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Primary Care Update

Mark Ebell
Atrial Fibrillation
Dementia
Beta-Blockers
Alzheimer's Disease
Asthma
ADHD
Migraine
Tirzepatide
Type 2 Diabetes
Influenza
Pain Management
COPD
Colorectal Cancer
Prostate Cancer
Lipid Guidelines
Osteoarthritis
Patient-Oriented Evidence
Covid-19
Acetaminophen
Psychedelics

Four healthily skeptical primary care physicians discuss the latest in primary care medicine. Join Essential Evidence Editor Mark Ebell MD, Rush University's Kate Rowland MD, MSU Professor of Medicine Gary Ferenchick MD, and POEMs co-founder Henry Barry MD, MS for this fast-paced weekly update on evidence-based primary care.

PublishesTwice monthlyEpisodes207Founded8 years ago
Number of ListenersCategories
MedicineHealth & Fitness

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Artwork for Primary Care Update

Latest Episodes

This week Kate, Mark and Henry talk about empathetic robots, mother-baby singing groups for postpartum depression, and new American College of Cardiology lipid guidelines.

Indiana AFP POEMs course in French Link: www.iafp.org/2026ac

Empath... more

Join primary care faculty Gary Ferenchick, Kate Rowland, Henry Barry and Mark Ebell as they discuss 4 important new studies: the value (?) Of biomarkers in cognitive impairment, toilet training, bleeding risk with apixaban versus rivaroxaban for VTE,... more

This week, primary care doctors Kate, Gary, Mark and Henry discuss high vs low dose inhaled steroids for high risk patients with asthma, click based semaglutide titration to reduce GI problems, zoster vaccine and dementia risk, and whether we are tru... more

This week primary care physicians Kate Rowland, Mark Ebell, Gary Ferenchick and Henry Barry tackle 4 new POEM-worthy studies: new therapy for elevated triglycerides, cannabinoids for chronic pain in adults, the best antithrombotic for patients with A... more

Key Facts

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Hosts

Mark Ebell
Professor of Family Medicine; Editor-in-Chief of Essential Evidence Plus; MSU affiliation prominent across episodes.
Kate Rowland
Family Physician; Associate Professor at Rush University; regular co-host bringing emphasis on primary care practice and education.
Gary Ferenchick
General Internist; Professor of Medicine; co-host bringing breadth of internal medicine and practical clinical insight.
Henry Barry
Family Physician; co-founder of POEMs/InfoPoems; poetical and skeptical perspective on primary care evidence.

Reviews

4.6 out of 5 stars from 120 ratings
  • Good reminder of the persistent lack of diversity in higher levels of medical education.

    While the hosts provide good summaries of key studies the episodes also contain numerous stories about German history, MLB history etc. But what’s notably absent from the episodes is any substantive discussion of the history of other ethnic groups; for example, Juneteeth was somehow reframed as merely a communication delay.

    Despite the good summaries the hosts will frequently dismiss and/or minimize the results they don’t like based on anecdotal evidence, medical school teaching from decades a... more

    Apple Podcasts
    3
    HIVFM doc
    United States2 years ago
  • Love the show but…

    I really like the content but sometimes I just have to stop listening because the background noise is too annoying. Just mute your mics when not talking please .

    Apple Podcasts
    4
    Gibi1010
    United States2 years ago
  • Great perspectives, love the humor

    I’m a new listener but already a huge fan. The hosts are fantastic and I appreciate the approach—very well informed but realistic and pragmatic as far as what we can actually achieve in the primary care setting and staying focused on patient centered goals. Love the humor and skepticism/borderline mistrust of the medical establishment when discussing new drugs and trials. Highly recommend for primary care and family med providers.

    Apple Podcasts
    5
    LizV231
    United States3 years ago
  • Great show

    Love the dynamics between the hosts and the studies they present. The sound is very poor with sometimes a lot of background noise but still great show, great EBM.

    Apple Podcasts
    5
    Tolkienlover
    United States3 years ago
  • So much background noise

    I like the content but the fact that those who aren’t talking don’t mute their mics leads to so much background noise (paper rustling, throat clearing, etc) that makes it tough to focus on the content

    Apple Podcasts
    3
    MedPods
    United States3 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Clear, evidence-based updates that are practical for everyday care.
Hosts' humor and skeptical stance are appreciated and engaging for listeners.
Background noise is a common complaint for some episodes.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

Episode 198: Tirzepatide, using Beers, stent for carotid stenosis, and high dose flu vaccine
Q: What do you think of the modern day understanding of obesity in children and adolescents?
Gary expresses a lack of understanding based on old data and recognizes the need to revisit current literature on the natural history of obesity.
Episode 185: resistant HTN tx, mirtazepine for sleep, baloxav for prevention, PRP for OA
Q: Which of the following statements concerning symptomatic versus asymptomatic atrial fibrillation is true based upon a recent meta-analysis?
The outcomes for symptomatic versus asymptomatic AFib are essentially the same.
Episode 176: bright lights, fever in kids, new anticoagulant for AF, and antibiotics for appendicitis
Q: What are the findings regarding antibiotics as a treatment for appendicitis in children?
About one-third of children treated with antibiotics required an appendectomy within a year, while those undergoing surgery had a lower rate of subsequent procedures, presenting a trade-off in treatment options.
Episode 176: bright lights, fever in kids, new anticoagulant for AF, and antibiotics for appendicitis
Q: What are the risks and benefits of bright light therapy for non-seasonal depression?
Bright light therapy is shown to be an effective treatment, with significant rates of remission compared to non-light therapy; however, risks like potential eye irritation exist, and further studies are needed for long-term effects.
Episode 168: RSV med, colonoscopy by PCP, hair loss drug, and AI for ECGs
Q: According to a recent systematic review, how often does severe bleeding occur after screening colonoscopy?
Severe bleeding occurs in about one in 450 colonoscopies, which is higher than previously thought, based on a systematic review that analyzed data from over half a million colonoscopies.

Audience Metrics

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Frequently Asked Questions About Primary Care Update

What is Primary Care Update about and what kind of topics does it cover?

A concise, evidence-driven update on primary care medicine delivered by a four-physician panel known for skeptical, practical discussions. Episodes typically synthesize recent studies and guidelines across pharmacotherapy, diagnostic strategies, and preventive care, with banter that keeps the pace brisk while emphasizing bedside applicability. Noteworthy traits include the team's emphasis on critical appraisal of study quality, a willingness to call out limitations, and a humor-infused style that aims to make complex evidence digestible for busy clinicians. The show consistently translates research into actionable pearls for daily practice and resident education, and occasionally surfaces debates about guideline interpretation and real-worl... more

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Which podcasts are similar to Primary Care Update?

These podcasts share a similar audience with Primary Care Update:

1. AFP: American Family Physician Podcast
2. Frankly Speaking About Family Medicine
3. The Curbsiders Internal Medicine Podcast
4. Annals On Call Podcast
5. Core IM | Internal Medicine Podcast

How many episodes of Primary Care Update are there?

Primary Care Update launched 8 years ago and published 207 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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