Chat & Chew

Discuss topics with peers, network, and participate in continuing professional development activities during luncheon discussions.

Chat & Chew topics and objectives for discussion are proposed by the session facilitator, not AAFP staff.

Chat & Chews are not approved for CME credit. 

Wednesday, October 10
Wednesday, October 10: 11:30 a.m. - 12:30 p.m.Environmental Health and Family Medicine
Kait Perry, MPH
Wednesday, October 10: 11:30 a.m. - 12:30 p.m.Point of Care Ultrasound (POCUS)
Alex McDonald, MD
Wednesday, October 10: 11:30 a.m. - 12:30 p.m.Contraception for Women with Medical Conditions
Linda Prine, MD, FAAFP and Anna Lowell, DO, MPH
Wednesday, October 10: 11:30 a.m. - 12:30 p.m.Medication Abortion in Primary Care Settings
Moira Rashid, MD and Shailee Upadhyaya, DO
Thursday, October 11
Thursday, October 11: 11:30 a.m. - 12:30 p.m.Point of Care Ultrasound (POCUS)
Alex McDonald, MD
Thursday, October 11: 11:30 a.m. - 12:30 p.m.Comprehensive Primary Care Plus (CPC+) Discussion
Kate Freeman, MPH
Thursday, October 11: 11:30 a.m. - 12:30 p.m.Billing and Coding Hot Topics
Barbie Hays, CPC, CPCO, CPMA, CRC, CPC-I, CEMC, CFPC
Friday, October 12
Friday, October 12: 12:00 - 1:00 p.m.Getting Involved in the AAFP
Michael Sevilla, MD, FAAFP
Friday, October 12: 12:00 - 1:00 p.m.Narratives in Global Health Experiences – Discussions of Provider-Patient Experience
Nidhi Lal, MD
Friday, October 12: 12:00 - 1:00 p.m.Evaluation of Pregnancy of Unknown Location
Sarah Valliere, DO and Moria Rashid, MD
Friday, October 12: 12:00 - 1:00 p.m.Options Counseling for Unintended Pregnancy
Linda Prine, MD, FAAFP and Cleo McGovern, MD
Friday, October 12: 12:00 - 1:00 p.m.Texas Home Birth - An Educational Web Resource for Clinicians and Patients
Chandler Sparks, DO, MPH, MS
Saturday, October 13
Saturday, October 13: 12:15 - 1:15 p.m.Narratives in Global Health Experiences – Discussions of Provider-Patient Experience
Nidhi Lal, MD

Environmental Health and Family Medicine

Kait Perry, MPH

Evidence indicates environmental factors have an increasingly substantial impact on health outcomes. Many chronic conditions, like asthma and COPD, and other health issues are exacerbated by the effects of environmental factors, including air quality and climate change. Vulnerable populations, like children and the elderly, and marginalized populations are more likely to experience negative health outcomes by environmental health issues. Family physicians are in the unique position to help prevent some negative health effects related to environmental health issues.

Objectives for Discussion

  1. Discuss the impacts of environmental factors on overall health and the intersection of environmental health and social determinants of health.
  2. Discuss addressing the health impacts of environmental health in patients, including prevention strategies.
  3. Discuss the role of the family physician in addressing issues surrounding environmental health and climate change.


Point of Care Ultrasound (POCUS)

Alex McDonald, MD

Point of Care Ultrasound (POCUS) is becoming increasingly popular and some say may become the standard in the future; however, there remains barriers to entry for many family doctors. One of which is simply learning about the various benefits to implementing it in practice and taking the first steps. Often informal discussion with friends and colleagues can provide guidance, direction for taking the first steps to implementation as well as logistics to overcoming financial and administrative burdens that may stand in the way. Furthermore, these informal gatherings can help those using POCUS to share skills, knowledge and expand their abilities to maintain a full scope family medicine practice while providing additional benefit to patient and doctor. Lastly, simply connecting likeminded doctors with similar interest builds community and connections that may lead to collaboration and further individual and collective family medicine tools and skills to better serve our patients.

Objectives for Discussion

  1. Learn about different ways Family Doctors are using POCUS in practice.
  2. Informally share ideas, best practices and expand knowledge.
  3. Network and meet new people.


Contraception for Women with Medical Conditions

Linda Prine, MD, FAAFP and Anna Lowell, DO, MPH

Women with complex medical conditions often pose a dilemma when it comes to what type of contraception they can use. On one hand, they are the most likely to put their health in danger with an unintended pregnancy. On the other hand, some contraceptives are often medically contraindicated, depending upon their medical condition(s). This session will be a case-based, interactive discussion that will give the learners a framework and clinical tool for how to assess which medical conditions raise the risks of using certain contraceptives and which conditions pose no risks. We will also coach learners on how to use the CDC’s Medical Eligibility for Contraceptive Use App. This session will delineate medical factors that can complicate contraception options while balancing patient-centered preferences and evidence-based guidelines.

Objectives for Discussion

  1. Describe the influence of age (younger and older), obesity, smoking status, and other co-morbid conditions on contraceptive risks.
  2. Understand which medical conditions are additive with each other when it comes to interacting with estrogen containing contraceptives.
  3. Become confident in using the CDC Medical Eligibility for Contraceptive Use App when addressing interactions.


Comprehensive Primary Care Plus (CPC+) Discussion

Kate Freeman, MPH

This session will be a small group discussion with practice participating in the CPC+ program to share insights, successes, and challenges. CPC+ is a multi-payer practice transformation model lead by the Centers for Medicare and Medicaid Services (CMS) in 21 regions in the US.

Objectives for Discussion

  1. Discuss best practices learned in CPC+.
  2. Discuss the biggest challenge of participation in CPC+.


Options Counseling for Unintended Pregnancy

Linda Prine, MD, FAAFP and Cleo McGovern, MD

In the United States, almost half of all pregnancies are unintended. Thus, the chief compliant of “positive pregnancy test” is a common presentation for many primary care providers. It is important for primary care providers to understand that not all positive pregnancy test are “good news” for patients. For the best patient care, clinicians must provide supported and medically appropriate counseling on all options for unintended pregnancy. These include continuing the pregnancy and parent, make an adoption plan, or terminate the pregnancy with medication or procedure abortion. Regardless of a provider’s personal beliefs about abortion, the ACGME requires that family medicine residents demonstrate proficiency in options counseling. This educational session will give learners tips to discuss positive pregnancy results in a patient-centered and unbiased manner. It will also help learners understand and explain standard protocols for adoption, medication and procedure abortion. Case based discussions will assist participants in applying the skills they learned during this session.

Objectives for Discussion

  1. Describe the epidemiology of unintended pregnancy in the United States.
  2. Discuss positive pregnancy test results in a patient-centered/unbiased manner and demonstrate appropriate options counseling.
  3. Understand and explain standard protocols for adoption, medication and procedure abortion.


Medication Abortion in Primary Care Settings

Moira Rashid, MD and Shailee Upadhyaya, DO

This interactive, case-based presentation will educate family medicine physicians on medication abortion provision within primary care settings and empower them to incorporate this care into their practice. Additionally, the discussion will provide updates in medication abortion care including (1) FDA criteria, (2) gestational age of mediation abortion provision, and (3) requirements for pregnancy dating via blood tests versus ultrasound.

Objectives for Discussion

  1. Characterize the safety and efficacy of medication abortion in family medicine settings.
  2. Troubleshoot logistics for providing medication abortion services in family medicine settings, including FDA guidelines for mifepristone prescribing.
  3. Identify patients who require pregnancy dating via ultrasound versus blood tests.


Billing and Coding Hot Topics

Barbie Hays, CPC, CPCO, CPMA, CRC, CPC-I, CEMC, CFPC

Physicians can talk amongst themselves regarding current billing and coding dilemmas and solutions they are encountering. Facilitator, Barbie Hays, will provide guidance as needed.

Objectives for Discussion

  1. Physician networking for billing solutions.
  2. Learn about resources available from government and private payers.
  3. Access to AAFP staff and resources for future application.


Getting Involved in the AAFP

Michael Sevilla, MD, FAAFP

Interested in getting involved in the AAFP and don’t know where to start? There are a multitude of opportunities to get engaged at the national, chapter, local chapter level or through a member interest group. Stop by and visit with a current AAFP member leader and AAFP staff and find out what opportunities are available and what might be a good fit for your interests.

Objectives for Discussion

  1. Education members on leadership opportunities.
  2. Increase the number of members applying for leadership positions at the national/chapter levels.
  3. Increase member engagement with AAFP and improve member satisfaction.


Narratives in Global Health Experiences – Discussions of Provider-Patient Experience

Nidhi Lal, MD

Stories reflect experiences. As physicians we have patient stories – these stories tell us more about our patients and their lives and serve as example and potential teaching tools. Our experiences teach us not to repeat unintentional mistakes, but if captured and shared, they can also teach others not to make them at all. We have used narratives from our clinical practices to develop a teaching tool to increase competencies in various levels of inter-professional provider learning groups. This knowledge allows the learners to understand, interpret and empathize with human actions.

Objectives for Discussion

  1. To use provider-patient experiences in understanding provide-patient dynamics and thus improving patient care.
  2. Allowing providers to discuss inter-professional provider-patient relationships and review team dynamics.
  3. Understand the "unspoken word", cultural barriers and patient behaviors.


Evaluation of Pregnancy of Unknown Location

Sarah Valliere, DO and Moria Rashid, MD

This interactive presentation will utilize an algorithm to familiarize family medicine physicians with the appropriate steps for diagnosis and management of pregnancy of unknown location. Clinical cases that focus on first trimester bleeding, pain, and common ultrasound and laboratory findings will be used to teach participants a step-by-step guide to PUL management. Additionally, cases will enhance recognition of clinical scenarios that require a heightened suspicion for ectopic pregnancy.

Objectives for Discussion

  1. Familiarize participants with a clinical algorithm for management of pregnancy of unknown location.
  2. Review risk factors, clinical indicators and diagnostic criteria for ectopic pregnancy.
  3. Understand step-by-step management of PUL within primary care settings.


Texas Home Birth - An Educational Web Resource for Clinicians and Patients

Chandler Sparks, DO, MPH, MS

Out-of-hospital and home birth is a growing trend across the United States. Patients and clinicians have limited access to quality information about home births, including its regulation, the training of providers that often perform it, and current evidence regarding safety of the practice. Created for the AAFP Emerging Leadership Institute, TexasHomeBirth.com is an educational web-resource designed to present patients (and clinicians who care for them) with accurate and unbiased information about out-of-hospital birth so they are equipped and empowered for educated decision-making.

Objectives for Discussion

  1. Discuss the state of out-of-hospital (OOH) home birth in the USA and Texas.
  2. Review TexasHomeBirth.com and the need for comparable resources nationwide.
  3. Discuss the role of the family physician in maternity care and the home birth movement.