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Inside Family Medicine

Inside Family Medicine

By: 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 Economics Hygiene & Healthy Living Physical Illness & Disease
Episodes
  • FFFM | What federal student loan borrowers need to know
    Jun 26 2026
    In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of government relations, reviews June advocacy efforts, including the Family Medicine Advocacy Summit, where more than 300 physicians advocated for policies to improve access to care. He also highlights AAFP positions on H-1B physician policy, Medicaid work requirements, ACA marketplace changes, rural training and hospital payments, and reducing prior authorization burdens. Tully then discusses student loan changes from the U.S. Department of Education under H.R.1 with members of the AAFP government relations team, Meagan Mortimer and Mandi Neff, outlining new repayment rules, elimination of programs and borrowing caps,. Topics by Timestamp 00:00 Student Loan Changes Ahead 01:02 June Advocacy Wins 02:17 Policy Updates Roundup 05:26 DOE Loan Overhaul Explained 06:19 AAFP Pushback on HR1 08:42 Borrowing Caps Timeline 10:28 Exceptions and Legacy Plans 11:48 Mitigation and Advocacy Strategy 15:58 How Members Can Help 18:26 Closing and Disclaimers Additional Resources Blog: Policymakers have a roadmap to ease medical student debt Advocacy topic: Medical student debt relief Managing student loan debt Loan repayment strategies for medical students and residents Letter to the Department of Education to Protect Medical Training Pathways AAFP on X: "Every patient deserves access to a family physician. The AAFP is encouraged by a federal court's decision to halt the proposed $100,000 H-1B application fee. We urge Congress to pass the bipartisan H-1Bs for Physicians and the Healthcare Workforce Act, which would codify this https://t.co/mDqeYPpi8L" / X AAFP on X: "The AAFP is deeply concerned that Medicaid work reporting requirements will result in massive coverage losses for beneficiaries. When patients can access Medicaid, communities are healthier. https://t.co/ZvAx2In0Nm https://t.co/7fd9LjIAiC" / X Speak Out: Support the Medicare Advantage Improvement Act of 2026 Letter in Resposne to IPPS Rule Speak Out: Chronic Care Management Improvement Act Speak Out: Support H-1B Physicians Primary Care Innovation Network 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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    19 mins
  • IFM | Firearm Injury Prevention in the Exam Room: A Conversation with Family Physicians
    Jun 22 2026
    In this episode of Inside Family Medicine, James Bigham, MD, MPH, and Sanjay Batish, MD, discuss the family physician's role in preventing firearm injuries and addressing gun violence through relationship-based, upstream care. Bigham describes training clinicians in culturally aware counseling, secure firearm storage and collaboration with gun shop owners through and the nonprofit SAFE, or Scrubs Addressing the Firearm Epidemic, emphasizing a public health approach that uses population data, including that firearm injury is the leading cause of death among people ages 1 to 19. Batish explains how treating the long-term physical and mental health effects of firearm injuries led him into research, including an AAFP Foundation RapSDI pilot that tested a firearm safety score tool in nonurban primary care settings and found unexpectedly high risk. Both physicians recommend universal screening, nonjudgmental counseling focused on suicide risk, practical storage planning, community resources and clinician training tools. Topics by Timestamp 00:00 Welcome and Guests 01:52 Why Family Medicine 02:39 Why Firearm Prevention Matters 05:40 Public Health Lens 07:04 RAPSODI Research Findings 09:23 Screening and Counseling Tips 11:36 Handling Discomfort 12:52 Stories and Blind Spots 17:53 Advice and Resources 21:19 Closing and Disclaimers Additional Resources Gun Violence, Prevention of (Position Paper) | AAFP Prevention of Gun Violence (Policy Statement) | AAFP https://www.aafp.org/news/blogs/aafp-voices/storage-conversations.html https://aafp.libsyn.com/ifm-the-aafp-foundations-signature-research-program 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 mins
  • CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind
    Jun 19 2026
    In this re-released episode of CME on the Go, originally published on 12/1/2025, our hosts discuss the complexities of diagnosing and treating headaches in primary care. They cover common challenges faced by family physicians, such as differentiating between primary and secondary headaches, the importance of taking thorough patient histories, and the appropriate use of diagnostic tests like MRI and CT scans. The episode offers a deep dive into treatment options for headaches, including pharmacologic and non-pharmacologic methods, with a special focus on managing chronic daily headaches, migraine disorders, and medication overuse headaches. The discussion also touches on the role of cognitive behavioral therapy, osteopathic manipulation, and the efficacy of various medications like NSAIDs, triptans, and beta blockers. After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/19579/e Learning Objectives Apply a standardized, evidence-informed diagnostic and treatment algorithm for evaluating patients with headache, while acknowledging alternative approaches. Differentiate between appropriate and potentially problematic interventions, including the use of narcotics, in-office procedures, and newer pharmacologic therapies. Reflect on provider discomfort and fatigue in managing headache complaints, and develop strategies to maintain empathy, clinical consistency, and patient rapport. References and Resources Bahra, A., & Evans, R. W. (2021). The secondary headaches. Cephalalgia, 41(4), 427-430. Jairo Hernandez, Eduardo Molina, Ashley Rodriguez, Samuel Woodford, Andrew Nguyen, Grace Parker, Brandon Lucke-Wold. Headache Disorders: Differentiating Primary and Secondary Etiologies. J. Integr. Neurosci. 2024, 23(2), 43. https://doi.org/10.31083/j.jin2302043 https://www.sciencedirect.com/science/article/pii/S1470211823000052#bib0003 Novel screening tool for secondary headache in acute care—A pilot study. https://doi.org/10.1016/j.clinme.2023.100005 https://ichd-3.org/ 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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    36 mins
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