Podcasts · Health & Fitness

Core IM | Internal Medicine Podcast

Core IM Team

230 episodes

Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges

Episodes page 3 of 5

  1. #122 Kidney Transplant Preparation: 5 Pearls Segment

    · 46 min

    How does transplant compare to dialysis? Who is a good candidate for a kidney transplant? How long do patients have to wait for a deceased donor kidney transplant? What can increase or decrease the waiting time for…

  2. #121 Trach Care: 5 Pearls Segment

    · 43 min

    What is your approach to trach complications? What do all the words in the one liner of a trach patient mean? What are best practices for airway clearance? When is a patient ready for a speaking valve? What is the…

  3. #120 Safety Net Hospitals, A Disproportionate Share Health Affairs Pathways Podcast

    · 19 min

    Why are safety net hospitals barely surviving? What makes a hospital a safety net hospital? How essential are safety net hospitals in caring for low income Americans? How do we pay for that care? Show notes,…

  4. #119 A 80F with Melena and AKI also with an Unresolved Pneumonia: Hoofbeats Episode

    · 29 min · Episode 119

    How does your problem representation change as we get more history in this episode? How can we use Oxaam's razor & Hickman's dictum as powerful diagnostic tools IF used properly? Show notes, Transcript and References:…

  5. #118 "Futility": At the Bedside Segment

    · 42 min · Episode 118

    How do you approach requests for 'futile' care? What do we mean by futility? What kind of recovery do we think is meaningful? How do we evaluate potentially inappropriate care? Where can we go for guidance on this?…

  6. #117 Atrial Fibrillation: Gray Matters Segment

    · 38 min · Episode 117

    Check out original interviews on our Youtube channel! What does the duration of afib tell you about the thromboembolic risk? When do you start anticoagulation for post-op afib? What do the most recent guidelines…

  7. #116 The Lipid Panel Reimagined: Mind the Gap Segment

    · 20 min · Episode 116

    Is it enough to look at LDL-C? What is Apo-B? How do you use TG/HDL ratio to understand your patients cardiovascular risk? Do you need to get a fasting lipid panel? How does it affect the triglycerides and LDL? Show…

  8. #115 Hope: At the Bedside Segment

    · 35 min · Episode 115

    What are some ways you address unrealistic hopes with your patients? How can you build a portfolio of hope with your patients? Can you learn to guide your patients hope? Show notes, Transcript and References:…

  9. #114 Alcohol-Associated Hepatitis: 5 Pearls Segment

    · 42 min · Episode 114

    What tests and history points help with the diagnosis of alcohol-associated hepatitis? What other etiologies should be ruled out? To steroid or not to steroid? What are the medications for alcohol use disorder? Do you…

  10. #113 Aspirin for Primary Prevention: Mind the Gap Segment

    · 25 min · Episode 113

    How do you educate your patients on aspirin use? For what reasons do you start, continue or stop aspirin? What does trial data tell us? How does aspirin exerts its effect? Sponsor: Use the code “COREIM-AMBOSS” to get…

  11. #112 ANA (Antinuclear Antibody) Test: 5 Pearls Segment

    · 35 min · Episode 112

    Is a positive ANA always significant? What does the titer mean? Is the pattern of the ANA helpful? What patient histories should you not get an ANA for and which aspects of the history would raise suspicion for…

  12. #111 Discharges with Incidental Findings: Gray Matters Segment

    · 31 min · Episode 111

    How do you decide which lung nodules should be worked up inpatient or outpatient? How common are incidental lung nodules? What considerations are there for patients that could potentially get lost to follow up? What…

  13. "Best of" | Struggles with with Clinical Reasoning Hoofbeats

    · 34 min

    Can you identify where along the clinical reasoning pathway the learner is struggling? What coaching exercises can be helpful? What feedback do you fall back on when working with learners? What are common challenges?…

  14. #110 Upstanders: Standing Up Against Microaggression: At the Bedside Episode

    · 28 min · Episode 110

    Hear personal stories about racial trauma or stereotype threat. How can we respond and how do we differentiate an up stander from a bystander? What barriers exist when we try to respond? Show notes, Transcript and…

  15. #109 Hyponatremia Management Part 1: 5 Pearls Segment

    · 46 min · Episode 109

    What are the 3 types of solutes you can use in hyponatremia? What are each of their drawbacks? How do loop diuretics work help in hyponatremia? What can you use to tell you on day 1 that fluid restriction alone will…

  16. "Best of" | Hyponatremia Diagnostics 5 Pearls

    · 52 min

    What does each diagnostic test tell you? How do you interpret urine osmolality, urine sodium, or urine urea? What studies can be used to better assess response to treatment? How can uric acid be utilized as a…

  17. #108 Drug Fever and Antibiotic-Associated Neurotoxicity: Gray Matters Segment

    · 29 min

    Other than infection, what do you think about as other causes of fever? How can you distinguish sepsis from drug fever from antibiotics? What medications are most likely to cause neurotoxicity? What are some risk…

  18. #107 COPD: 5 Pearls Segment

    · 40 min

    What are the 3 different types of inhaler devices and what should you educate patients about each? When do you stop the inhaled steroid in COPD? And when do you think of increasing the dose? What is important to…

  19. #106 Spirituality: At the Bedside Segment

    · 30 min

    How do you ask about spiritual health? How is spirituality different from religion? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/06/15/spirituality/ Time stamps • 00:01 What is…

  20. #105 Sickle Cell: 5 Pearls Segment

    · 43 min

    What are the indications for a simple transfusion? And what the indications for an exchange transfusion? What is your approach to pain management in patients with sickle cell? What are the treatment options for sickle…

  21. #104 Guideline-Directed Medical Therapy for HFrEF Part 1: 5 Pearls Segment

    · 38 min

    How do you counsel patients on beta blockers? Is one beta-blocker better than the other? What is preferred: ACEi, ARBs or ARNIs? What are the pros and cons of each? How does spironolactone compare to eplerenone? When…

  22. #103 Fluids: 5 Pearls Segment

    · 38 min · Episode 103

    How much of D5W vs. isotonic saline contributes to intravascular volume? How do you distinguish between oncotic pressure and tonicity? What balanced solutions do you reach for? What is the data behind using colloids…

  23. #102 Echo in Pulmonary Hypertension: 5 Pearls Segment

    · 38 min · Episode 102

    What do you include in your initial basic work-up for suspected pulmonary hypertension? Do you know how to calculate the PASP on the ECHO? What physiological insults that can cause high pulmonary pressures? How can we…

  24. #101 Nutrition - 2021 SGIM Recap

    · 21 min · Episode 101

    How can we use food as medicine? How can we best counsel our patients on their diets? Which pre-set diets can we recommend for or against? How can we make the changes sustainable? Show notes, Transcript and…

  25. #100 Top 10 Telemedicine Tips - 2021 SGIM Recap

    · 27 min · Episode 100

    What are some tricks to help you perform a virtual physical exam? What role do these visits play in our overall care for the patient? What tools do we have at our disposal for a more thorough evaluation? Show notes,…

  26. #99 Bleeding vs. Clotting Risk: Gray Matters Segment

    · 29 min · Episode 99

    How long should you anticoagulant for a PE? When can you safely stop anticoagulation for thrombogenic patients who need an urgent biopsy? Should an IVC filter be placed to prefer further embolization of a DVT? What…

  27. #98 Medical Education - 2021 SGIM Recap

    · 30 min · Episode 98

    How can you implement effective note taking for virtual learning? Do you use interleaving during rounds? What is the 5/10/30 rule and how does it apply to mentorship? Does implicit bias affect gender performance scores…

  28. #97 Hoofbeats: Hyponatremia Consult Case

    · 42 min · Episode 97

    What’s your comfort level with managing hyponatremia and how does it change in unfamiliar environment? How can you vary your practice to build up adaptive exerptise? Show notes, Transcript & References:…

  29. #96 The Hgb bump: Mind the Gap Segment

    · 18 min · Episode 96

    Have you ever thought about where the 1g/dL hemoglobin appropriate bump after 1 unit of pRBC transfusion? How does the patient's intravascular volume affect this? What rise in hemoglobin should you expect? What factors…

  30. #95 Treatment Over Objection Part 2: At the Bedside Segment

    · 18 min

    Let’s apply to cases! We use the 7 questions framework to 3 practical cases Show notes, Transcript and References: https://www.coreimpodcast.com/2021/12/22/treatment-over-objection-part-2/ Time stamps • 2:19 Case 1:…

  31. #94 Treatment Over Objection Part 1: At the Bedside Segment

    · 25 min · Episode 94

    Get a very useful framework to help you weigh the risks and benefits of treatment over objection! Show notes, Transcript and References: https://www.coreimpodcast.com/2021/12/08/treatment-over-objection/ Get CME-MOC…

  32. #93 Hyperkalemia in CKD: Mind the Gap Segment

    · 30 min · Episode 93

    What degree of hyperkalemia makes you worried enough to send your patient to the ED? Are ECG changes sensitive in detecting hyperkalemia? Do you know how to advise your patient on dietary changes? What medications can…

  33. #92 The Geriatric Assessment: 5 Pearls Segment

    · 29 min

    What are pearls and pitfalls when assessing an older patient for the first time? Time Stamps: • 02:25 Initial Office Visit • 08:08 Mobility Assessment • 13:25 Cognitive Evaluation • 19:27 Medications • 26:29…

  34. #91 Oral Diabetes Medications Inpatient: Mind the Gap Segment

    · 23 min · Episode 90

    Should we use oral diabetes agents in our hospitalized patients? Do you hold metformin for fear of lactic acidosis? Do you typically order an insulin sliding scale? When can you comfortably restart PTA meds? Time…

  35. #90 Stigma in Opioid Use Disorder: 5 Pearls Segment

    · 31 min · Episode 90

    What are practical phrases can you incorporate to help patients who use drugs? What changes can you make to ensure person-first language? What safe drug practices can you advise? What is MOUD? Show notes, Transcript…

  36. #89 Code Status: At the Bedside Segment

    · 51 min · Episode 89

    A very practical episode around nuanced code status conversations with many examples! Time Stamps: • 00:08 Introduction • 04:01 Information Gathering • 20:41 Informed Consent • 29:47 Giving Recommendations • 36:47…

  37. "Best of" | SNF, SAR, NH, ALF and More Discharge Options

    · 33 min

    What are the differences in resources, nursing and clinician oversight and who pays for what?! Show notes, transcript and references:…

  38. "Best of" | Stress Testing 5 Pearls

    · 41 min

    What are the indications for a stress test? How to choose stress protocol in a stress test? How to choose diagnostic imaging in a stress test? How do we interpret results from stress tests, and how should this be…

  39. "Best of" | Capacity Part 1 At the Bedside

    · 31 min

    What goes into a capacity assessments? Is it just reciting risks, benefits and alternatives? Explore this and more on this At the Bedside Episode! Show notes, Transcript and References:…

  40. "Best of" | 20Qs Hoofbeats

    · 50 min

    20 Qs game with Core IM Team vs. Expert Discussant ! Full Transcript and Show notes Get CME-MOC Credit for listening to this episode Time Stamps • 00:20 The game of medical Twenty Questions • 04:37 Case…

  41. "Best of" | July Stories

    · 24 min

    Transitions can be hard. Laugh, commiserate, and be inspired by these July stories in medicine! Very big thank you to everyone who told their stories ! Let's help each other feel a little less alone in the struggle,…

  42. #88 Physician Impairment: At the Bedside Segment

    · 36 min · Episode 88

    How can we help colleagues that we think are struggling with substance use disorder? What options are available for physicians? Are these different state to state? What deterrents do physicians face when seeking help?…

  43. #87 Penicillin Allergy: 5 Pearls Segment

    · 40 min · Episode 87

    Debunk common myths of penicillin allergies! What's the best way to ask about allergies? How can you challenge patients to determine if they have a true allergy? Organic chemistry buffs, what mediates cross-reactivity?…

  44. #86 Quality Improvement: Careers Series

    · 30 min · Episode 86

    What are good habits in QI? What are the areas of expertise needed to have a successful career in QI? How can you get involved in quality improvement? What projects can you get involved with, and how do you work…

  45. #85 Dual Antiplatelet Therapy: 5 Pearls Segment

    · 36 min · Episode 85

    How does cost, potency, and bleeding risk affect which antiplatelet you choose P2Y12 inhibitors? How long after starting, do you feel comfortable stopping DAPT on a patient? How do you manage DAPT in patients who need…

  46. #84 Supporting Surrogates: At the Bedside Segment

    · 38 min · Episode 84

    Hear perspectives that don't get as much spotlight! What is it like to be a surrogate? How can we be better listeners for our patients and for their surrogates? Show notes, Transcript and References:…

  47. #83 Public Health: Careers Series

    · 24 min · Episode 83

    How can we better serve the public's health? What does the landscape of public health look like? What opportunities are available to better hone your skills? What are common challenges professionals face? Show notes,…

  48. #82 Hyponatremia Diagnostics: 5 Pearls Segment

    · 53 min · Episode 82

    What does each diagnostic test tell you? How do you interpret urine osmolality, urine sodium, or urine urea? What studies can be used to better assess response to treatment? How can uric acid be utilized as a…

  49. #81 Treating Friends & Family: At the Bedside Segment

    · 27 min · Episode 81

    How can I best answer my families medical questions? How can I give my loved ones the best care without providing it directly for them? What boundaries should I have in place? Show notes, Transcript and References:…

  50. #80 Medical Education Paths: Careers Series

    · 29 min · Episode 80

    How do you form an educational mission statement? What role do coaches and mentors play? Do you need formal training for a MedEd career? What are the challenges with careers in medical education? Show notes,…

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