Inside Family Medicine

CME | Dementia Demystified: From Early Signs to Everyday Management

37 min · Gestern
Episode CME | Dementia Demystified: From Early Signs to Everyday Management Cover

Beschreibung

In this CME On the Go episode, our hosts discuss evaluating and managing dementia-related concerns in primary care using a common scenario: an older patient brought in by an adult child concerned about Alzheimer's disease and possible nursing home placement. They emphasize that these visits are time intensive and require history from both the patient and family, distinguishing normal aging from functional cognitive decline across domains such as memory, judgment, language and orientation, while remaining aware of family dynamics. Key exam priorities include vision, hearing and depression screening. They review brief and extended cognitive screening tools, labs for reversible causes and selective imaging. The episode outlines definitions of normal aging, mild cognitive impairment and dementia, along with practical, safety-focused management, medication options and the family physician's role in long-term planning and caregiver support. Learning Objectives 1. Recognize early signs and symptoms of dementia and distinguish them from normal aging and potentially reversible causes of cognitive change. 2. Differentiate behavioral and psychological symptoms of dementia (BPSD) from unmet needs or environmental triggers, clarifying what BPSD is—and what it is not. 3. Share practical, evidence‑informed management pearls with patients and caregivers, focusing on nonpharmacologic strategies and realistic expectations for disease progression. The AAFP has reviewed CME On the Go, Season 3 and deemed it acceptable for AAFP credit(s). Term of Approval is from 07/06/2026 to 07/06/2028. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session, "Dementia Demystified: From Early Signs to Everyday Management" is approved for 0.50 credits Enduring Materials, Self-Study, AAFP Prescribed credit(s). The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Academy of Family Physicians designates this Enduring Materials activity for a maximum of 1.00 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/20235/e [https://www.aafp.org/assessment/take/20235/e] References and Resources * All AAFP Dementia topics: https://www.aafp.org/pubs/afp/topics/by-topic.dementia.html [https://www.aafp.org/pubs/afp/topics/by-topic.dementia.html] * Dementia Diagnosis and Care: CME for Family Physicians https://www.aafp.org/cme-and-events/topics/geriatrics-end-of-life-care/dementia-on-demand [https://www.aafp.org/cme-and-events/topics/geriatrics-end-of-life-care/dementia-on-demand] * Article from AAFP titled "Evaluation of Suspected Dementia" https://www.aafp.org/pubs/afp/issues/2025/1200/suspected-dementia-evaluation.html [https://www.aafp.org/pubs/afp/issues/2025/1200/suspected-dementia-evaluation.html] 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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Episode CME | Dementia Demystified: From Early Signs to Everyday Management Cover

CME | Dementia Demystified: From Early Signs to Everyday Management

In this CME On the Go episode, our hosts discuss evaluating and managing dementia-related concerns in primary care using a common scenario: an older patient brought in by an adult child concerned about Alzheimer's disease and possible nursing home placement. They emphasize that these visits are time intensive and require history from both the patient and family, distinguishing normal aging from functional cognitive decline across domains such as memory, judgment, language and orientation, while remaining aware of family dynamics. Key exam priorities include vision, hearing and depression screening. They review brief and extended cognitive screening tools, labs for reversible causes and selective imaging. The episode outlines definitions of normal aging, mild cognitive impairment and dementia, along with practical, safety-focused management, medication options and the family physician's role in long-term planning and caregiver support. Learning Objectives 1. Recognize early signs and symptoms of dementia and distinguish them from normal aging and potentially reversible causes of cognitive change. 2. Differentiate behavioral and psychological symptoms of dementia (BPSD) from unmet needs or environmental triggers, clarifying what BPSD is—and what it is not. 3. Share practical, evidence‑informed management pearls with patients and caregivers, focusing on nonpharmacologic strategies and realistic expectations for disease progression. The AAFP has reviewed CME On the Go, Season 3 and deemed it acceptable for AAFP credit(s). Term of Approval is from 07/06/2026 to 07/06/2028. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session, "Dementia Demystified: From Early Signs to Everyday Management" is approved for 0.50 credits Enduring Materials, Self-Study, AAFP Prescribed credit(s). The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Academy of Family Physicians designates this Enduring Materials activity for a maximum of 1.00 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/20235/e [https://www.aafp.org/assessment/take/20235/e] References and Resources * All AAFP Dementia topics: https://www.aafp.org/pubs/afp/topics/by-topic.dementia.html [https://www.aafp.org/pubs/afp/topics/by-topic.dementia.html] * Dementia Diagnosis and Care: CME for Family Physicians https://www.aafp.org/cme-and-events/topics/geriatrics-end-of-life-care/dementia-on-demand [https://www.aafp.org/cme-and-events/topics/geriatrics-end-of-life-care/dementia-on-demand] * Article from AAFP titled "Evaluation of Suspected Dementia" https://www.aafp.org/pubs/afp/issues/2025/1200/suspected-dementia-evaluation.html [https://www.aafp.org/pubs/afp/issues/2025/1200/suspected-dementia-evaluation.html] 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.

Gestern37 min
Episode IFM | Family Physician Compensation: Myths, Models and Using the AAFP Career Benchmark Dashboard Cover

IFM | Family Physician Compensation: Myths, Models and Using the AAFP Career Benchmark Dashboard

In this episode of Inside Family Medicine, we hear from Norman Chenven, MD, founding CEO of Austin Regional Clinic (ARC), and AAFP Director of Career and Practice, Tracey Allen-Ehrhart. They discuss family physician compensation, common income myths, and tools for evaluating job offers. Chenven explains why he chose family medicine and outlines how compensation varies by geography, practice type, work hours, productivity, coding, patient satisfaction, and value-based quality measures. Allen-Ehrhart highlights the AAFP Career Benchmark Dashboard, which offers family physicians real-world compensation data and includes filters by role and state for tailored searches. They also compare employed roles and practice ownership, discuss risks associated with private equity and health system stability, and share advice and resources for evaluating employers and reviewing contracts. Topics by Timestamp 00:00 Welcome and Guests 01:20 Why Family Medicine 02:27 Compensation Basics 05:05 Benchmark Dashboard 06:27 Ownership vs Employment 09:52 Myths and Reality 10:50 Advice for New Docs 13:42 Negotiate Your Worth 16:17 Resources and Wrap Up Additional Resources Comparing Physician Compensation [https://www.aafp.org/family-physician/practice-and-career/managing-your-career/find-a-job/comparing-physician-compensation.html] Family Medicine Compensation and Career Satisfaction Benchmark Dashboard [https://www.aafp.org/family-physician/practice-and-career/managing-your-career/family-medicine-career-benchmark-dashboard.html] Understanding and Improving Your Work RVUs [https://www.aafp.org/pubs/fpm/issues/2023/0300/understanding-rvus.html] 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.

29. Juni 202617 min
Episode FFFM | What federal student loan borrowers need to know Cover

FFFM | What federal student loan borrowers need to know

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 [https://www.aafp.org/about/blog/ease-medical-school-debt] * Advocacy topic: Medical student debt relief [https://www.aafp.org/advocacy/federal/physician-workforce/student-debt?sortCriteria=%40publication_date+descending] * Managing student loan debt [https://www.aafp.org/life-and-career/personal-finance/managing-student-loan-debt] * Loan repayment strategies for medical students and residents [https://www.aafp.org/residents/residency/debt-management/repayment] * Letter to the Department of Education to Protect Medical Training Pathways [https://dgnvxbcc3-res.cloudinary.com/image/upload/v1779466036/pdf_advocacy_letters_aafp_response_doe_on_stats_pr_05152026.pdf] * 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 [https://x.com/aafp/status/2064429878674444547] * 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 [https://x.com/aafp/status/2062190616704880982] * Speak Out: Support the Medicare Advantage Improvement Act of 2026 [https://fammedpac.aafp.org/take-action/alertid/778/] * Letter in Resposne to IPPS Rule [https://dgnvxbcc3-res.cloudinary.com/image/upload/v1781288537/pdf_lt_cms_ipps_060826.pdf] * Speak Out: Chronic Care Management Improvement Act [https://fammedpac.aafp.org/take-action/alertid/734/] * Speak Out: Support H-1B Physicians [https://fammedpac.aafp.org/take-action/alertid/726/] * Primary Care Innovation Network [https://www.aafp.org/media-center/press-releases/aafp-launches-primary-care-innovation-network-and-advisory-committee-to-guide-ai-in-frontlines-of-care] 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.

26. Juni 202619 min
Episode IFM | Firearm Injury Prevention in the Exam Room: A Conversation with Family Physicians Cover

IFM | Firearm Injury Prevention in the Exam Room: A Conversation with Family Physicians

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 [https://www.aafp.org/about/policies/all/gun-violence.html] Prevention of Gun Violence (Policy Statement) | AAFP [https://www.aafp.org/about/policies/all/prevention-gun-violence.html] https://www.aafp.org/news/blogs/aafp-voices/storage-conversations.html [https://www.aafp.org/news/blogs/aafp-voices/storage-conversations.html] https://aafp.libsyn.com/ifm-the-aafp-foundations-signature-research-program [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.

22. Juni 202622 min
Episode CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind Cover

CME | This Is Giving Me a Headache: Managing the Headache Patient Without Losing Your Mind

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 [https://www.aafp.org/assessment/take/19579/e] Learning Objectives 1. Apply a standardized, evidence-informed diagnostic and treatment algorithm for evaluating patients with headache, while acknowledging alternative approaches. 2. Differentiate between appropriate and potentially problematic interventions, including the use of narcotics, in-office procedures, and newer pharmacologic therapies. 3. 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 [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://doi.org/10.1016/j.clinme.2023.100005] * https://ichd-3.org/ [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.

19. Juni 202635 min