Core IM | Internal Medicine Podcast

By Core IM Team

Education Medicine

What's Core IM | Internal Medicine Podcast about?

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

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#127 Radiation Oncology Sid...

05.31.2023

How long can fatigue last for after radiation? Are all patient post radiation immunocompromised? What are the potential acute and long-term side effects after lung, breast, prostate and brain radiation? Use promo code COREIM for 1 month of free access ...

Core IM | Internal Medicine Podcast episodes:

05.31.2023 #127 Radiation Oncology Side Effects: 5 Pearls Segment How long can fatigue last for after radiation? Are all patient post radiation immunocompromised? What are the potential acute and long-term side effects after lung, breast, prostate and brain radiation? Use promo code COREIM for 1 month of free access ...
05.24.2023 #126 Radiation Oncology Part 1: 5 Pearls Segment What are the different types of radiation? What should we and shouldn’t we put in our one-liners? What makes palliative radiation different from curative radiation? And when to refer to for palliative radiation? Show notes & Transcript Whiteboard Animation Video ...
05.15.2023 #125 Learning Habits, Time Management, and Leadership: Wisdom from Dr. Kelly Graham What did you have to "unlearn" in your learning journey? How do you organize your time? Organize how you keep up with medical evidence? What is your calendar management system? How can you use your leadership skills to improve the ...
04.26.2023 #124 A1c & Glucose Measurements: Mind the Gap Segment What does the HbA1c really measure? What are its limitations? How does fructosamine and glycated albumin work? What will falsely elevate or decrease it? What are the benefits of continuous glucose monitoring? What are the limitations of a glucose-centric view ...
04.12.2023 #123 Pacemakers & ICDs: 5 Pearls Segment When do you have a device interrogated? Do you know what kind of device your patient has? Do you know how to manage patients with a device who develop bacteremia? How do you discuss end of life care in patients ...
03.29.2023 #122 Kidney Transplant Preparation: 5 Pearls Segment 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 your patient? Who ...
03.08.2023 #121 Trach Care: 5 Pearls Segment 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 ...
03.02.2023 #120 Safety Net Hospitals, A Disproportionate Share Health Affairs Pathways Podcast 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, Transcript and References: https://www.coreimpodcast.com/2023/03/02/safety-net-hospitals/ ...
02.15.2023 #119 A 80F with Melena and AKI also with an Unresolved Pneumonia: Hoofbeats Episode 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: https://www.coreimpodcast.com/2023/02/15/25438/Use promo code COREIM for 1 ...
02.01.2023 #118 "Futility": At the Bedside Segment 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?Show notes, Transcript ...
01.18.2023 #117 Atrial Fibrillation: Gray Matters Segment 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 recommend for perioperative anticoagulation management? How many devices do you know that can be ...
12.15.2022 #116 The Lipid Panel Reimagined: Mind the Gap Segment 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 notes, ...
11.23.2022 #115 Hope: At the Bedside Segment 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: https://www.coreimpodcast.com/2022/11/23/hope/Sponsor: Use the code “COREIM-AMBOSS (https://go.amboss.com/CoreIM-E5)” ...
11.09.2022 #114 Alcohol-Associated Hepatitis: 5 Pearls Segment 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 make sure your patients have ...
10.19.2022 #113 Aspirin for Primary Prevention: Mind the Gap Segment 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 (https://go.amboss.com/CoreIM-E5)” to get a free ...
10.05.2022 #112 ANA (Antinuclear Antibody) Test: 5 Pearls Segment 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 autoimmunity? How ...
09.21.2022 #111 Discharges with Incidental Findings: Gray Matters Segment 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 risk adopted approach can be ...
09.17.2022 "Best of" \| Struggles with with Clinical Reasoning Hoofbeats 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?Digital Education Conference 2022 in Oct 7 ...
08.24.2022 #110 Upstanders: Standing Up Against Microaggression: At the Bedside Episode 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 References: https://www.coreimpodcast.com/2022/08/24/upstander/ (https://www.coreimpodcast.com/2022/08/24/upstander/) Time stamps* ...
08.03.2022 #109 Hyponatremia Management Part 1: 5 Pearls Segment 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 ...
07.27.2022 "Best of" \| Hyponatremia Diagnostics 5 Pearls Digital Education Conference 2022 in Oct 7 2022: https://cmecatalog.hms.harvard.edu/digital-education (https://cmecatalog.hms.harvard.edu/digital-education)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 ...
07.13.2022 #108 Drug Fever and Antibiotic-Associated Neurotoxicity: Gray Matters Segment 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 factors? How do you think ...
06.22.2022 #107 COPD: 5 Pearls Segment 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 communicate ...
06.15.2022 #106 Spirituality: At the Bedside Segment 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 spirituality?* 7:12 Why does spirituality matter?* 12:09 How do we screen for it?* 18:50 Chaplains* 27:49 Conclusion Tags: ...
06.01.2022 #105 Sickle Cell: 5 Pearls Segment 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 cell and which ones actually ...
05.11.2022 #104 Guideline-Directed Medical Therapy for HFrEF Part 1: 5 Pearls Segment 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 do you stop ...
04.27.2022 #103 Fluids: 5 Pearls Segment 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 like albumin as an intravascular expander? ...
04.06.2022 #102 Echo in Pulmonary Hypertension: 5 Pearls Segment 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 interpret the E/e’ ratio? ...
03.27.2022 #101 Nutrition - 2021 SGIM Recap 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 References: https://www.coreimpodcast.com/2022/03/23/obesity-and-nutr…-2021-sgim-recap/ (https://www.coreimpodcast.com/2022/03/23/obesity-and-nutrition-2021-sgim-recap/)Time ...
03.09.2022 #100 Top 10 Telemedicine Tips - 2021 SGIM Recap 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, Transcript ...
02.23.2022 #99 Bleeding vs. Clotting Risk: Gray Matters Segment 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 percentage of patients with ...
02.09.2022 #98 Medical Education - 2021 SGIM Recap 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 in clinical rotations? How common ...
01.26.2022 #97 Hoofbeats: Hyponatremia Consult Case 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: https://www.coreimpodcast.com/2022/01/26/hoofbeats-consult-case/ (https://www.coreimpodcast.com/2022/01/26/hoofbeats-consult-case/) Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)Time ...
01.05.2022 #96 The Hgb bump: Mind the Gap Segment 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 can impact this?Show notes, Transcript and ...
12.22.2021 #95 Treatment Over Objection Part 2: At the Bedside Segment Let’s apply to cases! We use the 7 questions framework to 3 practical casesShow notes, Transcript and References: https://www.coreimpodcast.com/2021/12/22/treatment-over-objection-part-2/Time stamps* 2:19 Case 1: Review of Framework* 7:59 Case 2* 9:04 Consent vs. Assent * 11:11 Role of Consult Services* 13:16 ...
12.08.2021 #94 Treatment Over Objection Part 1: At the Bedside Segment 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/ (https://www.coreimpodcast.com/2021/12/08/treatment-over-objection/)Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im%C2%A0)Time stamps* 03:02 Ethical and emotional challenges* 10:08 Case 1* 18:55 Study ...
11.17.2021 #93 Hyperkalemia in CKD: Mind the Gap Segment 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 you effectively use in ...
10.31.2021 #92 The Geriatric Assessment: 5 Pearls Segment 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 Throwback PearlShow notes, Transcript and References: https://www.coreimpodcast.com/2021/10/31/5-pearls-on-geriatric-care/ (https://www.coreimpodcast.com/2021/10/31/5-pearls-on-geriatric-care/)Tags: Core ...
10.13.2021 #91 Oral Diabetes Medications Inpatient: Mind the Gap Segment 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 Stamps:* 02:25 Can we give metformin ...
09.29.2021 #90 Stigma in Opioid Use Disorder: 5 Pearls Segment 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 and References: https://www.coreimpodcast.com/2021/09/29/5-pearls-on-stig…oid-use-disorder/ ( https://www.coreimpodcast.com/2021/09/29/5-pearls-on-stig…oid-use-disorder/)ACP CME: ...
09.12.2021 #89 Code Status: At the Bedside Segment 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 Mistakes* 48:22 Wrap Up Show notes, Transcript and References: https://www.coreimpodcast.com/2021/09/12/code-status (https://www.coreimpodcast.com/2021/09/12/code-status/)Tags: Core IM, IM Core, ...
08.25.2021 "Best of" \| SNF, SAR, NH, ALF and More Discharge Options What are the differences in resources, nursing and clinician oversight and who pays for what?! Show notes, transcript and references: https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/ (https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/) ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) Time stamps: * 04:07 SAR vs SNF * 13:35 Long term Nursing Home Care ...
08.11.2021 "Best of" \| Stress Testing 5 Pearls 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 communicated ...
07.28.2021 "Best of" \| Capacity Part 1 At the Bedside 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: https://www.coreimpodcast.com/?p=22310 (https://www.coreimpodcast.com/?p=22310) Tags: CoreIM, AMA Discharges, Psych, Competency, medical ethics, medical ...
07.14.2021 "Best of" \| 20Qs Hoofbeats 20 Qs game with Core IM Team vs. Expert Discussant ! Full Transcript and Show notes (https://www.coreimpodcast.com/2019/08/07/a-45f-with-persistent-bleeding-20qs-core-im-team-vs-expert/) Get CME-MOC Credit (https://www.acponline.org/cme-moc/online-learning-center/45f-with-persistent-bleeding-hoofbeats-segment)for listening to this episode Time Stamps * 00:20 The game of medical Twenty Questions * 04:37 Case introduction * ...
06.30.2021 "Best of" \| July Stories 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 (https://www.coreimpodcast.com/2019/06/12/july-stories/) ! Let's help each other feel a little less alone in the struggle, be ...
06.16.2021 #88 Physician Impairment: At the Bedside Segment 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? Time Stamps: * 00:21 Introduction * ...
06.02.2021 #87 Penicillin Allergy: 5 Pearls Segment 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? What medications can you safely give your ...
05.08.2021 #86 Quality Improvement: Careers Series 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 ...
04.07.2021 #85 Dual Antiplatelet Therapy: 5 Pearls Segment 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 anticoagulation? Show notes, Transcript ...

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