FMX 2025: 6 Takeaways for Primary Care Physicians

CGM Integration in Family Medicine: “Just Do It,” Says Anderson, MD

• Real-world FMX guidance highlighted time-in-range, glucose variability, and post-meal spikes as primary actionable metrics.
• Barriers to CGM adoption identified as familiarity, not device access.
• CGM improves shared decision-making and early therapeutic adjustments in type 2 diabetes.
• FMX presenters emphasized CGM’s role in primary care, not only endocrinology.

Explore our FMX interviews with John Anderson, MD, for more detail:

• CGM Adoption in Primary Care: "We're Lagging Behind Standards of Care"
• John Anderson, MD on How to Integrate CGM in Primary Care: "Just Do It"
• The Frist Clinic's John Anderson, MD, on Making CGM Metrics Work With Type 2 Diabetes Patients
  

Upper Airway Cough Syndrome Remains Underdiagnosed in Primary Care

• UACS remains the most common cause of chronic cough seen in family medicine.
• FMX experts stressed careful history-taking for distinguishing UACS vs asthma vs GERD.
• Red-flag symptoms prompting referral reviewed, including:
  • hemoptysis
  • persistent fever
  • weight loss
• Treatment pathways highlight empiric therapy followed by reassessment.

More details in our FMX 2025 video interviews:

• Defining Acute, Subacute, and Chronic Cough: A Clinical Framework
• Recognizing Upper Airway Cough Syndrome: Key Clinical Clues
• Differential Diagnosis: Distinguishing UACS from Asthma and GERD
• Vukiet Tran, MD, on Evidence-Based Treatment of Upper Airway Cough Syndrome

Abdominal Aortic Aneurysm (AAA) Screening: Key Criteria & Management Strategies

CDC/USPSTF-aligned guidance reviewed at FMX included:

• Screen men aged 65–75 years who have ever smoked.
• Consider selective screening for men ≥65 with a family history.
• FMX speakers emphasized correct surveillance intervals and timely vascular referral.
• Growth >0.5 cm in 6 months warrants urgent specialist evaluation.

More details in our FMX 2025 video interviews:

• AAA Screening in Primary Care: Criteria, Implementation, and Patient Communication
• Abdominal Aortic Aneurysm Management: From Detection to Referral and Ongoing Surveillance
  

Vaccine Policy Shifts & the Erosion of Trust: Insights from FMX

• Speakers highlighted increasing patient skepticism following rapid policy changes.
• Communication strategies emphasized:
  • transparency about uncertainty
  • focusing on shared values
  • reinforcing clinician-patient connection
• Primary care clinicians remain the most trusted messenger for adult vaccination.

More details in our FMX 2025 video interviews:

• Vaccines, Policy, and the Erosion of Trust: A Conversation with Chuck Vega, MD
  

AAFP President Sarah C. Nosal, MD: Strengthening Community-Based Care

• New presidential vision focuses on:
  • expanding resources for community-based family physicians
  • advocacy around payment reform
  • addressing workforce shortages
• Reinforces the value of front-line leadership in family medicine.