Chat and Chew

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

Wednesday, September 13
Wednesday, September 13: 11:30 a.m. - 12:30 p.m.Single-Payer Discussion
Parker Duncan, MD, MPH; Michael Kaplan, MD, FAAFP; Andrea DeSantis, DO
Wednesday, September 13: 11:30 a.m. - 12:30 p.m.The Medicare Diabetes Prevention Program: The First-Ever Preventative Benefit to Come Out of CMMI
Katherine Kirley, MD
Wednesday, September 13: 11:30 a.m. - 12:30 p.m.How to Become CME Faculty for the AAFP
Asim Jaffer, MD, FAAHPM, FAAFP; Paula Shipper, EdD
Thursday, September 14
Thursday, September 14: 12:00 - 1:00 p.m.How to Become CME Faculty for the AAFP
Asim Jaffer, MD, FAAHPM, FAAFP; Paula Shipper, EdD
Thursday, September 14: 12:00 - 1:00 p.m.Health Literacy and the Health of the Patients and Populations: Physicians and Practices Roles
Jennifer Rankin, PhD
Thursday, September 14: 12:00 - 1:00 p.m.Miscarriage Management in the Primary Care Setting
Julie Johnston MD, FAAFP
Thursday, September 14: 12:00 - 1:00 p.m.Overcoming Obstacles - The Family Physician Practicing in the Emergency Room
Gerald Banks, MD, MS
Thursday, September 14: 12:00 - 1:00 p.m.Single-Payer Discussion
Parker Duncan, MD, MPH; Michael Kaplan, MD, FAAFP; Andrea DeSantis, DO
Friday, September 15
Friday, September 15: 12:00 - 1:00 p.m.Narratives in Global Health Experience - A Learning Tool
Nidhi Lal, MD
Friday, September 15: 12:00 - 1:00 p.m.Globalization and the Wave of Mosquito Transmitted Diseases in America
Ruben Hernandez, MD; Aldo Martinez, MD
Friday, September 15: 12:00 - 1:00 p.m.Urgent Care Medicine - The Practice and Practitioners
Gerald Banks, MD, MS; Erin Griffeth, DO
Friday, September 15: 12:00 - 1:00 p.m.Getting Involved in the AAFP
Sarah Nosal, MD, FAAFP
Friday, September 15: 12:00 - 1:00 p.m.Single-Payer Discussion
Parker Duncan, MD, MPH; Michael Kaplan, MD, FAAFP; Andrea DeSantis, DO
Friday, September 15: 12:00 - 1:00 p.m.Social Determinants of Health and Care Management: Shared Experiences
Jennifer Rankin, PhD
Friday, September 15: 12:00 - 1:00 p.m.Healthy Nutrition and Mindful Eating
Leonard Finn, MD
Friday, September 15: 12:00 - 1:00 p.m.End of Life Literacy - An Award-Winning Tool for Death and Dying Discussions
Joshua Wienczkowski MD

The Medicare Diabetes Prevention Program: The First-Ever Preventative Benefit to Come Out of CMMI

Katherine Kirley, MD

The burden of type 2 diabetes in seniors is expected to rapidly grow in the coming years as roughly half of the population aged 65+ is estimated to have prediabetes. The risk of progressing to type 2 diabetes over 5 years ranges from 15-30%, but can be delayed or reversed with an intensive lifestyle change intervention such as the Diabetes Prevention Program (DPP). Primary care physicians must be activated to identify and refer patients eligible to participate in the Medicare DPP.  

Objectives for Discussion:
1. Describe the clinical burden of prediabetes and type 2 diabetes in clinical practice.
2. Review the evidence supporting the Medicare Diabetes Prevention Program, and review key details of the MDPP benefit.
3. Discuss pragmatic steps that primary care practices can take to implement systematic approaches to screening and referring their eligible patients to MDPP.


How to Become CME Faculty

Asim Jaffer, MD, FAAHPM, FAAFP; Paula Shipper, EdD
 
These sessions are being held to assist potential faculty in understanding and completing the process for submitting proposals for FMX and faculty opportunities. Copies of accepted FMX proposals will be shown. A discussion on the process for electronically submitting CVs and material will be presented.
 
Objectives for Discussion:
1. To present the steps for submitting proposals to FMX.
2. Copies of accepted proposals will be presented.
3. How to electronically submit potential faculty materials for other AAFP faculty teaching positions.


Health Literacy and the Health of the Patients and Populations: Physicians and Practices Roles

Jennifer Rankin, PhD

Health Literacy is an important Social Determinant of Health, as highlighted in Healthy People 2020 Goals. Health Literacy allows patients to make informed decisions about their care, and improve their overall health and quality of life. This Chat and Chew will allow providers to discuss the role of physicians and practice staff in promoting Health Literacy and its potential impact on patient health and practice quality outcomes.

Objectives for Discussion:
1. Participants will discuss health literacy, population health, and other social determinants of health.
2. Participants will share thoughts on the role of individual providers in promoting health literacy.
3. Participants will discuss the potential value of health literacy, population health, and addressing social determinants of health in their practices.


Overcoming Obstacles - the Family Physician Practicing in the Emergency Room

Gerald Banks, MD, MS

Although many family physicians currently provide emergency care in a variety of settings, their abilities have been questioned by some within the emergency medicine professional societies and organizations. Compounding this problem is the fact that many are excluded from certain administrative and clinical appointments. In the 21st century, competition should be replaced with cooperation between ABEM and ABFM, as well as new policies which recognize and support the critical role of family physician in emergency room medicine in the US.
 
Objectives for Discussion:
1. Discuss obstacles that family physicians face to provide emergency care.
2. Discuss the characteristics of the environment that support family physicians providing emergency care.
3. Discuss strategies that promote alliances between both specialty groups.


Globalization and the Wave of Mosquito Transmitted Diseases in America

Ruben Hernandez, MD; Aldo Martinez, MD

Many times when we think of tropical medicine and global health, we think of international missions and travel medicine. However, the new area of globalization with fast travel and high volumes of migration, as well as  changes in our environment have brought global health medicine to the local communities. This includes mosquito borne diseases such as Zika, malaria, chikungunya and dengue. This session will bring an opportunity to participants to discuss the different resources available in their communities and/or institutions to acquire knowledge on the clinical presentation and diagnosis of common mosquito borne disease, including a review of recent publications on the current impact these illnesses have in US communities.
 
Objectives for Discussion:
1. Describe common clinical presentations of mosquito borne diseases such as Zika, malaria, chikungunya, and dengue.
2. Determine the impact these conditions can have in local communities and the potential for them to become endemic with the increase in range of the vectors.
3. Identify valuable prevention education materials to provide patients with traveling.


Narratives in Global Health Experience - A Learning Tool

Nidhi Lal, MD

This session emphasizes the importance of reflective narratives in obtaining perspectives and maybe changing your own. The use of narratives has been shown to increase resiliency, prevent the loss of empathy, increase cultural sensitivity and highlight cultural diversity. Using different narrative skills, such as reading, listening, writing, and sharing, we will demonstrate a greater understanding of human expression. This is especially important as we care for a more diverse population often from other nations and cultures, be it in our own backyard or in other countries. Using stories of our past experiences will allow us to look towards the future with a greater confidence and empathy.
 
Objectives for Discussion:
1. To use narratives in highlighting patient provider skills that are geared toward improving learner competencies and skills, thereby improving patient care.
2. Allowing providers to revisit challenging and educational patient experiences and increase resilience and well being.
3. Highlighting a provider perspective that may otherwise not be heard.


Urgent Care Medicine - The Practice and Practitioners

Gerald Banks, MD, MS; Erin Griffeth, DO

Increasing numbers of family physicians are choosing to deliver urgent care medicine. Family medicine equips physicians to provide urgent care to patients, with an appreciation for the full scope of longitudinal and continuing care. As urgent care medicine emerges as a fast growing specialty, it is imperative that family medicine take a leading role in advocacy for and development of family physicians in this important segment of healthcare delivery.

Objectives for Discussion:
1. Define family medicine's role in the rapidly growing field of urgent care medicine.
2. Discuss strategies to advocate for family doctors that provide urgent care.
3. Discuss obstacles that family physicians face to provide urgent care.


Getting Involved in the AAFP

Sarah Nosal, MD, FAAFP

Interested in getting involved in the AAFP but 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 area available and what might be a good fit for your interests.

Objectives for Discussion:
1. Educate members on leadership opportunities within AAFP.
2. Increase the number of members applying for leadership positions at the national/chapter level.
3. Increase member engagement within AAFP and improve member satisfaction.


Social Determinants of Health and Care Management: Shared Experiences

Jennifer Rankin PhD

The research value of appending Social Determinants of Health (SDOH) to the clinical record is well established in academic literature. It's equally important for care management, however, to be able to incorporate SDOH in a practical and actionable way, that is well integrated into clinical practice. This Chat and Chew will allow providers to discuss the divergent roles of physicians, practice staff, and external agents and partners in supporting patient care through increased focus on Social Determinants of Health.
 
Objectives for Discussion:
1. Participants will discuss the role of SDOH in patient care and population health management.
2. Participants will share thoughts and experiences on the differential roles and responsibilities with their practice related to SDOH.
3. Participants will discuss and explore different models for care management under the rubric of SDOH.


Single-Payer Discussion

Parker Duncan, MD, MPH; Michael Kaplan, MD, FAAFP; Andrea DeSantis, DO

A discussion of activities of the AAFP Single-Payer MIG, with a focus on ways members can be involved in helping promote single-payer education within Family Medicine.

Objectives for Discussion:
1. Understand the benefits of a single-payer system, especially to primary care.
2. Understand how to effect change within the AAFP in regards to single-payer.
3. Understand how to promote single-payer education within a member's own state.


Miscarriage Management in the Primary Care Setting

Julie Johnston, MD, FAAFP

Expert physician facilitators will lead a case-based discussion of early pregnancy loss/miscarriage. Participants will be divided into small groups and each group will discuss the diagnostic evaluation and management options for miscarriage cases that are commonly encountered in primary care settings.
 
Objectives for Discussion:
1. Participants will recognize that miscarriage is common and can often be managed solely in the outpatient care setting.
2. Participants will be able to interpret diagnostic criteria for miscarriage including ultrasound measurements and laboratory results.
3. Participants will be able to counsel patients regarding miscarriage management options using patient-centered terminology.


Healthy Nutrition and Mindful Eating

Leonard Finn, MD

Discuss evidence-based components of healthy nutrition to simplify the many complex issues and how to mindfully introduce changes in our eating behaviors.

Objectives for discussion:
1. Identify myths and evidence for healthy nutrition to improve weight, glucose and lipid management.
2. Identify basic nutrition concepts and language to use for patients to learn and implement.
3. Discuss how mindfulness enhances changes in nutrition behavior.


End of Life Literacy - An Award-Winning Tool for Death and Dying Discussions

Joshua Wienczkowski MD

End of Life Literacy is a point-of-care tool specifically designed to guide medical students and residents through end of life care discussions with patients and their families. Created within the AAFP Foundation Family Medicine Leads Emerging Leader Institute, End of Life Literacy is a powerful tool for practicing physicians to use in teaching their learners about death and dying. Check out the End of Life Literacy website(endoflifeliteracy.com), as this session will delve into the hot ticket item of just how underprepared young physicians are in discussing death, and what we can do to change that.

Objectives for discussion:
1. Discover how to educate the next generation of physicians in death and dying.
2. Provide information and resources for teaching medical students and residents.
3. Refresh skills on end of life care discussions.