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Frankly Speaking About Family Medicine

A weekly Podcast series covering newsworthy topics in primary care medicine.

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A Brief Update of the Guidelines on the Management of Type 2 Diabetes - Frankly Speaking EP 155

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-155 Overview: Join us as we discuss key points from the 2019 update to the American Diabetes Association and the European Association for the Study of Diabetes consensus report. This update is now reflected in the American Diabetes Association's Standards of Medical Care—2020.  Guest: Jill Terrien PhD, ANP-BC Music Credit: Richard Onorato

10mins

13 Jan 2020

Rank #1

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COPD Exacerbations: Who Needs Antibiotics? - Frankly Speaking EP 145

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-145 Overview: Patients with COPD frequently have exacerbations, often triggered by an acute upper respiratory infection (URI). C-reactive protein (CRP) testing is a new way of assessing whether or not antibiotics are needed to treat.  Guest: Alan Ehrlich MD, FAAFP Music Credit: Richard Onorato

10mins

4 Nov 2019

Rank #2

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Winter’s Here – Time to Review the Latest Community-Acquired Pneumonia Guidelines - Frankly Speaking EP 152

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-152 Overview: The Infectious Disease Society of America in conjunction with the American Thoracic Society have updated their guidelines on diagnosing and treating Community Acquired Pneumonia (CAP) in adults. Recommended changes from the 2007 guidelines include how to address the growing issue of antibiotic resistance. We will review this latest recommendation, focusing on the best approach for outpatient care. Guest: Robert Baldor, MD, FAAFP Music Credit: Richard Onorato

10mins

23 Dec 2019

Rank #3

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Skip the Colonoscopy? - Frankly Speaking EP 154

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-154 Overview: Join us as we discuss a recent report in the British Medical Journal that reviewed data on the effectiveness of colorectal cancer screening programs. The report presented new guidelines which recommend a “shared decision-making model,” and suggest that individuals with an estimated 15-year colorectal cancer risk below 3% undergo no screening at all. This session will review the recently published guidelines to understand the data behind their recommendations and discuss how best to implement such an approach in your practice.  Guest: Robert Baldor, MD,FAAFP  Music Credit: Richard Onorato

13mins

6 Jan 2020

Rank #4

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Statins After 75 Years of Age in Healthy Seniors? Still No - Frankly Speaking EP 137

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-137 Overview: In this episode we expand on the rationale for not screening and treating hyperlipidemia in patients without CV disease, diabetes, renal failure or heart failure. Guest: Robert A. Baldor, MD Music Credit: Richard Onorato 

10mins

9 Sep 2019

Rank #5

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An Uncomfortable Problem: Recurrent Urinary Tract Infections (UTIs) in Women - Frankly Speaking EP 133

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-133 Overview: Join us as we discuss a new guideline for women with recurrent UTIs.  Guest: Jill Terrien PhD, ANP-BC  Music Credit: Richard Onorato 

13mins

12 Aug 2019

Rank #6

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Red Meat: Confusion and Conflicts of Interest - Frankly Speaking EP 150

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-150 Overview: Join us as we review a landmark paper that reached the conclusion that limiting red meat would not have a large impact on patient outcomes. Guest: Robert A. Baldor, MD, FAAFP Music Credit: Richard Onorato

14mins

9 Dec 2019

Rank #7

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Getting Glutened: Early Childhood Gluten Consumption and the Risk of Celiac Disease - Frankly Speaking EP 144

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-144 Overview: The degree to which early exposure to gluten-containing foods affects the risk of developing celiac disease is controversial. Join us as we discuss a recent Norwegian study suggesting that the timing of introduction of gluten in the diet may be less important than the amount of gluten in the diet at 18 months of age. Guest: Alan Ehrlich MD, FAAFP Music Credit: Richard Onorato

10mins

28 Oct 2019

Rank #8

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Boning Up on Treatment for Osteopenia - Frankly Speaking EP 136

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-136 Overview: Bisphosphonates help prevent fractures in elderly women with osteoporosis, but their benefit in women with osteopenia has been unclear. A recent trial showed that a yearly injection of zoledronic acid can reduce fractures in women with osteopenia. Guest: Alan Ehrlich MD, FAAFP Music Credit: Richard Onorato 

12mins

2 Sep 2019

Rank #9

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Antibiotic Use in the US: A Look into How Americans Use Antibiotics Without a Prescription - Frankly Speaking EP 143

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-143 Overview: A recent scoping review revealed that nonprescription antibiotic use is a prevalent and understudied public health concern in the US. Inappropriate antibiotic prescribing and use has been a well-documented concern and these new findings only reinforce the need for more comprehensive approaches to this problem. Join us while we discuss the scoping review findings and some strategies for implementing antibiotic stewardship into your practice. Guest: Susan Feeney, DNP, FNP-BC, NP-C Music Credit: Richard Onorato

11mins

21 Oct 2019

Rank #10

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Ask the ID Expert: Common COVID-19 Questions in Primary Care (Recorded 3/28/20)

Credits: 0.50 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/ask-the-id-experts-covid19-coronavirus Overview: With information changing rapidly around the COVID-19 pandemic, it is difficult for primary care clinicians on the front lines of care to stay up to date on the most accurate information regarding prevention, testing, and treatment. Join this live discussion between family physician Dr. Frank Domino and infectious disease specialist Dr. Paul Sax as they discuss common questions related to COVID-19 that will help you give your patients the best possible care and advice during these uncertain times. Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 3/28/2020 and they are subject to change as new information is published.  Guest: Frank J. Domino, MD & Paul E. Sax, MD 

38mins

30 Mar 2020

Rank #11

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Vaping: Health Threats in a Rapidly Changing Landscape - Frankly Speaking EP 151

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-151 Overview: Every day new information on e-cigarettes is in the media – the explosion of teen use with a resulting epidemic of nicotine addiction and most recently, increasing cases of serious lung related illness associated with vaping. Join us as we discuss this epidemic and the emergence of VAPI (Vaping Associated Pulmonary Injury) Guest: Susan Feeney, DNP, FNP-BC Music Credit: Richard Onorato

11mins

16 Dec 2019

Rank #12

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Put Your Phone Down: The Association Between Adolescent Mental Health and Social Media Use - Frankly Speaking EP 147

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-147 Overview: Social media use is ubiquitous across American society. There has also been an increase in adolescent mood disorders, such as anxiety and depression, as well as teen suicidal behavior. Join us as we discuss the association between social media use and adolescent mental health.  Guest: Susan Feeney, DNP, FNP-BC  Music Credit: Richard Onorato

12mins

18 Nov 2019

Rank #13

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The Challenges of Managing Bone Loss: Separating Fact from Fiction - Frankly Speaking EP 128

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-128 Overview: Conflicting evidence-based guidelines and medication risks have complicated the care of individuals with low bone density. The Endocrine Society just released its most recent recommendations for pharmacologic management of postmenopausal women with osteoporosis. Their goal was to address the most challenging aspects of low bone density management with clear evidence-based guidance. Join us as we review their new recommendations, compare them with other guidelines, and discuss their impact on your practice.  Guest: Susan Feeney, DNP, FNP Music Credit: Richard Onorato 

13mins

8 Jul 2019

Rank #14

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What Is Your Purpose in Life? Impact of Perceived Life Purpose on Life Expectancy - Frankly Speaking EP 132

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-132 Overview: A recently published study looked at the association between a perceived life purpose (using modified Ryff and Keyes Scales of Psychological Well-being) and mortality in individuals participating in the Health and Retirement Study (HRS). The results seem to indicate that a strong sense of purpose to one’s life is associated with decreased mortality. Join us as we discuss the implications of this study and how to apply it in practice to improve your patients’ health and well-being as well as your own.  Guest: Susan Feeney, DNP, FNP Music Credit: Richard Onorato 

11mins

5 Aug 2019

Rank #15

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Treating Strep Throat in Half the Time - Frankly Speaking EP 160

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-160 Overview: This episode will review clinical decision-making tools for diagnosing and treating streptococcal pharyngitis and will discuss a recent randomized controlled trial utilizing a 5-day course of Penicillin for treatment.  Guest: Guest: Robert Baldor, MD, FAAFP Music Credit: Richard Onorato

10mins

17 Feb 2020

Rank #16

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Mammography Screening: Sorting through Conflicting Guidelines - Frankly Speaking EP 129

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-129 Overview: Multiple organizations have issued guidelines on breast cancer screening, but these guidelines are often conflicting. Recently, the American College of Physicians (ACP) reviewed the data supporting seven different guideline recommendations and issued new guidance on breast cancer screening for average-risk women. Join our discussion of the recommendations to help develop a consistent approach to breast cancer screening in your practice.  Guest: Alan M. Ehrlich, MD, FAAFP Music Credit: Richard Onorato 

11mins

15 Jul 2019

Rank #17

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Milk: Whole, Skim or Something In Between? - Frankly Speaking EP 162 (Live from Pri-Med South)

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-162 Overview: This episode will review four recent publications that help guide milk consumption in children and adults.  Guest: Susan Feeney, DNP, FNP-BC, NP-C Music Credit: Richard Onorato 

12mins

2 Mar 2020

Rank #18

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What Does Exercise Have to Do with It: What Is the Relationship Between a Healthy Lifestyle and Genetic Risk of Dementia? - Frankly Speaking EP 138

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-138 Overview: Genetic and lifestyle risk factors have been implicated in the development of Alzheimer’s dementia (AD) as well as other subtypes of dementia. Specific genetic protein mutations have been identified in individuals who develop AD. There is also an abundant amount of evidence that suggests the risk of dementia can be reduced by avoiding tobacco smoking, limiting alcohol consumption, keeping physically active, and maintaining a healthy diet. Join our discussion of a recent study that shows a healthy lifestyle is associated with decreased risk of dementia in those with both low and high genetic risk. Guest: Susan Feeney, DNP, FNP Music Credit: Richard Onorato 

10mins

16 Sep 2019

Rank #19

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Improving Communication Between Parents and Teens - Frankly Speaking EP 153

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-153 Overview: Discuss a recently published randomized controlled trial that examined methods to help parents improve their ability to discuss important health issues with their teenagers (ex. sexual activity, substance use). Guest: Jill Terrien PhD, ANP-BC Music Credit: Richard Onorato

11mins

30 Dec 2019

Rank #20