Frankly Speaking About Family Medicine

The Opioid Epidemic: Is Your Practice Changing? - Frankly Speaking EP 26

Learning Objectives: Discuss the findings of Martins et al survey results in the context of primary care practice Identify validated tools useful in your practice to identify opioid misuse Discuss methods to promote effective pain management including utilizing safe prescribing strategies

Artificial Sweeteners: Does Diet Soda Do More Harm Than Good? - Frankly Speaking EP 25

Learning Objectives: Review how the correlation of artificial sweeteners and CNS outcomes were related Summarize how artificial sweeteners may increase risk for obesity and Type 2 Diabetes Remind listeners that use of sucrose in appropriate dosages is safer than artificial sweeteners

Whole Milk Does Not Increase Adverse Cardiovascular Outcomes - Frankly Speaking EP 24

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 Understand the rationale that led to decreased milk intake in the 80's and 90's Appreciate how a meta analysis can shed light on the role whole milk might play on heart disease Be reminded that using "logic" without scientific rigor can lead to false conclusions

Here’s to Your Health: What Meat Shall You Eat? - Frankly Speaking EP 23

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: Review the current evidence on meat intake and mortality Discuss the “real” world impact for patients in primary care

Fruit Juice and Kids: How Sweet it is - Frankly Speaking EP 22

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: Identify the AAP recommendations for fruit juice consumption across childhood from infancy through adolescence Discuss health risks associated with increased fruit juice consumption Discuss strategies to promote healthy consumption of beverages in children and families

New Simpler HPV Vaccine Schedule - Frankly Speaking EP 21

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: Review the current recommendations for Human Papilloma Vaccination (HPV) in the young adolescent population including immunogenicity. Discuss the prevalence of HPV and associated diseases and cancer Review strategies to increase vaccination rates

Are Short-term Corticosteroids Dangerous? - Frankly Speaking EP 20

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:  Review the conditions for which corticosteroids may be used for short-term treatment Understand the potential risks associated with short-term treatment Understand the magnitude of the potential risks relative to possible benefits

Alternate-day Fasting for Weight Loss - Frankly Speaking EP 19

Is Alternate day fasting the future of weight loss?  Maybe not... Learning Objectives Understand how Alternate day fasting is practiced Appreciate why Alternate day fasting might make physiologic sense Review the recent literature on its strengths and weaknesses

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: Understand potential benefits of corticosteroids for treatment of pain of acute pharyngitis Understand limitations of evidence for benefit Understand other options for symptom relief

Contraception: The Pill Needs to Share - Frankly Speaking EP17

Sensitive and important conversations with your adolescent population include contraceptive options.  How do long acting reversible contraceptive methods (LARC’s) fit into your conversation?  Let’s discuss a recent review and update your talk! Learning Objectives: Discuss the use of long acting reversible contraceptive methods (LARC’s). Describe the efficacy or LARC’s compared to other birth control methods. Describe communication strategies useful in discussing contraception with adolescents.