『Inside Family Medicine』のカバーアート

Inside Family Medicine

Inside Family Medicine

著者： American Academy of Family Physicians
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今ならプレミアムプランが3カ月 月額99円

2026年5月12日まで。4か月目以降は月額1,500円で自動更新します。

概要

 A podcast produced by the American Academy of Family Physicians for family doctors and related health care professionals.©2025 経済学 衛生・健康的な生活 身体的病い・疾患
エピソード
  • CME | A Crash Course in Thyroid Confusion

    CME | A Crash Course in Thyroid Confusion
    2026/04/23
    In this episode of CME On the GO, the hosts discuss a practical approach to hypothyroidism, using a case of a 50-year-old woman with nonspecific symptoms (weight gain, fatigue, edema, constipation). They emphasize thorough history and physical exam, then outline key thyroid testing: TSH as the initial screening test (often with reflex free T4), free T4 for confirmation and special situations (including pregnancy), and limited uses for T3 tests. They review antibody testing (TPO for Hashimoto's, thyroglobulin antibodies in select cases) and note tests for Graves disease outside this episode. They cover sick thyroid considerations, subclinical hypothyroidism controversy, pregnancy management with tighter TSH goals and dose increases, and treatment preferences favoring standardized levothyroxine over desiccated thyroid, with limited/controversial use of combination T4/T3 therapy. Learning Objectives Interpret key thyroid laboratory tests—including TSH, T4, fT4, T3, fT3, and thyroid antibodies—within the framework of thyroid physiology and the hypothalamic-pituitary-thyroid axis. Compare the efficacy, safety, and clinical indications of thyroid hormone replacement options such as levothyroxine, liothyronine (Cytomel), and desiccated thyroid extract. Explain the clinical significance of subclinical hypothyroidism and apply evidence-based reasoning to common patient scenarios with borderline thyroid function. The AAFP has reviewed A Crash Course in Hypothyroid Confusion and deemed it acceptable for up to 0.50 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 04/20/2026 to 6/4/2027. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Academy of Family Physicians designates this Enduring Materials for a maximum of 0.50 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit. After listening to the podcast episode, complete and submit the evaluation to claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/19856/e References and Resources Hypothyroidism: Diagnosis and Treatment: https://www.aafp.org/pubs/afp/issues/2021/0515/p605.html Thyroiditis: Evaluation and Treatment: https://www.aafp.org/pubs/afp/issues/2021/1200/p609.html Hypothyroidism A Review: https://jamanetwork.com/journals/jama/fullarticle/2838457?utm_source=openevidence&utm_medium=referral Hyperthyroidism A Review: https://jamanetwork.com/journals/jama/fullarticle/2810692?utm_source=openevidence&utm_medium=referral Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism: https://www.nejm.org/doi/full/10.1056/NEJMoa1603825 Hypothyroidism: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0140673624016143?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0140673624016143%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F Article on lab testing: https://pmc.ncbi.nlm.nih.gov/articles/PMC10517335/ https://pmc.ncbi.nlm.nih.gov/articles/PMC7640752/ Ahluwalia R, Baldeweg SE, Boelaert K, et al. Use of liothyronine (T3) in hypothyroidism: Joint British Thyroid Association/Society for endocrinology consensus statement. Clin Endocrinol (Oxf). 2023;99(2):206-216. doi:10.1111/cen.14935 Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.  All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.  Disclaimer: Copyright 2026. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP.  The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.  AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use.  Consult an appropriate professional concerning your specific situation and respective governing bodies ...
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    31 分
  • FFFM | Lawmaker Spotlight: Physician Voices Shaping Health Policy

    FFFM | Lawmaker Spotlight: Physician Voices Shaping Health Policy
    2026/04/17
    David Tully, AAFP vice president of government relations, speaks with U.S. Rep. Mike Kennedy, MD, a family physician and former Utah state legislator, about why he chose family medicine, how having more clinicians in public office can lead to bipartisan physician collaboration on health care policy and the need for greater professional autonomy. We also hear from U.S. Rep. Maxine Dexter, MD, a pulmonary/critical care physician and former Oregon state legislator who helped pass a state law expanding naloxone access, about how policy affects public health. She also discusses harms from cutting Medicaid and Medicare and allowing ACA premium tax credits to expire, the need for long-term Medicare payment reform and less administrative burden, and pushing back against misinformation and threats to evidence-based medicine. Topics by Timestamp 00:00 Show intro and guest 00:50 Why family medicine 02:55 From clinic to Congress 04:51 Surprises in Washington 08:08 Doctors shaping policy 13:46 Advice on running for office 18:00 Dr. Kennedy wrap-up 18:25 Meet Dr. Maxine Dexter 19:03 Policy meets medicine 21:02 HR1 and Medicaid fallout 24:31 Fixing physician payment 28:43 Defending science and trust 33:50 Dr. Dexter's advice to physicians Additional Resources Rep. Mike Kennedy, MD Rep. Maxine Dexter, MD AAFP H.R. 1 advocacy AAFP member resource page: H.R. 1 Fighting for Family Medicine podcast: How H.R. 1 Will Affect Family Medicine AAFP Advocacy Ambassadors  Advocate for Family Medicine    AAFP Chapter Advocacy   The Academy's Family Medicine Advocacy Summit Disclaimer: Copyright 2026, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.   
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    40 分
  • IFM | Dr. Bayo Curry-Winchell: Delivering Maternal Health Care and Equity

    IFM | Dr. Bayo Curry-Winchell: Delivering Maternal Health Care and Equity
    2026/04/15
    In this episode of Inside Family Medicine, Bayo Curry-Winchell, MD, MS, discusses maternal health care and the role of family physicians in providing consistent care from preconception through pregnancy and postpartum. Dr. Curry-Winchell shares why she chose family medicine and her nontraditional path from a Certified Nursing Assistant to Physicians Assistant to physician, including the risks she took to attend medical school. She describes her own near-fatal postpartum complication following a cesarean section and emphasizes the importance of self-advocacy. She also highlights postpartum risks in the fourth trimester, including hypertension, diabetes, mental health concerns, and postpartum preeclampsia, as well as the value of doulas and midwives. Topics By Timestamp 00:00 Welcome and Guest Intro 01:10 Why Family Medicine 01:45 Nontraditional Path to MD 03:30 Maternal Care Continuum 04:38 Reducing Maternal Mortality 06:17 Exam Room Prevention 07:29 Her Birth Health Scare 09:48 Self Advocacy and Bias 11:24 Postpartum Fourth Trimester 13:12 Postpartum Preeclampsia Story 16:01 Clinicians Who Care Additional Resources Center for Women's Health | AAFP Women's Health Resources | AAFP Maternal Health | AAFP Perinatal Mood and Anxiety Disorders Maternity & ALSO Program | AAFP CME Fourth Trimester Care CME | AAFP The EveryONE Project | AAFP Neighborhood Navigator | AAFP Podcast: Optimizing Postpartum Care | Dr. Keyona Oni: Prioritizing Perinatal Mental Health Podcast: Optimizing Postpartum Care | Dr. Beth Oller: Reducing Perinatal Mental Health Stigma Do No Harm - Dr. Bayo's TEDx Talk Why Black Patients Don't Trust the Healthcare System - Dr. Bayo's TEDx Talk DoctorBayo.com Beyond Clinical Walls Podcast - Dr. Bayo's podcast Follow Dr. Bayo on social media: Instagram TikTok Bluesky YouTube Disclaimer: Copyright 2026, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. The AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.   
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    20 分
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