A weekly podcast series, hosted by Frank Domino, MD, covering newsworthy topics and patient-focused best practices in Family Medicine. Episodes 102 and onward are now available for CME Credit! Find the link to claim credit in each episode’s description or find the episode on our Frankly Speaking landing page, www.pri-med.com/franklyspeaking.
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Frankly Speaking About Family Medicine


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Clinical Guidelines: Acute Pain Management of Musculoskeletal Injuries (Non-low Back) in the Outpatient Setting - Frankly Speaking Ep 213
10:25
10:25
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Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-213 Overview: Join us as we discuss the American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) newly released clinical guideline on the non-pharmacologic and pharmacologic…
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Frankly Speaking About Family Medicine


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COVID-19 in the Office: Outpatient Management
29:07
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Credits: 0.50 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-covid-outpatient Overview: So much has changed concerning COVID-19 management, but few interventions are clearly beneficial in the outpatient management of patients. This podcast will try to answer some…
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Frankly Speaking About Family Medicine


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Vitamin D: What It Helps, and What It Doesn’t - Frankly Speaking Ep 212
14:44
14:44
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14:44
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-212 Overview: During this episode, we will review some of the recent data on Vitamin D supplementation and its association with cardiovascular outcomes, falls, vertigo, and general health. Guest: Susan …
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Frankly Speaking About Family Medicine


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Let’s Get Physical: Consider PT for Initial Treatment of Sciatica - Frankly Speaking Ep 211
13:15
13:15
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Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-211 Overview: There are various treatment options for patients with acute sciatica. Choosing the best option should be tailored to the specific needs of the patient, and when possible, include early rec…
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Frankly Speaking About Family Medicine


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A Fundamental Change in Asthma Management! Treatment of Moderate to Severe Asthma Now Includes Combined ICS-LABA Therapy as Maintenance and Rescue Therapy - Frankly Speaking Ep 210
11:17
11:17
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Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-210 Overview: This session will review the evidence used by the National Asthma Education and Prevention Program (NAEPP) in making their newer recommendations and the new asthma management protocols. Gu…
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Frankly Speaking About Family Medicine


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PolyPill, One Pill, or No Pill? - Frankly Speaking Ep 209
12:39
12:39
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Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-209 Overview: In this episode, we will review a recent publication examining how the polypill might lower atherosclerotic cardiovascular disease (ASCVD) risk in the general population. Guest: Alan Ehrli…
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Frankly Speaking About Family Medicine


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USPSTF Colorectal Cancer Screening: Back Up the Bus! - Frankly Speaking Ep 208
11:00
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Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-208 Overview: Join us as we review the United States Preventive Services Task Force’s (USPSTF) recently published draft recommendation statement on colorectal cancer (CRC) screening and the implications…
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Frankly Speaking About Family Medicine


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Statin Use in the Elderly – Start or Stop? - Frankly Speaking Ep 207
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10:50
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-207 Overview: Data are limited regarding statin therapy for primary prevention of atherosclerotic cardiovascular disease in adults 75 years and older. During this episode we will review recent studies on the use of st…
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Frankly Speaking About Family Medicine


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A Big Change for the 2021 Medicare Physician Fee Schedule: New Guidance on Coding
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13:32
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-coding-update Overview: This session will overview the new 2021 changes for outpatient E&M billing documentation requirements. Guest: Robert Baldor, MD, FAAFP Music Credit: Richard Onorato…
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Frankly Speaking About Family Medicine


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Making a Real Difference: High-Intensity Lifestyle Intervention Can Aid Weight Loss in Individuals With Obesity in Underserved Populations - Frankly Speaking Ep 206
13:19
13:19
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-206 Overview: The evidence of the impact of obesity and sedentary lifestyles on health and disease states is well established. Finding and applying strategies to assist people with the necessary behavior changes is a …
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Frankly Speaking About Family Medicine


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COVID-19 VACCINE: Get the Facts and Bust the Myths - Frankly Speaking Covid Immunization Update
24:34
24:34
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-covid-immunization-update Overview: This podcast will give an overview of the two mRNA vaccines granted emergency use authorization in the US including their efficacy and side effect profile. Guest: Alan Ehrlich, MD Music…
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Frankly Speaking About Family Medicine


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New-onset Atrial Fibrillation: Revisiting Rate vs. Rhythm Control - Frankly Speaking EP 205
12:03
12:03
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-205 Overview: In patients with new-onset atrial fibrillation, the decision to aim for rate control versus rhythm control is controversial. Older data suggested rhythm control did not result in better outcomes, but adv…
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Frankly Speaking About Family Medicine


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Treating Type 2 Diabetes Mellitus – A Clearer Framework - Frankly Speaking EP 204
12:39
12:39
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-204 Overview: The American Diabetes Association (ADA) has recently updated their guidelines for pharmacologic management of T2DM which addresses patients with various co-morbid conditions. This episode will overview t…
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Frankly Speaking About Family Medicine


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No Good Reason to Go Nuts Over Coconut Oil - Frankly Speaking Ep 203
10:37
10:37
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-203 Overview: Join us as we discuss the risks of elevated cholesterol when consuming coconut oil. Guest: Jill Terrien, PhD, ANP-BC Music Credit: Richard Onorato
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Frankly Speaking About Family Medicine


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COVID-19 Update: Vaccines, Working From Home, and So Much More - Frankly Speaking Ep 202
26:37
26:37
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-202 Overview: There are many aspects of the COVID-19 pandemic that clinicians need to stay current with. In this episode we will briefly review ten hot topics related to COVID-19, including but not limited to: testing…
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Frankly Speaking About Family Medicine


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Is it Time to Stop Checking LDL-C? - Frankly Speaking Ep 201
13:09
13:09
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-201 Overview: Various organizations develop guidelines to assist with patient care. This episode will review the most significant changes to the U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/D…
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Frankly Speaking About Family Medicine


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Favorite Podcast of the Last 200! - Frankly Speaking Ep 200
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21:18
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-200 Overview: Join us for the 200th episode of Frankly Speaking about Family Medicine! In this episode, each podcaster will review their favorite topics since the inception of this podcast and will describe patient en…
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Frankly Speaking About Family Medicine


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Evaluation of Microhematuria: A Risk-based Approach - Frankly Speaking Ep 199
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-199 Overview: Microhematuria is a common finding. It is usually benign, but it needs proper evaluation since it may also be a sign of malignancy. A risk-based approach can avoid unnecessary testing, while still identi…
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Frankly Speaking About Family Medicine


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“Just a Spoonful of Honey”: Evidence Supporting Honey for URTI Symptom Relief - Frankly Speaking Ep 198
12:27
12:27
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-198 Overview: Upper respiratory tract infections (URTI) are one of the most common conditions seen in primary care. Effective treatments for this acute, bothersome illness are limited; inappropriate antibiotic prescri…
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Frankly Speaking About Family Medicine


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Handling Upper Respiratory Symptoms During the COVID-19 Pandemic - Frankly Speaking Ep 197
15:54
15:54
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-197 Overview: This episode will review how to best care for patients who present with respiratory symptoms during the fall and winter. Guest: Alan Ehrlich, MD Music Credit: Richard Onorato…
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Frankly Speaking About Family Medicine


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That Cup of Joe – Good for You! - Frankly Speaking Ep 196
11:15
11:15
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-196 Overview: The New England Journal of Medicine recently published an evidence-based review of the benefits and harms related to caffeine and coffee consumption. Guest: Robert Baldor, MD, FAAFP Music Credit: Richard…
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Frankly Speaking About Family Medicine


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Peanut Allergies, Time to Follow the Guidelines? - Frankly Speaking Ep 195
12:15
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-195 Overview: For patients who have hip replacement or knee arthroplasty there is an increased risk of venous thromboembolism This episode will review the effectiveness of aspirin for preventing VTE in this population…
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Frankly Speaking About Family Medicine


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Is There a Correlation Between Low-to-Moderate Alcohol Consumption and Improved Cognitive Function? - Frankly Speaking Ep 194
12:03
12:03
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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 consis…
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Frankly Speaking About Family Medicine


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Heads Up! 2020 Guideline Update on Cervical Cancer Screening - Frankly Speaking Ep 193
9:07
9:07
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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…
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Frankly Speaking About Family Medicine


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Lung Cancer Screening: The U.S. Preventive Services Task Force Weights In - Frankly Speaking Ep 192
10:50
10:50
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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 re…
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Frankly Speaking About Family Medicine


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Testing is Appropriate at an Annual Health Exam: What, When, and WHY? - Frankly Speaking Ep 191
11:45
11:45
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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 …
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Frankly Speaking About Family Medicine


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Antibody Tests for COVID-19: What Do They Tell Us? - Frankly Speaking Ep 190
10:14
10:14
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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
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Frankly Speaking About Family Medicine


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Influenza Immunization and Lower Mortality Rates in Diabetes - Frankly Speaking Ep 189
12:01
12:01
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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: Richa…
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Frankly Speaking About Family Medicine


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Hydroxychloroquine for COVID-19: Not Ready for Prime-Time - Frankly Speaking Ep 188
13:49
13:49
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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…
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Frankly Speaking About Family Medicine


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Vitamin D and COVID-19 - Frankly Speaking Episode 187
11:08
11:08
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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…
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Frankly Speaking About Family Medicine


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COVID-19: School Closing, Prevention, and Prognosis - Frankly Speaking Episode 186
14:06
14:06
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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
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Frankly Speaking About Family Medicine


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A Change In Treating Mild Asthma - Frankly Speaking EP 185
11:40
11:40
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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…
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Frankly Speaking About Family Medicine


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Aspirin Can Prevent VTE After Hip or Knee Surgery - Frankly Speaking EP 184
9:26
9:26
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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 pop…
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Frankly Speaking About Family Medicine


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Counseling About Healthy Lifestyles: Time to Simplify - Frankly Speaking EP 183
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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 di…
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Frankly Speaking About Family Medicine


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Testosterone for Low ‘T’? - Frankly Speaking Episode 182
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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 ad…
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Weighted Vests Reduce Weight - Frankly Speaking EP 181
9:56
9:56
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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 Ehrli…
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Frankly Speaking About Family Medicine


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Gout - An Updated Treatment Guideline from the American College of Rheumatology - Frankly Speaking EP 180
12:36
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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, outco…
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Frankly Speaking About Family Medicine


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For Osteoarthritis of the Knee, What’s the Point of Injecting Steroids? - Frankly Speaking EP 179
9:35
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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 …
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An Epidemic That Nobody is Talking About - Frankly Speaking EP 178
8:52
8:52
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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-blo…
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Frankly Speaking About Family Medicine


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Concussion Risk and Prevention Among High School Student Athletes - Frankly Speaking EP 177
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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…
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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 Speaking EP 176
10:49
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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…
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Pap Smears and Bimanual Exams: Do Teens Really Need Them? - Frankly Speaking EP 175
8:05
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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 adolesc…
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Frankly Speaking Update: COVID-19 and Special Populations (Recorded 5/22/20)
17:16
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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…
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What Happened to My Furosemide? Torsemide for Congestive Heart Failure - Frankly Speaking EP 174
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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: Ji…
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The Prescribing Cascade: What Is It and How Do We Prevent It? - Frankly Speaking EP 173
10:29
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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 me…
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-blo…
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Caution! Falling Seniors Ahead! - Frankly Speaking EP 171
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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…
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Corticosteroid Injection for Plantar Fasciitis: All Pain, No Gain - Frankly Speaking EP 170
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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 …
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5 Tools to Improve the Patient Encounter - Frankly Speaking EP 169
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-169 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 pat…
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“Make it Stop!” – can a simple and quick intervention help improve quit rates in your patients who smoke? - Frankly Speaking EP 168
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Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-168 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 materia…