Free Family Medicine CME

Primary care clinicians and endocrinologists play a critical role in identifying and managing metabolic dysfunction-associated steatohepatitis (MASH) before it progresses. Results from a Med-IQ survey, however, revealed that approximately half of the respondents screen only 50% or fewer of their patients with obesity or type 2 diabetes. Patients with these conditions or other risk factors, such as metabolic syndrome, dyslipidemia, or elevated liver enzymes, should be screened using noninvasive tools like FIB-4, transient elastography (FibroScan), ELF, or VCTE.

Although lifestyle modification remains the cornerstone of treatment, pharmacologic options such as GLP-1 receptor agonists, pioglitazone, and resmetirom may be appropriate based on individual risk profiles. Most patients can be effectively managed in primary care or endocrinology settings, with hepatology referral recommended for patients with a high risk of advanced fibrosis.

In this 1-hour (chapter-based) presentation, join a primary care practitioner and an obesity specialist as they navigate real-world conversations about weight management. Explore effective pharmacologic options and gain confidence in initiating weight loss discussions.

In this accredited activity, expert faculty, Adjoa Anyane‐Yeboa, MD, MPH, and Ugo Iroku, MD, MHS, dive into the issue of healthcare disparities in inflammatory bowel disease (IBD).

Healthcare disparities disproportionately affect minoritized and low-income groups, contributing to poor health outcomes. Patient-provider distrust, knowledge gaps, and lack of shared decision making contribute to health disparities in these patient groups and influence disease outcomes. It is critical for clinicians to understand the social determinants of health impacting IBD patient care and develop strategies to reduce disparities. In addition, implicit bias significantly affects clinician-patient interaction, as well as diagnosis and treatment decisions. Once clinicians are made aware of their implicit biases, they must work to overcome them and foster open communication with patients to reduce disparities and improve patient care.

Early identification of atypical motor patterns is crucial for timely intervention and optimizing developmental outcomes in infants. A simple yet effective method for assessing these patterns involves observing the baby during a 30-second, 4-position exam. This examination includes careful observation of the infant in the following positions:

* Supine: Note posture, spontaneous movements, and interaction with the environment.

* Horizontal Suspension: Observe head control, trunk extension, and limb movements against gravity.

* Pull to Sit: Assess head lag, trunk activation, and ability to assist with the movement.

* Prone: Evaluate head lifting, weight-bearing through the arms, and early mobility attempts. Gain valuable insights and download resources through this complimentary CME/CE course