Frankly Speaking About Family Medicine

By Pri-Med

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Description

A weekly Podcast series covering newsworthy topics in primary care medicine.

Episode Date
Is There a Correlation Between Low-to-Moderate Alcohol Consumption and Improved Cognitive Function? - Frankly Speaking Ep 194
12:03

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-194

Overview: The available evidence on alcohol consumption and its relationship to health is abundant, varied, and often conflicting. The evidence that excessive consumption is associated with poor outcomes is consistent; however, evidence on low-to-moderate alcohol consumption has ranged from poor outcomes to no impact to improved outcomes. Join us while we discuss new evidence that reveals an association between low-to-moderate alcohol use in white middle-to-older aged adults and improved cognition.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Oct 19, 2020
Heads Up! 2020 Guideline Update on Cervical Cancer Screening - Frankly Speaking Ep 193
09:07

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-193

Overview: Join us as we discuss the American Cancer Society 2020 guideline update on cervical cancer screening for women of average risk

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Oct 12, 2020
Lung Cancer Screening: The U.S. Preventive Services Task Force Weights In - Frankly Speaking Ep 192
10:50

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-192

Overview: Currently a low-dose CT scan is the only screening test for lung cancer that is recommended by the American Cancer Society. In July 202, the U.S. Preventive Services Task Force (USPSTF) issued a draft recommendation statement on screening for lung cancer. The USPSTF suggests annual screening with low-dose CT for individuals aged 50-80 who have a 20 pack-year smoking history and who currently smoke or have quit smoking within the past 15 years. These recommendations expand screening eligibility, but they also suggest that screening be discontinued if a person has not smoked for 15 years, develops a health problem that substantially limits life expectancy, or is unable or unwilling to have curative lung surgery.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Oct 05, 2020
Testing is Appropriate at an Annual Health Exam: What, When, and WHY? - Frankly Speaking Ep 191
11:45

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-191

Overview: Screening for asymptomatic conditions is an essential and important aspect of primary care. But what is the potential downstream impact to the patents and the healthcare system when low-risk individuals are screened? What are the benefits and the potential harms? Join us as we discuss a recent retrospective study on the downstream effects of low-value testing on low-risk people at their annual health exam and how this may impact your practice.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Sep 28, 2020
Antibody Tests for COVID-19: What Do They Tell Us? - Frankly Speaking Ep 190
10:14

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-190

Overview: A review of the latest evidence on antibody testing to identify current and past COVID-19 infection

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Sep 21, 2020
Influenza Immunization and Lower Mortality Rates in Diabetes - Frankly Speaking Ep 189
12:01

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-189

Overview: This session will discuss an observational study performed in Denmark on how receiving the influenza vaccine affected diabetics long-term outcomes.

Guest: Jill M. Terrien, PhD, ANP-BC

Music Credit: Richard Onorato

Sep 14, 2020
Hydroxychloroquine for COVID-19: Not Ready for Prime-Time - Frankly Speaking Ep 188
13:49

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-188

Overview: A review of the latest evidence regarding hydroxychloroquine (HCQ) as treatment for SARS-CoV-2 infection.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Sep 07, 2020
Vitamin D and COVID-19 - Frankly Speaking Episode 187
11:08

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-187

Overview: This podcast will review what is known and theorized about vitamin D status, susceptibility to viral infections, and mortality from viral infections.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aug 31, 2020
COVID-19: School Closing, Prevention, and Prognosis - Frankly Speaking Episode 186
14:06

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-184

Overview: This episode will review current literature on COVID-19 data.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Aug 24, 2020
A Change In Treating Mild Asthma - Frankly Speaking EP 185
11:40

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-185

Overview: This episode will review a study of using LABA with inhaled steroid rather than a short acting rescue inhaler.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aug 17, 2020
Aspirin Can Prevent VTE After Hip or Knee Surgery - Frankly Speaking EP 184
09:26

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-184

Overview: For patients who have hip replacement or knee arthroplasty there is an increased risk of venous thromboembolism (VTE). This episode will review the effectiveness of aspirin for preventing VTE in this population.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aug 10, 2020
Counseling About Healthy Lifestyles: Time to Simplify - Frankly Speaking EP 183
10:13

Credits: 0.25 AMA PRA Category 1 Credit

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-183

Overview: While it is well established that selected lifestyle factors are individually associated with lower risk of chronic diseases, it has been unclear which combinations of these factors are associated with disease-free life-years. This session presents the result of a recent meta-analysis that provides insights into this important subject.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Aug 03, 2020
Testosterone for Low ‘T’? - Frankly Speaking Episode 182
12:31

Credits: 0.25 AMA PRA Category 1 Credit

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-182

Overview: About 20% of men older than 60 experience low testosterone; however, the prevalence of low testosterone with sexual dysfunction symptoms is significantly lower. Although there is an association between advancing age, testosterone levels, and other quality of life factors, the exact causal relationship remains challenging. This latest guideline from the American College of Physicians (ACP) examines the evidence regarding testosterone replacement recommendations.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Jul 27, 2020
Weighted Vests Reduce Weight - Frankly Speaking EP 181
09:56

Credits: 0.25 AMA PRA Category 1 Credit

Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-181

Overview: This podcast reviews a recent study evaluating the benefit of adding a weighted vest to dietary interventions to promote weight loss and discusses its implications for clinical practice. 

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Jul 20, 2020
Gout - An Updated Treatment Guideline from the American College of Rheumatology - Frankly Speaking EP 180
12:36

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-180

Overview: The American College of Rheumatology (ACR) updated their 2012 guidelines for treating gout. To do this, they used established evidenced-based methods including population, intervention, comparator, outcomes (PICO) questions. 

Guest: Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Jul 13, 2020
For Osteoarthritis of the Knee, What’s the Point of Injecting Steroids? - Frankly Speaking EP 179
09:35

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-179

Overview: The comparative efficacy of corticosteroid and physical therapy for managing osteoarthritis of the knee is controversial. This podcast will review a recent randomized trial comparing the efficacy of the 2 treatments in 156 patients who were followed for 1 year.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Jun 29, 2020
An Epidemic That Nobody is Talking About - Frankly Speaking EP 178
08:52

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-178

Overview: As men age, over-active bladder (OAB) symptoms (urgency, frequency, nocturia) are commonly seen. Typically, these symptoms are secondary to the development of benign prostate hypertrophy (BPH). Alpha-blocking and/or antimuscarinic agents are commonly prescribed to treat such symptoms. In this podcast we review the COBALT study which examines the benefits of behavioral treatments (pelvic floor muscle training and fluid restriction before bedtime) alone or combined with drug therapy to treat OAB symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Jun 22, 2020
Concussion Risk and Prevention Among High School Student Athletes - Frankly Speaking EP 177
07:12

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-177

Overview: This session will discuss the latest evidence on concussion occurrence among high school athletes and review return-to play-guidelines and laws. It will also provide a nuanced and realistic discussion of concussion prevention.

Guest: Guest: Hillary Mullan

Music Credit: Richard Onorato

Jun 15, 2020
Getting to Remission—Not Just Better: Can a Web-Based CBT Tool Help Resolve Residual Depressive Symptoms in People Treated for Depression? - Frankly Speaking EP 176
10:49

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-176

Overview: Achieving a euthymic state can be very challenging for individuals with depression and anxiety. Many people live with residual symptoms even while on anti-depressive medications. Changing pharmacotherapy, escalating doses, and adding medications are common. Join us while we discuss the results of a recent RCT of primary care patients, which demonstrated improved resolution of residual depressive symptoms for those who used a web-based CBT tool as adjunctive therapy.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Jun 08, 2020
Pap Smears and Bimanual Exams: Do Teens Really Need Them? - Frankly Speaking EP 175
08:05

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-175

Overview: Clinical practice guidelines from the American College of Obstetrics and Gynecology and the United States Preventive Services Task Force recommend against routine Pap smears and bimanual exams in adolescents. This recommendation includes those planning on starting oral contraceptives or with possible sexually transmitted diseases. A recent study found nearly half of all such exams in this age group lack indications. While the evidence indicates a new direction, clinicians have been slow to change their practice. Join us as we discuss the reasons for these guidelines and review appropriate indications for these exams. 

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Jun 01, 2020
Frankly Speaking Update: COVID-19 and Special Populations (Recorded 5/22/20)
17:16

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-covid-19-5-27 

Overview: Listen to this Q&A session about special topics on COVID-19 infection, including COVID in pregnancy and pediatric patients  

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

May 27, 2020
What Happened to My Furosemide? Torsemide for Congestive Heart Failure - Frankly Speaking EP 174
09:09

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-174

Overview: In this episodes, we will discuss a systematic review and meta-analysis that examines outcomes from the use of furosemide compared to torsemide in patients with congestive heart failure.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

May 25, 2020
The Prescribing Cascade: What Is It and How Do We Prevent It? - Frankly Speaking EP 173
10:29

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-173

Overview: In primary care we are tasked with treating multiple conditions, therefore many of our patients are on numerous medications. Some of these medications are prescribed to deal with side effects of other medications. Often clinicians may not be aware that they are treating preventable drug side effects and wind up prescribing even more medications. This causes a cascade effect that results in significant polypharmacy. Join us while we discuss this common phenomenon and strategies to minimize or avoid it entirely.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

May 18, 2020
Kegels for Men? - Frankly Speaking EP 172
08:26

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-172

Overview: As men age, over-active bladder (OAB) symptoms (urgency, frequency, nocturia) are commonly seen. Typically, these symptoms are secondary to the development of benign prostate hypertrophy (BPH). Alpha-blocking and/or antimuscarinic agents are commonly prescribed to treat such symptoms. In this podcast we review the COBALT study which examines the benefits of behavioral treatments (pelvic floor muscle training and fluid restriction before bedtime) alone or combined with drug therapy to treat OAB symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

May 11, 2020
Caution! Falling Seniors Ahead! - Frankly Speaking EP 171
09:41

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-171

Overview: Join us as we discuss falls: a clinical issue that warrants regular assessment in adults over the age of 65.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

May 04, 2020
Corticosteroid Injection for Plantar Fasciitis: All Pain, No Gain - Frankly Speaking EP 170
08:16

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-170

Overview: Plantar fasciitis is a common and often unsuccessfully treated chronic, painful condition. Multiple interventions have been suggested with varying degrees of effectiveness. Corticosteroid injections are sometimes used, but the evidence for efficacy has been limited with significant bias present in many of the trials. A Cochrane review in 2017 found a small degree of short-term benefit. Since then, a number of additional trials have been performed, and a newer systematic review finds no benefit.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Apr 27, 2020
5 Tools to Improve the Patient Encounter - Frankly Speaking EP 169
07:38

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: Many providers are dissatisfied with patient visits because of issues such as time limits and technology burden. Join us as we discuss 5 practices that could improve satisfaction with visits for both patients and providers.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Apr 20, 2020
“Make it Stop!” – can a simple and quick intervention help improve quit rates in your patients who smoke? - Frankly Speaking EP 168
10:34

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: A recent RCT from Hong Kong found that a brief 1-minute standardized intervention (based on the AWARD Model and self-determination theory) was more effective than giving printed smoking cessation materials to semi-urgent and non-urgent emergency department patients at smoking abstinence at 12 months. Join us as we discuss the implications of this study on your practice and care of individuals who smoke.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Apr 13, 2020
"B" is for Back Pain: How Vitamins May Benefit Acute Low Back Pain - Frankly Speaking EP 167
10:14

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-167

Overview: Acute low back pain is a common problem and a frequent cause of inability to work. Although there are many treatments available, they often provide limited relief and have accompanying side effects. Listen to this episode to hear about how using certain vitamins may act as an adjunct treatment to speed recovery of acute low back pain.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Apr 06, 2020
Ask the ID Expert: Common COVID-19 Questions in Primary Care (Recorded 3/28/20)
38:46

Credits: 0.50 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/ask-the-id-experts-covid19-coronavirus

Overview: With information changing rapidly around the COVID-19 pandemic, it is difficult for primary care clinicians on the front lines of care to stay up to date on the most accurate information regarding prevention, testing, and treatment. Join this live discussion between family physician Dr. Frank Domino and infectious disease specialist Dr. Paul Sax as they discuss common questions related to COVID-19 that will help you give your patients the best possible care and advice during these uncertain times.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 3/28/2020 and they are subject to change as new information is published. 

Guest: Frank J. Domino, MD & Paul E. Sax, MD 

Mar 30, 2020
Alcohol and A-fib: Is Abstinence the Best Medicine? - Frankly Speaking EP 166
09:33

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-166

Overview: Alcohol consumption has been associated with negative cardiovascular outcomes, yet many clinicians still counsel patients that it is okay in moderation. Past observational studies have supported this idea, showing a dose-dependent relationship between alcohol consumption and the incidence of a-fib. In this episode we will explore the latest RCT out of Australia, which suggest that no level of alcohol intake is safe when it comes to a-fib.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Mar 30, 2020
Effective Tool or Diet Fad? Can Intermittent Fasting Decrease Weight and Improve Cardiovascular Markers?
11:40

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-165  

Overview: Obesity, dyslipidemia, and hypertension are significant challenges to public health and impact a growing number of Americans. Weight loss and dietary changes are effective in preventing CVD and DMII and reducing cardiometabolic complications, but can be difficult for many people. Growing evidence supports the use of timed fasting to promote weight loss and reduce these complications. Join us as we discuss a recent study that shows promising data regarding a 10-hour feeding window and improved CV markers.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Mar 23, 2020
Frankly Speaking Update: Common Questions About Coronavirus (Recorded 3/21/20)
14:02

Overview: Review the latest data on the Pandemic in a patient centered manner 

Music Credit: Richard Onorato

Mar 22, 2020
Coronavirus Update, March 6, 2020 - Frankly Speaking EP 164
08:17

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-164  

Overview: Review the latest recommendations from the CDC to assist in responding to patient questions and concerns. 

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato 

Mar 13, 2020
Safe Sex – Counseling Makes a Difference - Frankly Speaking EP 163 (Live from Pri-Med South)
13:17

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-163  

Overview: STIs in the US are a major public health risk with an estimated 20 million new cases per year, more than half occurring in 15-24-year-olds. The USPSTF found intensive counseling in young adults to reduce the likelihood of STIs. Join us as we discuss how to apply these recommendations to your practice.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Mar 09, 2020
Milk: Whole, Skim or Something In Between? - Frankly Speaking EP 162 (Live from Pri-Med South)
12:46

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 of the four recent publications that help guide milk consumption in children and adults. 

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato 

Mar 02, 2020
Too Sweet! Rates of Prediabetes in US Adolescents and Young Adults - Frankly Speaking EP 161
11:13

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

Feb 24, 2020
Treating Strep Throat in Half the Time - Frankly Speaking EP 160
10:27

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

Feb 17, 2020
Adolescent Mental Health: Family Relationships Matter - Frankly Speaking EP 159
10:12

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

Feb 10, 2020
Coronavirus: Frankly Speaking Special Update
03:10

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

Feb 03, 2020
The Dangers of Non-Nutritive Sweeteners: What Does the Data Say? - Frankly Speaking EP 158
11:26

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

Feb 03, 2020
Heartburn – Why “Test and Treat” Is Best - Frankly Speaking EP 157
11:21

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

Jan 27, 2020
Cannabis Use in Pregnancy: A Worrisome Trend - Frankly Speaking EP 156
09:28

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

Jan 20, 2020
A Brief Update of the Guidelines on the Management of Type 2 Diabetes - Frankly Speaking EP 155
10:08

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 Standards of Medical Care 2020.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Jan 13, 2020
Skip the Colonoscopy? - Frankly Speaking EP 154
13:05

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

Jan 06, 2020
Improving Communication Between Parents and Teens - Frankly Speaking EP 153
11:16

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

Dec 30, 2019
Winter’s Here – Time to Review the Latest Community-Acquired Pneumonia Guidelines - Frankly Speaking EP 152
10:59

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

Dec 23, 2019
Vaping: Health Threats in a Rapidly Changing Landscape - Frankly Speaking EP 151
11:52

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

Dec 16, 2019
Red Meat: Confusion and Conflicts of Interest - Frankly Speaking EP 150
14:06

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

Dec 09, 2019
Transgender Care: Breaking the Barriers and Acknowledging Bias - Frankly Speaking EP 149
10:53

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

Dec 02, 2019
Screening for Autism Spectrum Disorders: We Need Better Tools - Frankly Speaking EP 148
09:46

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

Nov 25, 2019
Put Your Phone Down: The Association Between Adolescent Mental Health and Social Media Use - Frankly Speaking EP 147
12:42

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

Nov 18, 2019
Breast Density and Supplemental Imaging: Detecting Advanced Breast Cancer - Frankly Speaking EP 146
08:57

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

Nov 11, 2019
COPD Exacerbations: Who Needs Antibiotics? - Frankly Speaking EP 145
10:26

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

Nov 04, 2019
Getting Glutened: Early Childhood Gluten Consumption and the Risk of Celiac Disease - Frankly Speaking EP 144
10:59

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

Oct 28, 2019
Antibiotic Use in the US: A Look into How Americans Use Antibiotics Without a Prescription - Frankly Speaking EP 143
11:42

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

Oct 21, 2019
Saving the Brain: How Long Is Too Long to Pursue Endovascular Reperfusion After a Stroke? - Frankly Speaking EP 142
11:09

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 theAmerican 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

Oct 16, 2019
Gun Safety in Pediatric Populations: Exploring New Data and Assessing Risk - Frankly Speaking EP 141
09:56

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

Oct 07, 2019
Weight Loss with Apps – Do they Work? - Frankly Speaking 140
11:15

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

Sep 30, 2019
Needlepoint for the Heart: An Integrative Option for Chronic Stable Angina - Frankly Speaking EP 139
09:40

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

Sep 23, 2019
What Does Exercise Have to Do with It: What Is the Relationship Between a Healthy Lifestyle and Genetic Risk of Dementia? - Frankly Speaking EP 138
10:05

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 

Sep 16, 2019
Statins After 75 Years of Age in Healthy Seniors? Still No - Frankly Speaking EP 137
10:57

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 

Sep 09, 2019
Boning Up on Treatment for Osteopenia - Frankly Speaking EP 136
12:13

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 

Sep 02, 2019
What Channel Are You On? Video Visits for Primary Care - Frankly Speaking EP 135
10:10

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-135

Overview: Measles were declared eliminated in 2000; however, in June 2019, the CDC announced that there were > 1,000 cases identified in the US—the largest number of cases since 1992. Join us as we discuss the causes of this increase in a vaccine-preventable disease (VPD) and strategies for containing this looming public health concern.

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Aug 26, 2019
Back to the Future: Measles Resurgence and Vaccine Hesitancy - Frankly Speaking EP 134
11:31

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-134

Overview: Measles were declared eliminated in 2000; however, in June 2019 the CDC announced that there were > 1000 cases identified in the US—the largest number of cases since 1992. Join us as we discuss the causes of this increase in a vaccine preventable disease (VPD) and strategies for containing this looming public health concern.  

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Aug 19, 2019
An Uncomfortable Problem: Recurrent Urinary Tract Infections (UTIs) in Women - Frankly Speaking EP 133
13:26

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-133

Overview: Join us as we discuss a new guideline for women with recurrent UTIs. 

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Aug 12, 2019
What Is Your Purpose in Life? Impact of Perceived Life Purpose on Life Expectancy - Frankly Speaking EP 132
11:34

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-132

Overview: A recently-published study looked at the association between a perceived life purpose (using modified Ryff and Keyes Scales of Psychological Wellbeing) and mortality in individuals participating in the Health and Retirement Study (HRS). The results seem to indicate that a strong sense of purpose to one’s life is associated with decreased mortality. Join us as we discuss the implications of this study and how to apply it in practice to improve your patients’ health and wellbeing as well as your own. 

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Aug 05, 2019
Diagnosed Prostate Cancer: How to Choose A Treatment - Frankly Speaking EP 131
14:18

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-131

Overview: After the debate on whether to screen for prostate cancer comes the debate on how to treat it. Options include “watchful waiting,” radiation, surgery, and androgen deprivation. This session will focus on how to help your patient diagnosed with prostate cancer decide on a treatment plan using a cohort-based decision tool. 

Guest: Susan Feeney, DNP, FNP & Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Jul 29, 2019
Weed Indeed! - Frankly Speaking EP 130
09:46

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-130

Overview: This study looked at hospitalizations following legislation that legalized marijuana use in Colorado compared to two states that have not legalized marijuana, New York and Oklahoma. The goal was to determine what impact this law might have on common and chronic conditions. It found hospitalizations for some conditions increased while issues of social anxiety disorder decreased

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato 

Jul 22, 2019
Mammography Screening: Sorting through Conflicting Guidelines - Frankly Speaking EP 129
11:06

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-129

Overview: Multiple organizations have issued guidelines on breast cancer screening, but these guidelines are often conflicting. Recently the American College of Physicians (ACP) reviewed the data supporting 7 different guideline recommendation and issued new guidance on breast cancer screening for average risk women. Join our discussion of the ACP’s summary recommendations to help develop a consistent approach to breast cancer screening in your practice.  

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato 

Jul 15, 2019
The Challenges of Managing Bone Loss: Separating Fact from Fiction - Frankly Speaking EP 128
13:32

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-128

Overview: Conflicting evidence-based guidelines and medication risks have complicated the care of individuals with low bone density. The Endocrine Society just released its most recent recommendations for pharmacologic management of postmenopausal women with osteoporosis. Their goal was to address the most challenging aspects of low bone density management with clear evidence-based guidance. Join us as we review their new recommendations, compare them with other guidelines, and discuss their impact on your practice. 

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Jul 08, 2019
Gabapentinoid Drugs Off-Label Use: Stay in Your Lane! - Frankly Speaking EP 127
10:27

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-127

Overview: Join us as we discuss the increased off-label use of gabapentinoids most likely in response to the treatment of pain. 

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Jul 01, 2019
Reading to Your Toddler: Is There a Difference Between Reading an Ebook and a Traditional Book? - Frankly Speaking EP 126
10:38

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-126

Overview: Reading to young children is a well-established activity that can impact neuro-cognitive and emotional development in children. Since many parents use E-readers and other digital platforms to read to their kids, in this episode we will explore whether there is a difference or benefit to using a particular type of book. Join us as we discuss the recent findings on parent-toddler interactions when reading from a print book versus an E-reader.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Jun 24, 2019
Barriers to Physical Activity: Women’s Breast Size - Frankly Speaking EP 125
11:37

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-125

Overview: Join us as we discuss barriers to physical activity and how providers can help to address these issues, particularly in women with large breast size.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Jun 17, 2019
Saving Money on Insulin - Frankly Speaking EP 124
11:06

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-124

Overview: When patients with T2DM have difficulty controlling their glucose with standard approaches, or are newly diagnosed but severely hyperglycemic, insulin is commonly used to help control their metabolism. Using long acting, once a day agents is a standard of care but in the last 15 years, the costs of insulin has skyrocketed. During this episode we will review a study examining the effects of using Neutral Protamine Hagedorn Insulin (NPH) rather than once a day insulin on A1c control and risk for hypoglycemia and discuss their findings, which suggest NPH can be used with equivalent glycemic control and with no additional risk.

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato 

Jun 10, 2019
Contraceptive Education: Educate Your Patients While They Wait - Frankly Speaking EP 123
07:42

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-116-push-ups

Overview: Join us as we discuss decision aids used to assess contraceptive knowledge and intentions that can be easily incorporated in primary care practice. 

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Jun 03, 2019
Fear Not the Fungus Treatment - Frankly Speaking EP 122
10:37

Since their arrival, oral anti-fungal agents have been thought to induce liver disease. Often, these medications are avoided or used with caution and frequent laboratory testing. Join us in a discussion of a recent study that builds on previous work showing the risk with using these agents is extremely small.

 

Guest: Susan Feeney, DNP, FNP

 

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-122

 

May 27, 2019
Preventing Perinatal Depression: Recommendations to Improve Outcomes for Moms and Their Babies - Frankly Speaking EP 121
10:28

According to the latest data, 1 in 7 US women experience perinatal depression, described as depression occurring during pregnancy and up to one year after childbirth. There is compelling evidence that perinatal depression can have short and long-term effects on both women and their children. The USPSTF has published new recommendations encouraging clinicians to screen pregnant and postpartum persons for depression and provide those who are at increased risk of perinatal depression with counseling interventions. (Grade B recommendation).

 

Guest: Susan Feeney, DNP, FNP

 

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-121

May 20, 2019
Artificial Sweeteners and Postmenopausal Women – Is there an Increased Risk for Stroke and CVD Events? - Frankly Speaking EP 120
09:36

In a recent study of postmenopausal women in the WHI Observational Study who consumed > 2 ASB per day, there appeared to be an association between increased intake of ASB with increased risk of ischemic stroke, CVD, and all cause mortality. Join us as we discuss these findings, what it adds to our knowledge about ASB, and potential strategies to apply this new evidence into your practice.

 

Guest: Susan Feeney, DNP, FNP

 

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-120

 

 

May 13, 2019
Powerful Cancer Prevention: HPV Vaccination - Frankly Speaking EP 119
07:59

Join us as we discuss HPV vaccination and the growing evidence of the benefits to those who receive the vaccine and the protection of those who are not vaccinated.

 

Guest: Jill Terrien PhD, ANP-BC

 

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-119

 

May 06, 2019
Avoiding Unnecessary Antibiotics: The Quick Take - Frankly Speaking EP 118
11:05

Antibiotics are frequently prescribed for upper respiratory infections, even when they are likely due to viral etiologies, or will resolve just as quickly without antibiotics. Many clinicians believe convincing patients they do not need to take an antibiotic is time consuming and frustrating for both parties. In fact, patients are often receptive to information on appropriate use, and the conversation can be done efficiently with practice.

 

Guest: Alan Ehrlich MD, FAAFP

 

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-118

Apr 29, 2019
Are E-Cigarettes Effective Tools for Smoking Cessation, or Are We Just Blowing Smoke? - Frankly Speaking EP 117
10:31

The FDA has not approved any ENDS product as an effective or safe smoking cessation tool. Earlier evidence did not indicate that ENDS were effective or sustainable. Most of these studies were done on earlier prototypes of e-cigarettes. A recent study from the UK found that newer generation ENDs were more successful than approved NRT products for smoking cessation. Join us as we discuss this new evidence and how it impacts strategies to assist with smoking cessation.

 

Guests: Jill Terrien PhD, ANP-BC & Susan Feeney, DNP, FNP 

 

Landing Page: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-117-smoking

 

Apr 22, 2019
Push-Ups: No-Cost Assessment of Future CV Risk? - Frankly Speaking EP 116
08:31

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-116-push-ups

Overview: Join us as we discuss a recent study of push-up capacity in middle-aged men and the association with CVD risk.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Apr 15, 2019
Putting the “Bite” on Type 2 Diabetes - Frankly Speaking EP 115
10:39

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-115-periodontal

Overview: In this episode we discuss how periodontal disease worsens A1C and other clinical outcomes in T2DM.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Apr 08, 2019
A Chief Complaint: Older Adults, Cognition and Sexuality - Frankly Speaking EP 114
08:23

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-114-older-sexuality

Overview: This episode focuses on older adults and caregivers/partners in relation to their intimacy and sexuality for patients experiencing changes in cognition.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Apr 01, 2019
Older Patients, Less Medications: Just Ask - Frankly Speaking EP 113
10:08

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-113-deprescribing

Overview: Join us as we discuss deprescribing; the provider-supervised process of discontinuing inappropriate medication(s). We will review minimizing risk, improving quality of life and maximizing patient-centered care.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Mar 21, 2019
Sexting and US Teens: What Is It and What Should You Know About It? - Frankly Speaking EP 112
09:44

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-112-teen-sexting

Overview: Sexting is increasing among U.S. youth. As cellular technology evolves, so does the behavior. There is some evidence that can help inform teens and their parents of risk, which includes increased risk of high-risk sexual behavior and non-consensual sharing of personal digital data. This episode provides clinicians important evidence on teens and sexting to inform their care of teens and their families.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Mar 18, 2019
What’s Cooking With Food Allergies In Adults?- Frankly Speaking EP 111
09:59

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-111-allergies

Overview: Many adults report having food allergies. However, many of those who have a food allergy have not been diagnosed by a physician and many who report having a food allergy may not have one at all. Join us for a discussion and recent review of data about the prevalence of food allergies in adults, and how to assess and manage food allergies.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato 

Mar 11, 2019
Pre-Exposure Prophylaxis: Preventing HIV at Hand - Frankly Speaking EP 110
09:18

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-110-prep

Overview: The USPSTF recently issued a Draft Grade A recommendation that all at-risk patients be offered pre-exposure prophylaxis to prevent the transmission of HIV. This multi drug, single pill regimen can lower risk of HIV and potentially prevent lifelong burden of disease. While only a draft recommendation, the USPSTF expects, after stakeholder comment, to continue to support an A recommendation to offer for all patients who are increased risk.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Mar 04, 2019
Alcohol Use: Perhaps It Is for the Faint of Heart - Frankly Speaking EP 109
09:24

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-109-alcohol-hf

Overview: In a recent study, data from the Cardiovascular Health Study examined the association between alcohol consumption and incident HF. It was found that moderate alcohol consumption was associated with a survival benefit, implying that individuals 65 years and older with newly diagnosed HF may not need to stop their alcohol use. Join the discussion about these findings and learn how they may impact the care of your patients with HF.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Feb 25, 2019
Finding Your Balance – Does Tai Chi Prevent Falls in Older Adults? - Frankly Speaking 108
09:10

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-108-tai-chi

Overview: Falls in the older population are associated with significant morbidity and mortality yet little evidence exists to determine best practices for prevention. Join us while we discuss a recent RCT that examined Tai Chi versus more traditional exercising in older individuals and its impact on reduction in falls for those at greatest risk.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Feb 18, 2019
Postmenopausal Vaginal Dryness: What Are the Treatment Options? - Frankly Speaking EP 107
07:37

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-107-postmenopausal

Overview: Postmenopausal women experience vulvovaginal symptoms that in 50% of the population go untreated. Join us as we discuss a randomized trial that compares common treatments available to this population and help you determine best practice options.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Feb 11, 2019
What’s the Skinny on Treating Blood Fats? - Frankly Speaking EP 106
10:38

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-106-lipids

Overview: Managing cholesterol is one of the most common clinical problems. Recently, the American College of Cardiology and the American Heart Association issued new guidance on the management of blood cholesterol. Ten other societies participated in the development of the guidelines. Listen to find out who should be treated with statins, what the treatment targets are, and when other cholesterol-lowering medications should be added.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato 

Feb 04, 2019
Leg Cramps in Seniors: Could Alcohol be the Cause? - Frankly Speaking EP 105
10:06

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-105-leg-cramps

Overview: This episode will discuss a Case Control study of seniors to determine if there is a relationship between regular alcohol consumption and nocturnal leg cramps.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato 

Jan 28, 2019
Is Aspirin Effective for Primary Prevention? - Frankly Speaking EP 104
10:18

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-104-aspirin

Overview: For patients with established cardiovascular disease,aspirin is clearly beneficial as part of secondary prevention. However, when used as primary prevention in patients without documented cardiovascular disease, its benefit is much less certain. This podcast will explore 3 recent trials that evaluated aspirin in different populations and found nobenefit for its use as primary prevention.

Guest: Alan Ehrlich MD

Music Credit: Richard Onorato 

Jan 21, 2019
Screening and Management of High Blood Pressure in Children and Teens – Who, When, Why and What? - Frankly Speaking EP 103
09:45

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-103-bp-screening

Overview: The AAP released new guidelines for the screening and management of high BP in children and teens in 2017. The last recommendations were published in 2004. Join us as we discuss these updated recommendations and their impact on your practice. 

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Jan 14, 2019
Technology: Tetris Improves Flow, Lowers Stress; Social Media Increases Depression and Loneliness – Frankly Speaking EP 102
11:56

Credits: 0.25 AMA PRA Category 1 Credits

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-102-flow 

Overview: This podcast will explore the results of 3 recent studies that evaluate how the “state of flow” or mental absorption (also called being “in the zone”) alters a person’s ability to handle stress and how intentional use of distractions affect emotions.

Guest: Alan Ehrlich MD 

Music Credit: Richard Onorato 

Jan 07, 2019
The 2018 Physical Activity Guidelines for Americans: Get up and Go! More IS better! Don’t Give Up! - Frankly Speaking EP 101
10:58

Health benefits and the potential lowering of healthcare costs by billions of dollars seem like enough reasons to increase physical activity. Why can’t we do it? Why is it so hard? We’ll discuss the new guidelines (11/2018) and strategies that may get your patients moving.

 

Guest: Jill Terrien PhD, ANP-BC Associate Professor, Director NP Programs UMMS-GSN

 

Landing Page: https://www.pri-med.com/online-education/Podcast/101-physical-activity-frankly-speaking

Dec 31, 2018
Evaluating and Managing Perimenopausal Depression: No Small Task, Are You up for It? - Frankly Speaking EP 100
09:26

This episode is a discussion of the recent summary and recommendations of an expert panel that conducted a systemic review on the published perimenopausal literature to identify, characterize and treat women in this population.

 

Guest: Jill Terrien PhD, ANP-BC Associate Professor, Director NP Programs UMMS-GSN

 

Landing Page: https://www.pri-med.com/online-education/Podcast/100-perminopausal-depression-frankly-speaking

 

Dec 24, 2018
Cannabis and e-Cigarette: What Is in That Juul? - Frankly Speaking EP 99
11:22

Recently, there has been a deluge of research and news surrounding e-cigarettes and vaping – particularly regarding adolescent usage. Join us as we discuss a recent study describing the prevalence of cannabis use in e-Cigarettes and some strategies for addressing this in your practice.

 

Guest: Susan Feeney, DNP, FNP-BC

 

Landing Page: https://www.pri-med.com/online-education/Podcast/99-eCigarettes-frankly%20speaking

 

Dec 17, 2018
More is Not Better: Overutilization of Breast Imaging - Frankly Speaking EP 98
09:57

This episode reviews a study that looked at imaging that was performed over a one year period for women with a complaint of breast pain.

Guest: Jill Terrien PhD, ANP-BC

 

Landing Page: https://www.pri-med.com/online-education/Podcast/98-breast-imaging-frankly-speaking

 

Dec 10, 2018
Cannabinoids for Chronic Pain - Frankly Speaking EP 97
11:25

Cannabinoids include tetrahydrocannabinol (THC) and cannabidiol, which are found in marijuana, as well as synthetic compounds such as nabilone. The agents have been studied for the treatment of various chronic pain conditions. A meta-analysis was performed that analyzed any cannabinoid, for any chronic pain condition.

 

Guest: Alan Ehrlich MD

 

Landing Page: https://www.pri-med.com/online-education/Podcast/97-cannabis-frankly-speaking

Dec 03, 2018
Statins and the Older Population: When Is It Beneficial and When Is It Not? - Frankly Speaking EP 96
10:28

Evidence of the efficacy of statins to reduce ASCVD morbidity and mortality in individuals > 75 years who have known clinical ASCVD (secondary prevention) is well established. Primary prevention in this population has not been as clear. Join us while we discuss a recent study in the BMJ which assessed the benefits of statins for primary prevention of ASCVD morbidity and mortality in individuals > 75 years with and without DM.

 

Guest: Susan Feeney, DNP, FNP-BC

 

Landing Page: 

https://www.pri-med.com/online-education/Podcast/96-statin-therapy-frankly-speaking.aspx#sm.0000akbf5ldmtfh2s4u14ah34rz3b

Nov 26, 2018
Easy Weight Loss for Type 2 Diabetes - Frankly Speaking EP 95
10:35

This episode will review a randomized controlled trial of adding 10.5 grams of a soluble fiber, psyllium, to a Type 2 Diabetes diet and its influence on weight loss, BMI and other parameters of diabetes.

 

Guest: Jill Terrien PhD, ANP-BC

 

Landing Page: https://www.pri-med.com/online-education/Podcast/95-psyllium-frankly-speaking.aspx

Nov 19, 2018
Why Get A Flu Shot? - Frankly Speaking EP 94
10:44

As fall arrives, many patients question the need for an influenza vaccine while clinicians urge patients to get it. 2017-18 flu season data shows high influenza mortality. Learn how to help motivate patients to accept the vaccine.

 

Guest: Susan Feeney, DNP, FNP-BC

 

Landing Page: https://www.pri-med.com/online-education/Podcast/94-influenza-frankly-speaking

Nov 12, 2018
Penicillin Allergy: Danger Is in the Diagnosis - Frankly Speaking 93
09:28

8% of patients believe they have a penicillin allergy, yet the actual number is far less. Listen to this episode to learn about the incidence of penicillin allergy, the risks associated with reporting a believed allergy, and how you can better manage these patients.

Guest: Susan Feeney, DNP, FNP-BC

Landing Page: http://www.pri-med.com/online-education/Podcast/93-penicillin-frankly-speaking

 

Nov 05, 2018
Eliminating the Unnecessary: Updates on Screening for Cervical Cancer - Frankly Speaking 92
08:36

Listen to this episode to learn about the update to the 2012 United States Preventive Services Task Force (USPSTF) recommendation on screening for cervical cancer. 

Oct 29, 2018
Lose Weight While Eating Whatever You Like; Maybe? - Frankly Speaking EP 91
13:45

Listen to this episode to learn about a small study which found that adding 35 grams of fiber and 0.8 grams of protein/kg/day to the diets of obese patients—without making any other diet changes—led to weight loss at 12 weeks.

Guest: Susan Feeney, DNP, FNP-BC

Oct 22, 2018
A Good Night’s Sleep: The Possible Association Between the Early Introduction of Food and Infant Sleep - Frankly Sleeping EP 90
12:34

Both the WHO and AAP recommend exclusive breastfeeding until 6 months of age then solids and breast milk until 12 months of age. The well-established benefits of breastfeeding include support of infant growth and development of immunity. Recently, a clinical trial from the UK found an association between the early introduction of foods and infant sleep. Join us while we discuss the findings of this study and possible implications to your care of moms and their infants.

Oct 12, 2018
Preventing Opioid Dependence While Effectively Treating Pain - Frankly Speaking EP 89
11:08

Best practices in treating acute and chronic pain have been clouded by years of misinformation. Listen to this podcast episode to learn an evidence-based recommendations that dispels these myths and encourages a new and better approach to pain management.

Oct 08, 2018
Depression and Medication Side Effects: Is Your Depression Due to Something You Are Taking? - Frankly Speaking EP 88
12:41

The number of adults in the US on prescription medications is rising, with approximately 15% taking five or more daily medications. A recent study found that depression is a common side effect—37.2% prevalence among American adults taking prescription medications—and is associated with an increased risk of concurrent depression.

Guest: Susan Feeney, DNP, FNP-BC

Oct 01, 2018
Chronic Non-Cancer Pain in Older Adults: Can We Teach Our Patients to “Unlearn” it? - Frankly Speaking EP 87
11:36

Chronic non-cancer pain in adults over 60 years old is common. The consequences are a decreased quality of life, disability and increased healthcare costs which can be due to the cost of therapies or from adverse pharmacologic effects to name a few. This episode discusses the results of a systematic review and meta-analysis by Niknejad et al (2018) that looked at pain outcomes in this population using psychological modalities.

Guest: Jill Terrien PhD, ANP-BC

Sep 24, 2018
Shoulder Surgery Usually Not Beneficial For Most - Frankly Speaking EP 86
10:37

Adults often present with atraumatic shoulder pain around age 50 and are diagnosed with impingement syndrome (rotator cuff tendonitis). However, as this recent study demonstrates, the standard of care for treatment should not be surgery.

Guest: Susan Feeney, DNP, FNP-BC

Sep 17, 2018
Digital Media Use and ADHD Symptoms in Teenagers – Is There an Association? - Frankly Speaking EP 85
11:16

A recent longitudinal study of high school students in the LA area found a modest but significant association between high-frequency digital media use (phones, tablets) and subsequent ADHD symptoms. Join us as we discuss these findings and the possible impact on adolescent primary care.

Guest: Susan Feeney, DNP, FNP-BC

Sep 10, 2018
Physician Burnout: What Degree Have We Reached? - Frankly Speaking EP 84
11:26

This episode is an introductory discussion of the very real problem of physician burnout. It affects you and those around you. What do we know about burnout and how can we move beyond it?

Guest: Jill Terrien PhD, ANP-BC

Sep 03, 2018
Should You Use Budesonide-Formoterol as Needed for Mild Asthma? - Frankly Speaking EP 83
10:02

In this episode, we will discuss using an inhaled steroid twice a day to control mild asthma symptoms, versus using the combination budesonide and formoterol.

Guest: Jill Terrien PhD, ANP-BC

Aug 27, 2018
More Than Beauty: Length and Quality of Sleep and Its Impact on CV Risk Factors in Teens - Frankly Speaking EP 82
11:03

It has been fairly established that short duration of sleep is associated with obesity in teens and adults; however, the impact of quantity and quality of sleep has not been as well established. A cross-sectional study by Feliciano et al. found that longer and better sleep was associated with better cardiometabolic profiles in early adolescence – independent of other factors.

Guest: Susan Feeney, DNP, FNP-BC

Aug 20, 2018
Goals of Care Discussions in Patients with Serious Illness: Is It a Downer? - Frankly Speaking EP 81
11:43

Discussing goals of care with patients that have a serious, life-limiting illness does not affect the patient’s anxiety or depression—but can increase the quality of the communication. Listen to this podcast episode for tips that are easily adaptable to any outpatient or specialty practice.

Guest: Jill Terrien PhD, ANP-BC

Aug 13, 2018
Breastfeeding Supplemented with Formula; When Is It the Right Thing to Do? - Frankly Speaking EP 80
11:00

Breastfeeding exclusively in the first six months of life is widely recommended. However, in this study of newborns who were losing weight because their mother’s milk had not yet come in, post-breastfeeding supplementation improved weight and did not alter breastfeeding rates at one month. 

Guest: Susan Feeney, DNP, FNP-BC 

Aug 06, 2018
Mangia: What Is the Truth about the Mediterranean Diet and CVD Health? - Frankly Speaking EP 79
09:53

In 2013, a groundbreaking clinical trial from Spain touted the benefits of the Mediterranean Diet to reduce CVD risk. A recent review of the study found some irregularities in the randomization procedure that cast concern on the validity of the findings. After reanalysis of the data, however, the results were essentially the same.

Guest: Susan Feeney, DNP, FNP-BC

Jul 30, 2018
Binge Drinking in Adolescents: A Sober Subject That Begs for Attention - Frankly Speaking EP 78
10:09

For adolescents who binge drink, when they begin and how often they do it affects academic performance. This episode discusses the findings of a longitudinal analysis of secondary school students in Canada: The COMPASS study.

Guest: Jill Terrien PhD, ANP-BC

Jul 23, 2018
Treatment of Post-Op Pain Following Spine and Joint Surgery - Frankly Speaking EP 77
10:05

This study looked at how pain was treated following spine and joint surgery and found the majority of patients were not encouraged to use non-opioid analgesia and that most had a supply of unused opioids at home.

Guest: Jill Terrien PhD, ANP-BC

Jul 16, 2018
Assessing Blood Pressure: How Accurate Are the Blood Pressure Measurements You Use to Care for Your Patients? - Frankly Speaking EP 76
12:41

Hypertension affects an estimated 80 million Americans. We diagnose, determine the need for medication therapy, and monitor treatment efficacy based on a simple office blood pressure measurement – but how accurate is that measurement, and what is the most valid method to obtain it?

Guest: Susan Feeney, DNP, FNP-BC

Jul 09, 2018
Moving Fast, Moving Slow - Frankly Speaking EP 75
12:36

Fibromyalgia can be difficult to treat and often requires a multifaceted approach combining exercise, medications, cognitive behavioral therapy, and health education. For many patients, pain hinders participation in a vigorous exercise regimen. Listen to this review of a randomized trial comparing aerobic exercise to tai chi in a patient population with fibromyalgia.

Guest: Alan Ehrlich, MD 

Jul 02, 2018
Uncomplicated UTI in Women: What a Pain! - Frankly Speaking EP 74
11:38

For women experiencing an uncomplicated UTI, nitrofurantoin and fosfomycin are two first-line options for treatment. Is one more effective than the other? Listen to this episode to learn about the results from a multinational, open-label, randomized clinical trial.

Guest: Jill Terrien PhD, ANP-BC

Jun 25, 2018
Put That Finger Down! The End of the Screening Rectal Exam - Frankly Speaking EP 73
11:11

Listen to this week’s podcast episode to learn about a meta-analysis showing no benefit to rectal examinations in men.

Guest: Susan Feeney, DNP, FNP-BC 

Jun 18, 2018
Don’t Make Me Exercise – Give Me Some Tea & a Pill! - Frankly Speaking EP 72
10:29

A recent AHA presentation offered data that showed an overwhelming amount of patients would prefer to take a pill or drink tea rather than exercise to lower their BP. This begs the questions: How much does drinking tea lower BP? Does exercise help those with primary HTN or resistant HTN who are already on medication? Finally, how do we get our patients to exercise? 

Guest: Robert A. Baldor, MD, FAAFP

Jun 11, 2018
Mom, Do I Have to Practice the Piano Again? The Benefit of Music Instruction on Executive Function - Frankly Speaking EP 71
10:23

Listen to this week's episode to learn about a randomized trial of children in music vs. visual arts instruction. Music instruction led to improvements in verbal intelligence, executive functions, and academic performance.


Guest: Susan Feeney, DNP, FNP-BC

Jun 04, 2018
Hot Flashes, Night Sweats, and Insomnia: Will I Ever Sleep Through the Night Again? - Frankly Speaking EP 70
09:33

This episode will review The Menopause Strategies: Finding Lasting Answers for Symptoms and Health (MsFLASH) series of 4 randomized controlled trials, pooling individual data that will provide guidance for discussing pharmacologic and non-pharmacologic options for your peri- and postmenopausal patients.

Guest: Jill Terrien PhD, ANP-BC

 

May 28, 2018
Biomarkers for Alzheimer’s Diagnosis? - Frankly Speaking EP 69
10:25

The National Institute on Aging-Alzheimer’s Association (NIA-AA) just released an updated Framework of the 2011 Guidelines for Alzheimer’s Disease Research, focusing on the use of biomarkers rather than clinical criteria to make the diagnosis. Listen to this week’s episode to learn more.


Guest: Robert A. Baldor, MD, FAAFP

May 21, 2018
My Joints Are Killing Me! Opioids vs. NSAIDs for Chronic Pain - Frankly Speaking EP 68
12:18

Chronic pain is a difficult but common problem in primary care. Patients are often desperate for any form of relief, and as a result, many are eventually started on opioid analgesics. This can be associated with many adverse effects. But is it worth it? A recent randomized trial compared opioid to non-opioid management of patients with chronic low back pain or chronic hip pain or knee pain due to osteoarthritis.

Guest: Alan Ehrlich, MD

May 14, 2018
Antibiotics and Sinusitis – How Long is Too Long? - Frankly Speaking EP 67
10:49

A recent research study published in JAMA Internal Medicine examined the use of antibiotics to treat acute sinusitis based upon the Infectious Diseases Society of America (IDSA) guideline recommending 5-7 days when antibiotics are indicated and found that most courses of antibiotics are too long. Listen to this week’s episode to learn more.

Guest: Robert A. Baldor, MD, FAAFP

May 07, 2018
Best Evidence Goals for Type 2 Diabetes - Frankly Speaking EP 66
10:51

The American College of Physicians supported an evidence-based review of the topic guidelines for type 2 diabetes and concluded clinicians should aim for an A1c goal between 7.0-8.0 and recommended even less aggressive care for those over the age 80 years. Listen to this podcast episode to learn more about these new guidelines.

Guest: Alan Ehrlich MD

Apr 30, 2018
Is Screen Time Taking Your Child’s Sleep Time? - Frankly Speaking EP 65
11:27

Listen to this podcast episode for a brief summary of the literature on electronic media and its relation to sleep—specifically delayed bedtimes and decreased sleep duration. Screen-based media consumption is eating up our sleep health!

Guest: Jill Terrien PhD, ANP-BC

Apr 23, 2018
Diet! Diet! Who’s Got the Best Diet? - Frankly Speaking EP 64
10:35

71% of adults in the United States are overweight or obese. To tackle this problem, primary care providers must stay up to date on the best evidence for addressing overweight and obese status in their patients. The DIETFITS Randomized Clinical Trial offers direction for nutritional advice in this important and serious public health concern.

Guest: Kenneth Peterson, PhD, FNP-BC

Apr 16, 2018
Changing Immunization Practices: 2-Dose Vaccines - Frankly Speaking EP 63
11:27

Immunization practices are constantly in flux as new vaccines are approved and guidelines are updated. Recently, the FDA approved a 2-dose hepatitis B virus (HBV) vaccine and a new 2-dose herpes zoster (HZ) vaccine. Additionally, the CDC now recommends a 2-dose human papillomavirus (HPV) vaccine schedule, a change from the previous recommendation for a 3-dose schedule. This session will discuss the changing landscape of immunization practices and recent changes to recommendations.

Guest: Robert A. Baldor, MD, FAAFP

Apr 09, 2018
I’ve Got Rhythm: Catheter Ablation Therapy for Patients with Atrial Fibrillation and Heart Failure - Frankly Speaking EP 62
09:09

Management of patients with atrial fibrillation has long centered on the relative merits of rate control versus rhythm control. The CASTLE-AF trial evaluated catheter ablation as a treatment for patients with both heart failure with reduced ejection fraction and atrial fibrillation. Listen to this week’s podcast episode to learn about the results of this new trial and how the catheter ablation impacted clinical outcomes. 

Guest: Alan Ehrlich MD

Apr 02, 2018
How to Best Treat Cognitive Impairment – 2018 AAN Recommendations - Frankly Speaking EP 61
11:28

In this week’s episode, we’ll be continuing the discussion on the AAN’s updated practice guideline on mild cognitive impairment. Last week’s podcast episode provided overview of the updated practice guideline, and this week’s episode focuses on treatment recommendations.

Guest: Robert A. Baldor, MD, FAAFP

Mar 26, 2018
Screening for Dementia; Better Than MMSE (Mini Mental Status Exam) - Frankly Speaking EP 60
09:59

The American Academy of Neurology recently published the first updated practice guideline on mild cognitive impairment since 2001. Listen to this week’s episode for an overview of the updated practice guideline, which includes a systematic review of prevalence, prognosis, screening, and treatment research with clear recommendations for practicing clinicians.

Guest: Robert A. Baldor, MD, FAAFP

Mar 19, 2018
GET UP: A Small Bit of Movement Makes a Big Impact - Frankly Speaking EP 59
08:37

This observational study found adding very little activity, akin to going for a 30-minute walk or converting to a standing desk for half your workday, lowered all-cause and cardiovascular mortality.

Guest: Alan Ehrlich, MD

Mar 12, 2018
Do We Still Use Warfarin? - Frankly Speaking EP 58
09:48

Direct acting oral anticoagulants are increasingly used for stroke prevention for individuals with atrial fibrillation. Whether these agents are as safe and effective as warfarin has been a concern for many clinicians, but recent comparative effectiveness analyses are providing answers. In this week’s podcast episode, we will review these recent studies and draw some conclusions about which agents are best.


Guest: Robert A. Baldor, MD, FAAFP

Mar 05, 2018
Helping Depressed Patients Change: Behavioral Activation - Frankly Speaking EP 57
09:45

Listen to this week’s episode to learn about the basic concepts of behavioral activation (BA), what research has demonstrated about its use in depression, and how to apply BA in everyday care. 

Guest: Susan Feeney, DNP, FNP-BC

Feb 26, 2018
The Flu is Bad for Your Heart - Frankly Speaking EP 56
09:05

Patients with chronic diseases, including coronary artery disease, are advised to get yearly flu shots because they are at higher risk for having a more severe illness. Canadian researchers have found that in the week following being diagnosed with the flu, adults over 65 years old have a significantly increased risk of myocardial infection.

Feb 19, 2018
Too Little, Too Much: How Much Sleep is Just Right? - Frankly Speaking EP 55
10:45

In this session we discuss the impact of length of sleep on obesity and DM II.

Feb 12, 2018
Your Morning “Cup of Joe” Could Be Doing More Than Starting Your Day - Frankly Speaking EP 54
09:39

This session will review the existing evidence between coffee consumption and multiple health outcomes. 

Feb 05, 2018
An Oral Fecal Transplant for Lunch?- Frankly Speaking EP 53
11:30

Treating recurrent C. difficile colitis can be difficult, but recent trials have demonstrated the benefit of treating with fecal transplantation. Questions exist, however, about around the best mode of administration. Listen to this week’s episode to learn about a recent RCT that compares oral and colonoscopic delivery methods and provides an answer.

 

Learning Objectives: 

  1. Appreciate the current guidelines for treating recurrent difficile colitis
  2. Understand the pharmacology of fecal transplantation
  3. Learn about the latest research on how best to administer such treatment
Jan 29, 2018
The New Hypertension Guidelines - Frankly Speaking EP 52
11:47

New hypertension guidelines from the American College of Cardiology have introduced a new blood pressure classification system and lowered the threshold for initiating pharmacotherapy in certain patient populations.

Learning Objectives:

  1. Understand the new classification categories of hypertension
  2. Understand the new thresholds for starting treatment
  3. Understand the limitations of the new recommendations to specific patient populations
Jan 22, 2018
Preventing Opioid Addiction: Treating Acute Pain Safely - Frankly Speaking EP 51
10:24

For severe, acute pain, 1000 mg of acetaminophen PLUS 400 mg of ibuprofen is as effective as acetaminophen/oxycodone, acetaminophen/hydrocodone, or acetaminophen/codeine. Listen to this week’s episode to learn more about treating acute pain safely. 

 

Learning Objectives: 

  1. Review the current trial comparing Acetaminophen plus Ibuprofen to other acetaminophen/opioid combinations on pain outcomes
  2. Summarize the other data supporting this combination in children and adults
  3. Understand the path that can lead from acute pain to dependence.
Jan 15, 2018
Herpes Zoster Vaccination: New Recommendations for Shingles Prevention - Frankly Speaking EP 50
09:56

This session will review the recommendations put forth by the CDC’s Advisory Committee on Immunization Practices for the use of a new shingles vaccine. Dosing, use, and efficacy will be discussed.

 

Learning Objectives:

  1. Review the new vaccine recommendations for the prevention of shingles.
  2. Discuss the use of the current vaccine and new vaccine with dosage and schedule.
  3. Provide a resource for the treatment of post herpetic neuralgia.
Jan 08, 2018
Diabetes Remission with Weight Loss - Frankly Speaking EP 49
10:52

Diabetes remission is defined as a return to normal blood sugar control without the use of medications. Listen to this episode to learn about a trial in which the use of a very low calorie diet in a primary care setting resulted in significant weight loss and remission of diabetes.

 

Learning Objectives:

  1. Understand what is meant by diabetes remission
  2. Understand what treatments can lead to diabetes remission

 

Jan 02, 2018
What Does the Evidence Tell Us About Diagnosing and Treating Sinusitis? - Frankly Speaking EP 48
12:01

Listen to this episode to learn about the evidence-based guidelines for the diagnosis and management of acute sinusitis.

Learning Objectives:

  1. Discuss the most recent EBP Guidelines on diagnosis and management of acute sinusitis
  2. Discuss application of best practices for appropriate management of acute sinusitis and strategies for good antibiotic stewardship.

Guest: Susan Feeney, DNP, FNP-BC

Dec 26, 2017
Treatment Options in Opioid Dependence - Frankly Speaking EP 47
09:57

Medication-based maintenance therapy is recommended for patients with opioid dependence. Listen to this week’s episode to learn how once monthly naltrexone injections are as effective as daily treatment with buprenorphine/naloxone.

 

Learning Objectives: 

  1. Understand data comparing long-acting naltrexone to daily buprenorphine/naloxone
  2. Understand importance of medication-based maintenance therapy
Dec 18, 2017
New Treatment for Asthma - Frankly Speaking EP 46
10:10

We will discuss the use of azithromycin as a therapeutic option for patients with persistent symptomatic asthma despite controller maintenance therapy with inhaled corticosteroids and a long-acting bronchodilator.

Learning Objectives:

  1. Understand the effect of chronic azithromycin for reducing asthma exacerbation
  2. Understand the role azithromycin can play in asthma step-wise therapy
Dec 11, 2017
Endurance Sports: In it for the long haul - Frankly Speaking EP 45
11:09

What do you say when your 50-year-old patient that has been relatively sedentary in the last 3 decades wants to do a triathlon? In this episode, we will review a U.S. case series of participants in triathlon races from 1985-2016, and discuss risk, reward, and reality.

Learning Objectives: 

  1. Review data collected over 30 years on triathlon events and the risks to participants.
  2. Discuss recommendations for patients embarking on extreme physical activity.
  3. Review strategies to promote well-being and lower risk when considering endurance sports.
Dec 04, 2017
Blood Pressure Determination on Obese Arms - Frankly Speaking EP 44
08:57

If you become frustrated trying to get a thigh cuff onto the arm of an obese patient, we may have the answer.

Learning Objectives: 

  1. Review the comparison of standard BP determination with using the forearm and radial pulse with a large cuff
  2. Appreciate the benefits of systolic hypertension control
  3. Review the causes of secondary hypertension in obese patients 
Nov 27, 2017
Tattooing and Body Modification: From Risky to Mainstream – What are the Implications for Patient Care? - Frankly Speaking EP 43
13:55

In this episode, we discuss the first evidence-based guidelines by the American Academy of Pediatrics on body modification, piercing, and scarification, including complications and assessment of risk. 

Learning Objectives: 

  1. Discuss the AAP’s EBP Guidelines on body modification, piercing and scarification in children, adolescents and young adults
  2. Discuss best practices for counseling adolescents and strategies for reducing associated risks regarding these practices.

 

 

Nov 20, 2017
‘Tis the Season … for Depression; Get Your Patients Moving. - Frankly Speaking EP 42
08:18

How much exercise makes a difference in the primary prevention of depression and anxiety? Find out in this podcast which will provide insights from Norway’s HUNT cohort study that followed a healthy cohort of 33,908 individuals for 11 years.

Learning Objectives: 

  1. Review the relation of exercise and the development of depression and anxiety in a healthy population.
  2. Discuss strategies and options to alleviate stress and promote wellness.

 

Nov 13, 2017
Is Oxygen Helpful for Patients with Acute Stroke? - Frankly Speaking EP 41
09:49

Learning Objectives: 

  1. Understand the results of the Stroke Oxygen Study
  2. Understand which patients will benefit from supplemental oxygen
Nov 06, 2017
The Sun is Setting for Sulfonylureas - Frankly Speaking EP 40
12:18

Learning Objectives: 

  1. Review the data on the risks of SU use
  2. Consider other second line approaches to Type 2 DM
  3. Review Primary Treatment Goals for T2DM
Oct 30, 2017
Rare Risks with Pediatric Cough & Cold Medications - Frankly Speaking EP 39
10:54

Learning Objectives:

  1. Discuss the AAP position and why
  2. Review findings of adverse events and where the danger lies
  3. Offer advice on what to use and how to dose.
Oct 23, 2017
Treating Major Depressive Disorder: Considerations in Applying the Evidence - Frankly Speaking EP 38
11:26

Learning Objectives: 

  1. Identify the concerns surrounding depression screening and treatment.
  2. Discuss the numerous factors primary care providers need to take into consideration to improve management of depression in their patients.
Oct 16, 2017
PPIs: Too Much of a Good Thing? When and How to Discontinue Them - Frankly Speaking EP 37
14:16

Learning Objectives: 

  1. Discuss EBP Guidelines on management of Acid related GI condition and PPI prescribing
  2. Discuss best practice for appropriate PPI use in primary care and strategies for discontinuation. 
Oct 09, 2017
The Flu Stops with You – 2017/2018 Influenza Vaccination Recommendations - Frankly Speaking EP 36
12:17

Learning Objectives:

  1. Discuss the 2017-2018 American College of Advisory Committee on Immunization Practices (ACIP) 2017-2018 Seasonal Influenza Vaccine.
  2. Review age recommendations, high-risk populations and contraindications for seasonal influenza vaccination.
  3. Discuss best practices and dispel myths your patients may believe that prevent influenza vaccination.
Oct 02, 2017
Tonsillectomy Improves Sleep Disordered Breathing In Children - Frankly Speaking EP 35
12:27

Learning Objectives: 

  1. Understand the scope of the problems associated with sleep disordered breathing in children
  2. Review outcomes from this systematic review and meta analysis
  3. Appreciate the possible indications for surgery in children with sleep disordered breathing
Sep 25, 2017
Putting E-cigarettes to Good Use: Evidence on Smoking Cessation Impact and Population Health - Frankly Speaking EP 34
11:51

Learning Objectives:

  1. Clarify the concerns surrounding e-cigarette use.
  2. Discuss the potential for incorporating e-cigarette use as a smoking cessation strategy for patients.
Sep 18, 2017
Treating an Abscess: When are Antibiotics Needed? - Frankly Speaking EP 33
11:55

Learning Objectives: 

  1. Know which patients are most likely to benefit from antibiotics following incision and drainage of and abscess
  2. Know which antibiotics are preferred to use for patients following incision and drainage 
Sep 11, 2017
Infant Sleep Safety: AAP Recommendations Explained - Frankly Speaking EP 32
12:25

Learning Objectives:

  1. Discuss the most recent evidence based practice guidelines on safe infant sleep environment
  2. Discuss barriers to implementing the EBP safe sleep environment guidelines
  3. Discuss strategies to improve compliance with EBP safe sleep environment guidelines
Sep 04, 2017
Late Breaking News: Let's Talk About Alcohol Consumption and Health Outcomes - Frankly Speaking EP 31
09:22

Learning Objectives:

  1. Discuss the results of a longitudinal cohort study re: alcohol consumption and cognitive decline.
  2. Review U.S. Guidelines for alcohol consumption.
  3. Discuss best practice recommendations for primary care patient discussions on the use of alcohol.
Aug 28, 2017
Help Me with My Headache—Please! - Frankly Speaking EP 30
11:08

Learning Objectives: 

  1. Review best practices in the identification of migraine headache.
  2. Discuss recent updates for the prevention and treatment of migraines.

  3. Review the use of technology in the care of headache patients.

 

Aug 21, 2017
Practical Approaches to the New Guidelines on Breast Cancer Screening - Frankly Speaking EP 29
14:05

Learning Objectives:

  1. Review and compare current EB guidelines from the ACS, ACOG and USPSTF
  2. Discuss breast cancer risk and its impact on screening recommendations
  3. Discuss strategies to apply guidelines in practice
Aug 14, 2017
E-Cigarettes – Risks of Teen Vaping - Frankly Speaking EP 28
11:39

Learning Objectives:

  1. Discuss the history of e-Cigarettes and how they function
  2. Discuss the findings of the recent meta-analysis/systematic review regarding US teen use and the association with future tobacco smoking behavior
  3. Discuss the potential public health concerns, implication for health policy and best practice for family and pediatric providers
Aug 07, 2017
The American Heart Association Update on the Role of Fat in Your Diet - Frankly Speaking EP 27
10:29

Learning Objectives:

  1. Discuss the AHA position statement on fats in the diet
  2. Review the types of fat and what is known about their relationship to heart disease

  3. Recommend a dietary approach that is based upon best evidence
Jul 31, 2017
The Opioid Epidemic: Is Your Practice Changing? - Frankly Speaking EP 26
12:07

Learning Objectives:

  1. Discuss the findings of Martins et al survey results in the context of primary care practice
  2. Identify validated tools useful in your practice to identify opioid misuse
  3. Discuss methods to promote effective pain management including utilizing safe prescribing strategies
Jul 24, 2017
Artificial Sweeteners: Does Diet Soda Do More Harm Than Good? - Frankly Speaking EP 25
09:30

Learning Objectives:

  1. Review how the correlation of artificial sweeteners and CNS outcomes were related
  2. Summarize how artificial sweeteners may increase risk for obesity and Type 2 Diabetes
  3. Remind listeners that use of sucrose in appropriate dosages is safer than artificial sweeteners
Jul 17, 2017
Whole Milk Does Not Increase Adverse Cardiovascular Outcomes - Frankly Speaking EP 24
11:21

This podcast reviews the results of a meta-analysis that found no negative relationship between whole milk consumption and cardiovascular disease or with mortality.

Learning Objectives

  1. Understand the rationale that led to decreased milk intake in the 80's and 90's
  2. Appreciate how a meta analysis can shed light on the role whole milk might play on heart disease
  3. Be reminded that using "logic" without scientific rigor can lead to false conclusions
Jul 10, 2017
Here’s to Your Health: What Meat Shall You Eat? - Frankly Speaking EP 23
10:35

Teaching patients lifestyle management strategies to improve health is no easy task. First steps involve increasing provider knowledge of the impact foods have on health. This episode discusses the latest evidence on different types of meat intake and meat associated compounds on health.  

Learning Objectives:

  1. Review the current evidence on meat intake and mortality
  2. Discuss the “real” world impact for patients in primary care
Jul 03, 2017
Fruit Juice and Kids: How Sweet it is - Frankly Speaking EP 22
10:27

Kids love fruit juice. But how much is OK? What are the facts on fruit juice consumption in kids and what should you advise the families you care for? In this episode, we will discuss the latest recommendations from the American Academy of Pediatrics and how they may impact your practice.

Learning Objectives:

  1. Identify the AAP recommendations for fruit juice consumption across childhood from infancy through adolescence
  2. Discuss health risks associated with increased fruit juice consumption
  3. Discuss strategies to promote healthy consumption of beverages in children and families
Jun 26, 2017
New Simpler HPV Vaccine Schedule - Frankly Speaking EP 21
09:09

HPV immunization has been recommended for pre-teens and teens for over a decade, however vaccination rates remain low. In October 2016 the CDC changed their recommendations to 2 doses of HPV vaccine in teens before their 15th birthday (from 3 doses), does this make it easier for completion? 

Learning Objectives:

  1. Review the current recommendations for Human Papilloma Vaccination (HPV) in the young adolescent population including immunogenicity.
  2. Discuss the prevalence of HPV and associated diseases and cancer
  3. Review strategies to increase vaccination rates
Jun 19, 2017
Are Short-term Corticosteroids Dangerous? - Frankly Speaking EP 20
08:58

Corticosteroids are often prescribed for short-term use for conditions such as asthma exacerbation, contact dermatitis, gout, and Bell’s palsy. Adverse effects from chronic use of corticosteroids is well known, but many clinicians believe that the risk of significant adverse effects from short-term use is minimal. A recent retrospective cohort study was done reviewing the records of 1.5 million adults to assess the adverse effects of treatment with corticosteroids for less than 30 days.

Learning Objectives: 

  1. Review the conditions for which corticosteroids may be used for short-term treatment
  2. Understand the potential risks associated with short-term treatment
  3. Understand the magnitude of the potential risks relative to possible benefits
Jun 12, 2017
Alternate-day Fasting for Weight Loss - Frankly Speaking EP 19
11:30

Is Alternate day fasting the future of weight loss?  Maybe not...

Learning Objectives

  1. Understand how Alternate day fasting is practiced
  2. Appreciate why Alternate day fasting might make physiologic sense
  3. Review the recent literature on its strengths and weaknesses
Jun 05, 2017
Do Corticosteroids Decrease the Pain of Acute Pharyngitis? - Frankly Speaking EP 18

When patients present with symptoms of a sore throat, an option for managing the pain  that is sometimes used is corticosteroids. A randomized trial of a 1-time dose of 10 mg in patients with moderate to severe pharyngitis who were deemed to not need antibiotics found higher rates of symptom resolution at 48 hours.

Learning Objectives:

  1. Understand potential benefits of corticosteroids for treatment of pain of acute pharyngitis
  2. Understand limitations of evidence for benefit
  3. Understand other options for symptom relief
May 29, 2017