Pri-Med Podcasts

Guest: Silvina Levis-Dusseau, MD Recorded at Pri-Med South

Overview: This session will focus not on cosmetic surgery but on cosmetic dermatology. You will learn about botulinum toxin, injectable fillers, chemical peeling, and topical agents/oral supplements for anti-aging. The faculty will discuss treatment selection, reviewing the profiles of these agents and how to determine which patients should receive them. Information on age-appropriate treatments as well as oral supplementation for cosmetic reasons will help you field questions from the patients you see in your practice. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 9th, 2020, and they are subject to change as new information is published. Guest: Jonette Keri, MD, PhD Recorded at Pri-Med South

Overview: The talk will focus on the criteria for diagnosis of dementia and how to apply the criteria for dementia diagnosis, including how to differentiate among types of degenerative dementias. It will review both non-pharmacological and pharmacological treatments for dementia, specifically focusing on the Choosing Wisely recommendations. The faculty will stress the consequences of caregiving and the significance of supporting caregivers in their role. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 9, 2020, and they are subject to change as new information is published. Guest: Stuti Dang, MD, MPH Recorded at Pri-Med South

Overview: Primary pediatric care clinicians cover a lot of ground, from autism and ADHD to asthma and obesity. Add in adolescent medicine and sports medicine, and the relevant literature quickly extends beyond what any one individual can keep up with successfully. This case-based session will help you, the busy clinician, learn about some of the recent research that can change what we do in our primary care pediatric practices. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7, 2020, and they are subject to change as new information is published. Guest: Jeffrey P. Brosco, MD, PhD Recorded at Pri-Med South

Overview: This lecture will focus on the problem of chronic pain, its burden on the patient, and the societal consequences that result from mismanagement. The faculty will present strategies for pharmacologic (opioid and non-opioid) and nonpharmacologic management of chronic pain and the evidence behind them. With improved insight into controlling and managing opioid therapy as well as medication-assisted treatment for opioid use disorder, you can help protect your patients from the opioid epidemic. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published. Guest: Esther M. Benedetti, MD, FIPP Recorded at 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

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-161 Overview: The incidence and prevalence of prediabetes and Type II Diabetes Mellitus in adolescents and young adults has increased over the past decade. A recent cross-sectional study of 12 years of NHANES data suggests that this population has an associated increased cardiometabolic risk. Listen as our team discusses these findings and some prevention strategies to help improve health outcomes. Guest: Guest: Susan Feeney, DNP, FNP-BC, NP-C Music Credit: Richard Onorato

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

Credits: 0.50 AMA PRA Category 1 Credits™ Claim CME/CE credit: http://www.pri-med.com/online-education/Podcast/south-2020-vollmer-ask-the-expert Overview: Get your questions answered by expert faculty in Psychiatry. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7th 2020, and they are subject to change as new information is published. Guest: Shirah Vollmer, MD

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-159 Overview: Join us as we discuss data from the National Longitudinal Study of Adolescent to Adult Health examining how family relationships impact depression. Guest: Guest: Jill Terrien PhD, ANP-BC Music Credit: Richard Onorato

Credits: 0.50 AMA PRA Category 1 Credits™ Claim CME/CE credit: http://www.pri-med.com/online-education/podcast/south-2020-kushner-obesity-ask-the-expert Overview: Get your questions answered by expert faculty in Endocrinology. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020 and they are subject to change as new information is published. Guest: Robert F. Kushner, MD, FACP

Credits: 0.50 AMA PRA Category 1 Credits™ Claim CME/CE credit: http://www.pri-med.com/online-education/Podcast/south-2020-raghaven-nephrology Overview: Get your questions answered by expert faculty in Nephrology. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7, 2020, and they are subject to change as new information is published. Guest: Rajeev Raghavan, MD

Credits: 0.50 AMA PRA Category 1 Credits™ Claim CME/CE credit: http://www.pri-med.com/online-education/podcast/south-2020-fan-rheumatology-ask-the-expert Overview: Get your questions answered by expert faculty in Rheumatology. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published. Guest: Peng Thim Fan, MD, FACP

Credits: 0.50 AMA PRA Category 1 Credits™ Claim CME/CE credit: http://www.pri-med.com/online-education/podcast/south-2020-benedetti-chronic-pain Overview: This lecture will focus on the problem of chronic pain, its burden on the patient, and the societal consequences that result from mismanagement. The faculty will present strategies for pharmacologic (opioid and non-opioid) and nonpharmacologic management of chronic pain and the evidence behind them. With improved insight into controlling and managing opioid therapy as well as medication-assisted treatment for opioid use disorder, you can help protect your patients from the opioid epidemic. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published. Guest: Esther M. Benedetti, MD, FIPP

Credits: 0.50 AMA PRA Category 1 Credits™ Claim CME/CE credit: http://www.pri-med.com/online-education/Podcast/south-2020-sax-ask-the-expert Overview: Get your questions answered by an expert faculty in Infectious Disease. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 7, 2020, and they are subject to change as new information is published. Guest: Guest: Paul E. Sax, MD

Listen to Dr. Frank Domino provide a timely update regarding the recent Coronavirus outbreak, and provide resources in order to get the most up-to-date information.

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-158 Overview: Review the latest research on the impact of Non-Nutritive Sweeteners (NNS) on mortality, disease, and intermediate outcomes like microbiome and gut hormones. Guest: Guest: Susan Feeney, DNP, FNP-BC Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-157 Overview: Heartburn is a frequent complaint in primary care practices. The etiology is broad, from reflux to H. pylori infection and PUD. While many clinicians treat symptomatically, this may not lead to patient satisfaction. A recent network meta-analysis published in The BMJ, concluded that a ‘test and treat’ approach resulted in the lowest reports for patients to remain symptomatic at follow-up. Guest: Robert Baldor, MD, FAAFP Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-156 Overview: Cannabis use has been increasing as numerous states have decriminalized or even legalized cannabis possession and use. As a result, the rates of pregnant women who use cannabis have been rising. Learn more about these trends and the risks associated with cannabis use in pregnancy. Guest: Alan Ehrlich MD, FAAFP Music Credit: Richard Onorato

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

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

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

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

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

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

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-149 Overview: Join us as we discuss best practices for providing care to the transgender population. Guest: Jill Terrien PhD, ANP-BC Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-148 Overview: Universal screening of young children is recommended by the American Academy of Pediatrics (AAP) for diagnosing Autism Spectrum Disorders (ASD), as early intervention leads to improvements in function. The U.S. Preventive Services Task Force (USPSTF), however, has concluded there isn't enough evidence about the efficacy of universal screening to recommend it. To assess the effectiveness of the Modified Checklist for Autism in Toddlers with Follow-Up (M-CHAT/F), a study of 26,000 children was completed at the Children's Hospital of Philadelphia. This episode will review the current guidelines for ASD screening and the results of this study—which revealed significant shortcomings in current screening tools—as well as discuss how to counsel concerned parents. Guest: Robert Baldor, MD, FAAFP Music Credit: Richard Onorato

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

This talk will address common questions asked about patients with chronic kidney disease (CKD). What is a good blood pressure target for my patient? How should I use ACE-inhibitors and angiotensin receptor blockers (ARBs) in CKD? Or evaluate for secondary hypertension? What about new treatments like sodium bicarbonate and SGLT2 inhibitors? As well as answering these questions, the faculty will discuss the goals of the executive order from the Department of Health and Human Services signed in July 2019: reducing the risk of kidney failure, improving access and quality of person-centered treatment options, and increasing access to transplants. Guest: James Paparello, MD

Obesity has reached epidemic levels in the U.S., and it is a contributor to the development of diabetes, cardiovascular disease, obstructive sleep apnea, some forms of cancer, and many other diseases. It is imperative that primary care clinicians incorporate obesity care into their medical practice. This presentation will address a practical and time efficient approach for the assessment of patients with obesity and help to formulate a treatment plan. The medical paradigm of lifestyle management, pharmacotherapy, and bariatric surgery will be reviewed along with guidance on how to intensify therapy when indicated. Guest: Robert F. Kushner, MD, FACP

In this case-based session, the faculty will review differences in prescribing for in older adults and age-associated changes in metabolism. Real-world examples will demonstrate common adverse drug effects, a systematic approach to deprescribing, and tools such as the updated 2019 AGS Beers criteria. You will walk away from this talk with tips to enhance safe medication use in your practice. Guest: Sara M. Bradley, MD, FACP

Guest: Bethany Doerfler, MS, RDN

Infectious diseases syndromes are common in primary care practices. However, staying current with relevant literature that may influence appropriate evaluation and treatment of patients with these syndromes can be difficult, given the volumes of applicable articles and diversity of journals publishing these reports. This session will present some common infectious disease scenarios and provide crucial literature updates. You will learn about how responding to histories of penicillin allergy may result in adverse patient outcomes, the proper timing of influenza vaccination, the influence of substance abuse on risk medication adherence and infectious diseases risk, the appropriate evaluation of patients with suspected cellulitis syndromes, and the role of preoperative urine screening. Guest: Richard A. Martinello, MD

Using Choosing Wisely, AAP, and CDC recommendations as a foundation, the faculty will review the evidence-based guidelines for the following topics: diagnosis/management of upper respiratory infections (e.g., otitis media), the efficacy of PPI/H2B in young children, the new updates in blood pressure screening, universal HIV screening in adolescents, and mental health tools that assist in screening for depression, anxiety, and ADHD. Guest: Tomitra Latimer, MD

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-146 Overview: Join us as we discuss breast density and the use of supplemental imaging to assess risk for advanced breast cancer. Guest: Jill Terrien PhD, ANP-BC Music Credit: Richard Onorato

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

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/basal-insulin-type-2-diabetes-pt-3 Overview: Primary care clinicians (PCCs) are ideally suited to educate and advise people with type 2 diabetes about basal insulin. This program will inform PCCs about current recommendations and advances in the safe and effective use of basal insulin, so they can provide individualized, appropriate care for their patients.

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

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

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 the American 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

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/basal-insulin-type-2-diabetes-pt-2 Overview: Primary care clinicians (PCCs) are ideally suited to educate and advise people with type 2 diabetes about basal insulin. This program will inform PCCs about current recommendations and advances in the safe and effective use of basal insulin, so they can provide individualized, appropriate care for their patients.

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

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/basal-insulin-type-2-diabetes-pt-1 Overview: Primary care clinicians (PCCs) are ideally suited to educate and advise people with type 2 diabetes about basal insulin. This program will inform PCCs about current recommendations and advances in the safe and effective use of basal insulin, so they can provide individualized, appropriate care for their patients.

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

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

Listen as expert Pri-Med faculty Dr. Ty Gluckman summarizes major take-home points about real work evidence and the impact of role real word evidence on NOAC therapy for stroke prevention for patient with atrial fibrillation.

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

Credits: 0.50 AMA PRA Category 1 Credits™, Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/cl-lupus-faq-podcast Overview: Have questions about systemic lupus erythematosus? Listen to this podcast to hear from a rheumatologist about the most popular topics in diagnosis, monitoring, and management of this complex disease.

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

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