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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 26, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-195

Overview: For patients who have hip replacement or knee arthroplasty there is an increased risk of venous thromboembolism This episode will review the effectiveness of aspirin for preventing VTE in this population

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Oct 19, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-194

Overview: The available evidence on alcohol consumption and its relationship to health is abundant, varied, and often conflicting. The evidence that excessive consumption is associated with poor outcomes is consistent; however, evidence on low-to-moderate alcohol consumption has ranged from poor outcomes to no impact to improved outcomes. Join us while we discuss new evidence that reveals an association between low-to-moderate alcohol use in white middle-to-older aged adults and improved cognition.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Oct 12, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-193

Overview: Join us as we discuss the American Cancer Society 2020 guideline update on cervical cancer screening for women of average risk

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Oct 5, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-192

Overview: Currently a low-dose CT scan is the only screening test for lung cancer that is recommended by the American Cancer Society. In July 202, the U.S. Preventive Services Task Force (USPSTF) issued a draft recommendation statement on screening for lung cancer. The USPSTF suggests annual screening with low-dose CT for individuals aged 50-80 who have a 20 pack-year smoking history and who currently smoke or have quit smoking within the past 15 years. These recommendations expand screening eligibility, but they also suggest that screening be discontinued if a person has not smoked for 15 years, develops a health problem that substantially limits life expectancy, or is unable or unwilling to have curative lung surgery.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Sep 28, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-191

Overview: Screening for asymptomatic conditions is an essential and important aspect of primary care. But what is the potential downstream impact to the patents and the healthcare system when low-risk individuals are screened? What are the benefits and the potential harms? Join us as we discuss a recent retrospective study on the downstream effects of low-value testing on low-risk people at their annual health exam and how this may impact your practice.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Sep 21, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-190

Overview: A review of the latest evidence on antibody testing to identify current and past COVID-19 infection

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Sep 14, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-189

Overview: This session will discuss an observational study performed in Denmark on how receiving the influenza vaccine affected diabetics long-term outcomes.

Guest: Jill M. Terrien, PhD, ANP-BC

Music Credit: Richard Onorato

Sep 7, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-188

Overview: A review of the latest evidence regarding hydroxychloroquine (HCQ) as treatment for SARS-CoV-2 infection.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aug 31, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-187

Overview: This podcast will review what is known and theorized about vitamin D status, susceptibility to viral infections, and mortality from viral infections.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aug 24, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-184

Overview: This episode will review current literature on COVID-19 data.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Aug 17, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-185

Overview: This episode will review a study of using LABA with inhaled steroid rather than a short acting rescue inhaler.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aug 10, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-184

Overview: For patients who have hip replacement or knee arthroplasty there is an increased risk of venous thromboembolism (VTE). This episode will review the effectiveness of aspirin for preventing VTE in this population.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aug 3, 2020

Credits: 0.25 AMA PRA Category 1 Credit

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-183

Overview: While it is well established that selected lifestyle factors are individually associated with lower risk of chronic diseases, it has been unclear which combinations of these factors are associated with disease-free life-years. This session presents the result of a recent meta-analysis that provides insights into this important subject.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Jul 27, 2020

Credits: 0.25 AMA PRA Category 1 Credit

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-182

Overview: About 20% of men older than 60 experience low testosterone; however, the prevalence of low testosterone with sexual dysfunction symptoms is significantly lower. Although there is an association between advancing age, testosterone levels, and other quality of life factors, the exact causal relationship remains challenging. This latest guideline from the American College of Physicians (ACP) examines the evidence regarding testosterone replacement recommendations.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Jul 20, 2020

Credits: 0.25 AMA PRA Category 1 Credit

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-181

Overview: This podcast reviews a recent study evaluating the benefit of adding a weighted vest to dietary interventions to promote weight loss and discusses its implications for clinical practice. 

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Jul 13, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-180

Overview: The American College of Rheumatology (ACR) updated their 2012 guidelines for treating gout. To do this, they used established evidenced-based methods including population, intervention, comparator, outcomes (PICO) questions. 

Guest: Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Jun 29, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-179

Overview: The comparative efficacy of corticosteroid and physical therapy for managing osteoarthritis of the knee is controversial. This podcast will review a recent randomized trial comparing the efficacy of the 2 treatments in 156 patients who were followed for 1 year.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Jun 22, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-178

Overview: As men age, over-active bladder (OAB) symptoms (urgency, frequency, nocturia) are commonly seen. Typically, these symptoms are secondary to the development of benign prostate hypertrophy (BPH). Alpha-blocking and/or antimuscarinic agents are commonly prescribed to treat such symptoms. In this podcast we review the COBALT study which examines the benefits of behavioral treatments (pelvic floor muscle training and fluid restriction before bedtime) alone or combined with drug therapy to treat OAB symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Jun 15, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-177

Overview: This session will discuss the latest evidence on concussion occurrence among high school athletes and review return-to play-guidelines and laws. It will also provide a nuanced and realistic discussion of concussion prevention.

Guest: Guest: Hillary Mullan

Music Credit: Richard Onorato

Jun 8, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-176

Overview: Achieving a euthymic state can be very challenging for individuals with depression and anxiety. Many people live with residual symptoms even while on anti-depressive medications. Changing pharmacotherapy, escalating doses, and adding medications are common. Join us while we discuss the results of a recent RCT of primary care patients, which demonstrated improved resolution of residual depressive symptoms for those who used a web-based CBT tool as adjunctive therapy.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Jun 1, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-175 

Overview: Clinical practice guidelines from the American College of Obstetrics and Gynecology and the United States Preventive Services Task Force recommend against routine Pap smears and bimanual exams in adolescents. This recommendation includes those planning on starting oral contraceptives or with possible sexually transmitted diseases. A recent study found nearly half of all such exams in this age group lack indications. While the evidence indicates a new direction, clinicians have been slow to change their practice. Join us as we discuss the reasons for these guidelines and review appropriate indications for these exams. 

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

May 27, 2020

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-covid-19-5-27 

Overview: Listen to this Q&A session about special topics on COVID-19 infection, including COVID in pregnancy and pediatric patients  

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

May 25, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-174

Overview: In this episodes, we will discuss a systematic review and meta-analysis that examines outcomes from the use of furosemide compared to torsemide in patients with congestive heart failure.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

May 18, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-173

Overview: In primary care we are tasked with treating multiple conditions, therefore many of our patients are on numerous medications. Some of these medications are prescribed to deal with side effects of other medications. Often clinicians may not be aware that they are treating preventable drug side effects and wind up prescribing even more medications. This causes a cascade effect that results in significant polypharmacy. Join us while we discuss this common phenomenon and strategies to minimize or avoid it entirely.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

May 11, 2020

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-172

Overview: As men age, over-active bladder (OAB) symptoms (urgency, frequency, nocturia) are commonly seen. Typically, these symptoms are secondary to the development of benign prostate hypertrophy (BPH). Alpha-blocking and/or antimuscarinic agents are commonly prescribed to treat such symptoms. In this podcast we review the COBALT study which examines the benefits of behavioral treatments (pelvic floor muscle training and fluid restriction before bedtime) alone or combined with drug therapy to treat OAB symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

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