Synopsis
A weekly podcast series, hosted by Frank Domino, MD, covering newsworthy topics and patient-focused best practices in Family Medicine.
Episodes
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Testing is Appropriate at an Annual Health Exam: What, When, and WHY? - Frankly Speaking Ep 191
28/09/2020 Duration: 11minCredits: 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
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Antibody Tests for COVID-19: What Do They Tell Us? - Frankly Speaking Ep 190
21/09/2020 Duration: 10minCredits: 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
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Influenza Immunization and Lower Mortality Rates in Diabetes - Frankly Speaking Ep 189
14/09/2020 Duration: 12minCredits: 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
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Hydroxychloroquine for COVID-19: Not Ready for Prime-Time - Frankly Speaking Ep 188
07/09/2020 Duration: 13minCredits: 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
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Vitamin D and COVID-19 - Frankly Speaking Episode 187
31/08/2020 Duration: 11minCredits: 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
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COVID-19: School Closing, Prevention, and Prognosis - Frankly Speaking Episode 186
24/08/2020 Duration: 14minCredits: 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
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A Change In Treating Mild Asthma - Frankly Speaking EP 185
17/08/2020 Duration: 11minCredits: 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
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Aspirin Can Prevent VTE After Hip or Knee Surgery - Frankly Speaking EP 184
10/08/2020 Duration: 09minCredits: 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
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Counseling About Healthy Lifestyles: Time to Simplify - Frankly Speaking EP 183
03/08/2020 Duration: 10minCredits: 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
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Testosterone for Low ‘T’? - Frankly Speaking Episode 182
27/07/2020 Duration: 12minCredits: 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
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Weighted Vests Reduce Weight - Frankly Speaking EP 181
20/07/2020 Duration: 09minCredits: 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
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Gout - An Updated Treatment Guideline from the American College of Rheumatology - Frankly Speaking EP 180
13/07/2020 Duration: 12minCredits: 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
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For Osteoarthritis of the Knee, What’s the Point of Injecting Steroids? - Frankly Speaking EP 179
29/06/2020 Duration: 09minCredits: 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
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An Epidemic That Nobody is Talking About - Frankly Speaking EP 178
22/06/2020 Duration: 08minCredits: 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
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Concussion Risk and Prevention Among High School Student Athletes - Frankly Speaking EP 177
15/06/2020 Duration: 07minCredits: 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
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Getting to Remission—Not Just Better: Can a Web-Based CBT Tool Help Resolve Residual Depressive Symptoms in People Treated for Depression? - Frankly S...
08/06/2020 Duration: 10minCredits: 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
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Pap Smears and Bimanual Exams: Do Teens Really Need Them? - Frankly Speaking EP 175
01/06/2020 Duration: 08minCredits: 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
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Frankly Speaking Update: COVID-19 and Special Populations (Recorded 5/22/20)
27/05/2020 Duration: 17minCredits: 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
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What Happened to My Furosemide? Torsemide for Congestive Heart Failure - Frankly Speaking EP 174
25/05/2020 Duration: 09minCredits: 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
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The Prescribing Cascade: What Is It and How Do We Prevent It? - Frankly Speaking EP 173
18/05/2020 Duration: 10minCredits: 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