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  • CME | A Crash Course in Thyroid Confusion

    CME | A Crash Course in Thyroid Confusion
    2026/04/23
    In this episode of CME On the GO, the hosts discuss a practical approach to hypothyroidism, using a case of a 50-year-old woman with nonspecific symptoms (weight gain, fatigue, edema, constipation). They emphasize thorough history and physical exam, then outline key thyroid testing: TSH as the initial screening test (often with reflex free T4), free T4 for confirmation and special situations (including pregnancy), and limited uses for T3 tests. They review antibody testing (TPO for Hashimoto's, thyroglobulin antibodies in select cases) and note tests for Graves disease outside this episode. They cover sick thyroid considerations, subclinical hypothyroidism controversy, pregnancy management with tighter TSH goals and dose increases, and treatment preferences favoring standardized levothyroxine over desiccated thyroid, with limited/controversial use of combination T4/T3 therapy. Learning Objectives Interpret key thyroid laboratory tests—including TSH, T4, fT4, T3, fT3, and thyroid antibodies—within the framework of thyroid physiology and the hypothalamic-pituitary-thyroid axis. Compare the efficacy, safety, and clinical indications of thyroid hormone replacement options such as levothyroxine, liothyronine (Cytomel), and desiccated thyroid extract. Explain the clinical significance of subclinical hypothyroidism and apply evidence-based reasoning to common patient scenarios with borderline thyroid function. The AAFP has reviewed A Crash Course in Hypothyroid Confusion and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 04/20/2026 to 6/4/2027. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Academy of Family Physicians designates this Enduring Materials for a maximum of 0.50 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit. After listening to the podcast episode, complete and submit the evaluation to claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/19856/e References and Resources Hypothyroidism: Diagnosis and Treatment: https://www.aafp.org/pubs/afp/issues/2021/0515/p605.html Thyroiditis: Evaluation and Treatment: https://www.aafp.org/pubs/afp/issues/2021/1200/p609.html Hypothyroidism A Review: https://jamanetwork.com/journals/jama/fullarticle/2838457?utm_source=openevidence&utm_medium=referral Hyperthyroidism A Review: https://jamanetwork.com/journals/jama/fullarticle/2810692?utm_source=openevidence&utm_medium=referral Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism: https://www.nejm.org/doi/full/10.1056/NEJMoa1603825 Hypothyroidism: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0140673624016143?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0140673624016143%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F Article on lab testing: https://pmc.ncbi.nlm.nih.gov/articles/PMC10517335/ https://pmc.ncbi.nlm.nih.gov/articles/PMC7640752/ Ahluwalia R, Baldeweg SE, Boelaert K, et al. Use of liothyronine (T3) in hypothyroidism: Joint British Thyroid Association/Society for endocrinology consensus statement. Clin Endocrinol (Oxf). 2023;99(2):206-216. doi:10.1111/cen.14935 Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.  All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.  Disclaimer: Copyright 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 ...
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    31 分
  • FFFM | Lawmaker Spotlight: Physician Voices Shaping Health Policy

    FFFM | Lawmaker Spotlight: Physician Voices Shaping Health Policy
    2026/04/17
    David Tully, AAFP vice president of government relations, speaks with U.S. Rep. Mike Kennedy, MD, a family physician and former Utah state legislator, about why he chose family medicine, how having more clinicians in public office can lead to bipartisan physician collaboration on health care policy and the need for greater professional autonomy. We also hear from U.S. Rep. Maxine Dexter, MD, a pulmonary/critical care physician and former Oregon state legislator who helped pass a state law expanding naloxone access, about how policy affects public health. She also discusses harms from cutting Medicaid and Medicare and allowing ACA premium tax credits to expire, the need for long-term Medicare payment reform and less administrative burden, and pushing back against misinformation and threats to evidence-based medicine. Topics by Timestamp 00:00 Show intro and guest 00:50 Why family medicine 02:55 From clinic to Congress 04:51 Surprises in Washington 08:08 Doctors shaping policy 13:46 Advice on running for office 18:00 Dr. Kennedy wrap-up 18:25 Meet Dr. Maxine Dexter 19:03 Policy meets medicine 21:02 HR1 and Medicaid fallout 24:31 Fixing physician payment 28:43 Defending science and trust 33:50 Dr. Dexter's advice to physicians Additional Resources Rep. Mike Kennedy, MD Rep. Maxine Dexter, MD AAFP H.R. 1 advocacy AAFP member resource page: H.R. 1 Fighting for Family Medicine podcast: How H.R. 1 Will Affect Family Medicine AAFP Advocacy Ambassadors  Advocate for Family Medicine    AAFP Chapter Advocacy   The Academy's Family Medicine Advocacy Summit 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. The 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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    40 分
  • IFM | Dr. Bayo Curry-Winchell: Delivering Maternal Health Care and Equity

    IFM | Dr. Bayo Curry-Winchell: Delivering Maternal Health Care and Equity
    2026/04/15
    In this episode of Inside Family Medicine, Bayo Curry-Winchell, MD, MS, discusses maternal health care and the role of family physicians in providing consistent care from preconception through pregnancy and postpartum. Dr. Curry-Winchell shares why she chose family medicine and her nontraditional path from a Certified Nursing Assistant to Physicians Assistant to physician, including the risks she took to attend medical school. She describes her own near-fatal postpartum complication following a cesarean section and emphasizes the importance of self-advocacy. She also highlights postpartum risks in the fourth trimester, including hypertension, diabetes, mental health concerns, and postpartum preeclampsia, as well as the value of doulas and midwives. Topics By Timestamp 00:00 Welcome and Guest Intro 01:10 Why Family Medicine 01:45 Nontraditional Path to MD 03:30 Maternal Care Continuum 04:38 Reducing Maternal Mortality 06:17 Exam Room Prevention 07:29 Her Birth Health Scare 09:48 Self Advocacy and Bias 11:24 Postpartum Fourth Trimester 13:12 Postpartum Preeclampsia Story 16:01 Clinicians Who Care Additional Resources Center for Women's Health | AAFP Women's Health Resources | AAFP Maternal Health | AAFP Perinatal Mood and Anxiety Disorders Maternity & ALSO Program | AAFP CME Fourth Trimester Care CME | AAFP The EveryONE Project | AAFP Neighborhood Navigator | AAFP Podcast: Optimizing Postpartum Care | Dr. Keyona Oni: Prioritizing Perinatal Mental Health Podcast: Optimizing Postpartum Care | Dr. Beth Oller: Reducing Perinatal Mental Health Stigma Do No Harm - Dr. Bayo's TEDx Talk Why Black Patients Don't Trust the Healthcare System - Dr. Bayo's TEDx Talk DoctorBayo.com Beyond Clinical Walls Podcast - Dr. Bayo's podcast Follow Dr. Bayo on social media: Instagram TikTok Bluesky YouTube 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. The 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
  • IFM | From Clinic to Community: Advancing Health Equity in Rural Settings

    IFM | From Clinic to Community: Advancing Health Equity in Rural Settings
    2026/04/08
    In this episode of Inside Family Medicine, host Emily Holwick speaks with Calin Kirk, MD, family physician at the Cherokee Nation's Sam Hider Health Center in Jay, Oklahoma, and Sarah Gerrish, MD, full-spectrum family physician and assistant professor at the University of Washington School of Medicine, to discuss advancing health equity in rural and tribal communities. They share why family medicine's broad scope of practice and continuity of care matter, and outline barriers like distance, transportation, insurance gaps, language access and limited mental health care. Topics by Timestamp 00:00 Welcome and Guests 01:37 Why Family Medicine 03:05 Defining Health Equity 05:38 Inequities in Practice 10:38 Rural Barriers and Solutions 14:51 Tools and Resources 15:41 Training Future Doctors 19:02 Calls to Action 20:28 Wrap Up and Disclaimers Additional Resources The EveryONE Project | AAFP Neighborhood Navigator | AAFP Education and Practice-Based Resources | AAFP Anti-Racism and Social Determinants of Health | AAFP Community Engagement | AAFP Health Equity CME | AAFP Health Equity Online CME | AAFP Native American family physician brings trust and healing home to Cherokee Nation | Family Doc Focus 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. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.   
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    22 分
  • CME | Twisted Truths: What You Didn't Learn About Sickle Cell

    CME | Twisted Truths: What You Didn't Learn About Sickle Cell
    2026/04/06
    In this episode of CME On the Go, the hosts discuss sickle cell disease (SCD) and the role of family medicine in recognizing, screening, and preventing complications. They review SCD as an autosomal recessive hemoglobin disorder distinct from sickle cell trait and highlight major complications such as anemia, infection risk, pain crises, and acute chest syndrome. The episode emphasizes global prevalence, newborn screening (and potential gaps), and risk beyond African ancestry. It also covers hemoglobin electrophoresis patterns, preventive care including penicillin prophylaxis and vaccines, recommended screenings, preconception and genetic counseling, and the use, dosing, and monitoring of hydroxyurea. Learning Objectives Differentiate between sickle cell trait and disease and interpret screening results across the lifespan to guide patient and family education. Apply evidence-based screening recommendations and routine treatment strategies for sickle cell disease across the lifespan to support longitudinal care in primary care. The AAFP has reviewed Twisted Truths: What You Didn't Learn About Sickle Cell and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 04/06/2026 to 6/4/2027. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Academy of Family Physicians designates this Enduring Materials for a maximum of 0.50 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit. After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/19787/e References and Resources Management of Sickle Cell Disease: Recommendations from the 2014 Expert Panel Report. BARBARA P. YAWN, MD, MSc, MSPH, AND JOYLENE JOHN-SOWAH, MD, MPH. Am Fam Physician. 2015;92(12):1069-1076A Elendu C, Amaechi DC, Alakwe-Ojimba CE, et al. Understanding Sickle cell disease: Causes, symptoms, and treatment options. Medicine (Baltimore). 2023;102(38):e35237. doi:10.1097/MD.0000000000035237 https://www.cdc.gov/sickle-cell/data/index.html Obeagu EI, Obeagu GU. Immunization strategies for individuals with sickle cell anemia: A narrative review. Medicine (Baltimore). 2024 Sep 20;103(38):e39756. doi: 10.1097/MD.0000000000039756. PMID: 39312357; PMCID: PMC11419550. https://www.cdc.gov/contraception/media/pdfs/2024/07/us-mec-summary-chart-color-508.pdf Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.  All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.  Disclaimer: Copyright 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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    27 分
  • IFM | Enhancing Knowledge About mRNA Vaccines

    IFM | Enhancing Knowledge About mRNA Vaccines
    2026/04/03
    In this episode of Inside Family Medicine, host Michael Monroe speaks with AAFP Vaccine Science fellows Anne Schneider, DO, FAAFP, and Mina Saleem Khan, MD, FAAFP, about why mRNA vaccines matter and how family physicians can address patient questions and misinformation. They explain mRNA basics, review COVID-19 vaccine safety and efficacy, address common myths, and share practical communication strategies—such as empathetic counseling, presumptive recommendations, and team-based systems—to reduce missed vaccination opportunities. Topics by Timestamp 00:00 Welcome 01:15 Why Family Medicine 02:37 mRNA Vaccine Basics 04:47 Safety and Evidence 06:46 Myths and Misinformation 10:08 Trust Building Talk 11:47 Motivational Interviewing 16:25 Team Systems for Vaccines 19:59 Key Takeaways 21:26 Resources and Wrap Up Additional Resources Immunizations & Vaccines | AAFP Influenza | AAFP Immunizations | Family Doctor Colds and the Flu | Family Doctor This content was independently developed by the AAFP with support provided by Moderna. 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. The 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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    23 分
  • FFFM | March 2026 Advocacy Rounds

    FFFM | March 2026 Advocacy Rounds
    2026/03/31
    David Tully, AAFP vice president of government relations, recaps the AAFP's March 2026 advocacy efforts. Academy EVP and CEO Shawn Martin testified before Congress on how underinvestment fuels workforce shortages, longer waits and practice closures. Chronic disease drives 90% of the $4.9 trillion the US spends on health care each year, but primary care receives less than 5% of those funds. With that in mind, the AAFP urged Congress to improve patients' access and costs by making primary care affordable, supporting science-based vaccine policy, advancing targeted tax policies, protecting medical student loans (including the Public Service Loan Forgiveness program) and funding the Agency for Healthcare Research and Quality at $500 million. Topics by Timestamp 00:00 March advocacy recap 00:35 Primary care underfunding 01:48 Capitol Hill meetings 02:03 Affordable access message 02:42 Science-based vaccine policy 03:03 Tax incentives to improve the PC workforce 03:37 Student loan protections 05:23 AI principles in care 07:35 Fund AHRQ research 08:48 Closing and resources Additional Resources Six ways Congress can make health care affordable for doctors and patients Joint Letter in Support of Fiscal Year 2027 AHRQ Funding - 030226 AAFP Comments to ASTP-ONC on HTI-5 PR - February 25, 2026 The Starfield Signal: A Shared Vision and Roadmap for AI in Primary Care Health IT End-Users Alliance Response to ASTP-ONC on HHS Health Sector AI RFI - February 20, 2026 AI Is in the Doctor's Bag—And Primary Care Is Ready to Use It | Rock Health AAFP Response to Education Department on RISE PR - February 24, 2026 AAFP Letter to Education and Workforce Subcommittee on Higher Education and Workforce Development Hearing on Cost of Higher Education – February 18, 2026 Health Subcommittee: Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape 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. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.   
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    10 分
  • IFM | Brain Health and Chronic Conditions: Lifelong Connections

    IFM | Brain Health and Chronic Conditions: Lifelong Connections
    2026/03/27
    In this episode of Inside Family Medicine, we hear from Dr. Ariel Cole, a family and geriatric medicine physician and fellowship/residency leader at AdventHealth Orlando, about the family physician's role in cognitive aging, Alzheimer's disease and related dementias. Dr. Cole describes her experience caring for patients across the cognitive decline spectrum and emphasizes prevention. The conversation covers barriers like time and system awareness, strategies for sensitive discussions about shame and independence, and leveraging community resources such as Area Agencies on Aging, Meals on Wheels, caregiver supports, adult day programs, the Alzheimer's Association, and referrals to neurology or geriatrics. Topics By Timestamp 00:00 Welcome and Guest Intro 00:47 Dr. Cole's Background 01:15 Prevention and Risk Factors 02:58 Screening Tools in Primary Care 03:50 Barriers and Team Based Care 04:58 Talking About Cognitive Decline 06:13 Community Resources and Referrals 07:34 Assessing Home Support Needs 08:27 Key Takeaways for Clinicians 09:21 Wrap Up and Resources 09:50 Disclaimers and Copyright Additional Resources Brain Health: Clinical Guidance and Practice Resources | AAFP  Dementia | Family Doctor  Alzheimer's Disease | Family Doctor  Evaluation of Suspected Dementia | AAFP  Blood Biomarkers in Alzheimer's Dementia FREE CME | AAFP Utilization of the AAFP Cognitive Care Kit FREE CME | AAFP Disclaimer: Copyright 2026. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP.  The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.  AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use.  Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise.  AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.
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    10 分