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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

34:55

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

Core IM | Internal Medicine Podcast ·

2022/10/05

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 can you use the physical exam to assess likelihood of autoimmune disease? What is the ddx for a positive ANA?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/10/05/ana-antinuclear-…5-pearls-segment/Get CME-MOC credit with ACP:

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30:45

#111 Discharges with Incidental Findings: Gray...

Core IM | Internal Medicine Podcast ·

2022/09/21

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 implement in our practice? Do you know what fast forward rounds are?Sponsor: Use the code “COREIM-AMBOSS” to get a free month of access on https://go.amboss.com/CoreIM-E5Show notes, Transcript and References:

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33:39

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

Core IM | Internal Medicine Podcast ·

2022/09/17

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?Show notes, Transcript and References: https://www.coreimpodcast.com/2020/12/09/hoofbeats-strugg…inical-reasoning/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imFind the best disability insurance for you:

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28:18

#110 Upstanders: Standing Up Against Microaggression:...

Core IM | Internal Medicine Podcast ·

2022/08/24

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/ Time stamps04:51Overview of Microaggressions08:11 Prevalence11:43 How to respond21:03 Barriers to appropriate response26:00 ConclusionTags: IM Core, CoreIM, bystander, race, microaggressions, hidden curriculum, DEIFind the

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46:25

#109 Hyponatremia Management Part 1: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2022/08/03

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 not work?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/08/03/hyponatremia-man…5-pearls-segment/Sponsor: https://go.amboss.com/CoreIM-E4Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps:01:20

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52:27

"Best of" | Hyponatremia Diagnostics 5 Pearls

Core IM | Internal Medicine Podcast ·

2022/07/27

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 diagnostic tool? What is the interplay between ADH and UOsm?Show notes and Transcript: https://www.coreimpodcast.com/2021/02/10/5-pearls-on-hyponatremia-episode-1/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imAmboss Article on HyponatremiaTags: urine studies,

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28:50

#108 Drug Fever and Antibiotic-Associated...

Core IM | Internal Medicine Podcast ·

2022/07/13

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 about goals of care with patients? Show notes & Transcript: https://bit.ly/3P8wqG6Sponsor: Visit www.medmastery.com/coreim for 15% off on all subscriptionsDiscount code: "coreim"Time stamps02:50 Deep Dive #113:12 Deep Dive #226:39 Deep Dive RecapTags:

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40:23

#107 COPD: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2022/06/22

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 at the time of diagnosis, and during goals of care discussions? Show notes, Transcript and References:https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/Sponsor: Use the code “COREIM-AMBOSS” to get a free month of access

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30:13

#106 Spirituality: At the Bedside Segment

Core IM | Internal Medicine Podcast ·

2022/06/15

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 stamps00:01 What is spirituality?7:12 Why does spirituality matter?12:09 How do we screen for it?18:50 Chaplains27:49 Conclusion Tags: IM Core, CoreIM, ethics, medical humanitiesFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries:

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43:22

#105 Sickle Cell: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2022/06/01

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 decrease sickle crisis and improve mortality? What are some of the major sickle cell complications to watch out for and how can we prevent some of them?Show notes, Transcript and References:

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38:28

#104 Guideline-Directed Medical Therapy for HFrEF...

Core IM | Internal Medicine Podcast ·

2022/05/11

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 mineralocorticoid receptor antagonist? What are risks with SGLT2 inhibitors? How do you initiate GDMT? Which meds do you start first and in what order?Show notes, Transcript and

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37:36

#103 Fluids: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2022/04/27

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? How much do pRBCs stay in the plasma? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/04/27/fluids-colloids-5-pearls-segment/Get CME-MOC credit with ACP:

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37:45

#102 Echo in Pulmonary Hypertension: 5 Pearls Segment

Core IM | Internal Medicine Podcast ·

2022/04/06

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?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/04/06/pulmonary-hypertension/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime stamps:02:18 Intro05:27 Pearl 1 12:17 Pearl 216:13

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21:01

#101 Nutrition - 2021 SGIM Recap

Core IM | Internal Medicine Podcast ·

2022/03/27

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/Time stamps:03:10 Trends in weight and dieting06:01 Counseling patients on diet09:35 Food group recommendations14:53 Pre-set diets20:47 Making sustainable changesTags: Core IM, IM Core, diet, salt intake,

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27:18

#100 Top 10 Telemedicine Tips - 2021 SGIM Recap

Core IM | Internal Medicine Podcast ·

2022/03/09

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 and References: https://www.coreimpodcast.com/2022/03/09/telemedicine-and…-2021-sgim-recap/Tags: IM Core, CoreIM, tele visit, gizmos, history taking, virtual, physical exam, assessment, functional status, tips Find the best disability insurance for you:

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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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123 results

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