Inside Family Medicine American Academy of Family Physicians

The new CME on the Go series of the Inside Family Medicine podcast lets you earn up to 0.5 CME credits per episode — beginning with this inaugural episode that underscores the critical role of family physicians in caring for LGBTQ+ patients and reducing health care inequities.
Listen as three family physicians discuss how to create welcoming environments and adapt medical care to the needs of all patients, as well as the importance of understanding gender identity and sexual orientation.
Your hosts for this episode are Lauren Brown-Berchtold, MD, FAAFP, program director for the San Joaquin General Family Medicine Residency in French Camp, Calif.; Jason Marker, MD, MPA, FAAFP, associate director of the Memorial Hospital Family Medicine Residency program in South Bend, Ind.; and Tamaan Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access.
These family physician leaders share personal experiences, highlight the significance of visual cues for inclusivity and discuss further gender-affirming care learning opportunities. The conversation encourages continuous learning, humility and a commitment from family physicians to create safe spaces for LGBTQ+ patients.
Credit Claiming After listening to the podcast episode, claim 0.5 AAFP credit on AAFP.org. 
Learning Objectives Explore the unique health needs and challenges faced by LGBTQ+ individuals. Discuss best practices for creating inclusive healthcare environments for LGBTQ+ patients. Recognize the disparities in healthcare access and quality experienced by LGBTQ+ communities. Discuss ways to provide guidance on gender-affirming care and supporting the health and well-being of transgender and non-binary patients. Topics by Timestamp 00:00 Welcome to Inside Family Medicine 00:18 Meet Your Hosts 02:15 Podcast Vision: Centering Family Physicians 03:18 Introduction to LGBTQ+ Care 03:39 Diving Deep into LGBTQ+ Care in Family Medicine 04:30 Importance of Inclusive Care 06:56 Training and Resources for LGBTQ+ Care 12:59 Creating a Welcoming Environment for All Patients 17:20 Screening Guidelines for Transgender Patients 20:53 Final Thoughts and Continual Learning 24:58 Closing Remarks References https://www.itspronouncedmetrosexual.com/2015/03/the-genderbread-person-v3/ Killermann S. The Genderbread Person, version 4. Genderbread.org. 2017. [2023-06-27]. https://www.genderbread.org Sterling J, Garcia MM. Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model. Transl Androl Urol. 2020 Dec;9(6):2771-2785. doi: 10.21037/tau-20-954. Safer JD, Tangpricha V. Care of Transgender Persons. N Engl J Med. 2019 Dec 19;381(25):2451-2460. doi: 10.1056/NEJMcp1903650. Iwamoto SJ, Grimstad F, Irwig MS, Rothman MS. Routine Screening for Transgender and Gender Diverse Adults Taking Gender-Affirming Hormone Therapy: a Narrative Review. J Gen Intern Med. 2021 May;36(5):1380-1389. doi: 10.1007/s11606-021-06634-7. Reisner SL, Mateo C, Elliott MN, et al. Analysis of Reported Health Care Use by Sexual Orientation Among Youth. JAMA Netw Open. 2021;4(10):e2124647. doi:10.1001/jamanetworkopen.2021.24647 Nigro NN, Chandnani N, Doshi A, Fritsch A, Marroquin NA, Zueger M, Sivesind TE, Dellavalle R, Dunnick C. Distinguishing Gender Identity From Biological Sex in Dermatologic Health Care: Methods, Harms, and Paths Forward. JMIR Dermatol. 2023 Jul 18;6:e47118. doi: 10.2196/47118. Resources: https://transcare.ucsf.edu/guidelines https://www.glma.org/resources.php https://www.aafp.org/cme/all/health-equity/lgbtq-plus-patient-strategies.html https://www.aafp.org/family-physician/patient-care/care-resources/lbgtq/tools-resources.html https://www.aafp.org/family-physician/patient-care/care-resources/lbgtq.html Disclosure:
It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial i

AAFP board member Teresa L. Lovins, MD, FAAFP, and Lilian White, MD, talk about their careers in family medicine and their decisions to establish direct primary care (DPC) practices.
Dr. Lovins shares her journey through various medical roles to founding Lovin My Health DPC, attributing the transition to experiencing the benefits of longer patient appointments and integrated care. Starting DPC later in her career, she highlights the simplicity and satisfaction found in this model.
Dr. White discusses her immediate move into DPC after residency and outlines the value of time and relationship-building in patient care. Both guests emphasize the supportive community within DPC, the importance of patient-physician relationships, and offer advice to medical professionals considering this path.
The discussion underlines direct primary care as a viable, rewarding option for family medicine practitioners seeking closer connections with their patients and a respite from the traditional healthcare system's pressures.
Some resources related to this episode include:
Why Wait? I Opened My DPC Practice Right After Residency AAFP Board of Directors: Teresa Lovins, MD, FAAFP DPC Summit, June 20-23 in Dallas, Texas AAFP Policy on Direct Primary Care Direct Primary Care as a tool to Reduce Documentation Burden DPC Summit 2023 On Demand CME Topics by Timestamp 00:00 Welcome to Inside Family Medicine: Meet the Experts 01:08 Choosing Family Medicine: Personal Journeys 03:06 The Direct Primary Care Path: Insights and Experiences 05:17 Direct Primary Care After Residency: A Bold Move 07:24 Starting Out in DPC: Lessons Learned 09:35 Building Patient Relationships and Health Outcomes in DPC 11:21 Measuring Success in Direct Primary Care 12:39 Final Takeaways: The Value of Direct Primary Care Disclaimer: Copyright 2024. 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.

In this episode of Inside Family Medicine, Lauren Brown-Berchtold, MD, FAAFP, a passionate advocate for mental health care and physician well-being, talks about her journey from tragedy to advocacy. It is an important conversation during May, which is Mental Health Awareness Month. The episode highlights the crucial role family physicians play in providing mental health care and reducing the stigma of seeking mental health help.
Dr. Brown-Berchtold, the program director for the San Joaquin General Hospital Family Medicine Residency Program, shares her personal journey into family medicine, influenced by experiences in Indonesia and a tragic family loss that underscored the importance of mental health.
She emphasizes that family physicians are well-positioned to recognize and treat mental health conditions and discusses how behavioral health integration can make mental health care more accessible. Dr. Brown-Berchtold also highlights the stigma within the medical community regarding mental health and considers solutions to better support physician wellness.
The episode closes with Dr. Brown-Berchtold discussing strategies to facilitate open conversations about mental health between physicians and patients, and the significance of self-care and professional support for physicians.
Some resources related to this episode include:
Mental and Behavioral Health Clinical Guidance | AAFP Leading Physician Well-being Program | AAFP Physician Well-being | AAFP Mental Health and Behavior | AAFP CME Dr. Brown-Berchtold Family Doc Focus FamilyDoctor.org Patient Resources Topics by Timestamp 00:00 Welcome to Inside Family Medicine: A Deep Dive into Mental Health and Well-being 01:06 Discovering Family Medicine: A Personal Journey 04:39 The Importance of Mental Health in Family Medicine 05:25 A Personal Tragedy: Fueling a Passion for Mental Health 09:43 The Role of Family Physicians in Mental Health Care 13:45 Behavioral Health Integration: Enhancing Patient Care 15:11 Prioritizing Physician Well-being: Strategies and Insights 19:17 Empowering Residents: Teaching and Modeling Mental Health Care 22:10 Closing Thoughts: A Commitment to Mental Health and Well-being Disclaimer: Copyright 2024. 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.

In a historic win for the AAFP’s workforce advocacy, the Federal Trade Commission recently finalized a rule banning noncompete agreements. In this episode, AAFP Vice President of Government Relations David Tully talks with Shawn Martin, the Academy’s EVP and CEO, about the impact of this rule, including the court challenges it now faces.
“Simply put, we believe that patients should have access to their physicians, and physicians should be able to freely practice in their communities,” Martin says.
Resources related to this episode include:
The AAFP’s new resource page dedicated to noncompete agreements and related topics, including the Academy’s advocacy for the ban. The AAFP’s grassroots advocacy page helps Academy members connect with their lawmakers to advocate personally. The AAFP’s Speak Out page puts members in touch with their members of Congress to advocate for the Academy’s top policy priorities.  Topics by Timestamp 00:00 Welcome to Fighting for Family Medicine for a conversation about the FTC’s new noncompete ban 01:00 AAFP EVP and CEO Shawn Martin talks about why this rule is important to family physicians 02:53 How noncompete agreements and health care consolidation fit together 04:38 How the noncompete ban affects for-profit versus nonprofit health care entities as employers of family physicians 05:47 What happens next? 07:23 Closing Remarks Disclaimer: Copyright 2024. 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.

In this episode of Inside Family Medicine, host Emily Holwick discusses the direct primary care (DPC) model with Rob Rosborough, MD, a family physician with 28 years of experience and founder of Township Health DPC.
Dr. Rosborough shares his journey into family medicine, inspired by a rotation with a rural family doctor. He explains the benefits of the DPC model, such as a membership fee structure that excludes insurance billing, offering unlimited visits, discounted medications, and personalized patient care with reduced patient panels.
Dr. Rosborough contrasts DPC with traditional practices and concierge medicine, highlighting the cost-effectiveness and increased patient care time as significant advantages. He recounts his transition to DPC after attending a DPC Summit and the challenges of starting a new business model in healthcare.
The episode also touches on the importance of community and mentorship in transitioning to DPC and concludes with advice for physicians considering this model.
Subscribe today so you don't miss a discussion in the coming weeks with other family physicians who practice DPC, promising more insights into this innovative healthcare model.
Some resources related to this episode include:
DPC Summit, June 20-23 in Dallas, Texas AAFP Policy on Direct Primary Care Direct Primary Care as a tool to Reduce Documentation Burden DPC Summit 2023 On Demand CME Topics by Timestamp 00:00 Welcome to Inside Family Medicine: Meet Dr. Rob Rosborough
00:47 Why Family Medicine? Dr. Rosborough's Journey
01:29 The Unique Approach of Family Medicine to Patient Care
02:04 Introduction to Direct Primary Care (DPC)
02:52 The Benefits of Direct Primary Care Over Traditional Models
03:57 Exploring Different Models of Direct Primary Care
04:56 The Financials: How DPC Affects Practice Revenue and Overhead
05:52 Direct Primary Care vs. Concierge Medicine: What's the Difference?
06:42 Dr. Rosborough's Transition to Direct Primary Care
09:18 Challenges and Rewards of Moving to Direct Primary Care
12:09 Building Patient Relationships in Direct Primary Care
13:38 Advice for Physicians Considering Direct Primary Care
14:07 Closing Thoughts and Future Episodes
Disclaimer: Copyright 2024. 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.

Dr. Cleveland Piggott, president of the Colorado Academy of Family Physicians and an associate professor and vice chair for diversity, equity, inclusion at the University of Colorado Department of Family Medicine, discusses the importance of health equity, diversity, and inclusion in the medical field.
Dr. Piggott shares his personal journey into family medicine, touched by his family's experience with healthcare and influenced by his passion for education, mentorship, and caring for others. Highlighting the critical role family physicians play in addressing health disparities, Dr. Piggott stresses mentorship, academic medicine, and active participation in promoting health equity as pivotal factors in creating a diverse and inclusive healthcare environment.
The episode also explores how family physicians are uniquely positioned to advance health equity and offers actionable advice for physicians interested in promoting workforce diversity and diversity in medical education.
Some resources related to this episode include:
The EveryONE Project | AAFP AAFP Center for Diversity and Health Equity | AAFP Neighborhood Navigator | AAFP Education and Practice-Based Resources | AAFP (SDOH screening tool) Advocacy for Health Equity | AAFP Health Equity CME | AAFP Medical Students | AAFP Free Medical Student Membership | AAFP Workforce Diversity | AAFP Topics by Timestamp 00:00 Welcome to Inside Family Medicine: Meet Dr. Cleveland Piggott 00:44 The Journey to Family Medicine: Dr. Piggott's Personal Story 02:13 Discovering a Passion for Family Medicine 04:57 The Path to Academic Medicine and Health Equity 06:09 Overcoming Challenges as an Underrepresented Physician 09:07 Advancing Diversity in Medical Education 11:31 Mentorship and Encouraging Future Physicians 14:14 Family Physicians as Advocates for Health Equity 15:32 Taking Action: How to Impact Health Equity and Diversity 17:18 Closing Thoughts and Resources Disclaimer: Copyright 2024. 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.