『Inside Family Medicine』のカバーアート

Inside Family Medicine

Inside Family Medicine

著者： American Academy of Family Physicians
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A podcast produced by the American Academy of Family Physicians for family doctors and related health care professionals.©2025 経済学 衛生・健康的な生活 身体的病い・疾患
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  • IFM | Plot twist: Embracing the unexpected in family medicine careers

    IFM | Plot twist: Embracing the unexpected in family medicine careers
    2026/10/05
    In this episode of the Inside Family Medicine podcast, host Adam Bradley talks with Victoria Boggiano, MD, MPH, and Connie Leeper, MD, MPH, about the unexpected turns that can shape a career in family medicine. Boggiano and Leeper share the experiences that led them to the specialty and the career "plot twists" that followed. Boggiano reflects on an early interest in health policy, anthropology and global health before finding her way to clinical medicine, public health and academic family medicine. Leeper discusses entering medicine with an interest in sports medicine and global health before discovering a passion for teaching during an obstetrics fellowship and ultimately building a career in academics. Their stories highlight one of family medicine's defining strengths: flexibility. Because family physicians receive broad training, they can build careers that include outpatient care, hospital medicine, obstetrics, procedures, academics, advocacy, public health and other areas — and change that mix as their interests, communities and lives evolve. Boggiano and Leeper discuss why "full scope" does not have to mean the same thing for every physician and how family medicine allows physicians to continually redefine what their own practice looks like. The conversation also offers practical advice for students, residents and early-career physicians facing an unexpected opportunity or difficult career decision. Boggiano and Leeper encourage physicians to identify what brings them joy, understand their value, ask for what they need and lean on mentors and the broader family medicine community. Whether a career change begins with a new opportunity or an unexpected "no," they emphasize that family medicine training provides room to pivot, experiment and continue building a career aligned with personal values. AAFP Family Medicine Career Options AAFP Find a Job in Family Medicine AAFP CareerLink AAFP Career Resources for Members 00:00 Family Medicine Career Plot Twists 01:23 Why they chose family medicine 03:21 When a career "no" creates a new path 05:00 Discovering an unexpected passion for academics 07:10 Why family medicine offers career flexibility 10:54 Advice for navigating a career plot twist 11:35 Knowing your value and finding the right job fit 13:11 Mentorship, networking and leaning on your community 15:13 If your family medicine career were a novel 17:54 Closing thoughts and career resources
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    19 分
  • CME | When colleagues are struggling: a conversation on physician suicide prevention

    CME | When colleagues are struggling: a conversation on physician suicide prevention
    2026/09/30
    In this episode of CME On the Go, family physicians Janet West, MD, and Michelle Chestovich, MD, share deeply personal experiences with suicide and explore why physicians can struggle to recognize and address mental health challenges in themselves and their colleagues. Through their stories, they examine the culture of medicine, the stigma surrounding mental health treatment, and the importance of creating environments where asking for help is viewed as a strength rather than a weakness. Janet shares her experience surviving a suicide attempt in 2023 and reflects on how perfectionism, independence and the pressure to perform contributed to her difficulty recognizing and responding to her own mental health crisis. She explains how chronic stress and an overwhelmed nervous system can influence emotional regulation, cognitive distortions, and feelings of hopelessness. The conversation also examines how fears surrounding professional reputation, licensing and burdening colleagues can prevent physicians from seeking support, even when they recognize similar warning signs in their patients. Michelle shares the loss of her sister, physician Gretchen Butler, to suicide in 2021 and identifies three areas she believes are essential to prevention: reducing mental health stigma, addressing dangerous levels of sleep deprivation and recognizing when someone needs help. She discusses how the expectation to continue working despite exhaustion or personal distress can have serious consequences and encourages physicians and health care organizations to reconsider workplace practices that normalize these conditions. Together, Janet and Michelle offer practical guidance for supporting colleagues who may be struggling, including asking direct questions about suicide, recognizing changes in behavior, encouraging professional mental health treatment and considering training programs such as Question, Persuade, Refer (QPR). They emphasize that physicians are not immune to mental health challenges, and that meaningful prevention requires individual awareness, connection, and a shift in medical culture toward prioritizing physician well-being. Learning objectives Recognize factors associated with physician suicide risk, including biological, cultural, and professional influences, to support earlier identification of colleagues experiencing psychological distress. Identify opportunities to recognize and respond to colleagues at risk for suicide, including behavioral warning signs and direct disclosures of distress. Apply evidence-informed communication strategies to engage colleagues or patients at risk for suicide, connect them with appropriate support resources, and provide ongoing follow-up.  The AAFP has reviewed CME On the Go, Season 3 and deemed it acceptable for AAFP credit(s). Term of Approval is from 09/30/2026 to 07/06/2028. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session, "CME | When Colleagues Are Struggling" Is approved for 0.50 credits Enduring Materials, Self-Study, AAFP Prescribed credit(s). The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Academy of Family Physicians designates this Enduring Materials activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/21262/e References Makhija, H., Davidson, J. E., Lee, K. C., Barnes, A., Choflet, A., & Zisook, S. (2025). National incidence of physician suicide and associated features. JAMA Psychiatry, 82(5), 451-458. https://doi.org/10.1001/jamapsychiatry.2024.4816 Porges, S. W. (2022). Polyvagal theory: A science of safety. Frontiers in Integrative Neuroscience, 16, Article 871227. https://doi.org/10.3389/fnint.2022.871227 Chu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., Rogers, M. L., Podlogar, M. C., Chiurliza, B., Ringer-Moberg, F. B., Michaels, M. S., Patros, C., & Joiner, T. E. (2017). Interpersonal theory of suicide: A systematic review and meta-analysis after a decade of cross-national research. Psychological Bulletin, 143(12), 1313-1345. https://doi.org/10.1037/bul0000123 Jobes, D. A. (2023). Managing suicidal risk: A collaborative approach. The Guilford Press. Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. ...
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    26 分
  • FFFM | State and Local Advocacy at Work

    FFFM | State and Local Advocacy at Work
    2026/09/28
    In this episode of Fighting for Family Medicine, AAFP Vice President of Government Relations David Tully recaps the Academy's September advocacy efforts before sitting down with Julie Harrison, Senior Manager of State Affairs and Member Advocacy, to examine some of the biggest policy trends and state-level wins for family medicine during the 2026 legislative sessions. Tully highlights the AAFP's advocacy efforts during the months of August and September, including immunizations, Medicare physician payment, prior authorization, rural obstetric care and the primary care workforce. He also reviews several regulatory issues the AAFP weighed in over the past several weeks. The conversation then turns to state legislatures, where Julie identifies four major themes from 2026: scope of practice, insurer reform, physician workforce investment, and increased attention to primary care investment. She highlights efforts involving prior authorization and insurer downcoding, loan repayment and physician recruitment, primary care spending and policies supporting physician-led, team-based care. The AAFP maintains state policy resources covering these issues, including backgrounders on prior authorization, primary care spending, scope of practice and workforce policy. Julie also explains why state advocacy matters even for physicians who do not consider themselves policy experts. She encourages family physicians to stay connected with their state chapters, use AAFP advocacy resources, and respond when opportunities arise to contact lawmakers or share firsthand experiences from practice. The episode emphasizes that many policies affecting day-to-day patient care and medical practice are decided at the state level — and that physician participation can help inform those decisions. Episode hosts David Tully Vice president of government relations and member of the AAFP advocacy team Julie Harrison Sr. Manager, State Affairs and Member Advocacy Resources State advocacy for family physicians State legislative backgrounders for family physicians Model health legislation library AAFP Letter to Congressional leadership urging action on critical AAFP priorities AAFP Letter to House Energy and Commerce Committee and Health, Education, Labor & Pensions Committee on Rural Obstetrics Readiness Act - July 14, 2026 Initial Response to RFI on Federal Vaccine Categories - August 24, 2026 Family Physicians: Vaccines Essential to Preventing Serious Illness and Death | AAFP Immunizations And Vaccines For Family Physicians | AAFP AAFP Announces Fall Immunization Recommendations to Protect Patients and Communities | AAFP AAFP Letter to Congressional leadership urging action on critical AAFP priorities AAFP Comments to CMS on the CY 2027 Medicare Physician Fee Schedule Proposed Rule - September 11, 2026 Proposed Medicare Physician Fee Schedule Takes Important Steps to Bolster Primary Care | AAFP AAFP Response to CMS-CDC on CLIA Request for Information - September 9, 2026 AAFP Letter for Energy and Commerce Hearing on Physician Payment Legislation - September 15, 2026 Topics By Timestamp 00:00 September advocacy roundup 00:35 Fall immunization recommendations and vaccine access 01:53 Medicare payment, prior authorization and rural care advocacy 03:09 Regulatory updates affecting family physicians 05:59 Looking back at the 2026 state legislative sessions 06:30 Four major state policy trends for family medicine 10:02 Prior authorization and insurer reform victories 11:26 Primary care investment and workforce initiatives 13:52 Protecting physician-led, team-based care 16:39 How family physicians can get involved in state advocacy Disclaimer: Copyright 2026. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.  AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use.  Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise.  AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.
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    20 分
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