, which would give 36 hours of fasting, but if you are a beginner you can try a 24 hours fasting, in short, not eating breakfast any day of the week and having lunch 4 days a week, and dinner every night.]5:2 diet (aka periodic fasting): Maintaining a normal diet for 5 days, with 2 days (usually non-consecutive) of caloric restriction (25% of normal caloric intake; e.g., 500 calorie meal). IF is strongly believed to improve metabolic health in individuals with T2DM by reducing insulin resistance via increasing insulin sensitivity, promoting weight loss (patients with obesity and DM… AKA patients with diabesity), and enhancing lipolysis via fat oxidation.While fasting, the body goes through several phases that affect how energy is metabolized. Between 0 and 4 hours after eating, the body enters a feeding state, using glucose as its main energy source. After fasting for 12-16 hours, the body enters ketosis and starts to use fat for energy. Within 24-36 hours, autophagy begins, a process that recycles damaged cells and allows for cellular repair. This process can have great benefits for people with T2DM, such as improved insulin sensitivity and glucose regulation. Pathophysiology of Implementing IF in T2DM. -IF is thought to increase insulin sensitivity by decreasing fatty tissue in the body (i.e., visceral adipose tissue), which is correlated to insulin resistance. Insulin resistance is defined as higher than normal circulating insulin levels needed for a glucose lower response, which is thought to be the culprit for the generation of T2DM. It means you need high levels of insulin to keep glucose normal. -Obesity is an important risk factor for T2DM. Visceral adipose tissue functions as an organ via the secretion of adipokines (cytokines or cellular messengers produced by adipose tissue): leptin and adiponectin. Leptin: proinflammatory, leading to chronic inflammation. Patients with higher BMI levels and increased insulin resistance were found to have increased leptin levels.[Leptin is a good hormone at normal levels, but there is leptin resistance] Adiponectin: anti-inflammatory and antidiabetic effects. Higher adiponectin levels result in decreased hepatic gluconeogenesis, enhanced glucose absorption, and enhanced skeletal muscle and hepatic fatty acid oxidation. Levels drop as visceral fat increases. -Dr. López-Jaramillo, a Colombian endocrinologist and researcher, and colleagues published a review in 2014 examining the imbalance in the levels of leptin and adiponectin in individuals with metabolic syndrome. This imbalance (increase in leptin and decrease in adiponectin) is linked to obesity and insulin resistance, which has been shown to increase the risk of T2DM. It has been shown that IF has resulted in the reduction of leptin levels and increased levels of adiponectin, which leads to decreased insulin resistance and increased insulin sensitivity. -IF allows pancreatic beta-cells to rest by not having to secrete insulin constantly. This allows the beta-cells of the pancreas to improve in function over time. In addition, IF has been shown to lead to noticeable weight loss and loss in body fat, both of which play an important contribution in managing T2DM. Research demonstrates that this weight loss increases insulin sensitivity and decreases the need for insulin therapy, making IF a powerful approach for improving metabolic health. AMP-Activated Protein Kinase (AMPK) and Its Role in IF and T2DM Recent research has highlighted an important enzyme seen in IF, AMP-activated protein kinase (AMPK), which plays a vital role as an important energy sensor in cells. It is activated when cellular energy levels are low, such as during IF. A 2020 research study in Nature Reviews Endocrinology explains that activation of AMPK aids in suppressing gluconeogenesis and stimulates fatty acid oxidation, leading to optimal energy balance and reduction of visceral adipose tissue accumulation, a major contributor to insulin resistance and T2DM progression. AMPK is upregulated during fasting, which enhances glucose metabolism and reduces insulin resistance. This is imperative in managing T2DM, as it counters the effects of insulin resistance associated with T2DM.Exercise, which also promotes AMPK activation, complements IF and can promote a synergistic effect in improving insulin sensitivity and promoting fat burning, New Research Findings on IF and T2DM -The EARLY (Exploration of Treatment of Newly Diagnosed Overweight/Obese Type 2 Diabetes Mellitus) study is a randomized clinical trial published in JAMA Network Open (2024). Findings In this randomized clinical trial study found that a time-restricted eating window significantly improved fasting glucose levels and HbA1c levels in individuals with T2DM. The study examined the effect of a 16-week 5:2 meal replacement (5:2 MR) fasting plan that consisted of five days of normal eating and 2 days, nonconsecutive of restricted diet (500-600 calories). This group was examined alongside a group of patients who took metformin 0.5 g BID and empagliflozin 10 mg QD. The study wanted to investigate the changes in HbA1c in Chinese adults with early T2DM.-The study was a randomized clinical trial of 405 adults, and a study showed that the 5:2 MR approach led to better glycemic control at 16 weeks compared to the counter treatments with metformin and empagliflozin. The 5:2 MR group had the greatest reduction in HbA1c (-1.9%), followed by metformin (-1.6%), and empagliflozin (-1.5%). The 5:2 MR plan also revealed the greatest weight loss (-9.7 kg), followed by empagliflozin (-5.8 kg), and metformin (-5.5 kg). -This research suggests IF, such as 5:2 MR, can be a powerful tool in the management of T2DM and improving metabolic health. This study can potentially open doors for healthcare providers to provide the 5:2 MR approach for individuals as an effective initial lifestyle intervention. However, follow-up studies are needed to assess the effectiveness and durability of the 5:2 MR.Safety and Risks of IF in T2DM. -IF when combined with glucose-lowering medications (e.g., insulin, sulfonylureas, GLP-1 agonists) can increase the risk of hypoglycemia. Also, prolonged fasting can lead to nutrient deficiencies if not planned carefully. Patients should be counseled on maintaining a balanced, nutritious diet during non-fasting days. -IF is not suitable for everyone. Children under the age of 18 should not try IF due to needing proper calories for adequate development and proper growth. Also, it is recommended that pregnant or breastfeeding women do not undergo IF. It is advised that people with eating disorders should not try IF. -Individuals with certain medical conditions, such as kidney stones or gastroesophageal disease should speak with their doctor before trying IF. Also, patients on insulin or other glucose-lowering medications should adjust their dose and talk with their healthcare providers to prevent hypoglycemia during fasting. It is recommended that each person speak with their doctor to discuss the safety and risks of IF and see if it would benefit the individual before starting IF. -Many studies have explored the benefits of IF at the micro level revealing its cellular benefits and on a macro level of the body as a whole. However, more research is needed to confirm the long-term effects of IF on glycemic control and its sustainability as a therapeutic approach for T2DM. Conclusion:-IF shows potential for improving glycemic control, promoting weight loss, and enhancing metabolic health in individuals with T2DM. Despite its benefits, IF may present with risks, such as hypoglycemia, nutrition deficiencies, or dehydration in certain patients. Therefore, it may not be suitable for all individuals. It's important to monitor patients who engage in IF, especially for patients with T2DM. Patients should follow up with their doctor for individualized IF plans in patients with T2DM. ______________This week we thank Hector Arreaza and Cameron Carlisle. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Albosta, Michael, and Jesse Bakke. “Intermittent Fasting: Is There a Role in the Treatment of Diabetes? A Review of the Literature and Guide for Primary Care Physicians - Clinical Diabetes and Endocrinology.” BioMed Central, BioMed Central, 3 Feb. 2021, doi.org/10.1186/s40842-020-00116-1.Blumberg, Jack, et al. “Intermittent Fasting: Consider the Risks of Disordered Eating for Your Patient - Clinical Diabetes and Endocrinology.” BioMed Central, BioMed Central, 21 Oct. 2023, https://clindiabetesendo.biomedcentral.com/articles/10.1186/s40842-023-00152-7.De Cabo, Rafael, and Mark P. Mattson. “Effects of intermittent fasting on health, aging, and disease.” New England Journal of Medicine, vol. 381, no. 26, 26 Dec. 2019, pp. 2541–2551, https://doi.org/10.1056/nejmra1905136.Guo, Lixin, et al. “A 5:2 intermittent fasting meal replacement diet and glycemic control for adults with diabetes.” JAMA Network Open, vol. 7, no. 6, 21 June 2024, https://doi.org/10.1001/jamanetworkopen.2024.16786.Herz, Daniel, et al. “Efficacy of Fasting in Type 1 and Type 2 Diabetes Mellitus: A Narrative Review.” Nutrients, U.S. National Library of Medicine, 10 Aug. 2023, www.ncbi.nlm.nih.gov/pmc/articles/PMC10459496/. Herzig, S., & Shaw, R. J. (2018). AMPK: Guardian of metabolism and mitochondrial homeostasis. Nature Reviews Molecular Cell Biology, 19(2), 121-135.Longo, V. D., & Mattson, M. P. (2014). Fasting: Molecular mechanisms and clinical applications. Cell Metabolism, 19(2), 181-192. https://doi.org/10.1016/j.cmet.2013.12.008López-Jaramillo P, Gómez-Arbeláez D, López-López J, et al. The role of leptin/adiponectin ratio in metabolic syndrome and diabetes. Hormone Molecular Biology and Clinical Investigation. 2014;18(1):37–45.Mattson, Mark P., et al. “Impact of intermittent fasting on health and disease processes.” Ageing Research Reviews, vol. 39, Oct. 2017, pp. 46–58, https://doi.org/10.1016/j.arr.2016.10.005. Patikorn, Chanthawat, et al. “Intermittent fasting and obesity-related health outcomes.” JAMA Network Open, vol. 4, no. 12, 17 Dec. 2021, https://doi.org/10.1001/jamanetworkopen.2021.39558.Sharma, Suresh K, et al. “Effect of Intermittent Fasting on Glycaemic Control in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” TouchREVIEWS in Endocrinology, U.S. National Library of Medicine, May 2023, www.ncbi.nlm.nih.gov/pmc/articles/PMC10258621/#:~:text=In%20IF%2C%20eating%20habits%20are,the%20risk%20of%20developing%20T2DM.Xiaoyu, Wen, et al. “The effects of different intermittent fasting regimens in people with type 2 diabetes: A network meta-analysis.” Frontiers in Nutrition, vol. 11, 25 Jan. 2024, https://doi.org/10.3389/fnut.2024.1325894. Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
While traditional telephonic and modern digital self-service care management approaches are necessary for health plans, what both programs need now are data and insights to create deep contextual awareness of health plan members. To be effective at scale, health plans need the technology and automation to strategically leverage all their data to optimize medical costs, reduce administrative expenses, improve outcomes and personalize engagement.What's available to empower care management teams to create that contextual awareness? Cutting-edge digital care management tools with capabilities to rapidly deliver real-time data insights that enable care management teams to build highly personalized digital outreach.During this podcast, attendees will learn:The keys to modern digital care managementThe emerging digital tools that can best support membersLessons from efforts to deliver true personalization to the member experiencePresenters: Katherine Schneider, MD, MPhil., FAAFP, CMO, MedecisionMamata Majmundar, MD, Chief Medical Officer, Evry HealthcareJai Raisinghani, Deputy Chief Information Officer, CenCal HealthRia Paul, MD, Chief Medical Officer, Santa Clara Family Health PlanHoward Brill, Senior Vice President, Population Health & Quality, Monroe Health Plan for Medical Care
In this episode, I'm joined by Dr. Marguerite Duane, a board-certified family physician and co-founder of FACTS about Fertility. Dr. Duane draws on her extensive expertise to explain how hormonal contraception works, its impact on women's health, and evidence-based alternatives like fertility awareness-based methods (FABMs). We dive into the rising dissatisfaction with hormonal birth control, as many women are speaking out on platforms like TikTok about unintended side effects like decreased libido. Dr. Duane outlines common side effects, the rationale behind accepting them in favor of pregnancy prevention, and why so many women are turning to FABMs for family planning and overall health. Dr. Duane also provides clear insights into the effectiveness of FABMs and how they're rooted in extensive research. Whether you're exploring natural alternatives, curious about the science behind hormonal contraception, or seeking guidance on finding knowledgeable medical professionals, this episode offers empowering, actionable information for reclaiming your health. GUEST BIO:Dr. Marguerite Duane, MD, MHA, FAAFP, is a board-certified family physician and co-founder of FACTS about Fertility, an organization dedicated to educating healthcare professionals and students about fertility awareness-based methods (FABMs) for family planning and reproductive health. She serves as Director of the Center for Fertility Awareness Education and Research at Duquesne University College of Osteopathic Medicine and is an Adjunct Associate Professor at Georgetown University. Dr. Duane balances her career as a healthcare educator and family physician with her role as a wife and mother of four children. She is passionate about helping women understand their bodies and make informed choices about their reproductive health.SHOWNOTES: FACTS about Fertility website: https://www.factsaboutfertility.org/FACTS about Fertility Instagram: FACTS about Fertility Facebook: VIRTUAL CONFERENCE 11/11/24: https://www.factsaboutfertility.org/2023-facts-virtual-conference/Directory (find a medical professional): https://www.factsaboutfertility.org/facts-physician-clinician-educator-directory/Blog: https://www.factsaboutfertility.org/blog/ MY LINKS:Managing Your Fertility: https://www.managingyourfertility.com/Instagram: https://www.instagram.com/managingyourfertilityFacebook: https://www.facebook.com/managingyourfertilityYouTube: https://www.youtube.com/channel/UCCrRnJn-h0cjd8HdRBsWm8QFact Sheet for Your Medical Professional: https://go.managingyourfertility.com/factsheetformedprofessionalStart Your Chart™ Course: https://go.managingyourfertility.com/buystartyourchartAFFILIATE LINKS:Shop my Amazon Storefront: https://amzn.to/3MRxbTC20% off Proov Test Strips: https://proovtest.com/?wly=5789320% off your first Olive & June Mani Kit: http://fbuy.me/v/bridgetbusackerbc10% off your Tempdrop: http://www.tempdrop.com/discount/managingyourfertility3 months free & 20% off your Hallow subscription: hallow.com/managingyourfertility10% off your order at Ember Co: https://www.theember.co/?ref=91010% off your order at Be a Heart: beaheart.com/managingyourfertility15% off your order at Abundantly Yours: abundantlyyours.org/bridget10% off your Mentionables order: https://www.shopmentionables.com/?snowball=FERTILITY10&utm_source=snowball&utm_medium=affiliate-program&utm_campaign=FERTILITY10DISCLOSURE:This description may include affiliate links for products or services mentioned in the podcast. If you purchase products or services at these links, I receive a small commission for the referral. I appreciate your support of my business!
Did you know that the rate of new HIV infections among Black women is 10 times that of white women and four times that of Latina women. Why is this the case? Thanks to HealthyWomen with support from Merck, we're having an essential conversation about HIV and how we must protect ourselves from contracting the virus. OUr guest this week Dr. Ada Stewart breaks down all the facts plus ways that people are now living longer with HIV.You don't want to miss this conversation!Listen and learn:How HIV diagnosis and treatment has changed over the past few decadesThe rumors abouht HIV that are completely false - and the truths we all need to knowProtection and the information we need to share with our girlfriendsHow we must advocate with our health care providers to ensure we're getting testedListen now and share your iTunes review with us!Follow now
In a recent LowCarbUSA®, hosts Doug Reynolds, MHP and Pam Devine, MHP spoke with Dr. Jeremiah Eisenschenk and Dr. Angie Ausban, two prominent practitioners from the Brainerd Lakes area in Minnesota, about the upcoming LowCarbUSA® Metabolic Health Conference in Brainerd Lakes. This one-day event, scheduled for September 21, aims to unite healthcare professionals and the public around the importance of metabolic health. Dr. Eisenschenk, a board-certified Family and Obesity Medicine physician, shared his journey into metabolic health, which began after attending a transformative lecture in 2016. Since then, he has co-founded the Metabolic Health Conference in Brainerd Lakes and Essentia Health – Brainerd Weight Management Department, bringing his expertise to both the hospital and community settings. "I saw some pretty impactful results, even in six months," he noted, reflecting on the positive changes in his patients' health through carbohydrate reduction approaches. Dr. Ausban, who has a background in Internal Medicine and Pediatrics, recounted her own evolution in understanding obesity and metabolic health. After co-founding the CentraCare Medical Weight Management program, she became certified in Obesity Medicine and later joined CRMC as the Medical Director of the Metabolic Health and Medical Weight Management Program. "It's not just obesity and diabetes; it's everything—heart disease, stroke, dementia," she emphasized, underscoring the widespread impact of insulin resistance. The one-day event is open to the public, but technical enough to also offer optional CME opportunities for healthcare professionals, carbohydrate reduction meals, and local vendors, fostering a collaborative environment between the community to address the growing metabolic health crisis. The symposium will feature a diverse lineup of expert speakers, including: Robert Cywes, MD, PhD Gurpreet Padda, MD, MHP, MBA Mark Cucuzzella, MD, FAAFP, MHP Vera Tarman, MD Jeremiah Eisenschenk, MD Angelina Ausban, MD Shawn Roberts, MD. This event is unique for the Brainerd Lakes area, as four health systems have come together to support this initiative—a rare collaboration in today's competitive healthcare landscape. Dr. Eisenschenk highlighted the importance of this unity, saying, "If we can coalesce for this greater mission... any part of America, any part of the world, can do this." In addition to the symposium, a charity golf event was going to be organized by Dr. Ausban's husband, Kevin Smith, but will now be postponed and take place next spring to raise funds for the Society of Metabolic Health Practitioners and the local Boys and Girls Club. Dr. Ausban invited attendees to participate, adding, "We are super excited about this event." The upcoming symposium promises to be an inspiring and educational gathering, providing healthcare professionals and the public with the tools and knowledge to improve metabolic health and, ultimately, the quality of life for many. Learn more and register here.
In this episode, Dr. Assibey is joined by CAFP's Justice Through Equity, Diversity, and Inclusion (JEDI) Committee co-chairs, Drs. Shannon Connolly and Melissa Campos to discuss how and why the committee was formed, the work being done by this committee to focus CAFP's work with the JEDI lens. Guests: Dr. Shannon Connolly, MD, FAAFP (she/her) is the Associate Medical Director at Planned Parenthood of Orange and San Bernardino Counties. Dr. Connolly offers Adult primary care with a focus on sexual and reproductive health, and gender-affirming care. She is Chair of CAFP's JEDI Committee, as well as Past President of the CAFP Board. Dr. Connolly also serves on the AAFP Commission on DEI in Family Medicine. Dr. Connolly identifies as Asian American, and an immigrant to the US. Melissa Campos, MD (she/her) identifies as Mexican-American. Dr. Campos is the Associate Program Director at Scripps Chula Vista Family Medicine Residency and a Physician for San Ysidro Health. She practices full spectrum family medicine, inpatient, OB, SNF, and clinic. Dr. Campos is Vice-Chair of the JEDI Committee, and Past-President of the San Diego Chapter of CAFP.. Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: Find more information about CAFP's Justice Through Equity, Diversity and Inclusion Committee at familydocs.org/jedi. Find more information about Family Medicine POP! (August 23-25, 2024 in Costa Mesa, CA) at www.familydocs.org/pop. Read the article by Drs. Connolly and Campos published in the California Family Physician magazine at www.familydocs.org/cfp. CAFP's Online Education is Homeroom: https://education.familydocs.org AAFP links EveryONE Project: https://www.aafp.org/family-physician/patient-care/the-everyone-project.html Center for Diversity and Health Equity: https://www.aafp.org/family-physician/patient-care/the-everyone-project/aafp-center-for-diversity-and-health-equity.html Neighborhood Navigator: https://www.aafp.org/family-physician/patient-care/the-everyone-project/neighborhood-navigator.html CAFP's Committee page: https://www.familydocs.org/committees CAFP's local chapter page: https://www.familydocs.org/chapters The Family Docs Podcast is hosted by Rob Assibey, MD. The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs Instagram - https://www.instagram.com/cafp_familydocs Facebook - https://www.facebook.com/familydocs
Delicia Pruitt, MD, MPH, FAAFP, Family Physician with CMU Medical Education Partners in Saginaw; Medical Director, Saginaw County Health Department; Associate Professor, CMU College of Medicine. Michigan family physicians urging families to add childhood vaccinations to back-to-school
For a full transcript of this episode, click here. “Anyone who isn't confused really doesn't understand the situation.” That's a quote by Edward R. Murrow and very apropos. I started thinking about this conversation that I had had with Brian Klepper, PhD, because so much going on right now—so many discussions and dissections taking place about primary care financial struggles, about what is value in healthcare. And the RUC (Relative Value Scale Update Committee) is, at a minimum, an underlying factor; but yet it doesn't come up. Almost ever. Merrill Goozner called the RUC the AMA's (American Medical Association's) “dark secret,” and I can see why. Just one procedural note before I roll tape with Brian Klepper. We're gonna go a little rogue today because you kind of got to understand what the RUC is before I can get into the two points I really want to make about it. So, here's my outrageous plan, which will shake up our standard Relentless Health Value format. Today, I'm gonna make the points I want to make after the interview, not before, like usual. I will, however, just mention the two points so you can keep them in mind as I talk with Brian. Here's the first point, and it's about the doomed financials of primary care. Why is it that primary care has a lot of times no business model unless part of the business model includes driving profitable downstream utilization? And when I say utilization, do I mean services with bigger RVUs (relative value units)? Why, yes, I think I do. We'll dig into this later. Here's my second point, and it's my view on the nature of any postulations that the “value of healthcare services” is equivalent to the prices that we pay for said services. Again, more on that later, but here is my original conversation with Brian Klepper. Brian Klepper is a longtime healthcare analyst and former CEO of the National Business Coalition on Health. Also mentioned in this episode are Merrill Goozner and Elizabeth Mitchell. People who have written about primary care: Scott Conard, MD; Paul Buehrens, MD, FAAFP; Larry McNeely; Primary Care Collaborative; Nisha Mehta, MD; Dan Mendelson; Tony Lin, MD; Juliet Breeze, MD; Raymond Tsai, MD; Linda Brady; Guy Culpepper, MD; David Muhlestein, PhD, JD You can learn more in this article and on the AMA Web site. Brian Klepper, PhD, is principal of Worksite Health Advisors and a nationally prominent healthcare analyst and commentator. He speaks, writes, and advises extensively on the management of clinical and financial risk, on high-performance healthcare, and on realizing the potential of primary care. His current focus is on high-performing healthcare organizations that consistently deliver better health outcomes at lower cost than usual approaches in high-value niches and how, integrated with advanced primary care, they can be configured into turnkey comprehensive high-value health plans that can disrupt the status quo. 02:29 What is the RUC? 06:26 Why is primary care not the “easy” specialty? 09:42 What are three low-value things per RUC? 10:33 EP436 with Elizabeth Mitchell. 10:38 What is a root cause of why primary care doesn't get paid more? 12:50 Why doesn't value equal money? You can learn more in this article and on the AMA Web site. @bklepper1 discusses #TPA and #primaryhealthcare and #mentalhealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Elizabeth Mitchell, David Scheinker (Encore! EP363), Dan Mendelson, Dr Benjamin Schwartz, Justin Leader, Dr Scott Conard (Encore! EP391), Jerry Durham (Encore! EP297), Kate Wolin, Dr Kenny Cole, Barbara Wachsman