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PODCAST

Core IM | Internal Medicine Podcast

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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All Episodes

29:14

#99 Bleeding vs. Clotting Risk: Gray Matters Segment

Core IM | Internal Medicine Podcast ·

2022/02/23

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 cancer associated blood clots will have progression while on anticoagulation?Show Notes, Transcript, and References: https://www.coreimpodcast.com/2022/02/23/24433/Get CME-MOC credit with ACP:

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29:36

#98 Medical Education - 2021 SGIM Recap

Core IM | Internal Medicine Podcast ·

2022/02/09

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 are biased patient behaviours? How can you foster a safer learning environment for trainees? How can you promote antiracism?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/02/09/medical-educatio…ng-core-im-recap/Time

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41:47

#97 Hoofbeats: Hyponatremia Consult Case

Core IM | Internal Medicine Podcast ·

2022/01/26

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/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps01:36 Case10:42 Case analysis 22:45 An unfamiliar domain25:50 Lab review40:04 ConclusionsTags: IM Core, CoreIM,

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18:08

#96 The Hgb bump: Mind the Gap Segment

Core IM | Internal Medicine Podcast ·

2022/01/05

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 References: https://www.coreimpodcast.com/2022/01/05/1-to-1-prbc-bump…-the-gap-segment/Time stamps01:22 Unpacking the question 01:55 The math 04:32 Functional hemoglobin08:50 Donor and Patient 11:18 Scenarios12:58 Summary14:34

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18:24

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

Core IM | Internal Medicine Podcast ·

2021/12/22

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 stamps2:19 Case 1: Review of Framework7:59 Case 29:04 Consent vs. Assent 11:11 Role of Consult Services13:16 Role of Surrogates15:29 Conclusion Tags: IM Core, CoreIM, autonomy, capacity, human dignity, non-maleficence, ethics, medical humanitiesFind the best disability insurance for you:

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25:06

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

Core IM | Internal Medicine Podcast ·

2021/12/08

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 credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps03:02 Ethical and emotional challenges10:08 Case 118:55 Study of the 7 Questions22:46 Conclusion Tags: IM Core, CoreIM, autonomy, capacity, human dignity, non-maleficence, ethics, medical

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30:18

#93 Hyperkalemia in CKD: Mind the Gap Segment

Core IM | Internal Medicine Podcast ·

2021/11/17

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 the outpatient setting?Show notes, Transcript and References: https://www.coreimpodcast.com/2021/11/17/hyperkalemia-mind-the-gap-segment/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps01:01

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29:09

#92 The Geriatric Assessment: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2021/10/31

What are pearls and pitfalls when assessing an older patient for the first time?Time Stamps:02:25 Initial Office Visit08:08 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/Tags: Core IM, IM Core, delirium, goals of care, dementia, mini cog, MOCA, deprescribingFind the best disability insurance for you:

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22:57

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

Core IM | Internal Medicine Podcast ·

2021/10/13

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 in the hospital?10:50 Incretin-based therapies14:49 Sodium Glucose Cotransporter-2 Inhibitors16:27 Sulfonylurea & Thiazolidinediones18:00 Basal Insulin inpatientShow notes, Transcript and References:

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30:57

#90 Stigma in Opioid Use Disorder: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2021/09/29

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/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time Stamps:04:24 Starting the Conversation 10:43 The Shared Agenda14:46 Exploring patient goals18:54 Reducing drug

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50:48

#89 Code Status: At the Bedside Segment

Core IM | Internal Medicine Podcast ·

2021/09/12

A very practical episode around nuanced code status conversations with many examples!Time Stamps:00:08 Introduction04:01 Information Gathering20:41 Informed Consent29:47 Giving Recommendations36:47 Mistakes48:22 Wrap Up Show notes, Transcript and References: https://www.coreimpodcast.com/2021/09/12/code-statusTags: Core IM, IM Core, DNR/DNI, CPR, intubation, goals of care, shared decision making, documentation, conversations, recommendationsFind the best disability insurance for you:

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33:13

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

Core IM | Internal Medicine Podcast ·

2021/08/25

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/ ACP CME: 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 18:30 Assisted Living Facility 24:40 Acute rehab 26:11 LTACH 27:49 Home Tags: Subacute rehab, skilled

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41:01

"Best of" | Stress Testing 5 Pearls

Core IM | Internal Medicine Podcast ·

2021/08/11

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 to patients? For full transcript, infographic and show notes: https://www.coreimpodcast.com/2019/04/24/stress-testing/ Tags: Internal Medicine, Internist, Primary Care Physician, Hospitalists, Emergency Medicine, Nurse Practitioner, Physician Assistant, Family Physician,

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30:44

"Best of" | Capacity Part 1 At the Bedside

Core IM | Internal Medicine Podcast ·

2021/07/28

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 Tags: CoreIM, AMA Discharges, Psych, Competency, medical ethics, medical humantiesFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out:

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49:57

"Best of" | 20Qs Hoofbeats

Core IM | Internal Medicine Podcast ·

2021/07/14

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 introduction 05:50 The CoreIM team attempts to solve the case 15:36 The discussant’s diagnostic schema for abnormal bleeding 23:37 Primary versus secondary hemostasis 30:33 The pathology report ! 37:38 Criteria for the final diagnosis 38:46 Dissecting a diagnostic coup 49:42 Conclusion Find the best

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24:18

"Best of" | July Stories

Core IM | Internal Medicine Podcast ·

2021/06/30

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, be more understanding and compassionate or laugh at ourselves. Please share this episode with colleagues. Do you have a July story? Email us at hello@coreimpodcast.com. Tags: Narrative Medicine, CoreIM, IMcore, imposter syndromeFind the best disability insurance for you:

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35:34

#88 Physician Impairment: At the Bedside Segment

Core IM | Internal Medicine Podcast ·

2021/06/16

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 02:59 Scope/Definitions 08:05 Systems for Physician Impairment 13:50 Barriers to Care 24:48 Helping an Impaired Physician 28:44 Systems Level Change Show notes, Transcript and References:

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40:18

#87 Penicillin Allergy: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2021/06/02

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 patients? Show note, Transcript and References: https://www.coreimpodcast.com/2021/06/02/5-pearls-on-penicillin-allergy/ Time Stamps: 02:49 Penicillin Myths 07:20 Penicillin Allergy 11:21 Allergic Reactions 19:01 Managing allergic

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29:39

#86 Quality Improvement: Careers Series

Core IM | Internal Medicine Podcast ·

2021/05/08

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 outside of your own interests? How can you partner with your healthcare system to make changes? Show notes, Transcript and References: https://www.coreimpodcast.com/2021/05/08/quality-improvement-careers-series/ Time Stamps: 01:36 Getting started 05:01 Formal training 08:27 What are areas

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35:54

#85 Dual Antiplatelet Therapy: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2021/04/07

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 and References: https://www.coreimpodcast.com/2021/04/07/5-pearls-on-dual…platelet-therapy/ Join Our Team Time stamps 02:35 Indications 08:52 Medications 17:37 Duration 28:23 De-escalation 30:55 Anticoagulation Tags: IM Core, CoreIM,

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