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Welcome to the American Family Physician Podcast for part two of the October 2025 issue. I'm Steve. I'm Elena. And I'm Austin. We are residents and faculty, mostly residents, from the University of Arizona College of Medicine Phoenix Family Medicine Residency.

Today on the podcast, we're going to talk about overuse of colorectal cancer screening, depression practice guidelines, anti-coagulation in hospitalized patients with COVID-19,

slipped capital femoral epiphasis,

left atrial appendage closure in atrial fibrillation after ablation,

and venous thrombo embolism.

The opinions expressed in the podcast are our own and do not represent the opinions of the American Academy of Family Physicians,

the editor of American Family Physician, or Banner Health. Do not use this podcast for medical advice. Instead, see your

own family doctor for medical care. All right, All right, let's start with

Loun Right Care, overuse of colorectal cancer screening and surveillance.

This is from Dr. Roth and Lazarus, with patients' perspective from Helen Haskell and John James.

Multiple medical societies endorse colonoscopy as a first-line screening option for

average risk adults starting at 45 or 50 and continuing to age 75.

Potential advantages of colonoscopy include that it has 95% sensitivity, can detect and remove

pre-cancerous adenomas, and has longer screening intervals between tests.

Other screening options, including stool tests, are available.

There are harms associated with colonoscopy.

A 2023 systematic review found a 30-day risk of serious bleeding, 16 to 36 per 10,000 scopes,

and perforation 7.6 to 8.5 per 10,000 scopes.

...