Podcasts about family physicians

Postoperative management after metabolic surgery (1:30), e-cigarette use (6:30), type II diabetes management (8:10), HIV infection (10:40), preventing falls in older adults (14:20), and nonsteroidal anti-inflammatory drugs for renal colic (18:10).

In this episode, Dr. Rob Assibey and Dr. Cynthia Chen-Joea are joined by Family Medicine Revolution legends Dr. Jay W. Lee and Dr. Rachel Friedman. Dr. Friedman was one of two Santa Rosa family medicine residents (along with Dr. Nicole Mohlman) who were fed up with the academic establishment's attitude toward family medicine, and began to draw up plans to make family medicine a force in healthcare. From the Family Medicine T-shirt Revolution, to the social media storm that Dr. Lee championed with #FMRevolution, you'll hear the legends themselves talk about the origin story of this incredible movement and why it's important to carry, and pass on, that torch! Guests: Jay W. Lee, MD, MPH is a family physician leader and public health advocate who co-founded the FMRevolution hashtag – a grassroots movement reclaiming the power, purpose, and future of Family Medicine. He is a passionate voice for primary care justice, physician workforce renewal, and training the next generation to lead boldly, speak truth, and rebuild a health system rooted in relationships, equity, and community. Rachel Friedman, MD is a family physician in Santa Rosa and sees herself as a "whole person-ologist"-- a specialist not just in one particular organ system, but in the way all of the elements in a person's body, mind, heredity, and environment interact to create health/disease. She moved to Santa Rosa in 2008 to complete family medicine residency, with an additional fellowship in Integrative Medicine, and fell in love with this area. In 2012, she joined KP Santa Rosa as both a full-scope family physician and founding faculty of a new KP family medicine residency. She recently became Program Director of the training program, a leadership role that allows her to continue seeing patients and teaching, while pursuing her passions for whole person, patient-centered healthcare, equity/inclusion, and healthcare transformation/innovation. Resources: Get some FMRevolution merch, including a throwback #FMRevolution t-shirt and a new take on an original FM T-shirt Revolution shirt at familydocs.org/store. Get 50% off the #FMRevolution collection through July with the discount code: FMRevolution.  Family Medicine as Counterculture - https://journals.stfm.org/media/5340/ggayle629-1998.pdf  See some of the napkin drawings of the original t-shirt ideas on www.familydocs.org/podcast.  Information: 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: Instagram - https://www.instagram.com/cafp_familydocs   Facebook - https://www.facebook.com/familydocs   LinkedIn - https://www.linkedin.com/company/california-academy-of-family-physicians 

In this episode, Dr. Rob Assibey and Dr. Cynthia Chen-Joea speak with Dr. Kevin Grumbach and Dr. Anthony "Fatch" Chong, co-chairs of CAFP's Primary Care for All Task Force on the origins of the task force, unified financing model for primary care, and how CAFP is driving this work.  **CAFP is hosting a Town Hall for Primary Care for All for CAFP members on June 17th. If you are interested in attending, let us know at cafp@familydocs.org.** Guests: Kevin Grumbach, MD is Professor of Family and Community Medicine at the University of California, San Francisco. He served as Chair of the UCSF Department of Family and Community Medicine from 2003 to 2022. He is a Founding Director of the UCSF Center for Excellence in Primary Care and former Director of the Community Engagement Program for the UCSF Clinical and Translational Science Institute. He served as Vice President for Population Health for the UCSF Health system from 2015-2018. His research and scholarship on the primary care workforce, innovations in the delivery of primary care, racial and ethnic diversity in the health professions, and community health improvement have widely influenced policy and practice. With Tom Bodenheimer, he co-authored the best-selling textbook on health policy, Understanding Health Policy - A Clinical Approach, now in its 9th edition, and the book, Improving Primary Care – Strategies and Tools for a Better Practice, published by McGraw Hill. He received a Generalist Physician Faculty Scholar award from the Robert Wood Johnson Foundation, the Health Resources and Services Administration Award for Health Workforce Research on Diversity, the Richard E. Cone Award for Excellence and Leadership in Cultivating Community Partnerships in Higher Education, and the UCSF Chancellor's Public Service Award, and is a member of the National Academy of Medicine. Dr. Grumbach has been an advisor to Congressional Committees and government agencies on primary care and health reform and a member of the National Advisory Council for the Agency for Healthcare Research and Quality. He currently serves on the National Academies of Sciences, Engineering, and Medicine Standing Committee on Primary Care and the California Health Workforce Education and Training Council. He practices family medicine at San Francisco General Hospital. Anthony Chong, MD, FAAFP Immediate Past President, California Academy of Family Physicians Chief Medical Officer, Scripps Coastal Medical Center Dr. Anthony Chong is a board-certified family medicine physician and a fellow of the American Academy of Family Physicians. He is the Chief Medical Officer for Scripps Coastal Medical Center (SCMC), a large primary care medical group in San Diego, CA. Dr. Chong is passionate about advancing quality patient care, improving patient care delivery, and fostering physician engagement and well-being. Before becoming President of the California Academy of Family Physicians (CAFP), Dr. Chong served on the CAFP Foundation Board, including two terms as President, and represented the San Diego-Imperial Valley District on the CAFP Board of Directors. He is a Fellow of the American Academy of Family Physicians (AAFP). Outside of work, Dr. Chong enjoys spending quality time with his wonderful wife and two children. Whether exploring San Diego, relaxing at home, or attending school or extracurricular events, he values every moment with his family. Resources: familydocs.org/pcfa National Academies of Sciences, Engineering and Medicine 2021 Report on Primary Care: Implementing High-Quality Primary Care Final Report of the CAFP Primary Care for All Task Force Fact Sheets: Primary Care Investment Benchmark Unified Financing for Primary Care Common Fund for the Commonwealth, Renee Crichlow, MD - https://medium.com/@reneecrichlow/common-fund-for-the-commonwealth-726c4d06de6b Information: 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   LinkedIn - https://www.linkedin.com/company/california-academy-of-family-physicians 

Severe hypertension (1:30), treatment for provoked venous thromboembolism (4:20), pivmecillinam (5:50), skin and soft tissue infections (8:50), behavioral symptoms in austism spectrum disorder (12:30), and fungal community-acquired pneumonia (14:20).

  Today's guest on the podcast shares how to proactively preserve both one's health span and “beauty span”: the visible vitality, confidence, and connection to self over time. We got into some juicy and controversial topics around aging and the beauty industry, as well sustainability. My guest asserts that aging is not a passive process, it is something we can actively manage. Her mission is to help people understand that beauty, energy, and longevity are interconnected. When you support the body at a cellular and hormonal level, you don't just look better, you function better. Dr. Sofia Din is a board-certified Family Physician with over 25 years of medical experience and advanced training in Geriatrics. She began her career in hospital medicine and long-term care, where she served as a Medical Director, before shifting her focus from disease management to proactive longevity and anti-aging medicine. She is the Medical Director of Juvanni Medical P.C. in Westchester, New York, where she integrates aesthetics, hormonal health, and advanced non-surgical technologies to help patients navigate menopause, andropause, metabolic slowdown, and chronic skin failure. Dr. Din is also the author of Do We Really Need Botox? and the host of the podcast Bathroom Diaries, where she explores the science, psychology, and cultural dimensions of aging, beauty, and self-perception. Connect with Sofia via: — Juvanni Med Spa: Email: juvannimedspa@gmail.com  Website: Botox Guru at Juvanni Med Spa FB: Juvanni Med Spa IG: @drjuvanni YT: @DrJuvanni Twitter/X: @JuvanniMedSpa Linked In: Juvanni Medical — Dr. Sofia Din: FB: Sofia Din IG: @therealdrjuvanni YT: @DrJuvanni TikTok: @botoxguru Linked In: Sofia Din Podcast (Spotify): Bathroom Diaries w. Dr. Sofia Din — Minerva Life: YT: @minervalife6529 TikTok: @sofiadinmd Visit https://marinabuksov.com for more holistic content.  Music from https://www.purple-planet.com.  Disclaimer: Statements herein have not been evaluated by the Food and Drug Administration. Products listed are not intended to diagnose, treat, cure, or prevent any diseases.

Dr. Sofia Din is a board-certified Family Physician with over 25 years of medical experience and advanced training in Geriatrics. She began her career in hospital medicine and long-term care, where she served as a Medical Director, before shifting her focus from disease management to proactive longevity and anti-aging medicine. She is the Medical Director of Juvanni Medical P.C. in Westchester, New York, where she integrates aesthetics, hormonal health, and advanced non-surgical technologies to help patients navigate menopause, andropause, metabolic slowdown, and chronic skin failure. Dr. Din is also the author of Do We Really Need Botox? and the host of the podcast Bathroom Diaries, where she explores the science, psychology, and cultural dimensions of aging, beauty, and self-perception. Connect with Sofia via: — Juvanni Med Spa: Email: juvannimedspa@gmail.com  Website: Botox Guru at Juvanni Med Spa FB: Juvanni Med Spa IG: @drjuvanni YT: @DrJuvanni Twitter/X: @JuvanniMedSpa  LinkedIn: Juvanni Medical — Dr. Sofia Din: FB: Sofia Din IG: @therealdrjuvanni YT: @DrJuvanni TikTok: @botoxguru LinkedIn: Sofia Din Podcast (Spotify): Bathroom Diaries w. Dr. Sofia Din — Minerva Life: YT: @minervalife6529  TikTok: @sofiadinmd   00:00:00 Introduction & Meet Dr. Sofia Din 00:02:05 From Traditional Medicine to Longevity Medicine 00:05:10 Why Geriatrics Felt "Dark" 00:07:45 The Rise of Healthspan & Anti-Aging Medicine 00:11:00 AI, Healthcare & The Future of Longevity 00:13:00 Aging Gracefully vs Aging Helplessly 00:16:10 Understanding Menopause & "The Pause" 00:20:20 Why Women Feel Invisible During Aging 00:23:15 Andropause: The Male Version of Hormonal Decline 00:27:00 Skin, Beauty & The Brain Connection 00:31:10 Beauty vs Health: What Truly Matters 00:35:00 Purpose, Consciousness & Longevity 00:39:00 What Happens During a Longevity Consultation 00:41:40 "Preserving Beauty" vs "Pursuing Beauty" 00:45:10 Botox, Surgery & Preventing Skin Failure 00:48:00 IV Therapy, Nutrients & Modern Wellness 00:51:00 Risks, Contraindications & Choosing the Right Doctor 00:53:20 Longevity, AI & Environmental Concerns 00:55:10 Rapid Fire: Sleep, IV Cocktails & Dance Breaks 00:56:20 Where to Find Dr. Sofia Din & Final Thoughts

Send us Fan MailIn this episode, Dr Thomas White welcomes Dr Andrea DeSantis, a Family Physician from Charlotte NC, to the podcast. Hear Dr DeSantis describe her journey from growing up in Pennsylvania near Philadelphia with strong family ties and traditions, the impact of her grandfather's family doctor's house calls, her early career in the hospitality industry, her ultimate decision to pursue medicine, and why the specialty of Family Medicine resonated with her. Her career has been devoted to providing access and care to those who have historically been denied these, and she does so on the local level as a clinician, an educator, and on the state and national level as an advocate and thought leader. In this podcast, she shares her lessons of being in the moment with the patient, the importance of earning their trust over time, and the value of listening with intention and flexibility. We are confident you will find our guest thoughtful and inspiring! 

Heat related illness (2:00), graduate medical education funding and primary care (5:40), foreign body ingestion in children (7:40), fall prevention (11:40), chronic constipation (13:20), and oral corticosteroids in children (15:20).

Jim talks to a doctor to get answers. Do you have to wear a tie to a wedding?GUEST: Dr. Mario Nucci - licensed Family Physician with Field Trip

Vaccine adverse effects (1:30), vaccine conversations (5:10), beta blockers after myocardial infarction (8:10), thrombocytosis (10:40), drowning (14:10), and HPV vaccine (16:00). 

Today I welcome to the podcast Drs. Risa Adams, Robin Beardsley, and Elizabeth Parsons. They are family physicians turned psychotherapists who came together during the pandemic to write, find community, and speak for their parts. What they found in that process and wrote about in their new book, It Doesn't Have To Be This Way: A Physician's Guide To Radical Self Care (by three physicians who've been there), is something most caregivers, doctors, healthcare workers, therapists, parents, partners, anyone who finds their worth in being needed, will recognize. In This Episode The parts that helped you survive by taking care of everyone else Why fear and shame rarely get spoken out loud in medicine, or anywhere caregiving happens What finally broke each of them, and what helped Writing as a way to let parts be witnessed for the first time Why belonging and helping got tangled together so early Takeaways Helper parts learned that helping was the price of belonging The parts that make you good at caring for others are often the same parts driving burnout Burnout is a signal that the strategy has run out of space Being witnessed by people who get it can reach parts that have never been spoken out loud The culture around caregiving, in medicine and elsewhere, rewards the helper and punishes the one who needs This episode is for anyone who has ever made themselves smaller so there would be room to help. Links: Book: It Doesn't Have to Be This Way: A Physician's Guide to Radical Self-Care IFS Canadian Community Conference: A two-day online gathering for professionals using Internal Family Systems in their work, and for those exploring how IFS may support their professional practice. June 5-6, 2026, online. About the guests: Risa Adams, MD, CCFP, is a family physician with a focused practice in perinatal mental health and complex PTSD. She is a Certified IFS Therapist, Approved Clinical Consultant and Trainer with the IFS Institute. Through her own travels with mental health she has come to appreciate the complexity of being a human while being a physician, with a special interest in intergenerational trauma. Risa lives in Elora, Ontario, with her partner and two children, and hopes to help bring IFS to doctors, patients and her own communities. Robin Beardsley, MD, FCFP, a Family Physician with over 35 years' experience of comprehensive family medicine practice and psychotherapy with a focus on care for the caregiver. She is a certified IFS-I Therapist, approved Clinical Consultant, with extensive training in the Satir Model and is a trained teacher of Mindful Self Compassion. She also works with learners, as a faculty member of the Department of Family Medicine at the University of Ottawa, and teaches Self Compassion for Health Care Communities. These experiences of working with and healing from empathic distress in medical communities with IFS and Self-Compassion, along with her own journey of being a caregiver, personally and professionally, has given her a greater understanding of the complexity and multiplicity of our systems. She lives in Ottawa, Ontario with her husband and adult children nearby.   Elizabeth Parsons, MD, FCFP, has been a physician for over 25 years, practicing psychotherapy since 2007. She is a Certified IFS therapist and an Approved Clinical Consultant with the IFS Institute. In addition to IFS, Elizabeth is trained in trauma therapy and has been facilitating psychotherapy groups since 2010. Her interest in physician well being goes back to residency, when she surveyed medical residents on their coping strategies. She has been closely involved with the Medical Psychotherapy Association Canada since 2007, launching a self-care retreat for physicians that has run annually since 2012. Elizabeth lives in Ottawa, Ontario, with her husband and 3 children. About The One Inside I started this podcast to help spread IFS out into the world and make the model more accessible to everyone. Seven years later, that's still at the heart of all we do.  Join The One Inside Substack community for bonus conversations, extended interviews, meditations, and more. Find Self-Led merch at The One Inside store. Listen to episodes and watch clips on YouTube. Follow me on Instagram @ifstammy or on Facebook at The One Inside with Tammy Sollenberger. I co-create The One Inside with Jeff Schrum, a Level 2 IFS practitioner and coach. Resources New to IFS? My book, The One Inside: Thirty Days to Your Authentic Self, is a great place to start. Want a free meditation? Sign up for my email list and get "Get to Know a Should Part" right away. Sponsorship Want to sponsor an episode of The One Inside? Email Tammy. 

Send us Fan MailDr. Kevin Hoffarth is a board-certified Family Physician with advanced training in Functional Medicine and Age Management.Dr. Hoffarth moved to the Lakeway, Texas area from South Lake Tahoe, California, with his wife and daughter in 2012.  He completed his undergraduate study in Psychology and Biology at St. Mary's College in Moraga, California, and graduated medical school at St. Georges University and completed his residency at Creighton University in Omaha, Nebraska.He tackles all the questions that we all ask when illness strikes in his latest book The Disease of Belief: How Your Convictions Can Heal You or Destroy You. Through the science of Biological Decoding, readers will learn to understand that symptoms aren't just biological – health issues are also a result of unresolved emotions and conflict.The Disease of Belief challenges the general understanding of medicine and empowers each person to realize that the starting point, and even the potential solution of disease begins and ends with us. Learn more about his work at biofitmedicine.com.Find Dr. Hoffarth at-biofitmedicine.comAmazon- Functional Medicine: The New StandardAmazon- The Disease of Belief: How Your Convictions Can Heal You or Destroy YouFind Boundless Body at-myboundlessbody.comBook a session with us here! 

Danielle Jones is the vice president of accountability, belonging, and culture at the Association of Women's Health, Obstetric and Neonatal Nurses. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. W.T. Moore and Others. From Clinic to Community — The EveryONE Project in Family Medicine. N Engl J Med 2026;394:1353-1354.

Q-Pad system test (1:20), multiple myeloma (3:40), urogenital infections with sodium-glucose cotransporter-2 inhibitors (7:40), croup (10:40), sustained-release naltrexone (13:50), and FluScoreVax (16:00).

When I first met Dr. Mitchell Fleisher, it was clear that his approach to healing goes far beyond conventional medicine. A lifelong advocate for homeopathy and holistic care, Dr. Fleisher shared the story of how a lecture during medical school and a personal health breakthrough cemented his commitment to natural healing. We talked about his innovative Joint Regeneration Therapy (JRT), which combines homeopathic remedies, peptides, and nutritional support to help patients avoid invasive procedures. He also discussed the risks of overusing NSAIDs, strategies for supporting children's health naturally, and the importance of empowering individuals with practical tools for self-care. Finally, Dr. Fleisher walked us through his online platform, Alternative Dr. M Care, which provides hundreds of protocols and resources to guide people in taking charge of their own health. Episode Highlights: 08:38 - First Encounter with Homeopathy 12:35 - The moment theory turned real 15:44 - An Integrated Healing Approach 19:17 - Joint Regeneration Therapy (JRT) 23:39 - Her Knee Pain Disappears 25:46 - Comparing JRT to Stem Cell Therapy 29:35 - Concerns About Anti-Inflammatories 32:31 - Safer Alternatives for Teething 40:59 - Overview of GNHS Services 44:01 - What is Alternative DrMCare? 47:27 - Membership Benefits and Updates 49:13 - How Homeopathy Empowers Mothers 57:16 - Generational Impact of Homeopathy About my Guests: Mitchell A. Fleisher, M.D., M.D.(H), D.Ht., D.A.B.F.M., Dc.A.B.C.T., F.S.S.R.P. Dr. Mitch Fleisher is a double board-certified Family Physician with over 40 years of experience in integrative and regenerative medicine. He specializes in constitutional homeopathy, anti-aging therapies, peptide therapy, stem cell and exosome therapy, advanced musculoskeletal injections, nutritional and botanical medicine, IV therapy, chelation, detoxification, bio-oxidative therapy, and bio-identical hormone replacement. He is the originator of Joint Regeneration Therapy (JRT), a natural, non-surgical approach for repairing joints and relieving chronic pain, enhanced with StemWave therapy. Dr. Fleisher has taught homeopathy and integrative medicine at institutions including the University of Virginia Health Sciences Center and the Medical College of Virginia, and continues to lecture nationally and internationally. He is the author of Alternative DrMCare Natural Medical Self-Care Protocols© and Rapid Reference to the Fundamentals of Vitamin Therapy. He serves as Medical Director of the Center for Integrative & Regenerative Medicine (C.I.R.M.) in Virginia and Global Natural Health Solutions (GNHS), providing expert homeopathic and naturopathic consultations worldwide. Find out more about Dr Mitchell Website https://www.gnhshealing.com/ https://www.alternativedrmcare.com/ https://www.cirm1.org/ If you would like to support the Homeopathy Hangout Podcast, please consider making a donation by visiting www.EugenieKruger.com and click the DONATE button at the top of the site. Every donation about $10 will receive a shout-out on a future episode. Join my Homeopathy Hangout Podcast Facebook community here: https://www.facebook.com/groups/HelloHomies Follow me on Instagram https://www.instagram.com/eugeniekrugerhomeopathy/ Here is the link to my free 30-minute Homeopathy@Home online course: https://www.youtube.com/watch?v=vqBUpxO4pZQ&t=438s Upon completion of the course - and if you live in Australia - you can join my Facebook group for free acute advice (you'll need to answer a couple of questions about the course upon request to join): www.facebook.com/groups/eughom          

Episode 216: Fibromyalgia Overview Reitta Wyllie and Tejasvi Ayaggari (medical students) discuss with Dr. Arreaza the presentation, diagnosis and management of fibromyalgia, a commonly unrecognized disease that may impact patient's quality of life if left untreated.   Written by Reitta Nash, MSIV, American University of the Caribbean. Additional commentary provided by Dr. Tejasvi Ayyagari.  Edits and comments by Hector Arreaza, MD. 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. Introduction Fibromyalgia is a chronic pain condition that affects millions of people worldwide, yet it remains one of the most misunderstood disorders in medicine. Patients often experience widespread pain, fatigue, sleep disturbances, cognitive difficulties, and a host of other symptoms that significantly impact daily functioning and quality of life.  TJ: It's common, but I feel it is mostly misunderstood and sometimes goes undiagnosed. Reitta: Yes, despite its prevalence, fibromyalgia has historically been met with skepticism, delayed diagnosis, and stigma. Today, we'll break down what fibromyalgia is, what we know about its underlying mechanisms, how it's diagnosed, and how it's managed using evidence-based approaches. What is fibromyalgia? Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal pain, accompanied by symptoms such as fatigue, non-restorative sleep, cognitive dysfunction often referred to as “fibro/brain fog,” and mood disturbances. TJ: Unlike inflammatory or autoimmune diseases, fibromyalgia does not cause structural damage to joints or muscles, nor does it produce objective findings on imaging or routine laboratory testing. Instead, it is considered a centralized pain disorder, meaning pain processing within the central nervous system is altered. Arreaza: Many years ago, I had a patient who had fibromyalgia in Germany. He shared how hard it was for him to get diagnosed and treated because many countries fail to recognize fibromyalgia as a disease. However, Germany is not one of them. The German Association of the Medical Scientific Societies (AWMF) has established specific diagnostic criteria for fibromyalgia syndrome (FMS). Also, the World Health Organization recognizes fibromyalgia as a chronic condition, and it is included in the International Classification of Diseases 10th edition (ICD-10). Reitta: The American College of Rheumatology (ACR) recognizes fibromyalgia as a distinct clinical diagnosis, affecting approximately 2–4% of the population, with a higher prevalence in women, though it can affect individuals of any sex or age. Historical Perspective Fibromyalgia was once referred to by terms such as fibrositis, a name that implied inflammation of connective tissue. However, as research failed to demonstrate inflammatory changes, the terminology evolved. In 1990, the American College of Rheumatology introduced the first formal diagnostic criteria, which focused heavily on tender point examination. Over time, these criteria were revised as understanding of the condition improved. Modern diagnostic criteria no longer rely on tender points and instead emphasize symptom severity and widespread pain distribution, reflecting a more patient-centered and clinically practical approach. What causes fibromyalgia? The exact cause of fibromyalgia is not fully understood, but current evidence supports a multifactorial, neurobiological model. The American Academy of Family Physicians identifies a spectrum of chronic overlapping pain conditions that frequently coexist with fibromyalgia, including IBS, TMJ pain, vulvodynia, Chronic fatigue syndrome, interstitial cystitis, endometriosis, chronic tension headaches, migraine, and chronic low back pain. These functional somatic conditions may represent a single disorder manifesting as pain in different body regions at different times over the life span. _____________________ References: Aaron RV, Ravyts SG, Carnahan ND,et al. Prevalence of depression and anxiety among adults with chronic pain: a systematic review and metaanalysis‑analysis. JAMA Netw Open. 2025;8(3):e250268. doi:10.1001/jamanetworkopen.2025.0268. PMID: 40053352. Bradley LA. Pathophysiologic mechanisms of fibromyalgia and its related disorders. J Clin Psychiatry. 2008;69(Suppl 2):6‑14. PMID: 19962493. doi:10.4088/JCP.v69s02102. Häuser W, Ablin J, Fitzcharles MA, et al. Fibromyalgia. Am Fam Physician. 2023;107(2):158‑166. Häuser W, Fitzcharles MA. Facts and myths pertaining to fibromyalgia. Nat Rev Rheumatol. 2018;14(9):525‑535. PMID: 38607678; doi:10.1038/s41584‑018‑0084‑4. Kleykamp BA, Ferguson MC, McNicol E, et al.The prevalence of psychiatric and chronic pain comorbidities in fibromyalgia: An ACTION systematic review. Semin Arthritis Rheum. 2021;51(1):166‑174. PMID: 33383293. doi:10.1016/j.semarthrit.2020.10.006. Magen E, Tolkin L, Aamar S, et al.Endocrine comorbidities in fibromyalgia. Clin Endocrinol (Oxf). 2025;[Epub ahead of print]. doi:10.xxxx/clinend.2025.xxxxx. Mohabbat AB, Wilkinson JM. Central sensitization: When it is not “all in your head.” Am Fam Physician. 2023;107(1):92‑96. Moscati A, Faucon AB, ArnaizYépez‑Yépez C, et al.Life is pain: Fibromyalgia as a nexus of multiple liability distributions. Am J Med Genet B Neuropsychiatr Genet. 2023;192(2):134‑148. doi:10.1002/ajmg.b.32911. Rivera FA, Munipalli B, Allman ME, et al.A retrospective analysis of the prevalence and impact of associated comorbidities on fibromyalgia outcomes in a tertiary care center. Front Med (Lausanne). 2023;10:1184734. doi:10.3389/fmed.2023.1184734. Sleurs D, Tebeka S, Scognamiglio C, Dubertret C, Le Strat Y. Comorbidities of selfreported fibromyalgia in United States adults: A ‑reported fibromyalgia in United States adults: A crosssectional‑sectional study from the NESARC‑III. Eur J Pain. 2020;24(9):1687‑1698. doi:10.1002/ejp.1619. Winslow BT, Vandal C, Dang L. Fibromyalgia: Diagnosis and management. Am Fam Physician. 2023;107(2):158‑166. PMID: 36791450. Wolfe F, Clauw DJ, Fitzcharles MA, et al. Revisions to the American College of Rheumatology fibromyalgia diagnostic criteria. Arthritis Care Res (Hoboken). 2023;75(12):2029‑2039. PMID: 41097025. doi:10.1002/acr.24963. Wolfe F, Clauw DJ, Fitzcharles MA, et al.Revisions to the American College of Rheumatology fibromyalgia diagnostic criteria. Arthritis Care Res (Hoboken). 2023;75(12):2029‑2039. PMID: 41097025. doi:10.1002/acr.24963. Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Dr. Sunny Smith is a family physician, entrepreneur, and founder of Empowering Women Physicians (EWP), one of the fastest-growing companies in the U.S., as recognized by the Inc. 5000. A former Clinical Professor at UC San Diego School of Medicine, Dr. Smith has been honored for her excellence in teaching, humanism in medicine, and community leadership. She is a Fellow of the American Academy of Family Physicians and a dedicated advocate for physician wellness, as featured in Entrepreneur Magazine, Forbes, JAMA, and documentaries such as Struggling in Silence and Do No Harm. With her background in underserved medicine, patient advocacy, and medical education, Dr. Smith now empowers women physicians to enjoy the lives that they worked so hard to create through her innovative coaching programs.Some of the topics we discussed were:The differences between coaching and therapyBenefits of combining coaching, therapy, and psychiatryWhy Dr. Smith thinks every physician should have a coachHow coaching teaches that the client is whole, not broken, not looking for a diagnosis or treatment planHow the construct of coaching differs from the medicalized construct of therapy and psychiatryCoaching looks at where you are, where you want to be, and helps you get thereHow therapy and psychiatry tend to look back a little more on your pastHow coaching focuses less on where certain beliefs come fromReal-life examples of the difference coaching makes and what exactly coaching can changeHow coaching can be especially helpful for reaching big goalsHow coaching looks for where you have control in your life and focuses on thatHow coaching reminds you of what you've already managed to accomplish when facing a new goalDr. Smith's guide to coaching for women physicians so they understand what coaching isHow coaching is amongst the most effective tools for physician wellness and burnoutAnd more!Interested in learning more about my telehealth direct specialty care practice? At my new practice, I help patients optimize weight and metabolic health, harmonize hormones in peri/menopause, and enhance wellness and vitality. Accepting new patients now: email amazvitamd@gmail.comLearn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/ Join the Voices of Women Physicians Facebook Group:https://www.facebook.com/groups/190596326343825/ Connect with Dr. Smith: Website: https://empoweringwomenphysicians.com/Podcast: https://empoweringwomenphysicians.com/podcast/ Ultimate Guide to Coaching for Women Physicians: https://empoweringwomenphysicians.com/guide/ Ep 184: Why Coaching Is Evidence Based and How It Can Help You with Dr. Sunny Smith Part 1Apple Podcasts: https://podcasts.apple.com/us/podcast/voices-of-women-physicians/id1630624425?i=1000754439302Spotify: https://open.spotify.com/episode/3XpFZfz13bI5CBuNsgOLUH?si=zQqEhR2HQiyMbGoUciX1YQ 

Intranasal epinephrine (1:30), acute and chronic urticaria (5:30), bleeding risk (10:20), meningitis (13:20), colorectal cancer screening (17:40), and topical fluoride (19:30).

Bonus episode discussing advocacy, with a 2026 update. How can family physicians, students, and residents best advocate for our specialty, our patients, and our communities? Special guests American Academy of Family Physicians (AAFP) President Dr. Sarah Nosal; former state legislator, Representative Kelli Butler; former state legislator, Senator Heather Carter; and former Director of State Department of Health Services, Will Humble join the podcast for discussion around advocacy. Topics include the first steps for becoming an advocate, using your voice, five types of advocacy, engaging with your legislators, AAFP advocacy priorities, the role of professional associations, and the most important issues decided on a state level. The 2026 update includes new interviews with Dr. Nosal and Mr. Humble to understand the most critical issues for advocacy in 2026.

Dr. Sunny Smith is a family physician, entrepreneur, and founder of Empowering Women Physicians (EWP), one of the fastest-growing companies in the U.S., as recognized by the Inc. 5000. A former Clinical Professor at UC San Diego School of Medicine, Dr. Smith has been honored for her excellence in teaching, humanism in medicine, and community leadership. She is a Fellow of the American Academy of Family Physicians and a dedicated advocate for physician wellness, as featured in Entrepreneur Magazine, Forbes, JAMA, and documentaries such as Struggling in Silence and Do No Harm. With her background in underserved medicine, patient advocacy, and medical education, Dr. Smith now empowers women physicians to enjoy the lives that they worked so hard to create through her innovative coaching programs.Some of the topics we discussed were:The evidence-based data showing that coaching has effective results, especially in physiciansFindings of a 2019 study where just 6 sessions of coaching decreased burnout and improved overall quality of lifeAnother study that focused on primary care doctors over the course of 6 monthsFindings of improvement in burnout that lasted beyond the course of the interventionNot only does the intervention group get better, but the control group, while waiting, gets worseJAMA study at 28 institutions with 1,000 female residents showing decreased burnout from just group coaching sessions2024 study where physicians trained in coaching trained physician peers at their institution and had those peers coach other people at their institutions Decreased burnout and increased professional fulfillment, the control group also got worse Significant effect sizes of these studiesFindings that after 8 weeks in Dr. Smith's program, 77% burned out decreased to 33% burned outHow you don't have to make huge external changes to really start feeling better and making change right where you areQualitative data showing how people's perceptions of their life change after coaching interventions Once you understand you can change your thoughts and feelings intentionally and change your perspective, you approach everything differentlyHow the ripple effect of people getting coached may extend to the people around them in their own lifeThere's no question of if coaching works, the only question is how it can be broadly implementedDr. Smith's Empowering Women Physicians coaching programDebunking the myth that a lot of physicians who train as coaches end up no longer practicing medicineUsing the Stanford Professional Fulfillment Inventory designed to detect changes in a small period of timeHow physicians' lived experiences make them uniquely qualified for coaching other physiciansWho better to coach a physician than a physician?How coaching looks at where you are and where you want to beAnd more!Interested in learning more about my telehealth direct specialty care practice? At my new practice, I help patients optimize weight and metabolic health, harmonize hormones in peri/menopause, and enhance wellness and vitality. Accepting new patients now: email amazvitamd@gmail.comLearn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/ Join the Voices of Women Physicians Facebook Group:https://www.facebook.com/groups/190596326343825/ Connect with Dr. Smith: Website:https://empoweringwomenphysicians.com/Podcast:https://empoweringwomenphysicians.com/podcast/&a

Skepticism around AI scribes is common, especially in busy primary care settings. But when the workflow fits and the tool actually removes work, adoption can be surprisingly quick. In this conversation, Dr Ryan McFarland, Family Physician and Board Member at Hudson Physicians, breaks down how Oracle Health's Clinical AI Agent changed documentation across their multispecialty group. He shares the moment a skeptical physician became a believer in under two minutes, how ambient listening improved follow-up accuracy, and what happened when Oracle's engineers watched real clinical workflows up close.What has your experience been with ambient AI or clinical documentation tools? Drop your thoughts below.

Long-term use of obesity management medications (1:30), cervical cancer screening (3:30), tinnitus (8:00), low back pain (10:30), impetigo (12:30), and computed tomography scans and lifetime cancer risk (15:50).

Send a textIn this episode, we continue to explore the topic of "Time" and "Balance." Listen to Dr White's discussion with Dr Ben Aiken, a graduate of UNC-Chapel Hill and the MAHEC Family Medicine Residency who now leads Lantern Health, a direct primary care practice with two locations in Asheville NC. Dr Aiken shares the lessons he has learned in his first job as a "juggler" and later as a collegiate athlete, student, resident, practicing physician, husband, and father. In addition to practical tips on incorporating physical activity and emotional health in an office setting, he offers wise perspectives on the future of Family Medicine, encouraging patience,  persistence, and optimism. You will quickly understand why his grandfather, a revered Family Physician who practiced in Tennessee, would be so proud of his grandson today. 

Rural communities across the United States are facing a sustained decline in access to primary care. Since 2017, the number of family physicians practicing in rural areas has dropped by more than 10%, according to a report published late last year. In many regions, that reduction has implications for care capacity, hospital stability and long-term workforce planning. In the second part of the conversations, host J. Carlisle Larsen speaks with Colleen Fogarty, M.D. of the University of Rochester about the structural factors shaping the rural physician workforce and what it will take to strengthen it, examining rural residency programs, medical training pipelines, immigration pathways and loan repayment incentives as policy levers aimed at stabilizing rural access to care. You can listen to the first half of the conversation here. Hosted on Acast. See acast.com/privacy for more information.

We're back tonight with coverage of what happened in the Alabama Legislature today on the Day 13 of session. Todd's guests: Tuscaloosa Mayor Walt Maddox talks about the withdrawn SSUT lawsuit and the latest with the Saban Center Dr. Tate Hinkle of the Academy of Family Physicians discusses needs facing rural health care providers.

Menopause management (1:30), wheezing in children (4:00), prevention of nonsteroidal anti-inflammatory drug–induced ulcers (8:20), infective endocarditis (11:00), acute migraine treatment (17:10), and colchicine for secondary prevention of cardiovascular disease (20:40).

In this episode of The Association Insights Podcast, host Meghan Henning of OnWrd & UpWrd sits down with Julie Hirschhorn, Manager of Public Relations at the American Academy of Family Physicians (AAFP), for a timely conversation on trust, tone, and leadership in healthcare communications.As vaccines have become increasingly politicized, AAFP leaned into its most powerful asset: family physicians as trusted, local voices. Julie unpacks how AAFP's National Immunization Awareness Month campaign reframed the conversation around vaccines—leading with empathy, evidence, and credibility—while navigating misinformation, fear, and polarization. The campaign earned AAFP an Association Insights CommImpact Award for its bold, compassionate approach.

In this episode, I sit down with Dr. Ashley White to explore a concept that's missing from most conversations about obesity treatment: appetite literacy.Together, we talk about why hunger, fullness, cravings, and wanting aren't problems to suppress, but physiological signals to understand—and how dieting, stress, and modern food environments disrupt those signals. We explore how appetite is regulated in the brain, why willpower-based models fall short, and how appetite literacy fits into modern obesity care, including the use of GLP-1 medications.This is a grounded, science-based conversation about working with biology rather than fighting it—and why skill-building matters just as much as treatment tools.Dr. White is a physician certified in family medicine and emergency medicine through the College of Family Physicians of Canada, with board certification in obesity medicine through the American Board of Obesity Medicine and a Master's in Public Health with a specialization in global health. Her 15-year career spans community health work in Afghanistan, health equity policy at the Public Health Agency of Canada, rural emergency medicine, and pioneering integrated addiction treatment in primary care. She currently serves as Medical Lead in Canada for HeliosX and is the founder of The Shift Clinic, launching December 2025.Connect with Dr. Ashley White:Instagram: @ashleywhite.mdThe Shift Clinic: www.theshift.clinicWebsite: www.ashleywhitemd.comFOLLOW SASHAInstagram - https://www.instagram.com/sashahighmd/ WORK WITH ME Join my Weight Loss Coaching Program for women, Best Weight https://www.sashahighmd.com/bestweightRecover Strong for Binge Eatinghttps://www.sashahighmd.com/bedO​​ntario-Wide Virtual Obesity Management Clinichttps://www.highmetabolicclinic.comTaking the first step toward weight loss can feel overwhelming — but you don't have to do it alone. I've created a curated list of my podcast episodes to gently guide you as you begin your journey. https://www.sashahighmd.com/podcast-guide

Endometriosis-associated pain (1:30), HIV-associated complications (3:30), glucagon-like peptide-1 receptor agonists for obesity in adolescents (7:40), discontinuing antihypertensives (12:40), vertebral compression fractures (14:40), and buprenorphine dosage for opioid use disorder (18:30).

Vonoprazan (3:30), newborn respiratory distress (6:40), immunization schedule recommendations (12:10), calcium supplementation during pregnancy (16:30), resistant hypertension (19:10), and DNA-based blood test for colorectal cancer (23:20).

We are thrilled to bring you the full recording of NCAFP President Dr. Benjamin “Frankie” Simmons's speech! Dr. Simmons delivered this heartfelt, electrifying address during his installation ceremony at the 2025 Winter Meeting, where he discussed his path to Family Medicine, his conviction to serve his neighbors, and his hope for our specialty. “Defying Gravity is exactly what it feels like to be a Family Physician in America today,” Dr. Simmons said. “We rise for our patients, our communities, and one another.”

This episode of Quality Matters examines primary care's evolving role and features Karen Johnson of the American Academy of Family Physicians and Jeff Sitko of NCQA. Karen and Jeff outline primary care's distinguishing focus on patient relationships, the strain on the primary care workforce, and technology's promise to ease burdens. The discussion connects the dots between workforce sustainability, AI-driven efficiency, payment reform, and NCQA's vision for next-generation primary care.Karen highlights the underappreciated fact that only 5% of health care spending goes to primary care, despite public perception that the figure is—and should be—higher. Jeff describes a dawning era of proactive, data-driven care delivery. He also previews NCQA's plans to build upon the successful Patient-Centered Medical Home model of primary care.HighlightsThe Human Core of Primary Care: Continuity and trust are what make primary care special, even as practice settings change.Workforce Challenges and Opportunities: Clinicians report high stress and burnout, yet relationships with patients keep them engaged. Building systems that protect these relationships—and make primary care careers attractive—is critical to sustainability.Economics and Incentives: Guests discuss new payment models, state-level initiatives and federal efforts to rebalance incentives and support primary care in new ways.Looking Ahead: The foundational Patient-Centered Medical Home model gets an update in 2026. Plus, Karen calls for a seismic shift to resource primary care as a common good.This episode is essential listening for healthcare executives, policymakers, and clinicians committed to strengthening primary care as the cornerstone of quality improvement.Key Quote:If you want to boil it down to the simplest terms, it's taking primary care from a reactive model—Call me when you're sick; I'll put you on my schedule; Come in and see me—to a proactive model.I am paying attention to a population of patients. They're mine. They're on my panel. And now maybe they're also tied to some accountability arrangement in value-based care, where performance comes into play.And so I'm going to be proactive for a lot of reasons. One, it's the right thing to do for patients. But I also want to make sure my patients are getting preventive services they need, they are taking the medications I prescribe, they are going to the referral I recommended. And I'm getting the information back from that physician, and my team is acting on that. It's all of those things that should be ubiquitous in primary care.-Karen Johnson, PhDTime Stamps:(01:07) The Changing Landscape of Primary Care(06:42) Challenges in the Primary Care Workforce(08:49) How Technology is Impacting Primary Care(15:59) Future Directions and Innovations(18:11) NCQA's Plans for 2026Dive Deeper:State of the Primary Care Workforce 2024 (HRSA)The Pulse of Primary Care (JGIM)Connect with Karen JohnsonConnect with Jeff Sitko Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Quotable Moments"I remember the fear of having this, you know, tiny new baby at home and also sending a bigger kid to daycare and being afraid of my daughter contracting illness.""We tell families that our responsibility is to make recommendations and to provide them with information and answer the questions that they have so that they can make the decisions that are best for them""It would take something like greater than 10,000 vaccines, administered at one time in order to overwhelm the system.""If someone's trying to make a decision and they're not getting good evidence-based information, then they don't have the tools they need to make the best decision for themselves and their family.""The family is the greatest influence on the health to care decisions that they make.""Parents have the opportunity by considering vaccination to prevent having a child that's sick and miserable and full of snot and struggling to breathe""The RSV vaccine is safe, effective, and very beneficial for your baby.""Women to know that they're not alone as they navigate this, as they think about how they're going to keep their baby healthy."Show Notes by BarevalueResources:ACOG:https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=inthttps://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-rsv-vaccine-top-3-reasonsCDChttps://www.cdc.gov/rsv/vaccines/index.htmlSociety for Maternal Fetal Medicinehttps://www.highriskpregnancyinfo.org/vaccine-guide-for-pregnancy-2024https://www.smfm.org/rsvVideo: https://youtu.be/BnpKnTlWZaI?si=mN4bxvw-S3NcAaKzHealthy Children.orghttps://www.healthychildren.org/English/family-life/Media/Pages/follow-pediatricians-for-trustworthy-content-on-childrens-health.aspxACOG:https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=intAmerican Academy of Family Physicians

Management of ankle sprains (1:20), axillary hyperhidrosis (5:10), dementia evaluation (7:40), frailty scoring (11:20), heart failure with preserved ejection fraction risk prediction (13:50), and AFP Clinical Answers (16:00).

Send us a textAs we close out 2025, and prepare to bring in 2026, Dr White reviews our episodes from the past year, providing a summary for each, and some memorable lessons and quotes. He goes on to share five gifts - five concepts with renewed appreciation - that he received as the result of these episodes and his reflection over the past year: namely, Relationships, Learning, Professionalism, Leadership, and the Privilege of being a Family Physician. Listen to his summaries and even better, go back and listen to the entire episodes which interest you most. We hope your holiday season was enjoyable and peaceful, and we wish you the best of health in 2026. 

Resources:ACOG:https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=inthttps://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-rsv-vaccine-top-3-reasonsCDChttps://www.cdc.gov/rsv/vaccines/index.htmlSociety for Maternal Fetal Medicinehttps://www.highriskpregnancyinfo.org/vaccine-guide-for-pregnancy-2024https://www.smfm.org/rsvVideo: https://youtu.be/BnpKnTlWZaI?si=mN4bxvw-S3NcAaKzHealthy Children.orghttps://www.healthychildren.org/English/family-life/Media/Pages/follow-pediatricians-for-trustworthy-content-on-childrens-health.aspxACOG:https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=intAmerican Academy of Family Physicians https://www.aafp.org/pubs/fpm/issues/2024/0700/maternal-rsv-vaccination.pdfAmerican College of Nurse Midwiveshttps://midwife.org/immunization-resources-for-providers/Association of women's health and neonatal nurses (AWHONN)https://www.awhonn.org/resources-and-information/rsv/Advisory Committee on Immunization Practices (ACIP)**Website: ACIP RSV Recommendationswww.Immunize.org/askexpertsHealthy Children.org (American Academy of Pediatrics)HealthyChildren.orgMarch of Dimeshttps://www.marchofdimes.org/No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical...

In this episode, Dr. Cynthia Chen-Joea talks with Dr. Sheryl Recinos, family physician, family medicine hospitalist, and acclaimed author. They talk about her journey into family medicine, defining success, and so much more. GUEST Sheryl Recinos, MD, MAEd, MFA, is a family medicine hospitalist, author, and the first alumni board member of the homeless youth program that saved her as a teen.  The Family Docs Podcast is hosted by Rob Assibey, MD, FAAFP and Cynthia Chen-Joea, DO, FAAFP.  RESOURCES Dr. Recinos's website: https://sherylrecinosmd.com  Author of YIMBY: Yes! In My BACKYARD! and Hindsight: Coming of age on the streets of Hollywood California Family Physician - Review of YIMBY by Jonathan Lynne, MD - https://mydigitalpublication.com/article/CAFP+book+review+YIMBY+Yes%21+In+My+Back+Yard/5027725/851109/article.html  CAFP Committee information - www.familydocs.org/committees  CAFP's JEDI committee work - www.familydocs.org/jedi California Family Physician - JEDI Committee Focuses on Latine Family Physicians - by Andrea Banuelos Mota, MD and Sheryl Recinos, MD, https://mydigitalpublication.com/article/JEDI+Committee+Focuses+on+Latine+Family+Physicians/5027737/851109/article.html  AAFP Implicit Bias Training - https://www.aafp.org/news/practice-professional-issues/20200115implicitbias.html CAFP ACEs - https://www.familydocs.org/aces Information: 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   LinkedIn - https://www.linkedin.com/company/california-academy-of-family-physicians

This week on Faisel and Friends, we are discussing Following the Information Blueprint: Restoring Joy in Primary Care. Faisel and Dan are talking with Karen Johnson, PhD: Vice President of Practice Advancement at the American Academy of Family Physicians.Our conversation explores reducing the burdens of practice by utilizing AI, improving information-sharing and data flow to guide impactful action, and rebuilding trust within the healthcare workforce.Read the Primary Care Information Blueprint here: https://www.aafp.org/dam/AAFP/documents/practice_management/payment/primary-care-information-blueprint-aafp.pdf

Cancer screening in older adults (1:30), an app for obstructive sleep apnea (5:10), nonsteroidal anti-inflammatory–induced ulcers and dyspepsia (7:20), hemorrhoids (10:00), late pregnancy bleeding (11:30), intensive glucose control in older patients (16:00), and all new holiday ICD-10 codes (19:30).

“Delivering a baby one day and holding a patient's hand at the end of life literally the next day...that continuity is very powerful,” says Dr. Jen Brull, board chair of the American Academy of Family Physicians (AAFP). And as she points out, that continuity also builds trust with patients, an increasingly valuable commodity when faith in medicine and science is declining. As you might expect given her role, Dr. Brull believes strengthening family medicine is the key to improving health and healthcare. Exactly how to do that is at the heart of her conversation with host Lindsey Smith on this episode of Raise the Line, which covers ideas for payment reform, reducing administrative burdens, and stronger support for physician well-being. And with a projected shortage of nearly forty thousand primary care physicians, Dr. Brull also shares details on AAFP's “Be There First” initiative which is designed to attract service-minded medical students – whom she describes as family physicians at heart -- early in their educational journey. “I have great hope that increasing the number of these service-first medical students will fill part of this gap.”Tune-in for an informative look at a cornerstone of the healthcare system and what it means to communities of all sizes throughout the nation.  Mentioned in this episode:AAFP If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Welcome to Perimenopause WTF!, brought to you by ⁠Perry⁠—the #1 perimenopause app and safe space for connection, support, and new friendships during the menopause transition. You're not crazy, and you're not alone!  Download the free Perry App on ⁠Apple⁠ or ⁠Android⁠ and join our live expert talks, receive evidence-based education, connect with other women, and simplify your peri journey.Today's episode is titled “Turning Down the Heat Understanding & Managing Hot Flashes in Perimenopause” Doctors Christine Hart Kress, Aoife O'Sullivan, and Rebbecca Hertel demystify the science of hot flashes and night sweats, moving beyond myths to reveal common triggers. Learn practical, evidence-based strategies and treatments that will help you turn down the heat!

Vaginitis (1:20), gaming disorders (5:00), injections or radiofrequency for chronic back pain (8:50), developmental dysplasia of the hip (11:30), resistance training for cancer-related fatigue (15:00), and peripheral artery disease (17:10).

This week primary care physicians Gary, Henry, Kate and Mark discuss the safety of CBD, a new guideline for managing adults with hypertension, whether COVID-19 vaccines are still effective, and a living guideline from the BMJ to help us choose the best diabetes drugs. Links to stuffEssential Evidence Plus Illinois Academy of Family Physicians meeting Dec 6 in Naperville, IL (Kate, Gary and Mark)   North Dakota Academy of Family Physicians Big Sky Conference Jan 19 in Big Sky, Montana (Gary and Kate) Safety of CBDACC/AHA Hypertension guidelinePREVENT-CVD risk calculatorEfficacy of COVID-19 vaccinesBMJ living guideline for diabetesBMJ MATCH-IT interactive tool for selecting drugs

Disorders of puberty (1:30), caregiver-targeted interventions for childhood caries (5:40), perfluorohexyloctane ophthalmic solution (8:00), iron deficiency anemia (12:50), amiloride vs spironolactone (18:00), and trauma-informed care (20:00).

Overuse of colorectal cancer screening (1:30), depression practice guideline (3:20), anticoagulation in hospitalized patients with COVID-19 (6:10), slipped capital femoral epiphysis (7:50), left atrial appendage closure in atrial fibrillation after ablation (11:30), and venous thromboembolism (14:00).

Dr. Vera Tarman sits down with Dr. Cate Shanahan, family physician, nutrition consultant, and author of Deep Nutrition and Dark Calories, to discuss her case against industrial seed oils, how they may influence metabolic and mental health, and why she believes they can intensify sugar cravings and insulin resistance. We explore mechanisms she proposes (oxidation, mitochondrial stress), the “Hateful Eight” oils, and practical swaps that listeners can try if they choose to reduce seed oils. This episode presents a viewpoint that's debated in nutrition science; we encourage critical thinking, self-experimentation within a safe plan, and consultation with your care team. What we cover Seed oils vs. sugar: Why Dr. Shanahan argues seed oils may drive sugar cravings and insulin resistance. Oxidation & mitochondria: Her biochemical rationale for how highly unsaturated oils can oxidize and affect cell energy. The “Hateful Eight”: Corn, canola, cottonseed, soybean, sunflower, safflower, rice bran, grapeseed—why she cautions against them. Historical context: Marketing, refinement, and how these oils entered the food supply. Mental health & cravings: Proposed links between oxidized fats, energy instability, mood, and appetite signals. Practical swaps: Unrefined olive, avocado, coconut, butter/ghee; flavor-forward nut/seed oils used unheated; reading labels and cooking at home. Diet nuance: Why some low-carb or plant-forward eaters thrive when minimizing seed oils; where refined proteins fit. Key takeaways If you experiment with reducing industrial seed oils, pair it with whole-food carbs and adequate protein to support energy stability. Favor unrefined, flavor-forward oils (e.g., extra-virgin olive oil) and avoid reheating/frying oils repeatedly. Improvements people report first: steadier energy, fewer GI symptoms, fewer cravings—but your mileage may vary. This topic is scientifically contested; treat it as a hypothesis to test safely, not a moral rule. About Dr. Cate Dr. Cate Shanahan is a board-certified Family Physician with over 20 years of clinical experience reversing disease at its root by avoiding the big three toxic ingredients. She has spent decades translating the warnings of toxicologists about the harms of vegetable oils and sharing those insights here on DrCate.com, with patients, podcast hosts, and in her NY Times bestselling books, including The FatBurn Fix, Deep Nutrition, and Food Rules.  Her passion is helping people feel their best. After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University's graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient's culinary habits. She combined all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Together with Dr. Tim DiFrancesco and NBA legend Gary Vitti, she created the PRO Nutrition program for the LA Lakers and helped forge a partnership between Whole Foods Market and numerous NBA teams. Her insights on the role of seed oils in human disease have been incorporated into Paleo, primal, low-carb, and keto practices.   In May of 2018, she began as Director of Metabolic Health at ABC Fine Wine and Spirits, a progressive, family-run company focused on saving money while improving health.  She's also the Medical & Scientific Advisor at CB Supplements, overseeing their premium-grade multi-collagen protein, and for Beliv, a forward-thinking Latin American beverage company. Follow Dr. Cate: Website: https://drcate.com/  Dr. Cate's books: https://drcate.com/which-drcate-book-should-i-buy/ Facebook: https://www.facebook.com/DoctorCate/ Instagram: https://www.instagram.com/drcateshanahan   The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

Uterine fibroids (1:30), community-based residency training (6:40), glucagon-like peptide-1 medications (9:00), heart failure with preserved ejection fraction (12:30), intravenous vs oral iron (15:40), nicotine e-cigarettes for smoking cessation (18:10), and spooky health trends—are they real or fake? (20:10; music: Tocatta and Fugue in D Minor, Kevin MacLeod, CC-BY-3.0).

Podcast family, as we have said on many previous occasions, we get episode suggestions from either real-world patient encounters, from things that are hot in press, and/or from podcasts family member suggestions. Recently, one of our podcast family members asked me about the utility ofperforming pelvic floor muscle therapy (PFMT) antepartum. Is this evidence-based? Does performing PFMT help with postpartum urinary incontinence? Not all PFMTs are Kegel exercises! In this episode, we will review peripartum urinary incontinence and answer the question, “Is there value in teaching antepartum PFMT?”. We will summarize key concepts from the Oct 2025 Narrative Review on thissubject from the Green Journal (Obstet Gynecol).1.     Siddique, Moiuri MD, MPH; Hickman, Lisa MD;Giugale, Lauren MD. Peripartum Urinary Incontinence and Overactive Bladder.Obstetrics & Gynecology 146(4):p 466-472, October 2025. | DOI:10.1097/AOG.00000000000059932.     Woodley SJ, Lawrenson P, Boyle R, et al. PelvicFloor Muscle Training for Preventing and Treating Urinary and Faecal Incontinence in Antenatal and Postnatal Women. The Cochrane Database of SystematicReviews. 2020;5:CD007471. doi:10.1002/14651858.CD007471.pub4.3.     Pelvic Floor Muscle Training to Prevent andTreat Urinary and Fecal Incontinence in Antenatal and Postnatal Patients. AmericanAcademy of Family Physicians (2021). Practice Guideline STRONG COFFEE PROMO: 20% Off Strong CoffeeCompany https://strongcoffeecompany.com/discount/CHAPANOSPINOBG

Lymphadenopathy (1:30), galantamine for dementia (5:30), parenteral agents for migraines (7:30), EpiSwitch prostate cancer screening test (10:40), vitamin B12 deficiency (14:00), and fezolinetant for menopause (17:40).

The federal government's approach to public health has changed more in the last eight months than it has in decades.  Since President Trump returned to office, he and members of his administration have challenged the safety of the covid vaccine, the overall childhood vaccine schedule, and the causes of autism.This has upended public health guidance that doctors and patients have relied on for years. Jen Brull, the President of the American Academy of Family Physicians talks about how doctors and patients are navigating this moment.For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.This episode was produced by Elena Burnett, Brianna Scott, and Megan Lim, with audio engineering by Hannah Gluvna.It was edited by Courtney Dorning.Our executive producer is Sami Yenigun.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy