CME | From Awkward to Affirming: Mastering the Sexual History

FFFM | FamMedPAC: How Family Physicians Engage in Policy and Politics

In this episode of Fighting for Family Medicine, David Tully, AAFP vice president of government relations, previews recent AAFP advocacy updates and interviews Domenic Casablanca, MD, FAAFP at FMX about the Family Medicine Political Action Committee (FamMedPAC). Highlights include urging HHS to preserve family medicine representation on the United States Preventive Services Task Force, AAFP advocacy efforts around Medicare payment reform and student loan repayment updates. Casablanca explains how a political action committee pools member donations to support vetted, bipartisan candidates, describes the importance of relationship-building with lawmakers and cites AAFP advocacy wins. He also shares how physicians can stay involved and make their voices heard. Topics by Timestamp 00:00 Welcome and Episode Setup 00:38 Advocacy Highlights Roundup 01:34 Medicare Payment Reform Push 02:40 Workforce Loans and Visas 04:33 Pharmacist Services Concerns 05:22 Meet the FamMedPAC Chair 06:11 What a PAC Does 06:56 Easy Ways to Advocate 08:29 How Candidates Are Chosen 09:50 Why Bipartisan Matters 11:38 Relationship Building Stories 13:44 Election Cycle Strategy 16:28 PAC Wins for Family Medicine 18:25 Hot Policy Issues Now 20:41 Career Advice for New Docs 24:10 Final Call to Engage 25:13 Wrap Up and Resources Additional Resources * Op-ed: Making America healthy again needs more than a committee [https://www.fiercehealthcare.com/providers/op-ed-making-america-healthy-again-requires-more-committee] * [2026-04-14] Kaine & Courtney Lead Bicameral Resolution to Repeal... [https://www.kaine.senate.gov/press-releases/kaine-and-courtney-lead-bicameral-resolution-to-repeal-trump-administration-rule-to-politicize-public-service-loan-forgiveness-program] * ICYMI: Congresswoman Schrier Introduces Bipartisan Legislation to Expand Childhood Vaccine Access | Representative Kim Schrier [https://schrier.house.gov/media/press-releases/icymi-congresswoman-schrier-introduces-bipartisan-legislation-expand-childhood] * Will AI destroy or boost healthcare? Medical professionals weigh in [https://www.washingtonexaminer.com/policy/healthcare/4542829/ai-destroy-boost-healthcare-medical-professionals-weigh-in/] * Physician groups react to visa freeze reversal with praise, questions [https://www.beckershospitalreview.com/quality/hospital-physician-relationships/physician-groups-react-to-visa-freeze-reversal-with-praise-questions/] * Joint Letter Requesting National Interest Exceptions and Expedited Visa Processing for Physicians - April 8, 2026 [https://www.aafp.org/assets/image/upload/v1778216474/LT-DHS-ExpeditedVisaProcessing-040826.pdf] * Furr Testimony [https://d1dth6e84htgma.cloudfront.net/HHRG_119_IF_14_Wstate_Furr_S_20260520_c8b4167288.pdf] * Health Hearing: Examining the Medicare Physician Fee Schedule, MACRA, and Opportunities for Payment Reforms [https://energycommerce.house.gov/events/health-hearing-examining-the-medicare-physician-fee-schedule-macra-and-opportunities-for-payment-reforms] 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.

IFM | Whole Health: Medicine's Course Correction

In this episode of Inside Family Medicine Andrew Bazemore, MD, MPH, and Beth Polk, MD, FAAFP join us to discuss whole health in primary care. Dr. Bazemore distinguishes whole health (physical, behavioral, spiritual and socioeconomic well-being across individuals, families and communities) from whole health care (how care is organized), emphasizing a shift from "What's the matter with you?" to "What matters to you?" Dr. Polk connects whole health to lifestyle medicine's pillars and stresses addressing drivers of outcomes beyond the exam room, including social needs. They cite examples from the VA whole health model and community health centers, discuss team-based care, group visits and using existing evaluation and management (E/M) billing while advocating for payment reform. The episode highlights training needs in residency programs, small, actionable practice changes, clinician well-being and the risks and opportunities of AI in supporting whole health. Topics by timestamp 00:00 Welcome and guests 01:25 Why family medicine 03:36 Why whole health now 05:22 Defining whole health 08:22 Lifestyle medicine link 10:54 Principles and team care 13:03 Real-world examples 16:09 Billing and payment reality 22:05 Training and resources 25:57 Takeaways and next steps 29:51 Salutogenesis explained 30:57 AI and closing Additional resources Family Physicians: Leaders in Whole Health [https://www.aafp.org/pubs/fpm/issues/2025/0500/beyond-the-beltway.html] AAFP Pilot Program Shows Value of Lifestyle Medicine [https://www.aafp.org/news/health-of-the-public/whole-health-project-impacts.html] Prevention & Wellness [https://www.aafp.org/family-physician/patient-care/prevention-wellness.html] Scaling Whole Health Strategies in Primary Care: Action Brief [https://www.aafp.org/dam/AAFP/documents/patient_care/public_health/whole-health-action-brief.pdf] 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.

CME | From Awkward to Affirming: Mastering the Sexual History

In this episode of CME On the Go, our hosts discuss how family physicians can take a comprehensive, sensitive sexual history. They highlight common discomfort and bias in asking "Are you sexually active?" and emphasize using respectful, gender-inclusive language, humility, trauma-informed care and clear medical purpose to avoid voyeurism, with supportive EHR documentation when possible. They review terminology around sex, gender and sexuality and outline the CDC "Five Ps" framework—partners, practices, protection from STIs, past history of STIs and pregnancy intention—adding two additional Ps: permission and primary sexual and gender identity. They suggest open-ended questions, assess STI risk and prevention, address sexual function and trauma and revisit the sexual history during major life transitions. Learning Objectives 1. Recognize the clinical and relational consequences of poorly conducted sexual histories, including the role of implicit bias and documentation challenges in EMRs and patient portals. 2. Differentiate between sex, gender, and sexual identity to enhance inclusive, respectful communication during sexual history taking. 3. Demonstrate strategies to reduce personal discomfort and foster a safe, affirming environment for patients during sensitive conversations. The AAFP has reviewed From Awkward to Affirming: Mastering the Sexual History and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 05/18/2026 to 6/4/2027. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 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 for a maximum of 0.50 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit. After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/19939/e [https://www.aafp.org/assessment/take/19939/e] References and Resources Yale Reflections – Gender Glossary A clear, accessible glossary of terms related to sex, gender and sexual orientation. https://reflections.yale.edu/article/sex-gender-power-reckoning/gender-glossary [https://reflections.yale.edu/article/sex-gender-power-reckoning/gender-glossary] CDC – Taking a Sexual History CDC guidance on taking an inclusive, patient-centered sexual history in clinical care. https://www.cdc.gov/sti/hcp/clinical-guidance/taking-a-sexual-history.html [https://www.cdc.gov/sti/hcp/clinical-guidance/taking-a-sexual-history.html] American Family Physician – Sexual Health History: Techniques and Tips Evidence-based strategies for comprehensive, affirming sexual health histories in primary care. https://www.aafp.org/pubs/afp/issues/2020/0301/p286.html#afp20200301p286-b3 [https://www.aafp.org/pubs/afp/issues/2020/0301/p286.html#afp20200301p286-b3] 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.

IFM | Mental Health Month: Behavioral Health Integration

In this episode of Inside Family Medicine, Shannon Connolly, MD, FAAFP, associate medical director at the Planned Parenthood of Orange and San Bernardino Counties, discusses family physicians' crucial role as the first and sometimes only point of contact for mental health care, especially in underserved settings. She explains how psychosocial and behavioral factors underlie many primary care challenges such as complex pain, substance use disorders and uncontrolled chronic disease. Connolly shares a patient story illustrating how integrated support (therapy, social work and appropriate medications) improved both mental health and diabetes outcomes. She outlines behavioral health integration models, including physician-delivered care, co-located primary care behavioral health and the registry-driven collaborative care model, highlighting benefits for patient outcomes and physician workload. The conversation also addresses access barriers, telehealth as a scaling strategy and the importance of destigmatizing physicians seeking mental healthcare to combat burnout, depression and anxiety. Topics By Timestamp 00:00 Welcome and Guest Intro 01:00 Why Family Medicine 01:38 Path to Behavioral Health 02:51 Family Docs as First Line 03:52 Patient Story Real Impact 06:47 What Is Behavioral Integration 07:05 Models Collaborative Care 08:46 Benefits for Patients and Docs 10:32 Access for Underserved Patients 12:12 Overcoming Implementation Barriers 13:52 Physician Mental Health Matters 16:38 Resources and Closing Additional Resources Mental and Behavioral Health Clinical Guidance | AAFP [https://www.aafp.org/family-physician/patient-care/clinical-recommendations/clinical-guidance-mental-and-behavioral-health.html] FPM Topic Collection: Behavioral Health | AAFP [https://www.aafp.org/pubs/fpm/topics/by-topic.behavioral-health.html] Integrating Behavioral Health Into Primary Care | AAFP [https://www.aafp.org/pubs/fpm/issues/2021/0500/p3.html] Free CME: Behavioral Health Integration On Demand | AAFP [https://www.aafp.org/cme/all/online/behavioral-health-integration-learning-forum.html] CME collection: Mental Health and Behavior | AAFP CME [https://www.aafp.org/cme/topic/mental-health-and-behavior.html] Behavioral Health Integration (BHI) Collaborative | American Medical Association [https://www.ama-assn.org/public-health/behavioral-health/behavioral-health-integration-bhi-collaborative] Compendium of behavioral health integration resources for physician practices | American Medical Association [https://www.ama-assn.org/public-health/behavioral-health/compendium-behavioral-health-integration-resources-physician] 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.

IFM | Innovative Diagnostic Tools and Workflows for Suspected Alzheimer's in Primary Care

In this special edition of Inside Family Medicine, sponsored by Roche Diagnostics, host Darren Sextro talks with brain health experts Deanna Willis, MD, MBA, a board-certified family physician, and Jared Brosch, MD, board-certified neurologist, on the use of blood-based biomarkers (BBBMs) in primary care settings for Alzheimer's disease and related dementias. Their discussion explores how BBBMs can make referrals more efficient and enhance the evaluation of patients with cognitive decline. The conversation highlights the value of early diagnosis and therapy referrals as well as outlines effective workflow strategies for primary care teams. This episode is brought to you by Roche Diagnostics. Topics by Timestamp 00:00 Introduction 01:03 Meet the experts 02:22 Dr. Willis' journey 04:32 Dr. Brosch's journey 05:32 Connection between family medicine and neurology 07:24 New tools for early detection 11:19 Workflow models and biomarkers 14:08 Best practices for referrals 16:35 Biomarkers in practice 19:47 Conclusion and additional resources Additional Resources: Roche Diagnostics Elecsys Phospho-Tau (181P) Plasma decision summary https://www.accessdata.fda.gov/cdrh_docs/reviews/K252163.pdf [https://www.accessdata.fda.gov/cdrh_docs/reviews/K252163.pdf] 2024 CEOi recommendations for clinical implementation of blood-based biomarkers for Alzheimer's disease: https://doi.org/10.1002/alz.14184 [https://doi.org/10.1002/alz.14184] 2025 Alzheimer's Association clinical guidelines for primary care: https://doi.org/10.1002/alz.14333 [https://doi.org/10.1002/alz.14333] Implementing early detection of cognitive impairment in primary care to improve care for older adults: https://doi.org/10.1111/joim.20098 [https://doi.org/10.1111/joim.20098] FPM journal article: Blood Biomarkers and Early Detection of Alzheimer's Disease and Related Dementias [https://www.aafp.org/pubs/fpm/issues/2025/0500/alzheimers-detection.html] Brain health hub on AAFP.org including newest brain health resources Brain health resources for patients from the AAFP [https://familydoctor.org/prevention-and-wellness/brain-health/] 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.