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0.25 CME CREDIT

Risk-Stratifying Patients with a TIA - Frankly Speaking EP 226

Guest: Alan M. Ehrlich, MD, FAAFPMusic Credit: Richard Onorato

0.25 CME

Patients with a history of transient ischemic attack (TIA) are at increased risk of stroke in the future. The ABCD2 score is the most used risk assessment tool for people with acute TIA, but it is not recommended for this purpose by the National Institute for Heath and Care Excellence (NICE). Join us for today’s episode as we describe a new validated risk assessment tool developed in Canada you can use to classify patients as low, medium, or high-risk for stroke over the 7 days following a TIA.


0.25 CME CREDIT

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.


0.25 CME CREDIT

Pap Smears and Bimanual Exams: Do Teens Really Need Them? - Frankly Speaking EP 175

Guest: Alan M. Ehrlich, MD, FAAFPMusic Credit: Richard Onorato

0.25 CME

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.


0.25 CME CREDIT

How Long Should You Continue Bisphosphonate Treatment for Osteoporosis? - Frankly Speaking EP 225

Guest: Robert A. Baldor, MD, FAAFPMusic Credit: Richard Onorato

0.25 CME

Join us for this episode as we review the recently published (Dec. 2020) cohort study in JAMA on using bisphosphonates to prevent hip fractures. We will review the utility of bisphosphonates after 5 years and how to discuss their risks and benefits with patients.


0.25 CME CREDIT

Avoiding Unnecessary Antibiotics: The Quick Take - Frankly Speaking EP 118

Guest: Alan Ehrlich MD, FAAFP Music Credit: Richard Onorato

0.25 CME

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.


0.25 CME CREDIT

Do Sensible Shoes Improve Function for People with Knee Arthritis? - Frankly Speaking EP 224

Guest: Susan Feeney, DNP, FNP-BC, NP-CMusic Credit: Richard Onorato

0.25 CME

More than 250 million individuals worldwide have osteoarthritis (OA) of the knee and the burden on individuals and healthcare systems is enormous. There is no cure for OA, with treatments such as NSAIDs and acetaminophen aimed towards symptom reduction and improved functioning. Most evidence-based guidelines include the use of supportive shoes, however little evidence exists on effectiveness of these types of shoes. It is also unclear what the characteristics of a supportive shoe are and what type of shoe is best for OA. Join us as we discuss a recent randomized controlled trial that compared 2 types of shoes, and their benefits in symptom reduction and functional improvement of knee OA


0.25 CME CREDIT

Surviving Burnout: Caring for Ourselves - Frankly Speaking EP 223

Guest: Christine Runyan, PhD, ABPPMusic Credit: Richard Onorato

0.25 CME

Clinical psychologist Dr. Christine Runyan joins me in today’s episode to discuss the various self-care methods to help healthcare workers overcome stressors related to the COVID-19 pandemic, and to describe the potential future impact of the COVID-19 crisis on this population.


0.25 CME CREDIT

The Prescribing Cascade: What Is It and How Do We Prevent It? - Frankly Speaking EP 173

Guest: Susan Feeney, DNP, FNP-BCMusic Credit: Richard Onorato

0.25 CME

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.


0.25 CME CREDIT

Are E-Cigarettes Effective Tools for Smoking Cessation, or Are We Just Blowing Smoke? - Frankly Speaking EP 117

Guest: Jill Terrien PhD, ANP-BC & Susan Feeney, DNP, FNP Music Credit: Richard Onorato

0.25 CME

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.


0.25 CME CREDIT

Kegels for Men? - Frankly Speaking EP 172

Guest: Robert Baldor, MD, FAAFP Music Credit: Richard Onorato

0.25 CME

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.


0.25 CME CREDIT

Save the Toenails! Topical Treatments for Onychomycosis - Frankly Speaking EP 222

Guest: Robert A. Baldor, MD, FAAFPMusic Credit: Richard Onorato

0.25 CME

Join us for this episode as we discuss a recent Cochrane review of the safety and effectiveness of topical treatments for toenail onychomycosis, and review when and how to prescribe these agents for patients.


0.25 CME CREDIT

Caution! Falling Seniors Ahead! - Frankly Speaking EP 171

Guest: Jill Terrien PhD, ANP-BCMusic Credit: Richard Onorato

0.25 CME

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