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Frankly Speaking About Family Medicine

A weekly podcast series, hosted by Frank Domino, MD, covering newsworthy topics and patient-focused best practices in Family Medicine. Episodes 102 and onward are now available for CME Credit! Find the link to claim credit in each episode’s description or find the episode on our Frankly Speaking landing page, www.pri-med.com/franklyspeaking.
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A weekly podcast series, hosted by Frank Domino, MD, covering newsworthy topics and patient-focused best practices in Family Medicine.

Oct 16, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-142

Overview: There has been increasing interest in the use of endovascular reperfusion for patients who have suffered an ischemic stroke. The American Heart Association (AHA) and theAmerican Stroke Association (ASA) have jointly developed a nationwide registry to evaluate the benefits of these techniques on stroke outcomes. During this episode we will review a recent retrospective cohort study of almost 7,000 patients presenting with an acute ischemic stroke that demonstrates a significant benefit to endovascular reperfusion, even several hours after the onset of symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Oct 7, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-141

Overview: Join us as we discuss gun safety and injury prevention in primary care practice.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Sep 30, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-140

Overview: This session will discuss the utility of digital apps and daily self-weight measurement for weight loss.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Sep 23, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-139

Overview: Join us as we discuss acupuncture as an adjunctive therapy in patients with chronic stable angina.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Sep 16, 2019

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 

Sep 9, 2019

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 

Sep 2, 2019

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 

Aug 26, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-135

Overview: Measles were declared eliminated in 2000; however, in June 2019, the CDC announced that there were > 1,000 cases identified in the US—the largest number of cases since 1992. Join us as we discuss the causes of this increase in a vaccine-preventable disease (VPD) and strategies for containing this looming public health concern.

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Aug 19, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-134

Overview: Measles were declared eliminated in 2000; however, in June 2019, the CDC announced that there were > 1,000 cases identified in the US—the largest number of cases since 1992. Join us as we discuss the causes of this increase in a vaccine-preventable disease (VPD) and strategies for containing this looming public health concern.

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Aug 12, 2019

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 

Aug 5, 2019

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 

Jul 29, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-131

Overview: After the debate on whether to screen for prostate cancer comes the debate on how to treat it. Options include “watchful waiting,” radiation, surgery, and androgen deprivation. This session will focus on how to help your patient diagnosed with prostate cancer decide on a treatment plan using a cohort-based decision tool. 

Guest: Susan Feeney, DNP, FNP & Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Jul 22, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-130

Overview: This study looked at hospitalizations following legislation that legalized marijuana use in Colorado compared to two states that have not legalized marijuana, New York and Oklahoma. The goal was to determine what impact this law might have on common and chronic conditions. It found hospitalizations for some conditions increased while issues of social anxiety disorder decreased

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato 

Jul 15, 2019

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 

Jul 8, 2019

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 

Jul 1, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-127

Overview: Join us as we discuss the increased off-label use of gabapentinoids most likely in response to the treatment of pain. 

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Jun 24, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-126

Overview: Reading to young children is a well-established activity that can impact neuro-cognitive and emotional development in children. Since many parents use E-readers and other digital platforms to read to their kids, in this episode we will explore whether there is a difference or benefit to using a particular type of book. Join us as we discuss the recent findings on parent-toddler interactions when reading from a print book versus an E-reader.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Jun 17, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-125

Overview: Join us as we discuss barriers to physical activity and how providers can help to address these issues, particularly in women with large breast size.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Jun 10, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-124

Overview: When patients with T2DM have difficulty controlling their glucose with standard approaches, or are newly diagnosed but severely hyperglycemic, insulin is commonly used to help control their metabolism. Using long acting, once a day agents is a standard of care but in the last 15 years, the costs of insulin has skyrocketed. During this episode we will review a study examining the effects of using Neutral Protamine Hagedorn Insulin (NPH) rather than once a day insulin on A1c control and risk for hypoglycemia and discuss their findings, which suggest NPH can be used with equivalent glycemic control and with no additional risk.

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato 

Jun 3, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-116-push-ups

Overview: Join us as we discuss decision aids used to assess contraceptive knowledge and intentions that can be easily incorporated in primary care practice. 

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

May 27, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: Since their arrival, oral anti-fungal agents have been thought to induce liver disease. Often, these medications are avoided or used with caution and frequent laboratory testing. Join us in a discussion of a recent study that builds on previous work showing the risk with using these agents is extremely small.

Guest: Susan Feeney, DNP, FNP

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-122

 

May 20, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: According to the latest data, 1 in 7 US women experience perinatal depression, described as depression occurring during pregnancy and up to one year after childbirth. There is compelling evidence that perinatal depression can have short and long-term effects on both women and their children. The USPSTF has published new recommendations encouraging clinicians to screen pregnant and postpartum persons for depression and provide those who are at increased risk of perinatal depression with counseling interventions. (Grade B recommendation).

Guest: Susan Feeney, DNP, FNP

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-121

May 13, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: In a recent study of postmenopausal women in the WHI Observational Study who consumed > 2 ASB per day, there appeared to be an association between increased intake of ASB with increased risk of ischemic stroke, CVD, and all cause mortality. Join us as we discuss these findings, what it adds to our knowledge about ASB, and potential strategies to apply this new evidence into your practice.

Guest: Susan Feeney, DNP, FNP 

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-120

 

 

May 6, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: Join us as we discuss HPV vaccination and the growing evidence of the benefits to those who receive the vaccine and the protection of those who are not vaccinated.

Guest: Jill Terrien PhD, ANP-BC 

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-119

 

Apr 29, 2019

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: Antibiotics are frequently prescribed for upper respiratory infections, even when they are likely due to viral etiologies, or will resolve just as quickly without antibiotics. Many clinicians believe convincing patients they do not need to take an antibiotic is time consuming and frustrating for both parties. In fact, patients are often receptive to information on appropriate use, and the conversation can be done efficiently with practice.

Guest: Alan Ehrlich MD, FAAFP

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-118

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