Core IM | Internal Medicine Podcast

Core IM | Internal Medicine Podcast

www.coreimpodcast.com
Core IM | Internal Medicine Podcast hosted by Core IM Team


#59 Flu Diagnosis and Treatment: Mind the Gap Series
Feb 19 • 18 min
What are the new guidelines for influenza treatment? What are the diagnostic ratios of flu symptoms and tests? Time Stamps * 03:10 The art of diagnosing the flu * 05:17 Bayesian statistics and the diagnostic odds ratio * 07:09 The ins and outs of…
#58 Case Managers and Social Workers: Interprofessional Education Series
Feb 6 • 32 min
What is the difference between a case manager and social worker? What are the limitations that social workers and case managers face? How do you create a safe space for the interdisciplinary team? Show Notes and References…
Novel Coronavirus: What the Clinician Needs to Know Interview
Feb 4 • 24 min
What are the symptoms? What distinguishes coronavirus from other influenza-like illness? When coronavirus is suspected, what should you do? Show notes and references (https://www.coreimpodcast.com/2020/02/04/coronavirus-what-the-clinican-needs-to-know/)…
#57 A 39M on Inpatient Psychiatry with a Fever: Hoofbeats Segment
Jan 22 • 55 min
How do you learn from diagnostic errors? Walk through a case that the host had initially gotten wrong and uncover possible reasons as why from data gathering to hypothesis generation to the interplay between hypothesis generation and evaluation. Learn…
#56 Prognosis: At the Bedside Segment
Jan 1 • 32 min
Why is prognostication hard? How do we improve at communicating prognosis? How should we approach uncertainty? Explore this and more on this At the Bedside episode! Prognosis Calculators, Transcript and References…
#55 Influenza History and Vaccine: Mind the Gap Segment
Dec 18, 2019 • 22 min
Dive deeper into hx of the influenza virus, how vaccines are made and vaccine effectiveness ! Time Stamps * 02:59 The history of the influenza virus * 08:18 What does the influenza vaccine target? * 13:20 Chickens, and bugs, and mammalian cells, oh my!…
#54 Home Health Aides: Interprofessional Education Series
Nov 27, 2019 • 39 min
Explore gaps in your knowledge about the home health world, particularly on home health aides! * Get CME-MOC credit (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) with ACP ! * Full transcript, show notes, references…
#53 Heparin-Induced Thrombocytopenia: 5 Pearls Segment
Nov 13, 2019 • 47 min
Get CME Credit (https://www.acponline.org/cme-moc/online-learning-center/heparin-induced-thrombocytopenia-5-pearls-segment) with ACP! Full Transcript with references and show notes…
#52 Gallows Humor: At the Bedside Segment
Oct 30, 2019 • 47 min
House of God author, Samuel Shem and Prof Katharine Watson share thought-provoking takes on Gallows Humor. Laugh and listen to this captivating take on the different shades of humor in the day-to-day of medicine. Time Stamps * 02:33 Episode preview and…
#51 A 65M with Fatigue: Hoofbeats Segment
Oct 16, 2019 • 44 min
1st outpatient clinical reasoning case on Core IM Hoofbeats! Get CME-MOC Credit (https://www.acponline.org/cme-moc/online-learning-center/a-65m-with-fatigue-hoofbeats-segment) (live at 9AM EST on 10/16) Time Stamps * 01:18 Case introduction * 11:40 The…
#50 Blood Cultures: Mind the Gap Segment
Oct 2, 2019 • 18 min
Go deeper into the world of blood cultures! Time stamps * 04:10 Review of Choosing Wisely Guidelines * 05:55 What are estimated incidences of positive blood cultures? * 06:17 Which clinical signs or patient history is more likely to have positive blood…
#49 Smoking Cessation: 5 Pearls Segment
Sep 18, 2019 • 42 min
Practical tips on smoking cessation! Get CME Credit (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) with ACP! Full Transcript with References and Show Notes…
#48 AMA Discharges: At the Bedside Segment
Sep 4, 2019 • 30 min
Do we have to sign the AMA form? Do insurances deny payment for patients who leave AMA? What is your approach to AMA discharges? Core IM At the Bedside speaks to ethics researcher, Dr. David Alfandre, author of Things We Do For No Reason…
#47 Stories of Women in Medicine
Aug 21, 2019 • 25 min
We hope these stories can make us more introspective and open minded on how these concepts can affect each one of us differently. Let’s continue the discussion on the Women in Medicine (https://twitter.com/womeninmedchat)Twitter chat on 8/25 at 9pm EST !…
#46 A 45F with Persistent Bleeding: Hoofbeats Segment
Aug 7, 2019 • 49 min
20 Qs 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…
#45 Statins: Prescribing Meds Day vs. Night Part 2 Mind the Gap Segment
Jul 24, 2019 • 13 min
Night and Day… join us for part II of our exploration into why we prescribe medications in the morning vs. at night, featuring statins! 03:28 How do statins and cholesterol synthesis work again, anyway? 04:00 Power in numbers - what do the meta-analyses…
#44 Coronary Calcium Score and CTAs: 5 Pearls Segment
Jul 10, 2019 • 44 min
Solidify your knowledge on Coronary calcium scores and Coronary CTAs! ACP members can claim CME-MOC Credit (https://www.acponline.org/cme-moc/online-learning-center/podcasts) ! Quiz yourself on the 5 pearls we will be covering below: * 3:10 What are the…
#43 “Difficult” Patients: At the Bedside Segment
Jun 26, 2019 • 39 min
In ‘At The Bedside’, our newest podcast segment, we tackle important topics that *aren’t* easily indexable in guidelines and UpToDate article – topics that are better discussed…well…at the bedside. Our first episode examines the all-too-common trope of…
#42 July Stories
Jun 12, 2019 • 23 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 (https://www.coreimpodcast.com/2019/06/12/july-stories/) ! Let’s help each other feel a little less alone…
#41 A 23M with AMS and Fever: Hoofbeats Segment
May 22, 2019 • 52 min
Dissect clinical reasoning and dive deeper into an interesting case! * 02:04 Initial Presentation * 03:03 The Core IM team tackles the case * 09:30 Social History * 16:05 Physical Exam * 22:47 An exercise in Bayesian inference * 36:35 Pre-mortem * 43:37…
#40 Prescribing Meds Day vs. Night Part 1: Mind the Gap Segment
May 8, 2019 • 18 min
Dive deeper into why we prescribe medications in the morning vs. at night ! * Why do we dose warfarin at night? (2:45) * Back to the basics - what are the pharmacodynamics of warfarin and how does vitamin K intake matter? (4:28) * Practical matters - so…
#39 Stress Testing: 5 Pearls Segment
Apr 24, 2019 • 40 min
Solidify your knowledge on stress tests! Quiz yourself on the 5 pearls we will be covering: * What are the indications for a stress test? (2:18) * How to choose stress protocol in a stress test? (8:29) * How to choose diagnostic modality in a stress test?…
#38 A 66M w RUQ pain, a 41M in Afib w RVR and a 50M w Syncope: Hoofbeats Segment
Apr 10, 2019 • 35 min
Dissect 3 interesting cases and improve your clinical reasoning skills! Time Stamps: * New features in this episode [0:30] * Case one: 66M w RUQ pain [1:09] * Case two: 41M w Afib in RVR [9:26] * Case three: 50M w Syncope [14:33] * Reveal [19:57] *…
#37 Unstable Angina: Mind the Gap Segment
Mar 27, 2019 • 14 min
Check out part 1: Acute Coronary Syndrome and TIMI Risk Score (http://bit.ly/UnstableAnginaPart1) Lets go deeper into 1) How the chest pain history correlates with pathophysiology? [2:40] 2) How has high-sensitivity troponin changed the way we think about…
#36 Pain Management: 5 Pearls Segment
Mar 13, 2019 • 31 min
Solidify your knowledge on inpatient pain management! Quiz yourself on the 5 pearls we will be covering: * How effective are non-opioids? ( 3:17) * Are NSAIDs contraindicated in patients with kidney, liver or heart disease? If not, how can we use them…
#35 Acute Coronary Syndrome and TIMI Risk Score: Mind the Gap Segment
Feb 27, 2019 • 20 min
Let’s go deeper into the world of ACS and the origin of the TIMI score and major adverse cardiac events “MACE” outcomes! * The basics – what is acute coronary syndrome? (4:08) * Clinical context matters – angina pectoris, atypical chest pain, and…
#34 47M with chest pain : Hoofbeats segment
Feb 13, 2019 • 37 min
Dissect an interesting case and improve your clinical reasoning skills! Time Stamps: * New features in this episode [00:25] * Data point 1: Early hypothesis generation? [03:20] * Data point 2: Pertinent negatives? [11:18] * Data point 3:…
#33 Barrett’s Esophagus: 5 Pearls
Jan 30, 2019 • 26 min
Solidify your knowledge on Barrett’s Esophagus and more! Quiz yourself on the 5 pearls we will be covering: * What is Barrett’s esophagus and why should we care? (4:12) * Who do we screen for Barrett’s, and why? (8:41) * How do we screen for Barrett’s and…
#32 A 34M with Fever, HA, Myalgias
Jan 16, 2019 • 26 min
Dissect an interesting case and improve your clinical reasoning skills! Time stamps: * Player three has entered the game! [0:15] * Case presentation, part 1 [1:20] * First impressions [3:24] * Rethinking another provider’s diagnosis [4:36] * Interpreting…
#31: Troponins: 5 Pearls Segment
Jan 2, 2019 • 31 min
Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering: * What aspects of the history are concerning in a patient with a positive troponin? (4:00) * What is the difference between the TIMI, GRACE, and HEART…
#30 Acetaminophen/Fevers Pathophysiology and Patient Outcomes: Mind the Gap Segment
Dec 19, 2018 • 17 min
Let’s dive deeper into the world of acetaminophen and fever and how it may work and patient outcomes Time Stamps: What data is there to support the use of acetaminophen as a fever reducer? (2:08) Does acetaminophen improve patient outcomes? (4:30) How…
#29 A 43M with Diarrhea: Hoofbeats Segment
Dec 5, 2018 • 33 min
Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here: Time stamps: * Case [1:19] * Diagnostic weight [8:42] * Hypothesis driven reasoning [12:26] * Anomalous clinical data [19:30] * Final diagnosis…
#28 What Would You Tell Your Younger Self?
Nov 21, 2018 • 11 min
Women in medicine inspire us with what they would tell their younger selves. Some of the speakers with Shreya Trivedi MD @ShreyaTrivediMD at the Women in Medicine GirlMedLive Conference: Qaali Hussein MD @QaaliHussein1 Clinical Pearl @ClinicalPearl…
#27 Treatment of Alcohol Use Disorder: 5 Pearls Segment
Nov 7, 2018 • 27 min
Solidify your knowledge on Alcohol Use Disorder (AUD) treatment and more! Quiz yourself on the 5 pearls we will be covering: * Throwback: At what levels of drinking does unhealthy alcohol use start, and how do you screen for unhealthy alcohol use? (1:47)…
#26 A 85F with AMS Part 2: Hoofbeats Segment
Oct 24, 2018 • 26 min
Dissect a working diagnosis through a process of validation! Time Stamps: * Your collective differential [0:40] * The test results (that you asked for) are in… [2:13] * The hospital course, and the diagnosis (or is it?) [7:10] * Validating a diagnosis:…
#25 A 85F with AMS Part 1: Hoofbeats segment
Oct 10, 2018 • 33 min
Submit your diagnosis or differential for this episode’s case at HumanDx.org (free registration required): http://hdx.org/2VP (http://hdx.org/2VP) ! Part 2 (releasing 10/24) will have the final diagnosis! Time stamps: * A new challenge and the rules of…
#24 Meet the Producers
Sep 27, 2018 • 22 min
Join us in this episode with Doctors Who Create where we explore how Core IM was started and some things that happen behind the scenes! Episode page: https://www.coreimpodcast.com/2018/09/27/meet-the-producers/…
#23 UTIs and Delirium: MInd the Gap Segment
Sep 11, 2018 • 19 min
Let’s go deeper into the world of UTIs and delirium! The basics – what are the official (IDSA) definitions for bacteriuria, pyuria, and UTI? (02:07) The lay of the land – how common are bacteriuria and delirium? (07:09) The big money question – do UTIs…
#22 Proton-Pump Inhibitors: 5 Pearls segment
Aug 29, 2018 • 27 min
Solidify your knowledge on Proton-Pump Inhibitors (PPIs) and more! Quiz yourself on the 5 pearls we will be covering: * What are associated adverse effects for patients are on long-term PPIs? (2:02) * What are strategies to get your patient off PPIs?…
#21 57F with confusion: Hoofbeats segment
Aug 15, 2018 • 35 min
Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here: * Case history and exam 00:40 * Causal models 11:24 * Facets versus diagnoses 13:25 * Problem representation 16:37 * Part two of the case 17:10 *…
#20 Vancomycin: Mind the Gap Segment
Aug 1, 2018 • 13 min
Lets go deeper into the misunderstood side of Vancomycin! * Where did vancomycin come from, and why is it so controversial? (0:28) * What is vancomycin-induced nephrotoxicity and how common is it? (4:37) * Vancomycin trough monitoring – what is it good…
#19 Unhealthy Alcohol Use: 5 Pearls segment
Jul 11, 2018 • 32 min
Solidy your understanding of unhealthy alcohol use! Quiz yourself of the 5 Pearls we will be covering: * What is alcohol use disorder (AUD), and how is it different from unhealthy alcohol use? * Who should we screen for unhealthy alcohol use, and which…
#18: A 54M with diarrhea: Hoofbeats segment
Jun 27, 2018 • 28 min
Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here: * Part one of case (0:56) * Cognitive ease and strain (03:51) * Metacognition and routine diagnostic timeout (08:15) * Think outside the box of…
#17: Celebrating #ProudtobeGIM
Jun 20, 2018 • 8 min
Be inspired by why so many are proud to be in General Internal Medicine (GIM)! Episode page: https://www.coreimpodcast.com/2018/06/23/celebrating-proudtobegim/ (https://www.coreimpodcast.com/2018/06/23/celebrating-proudtobegim/)
#16 Steroids in COPD: Mind the Gap Segment
May 30, 2018 • 13 min
Let’s take your breath away… with a review on steroids in treating COPD exacerbations! Time Stamps * How does GOLD (Global Initiative for Chronic Obstructive Lung Disease) define a COPD exacerbation? (2:44) * What outcomes do steroids actually improve in…
#15 Contrast-Induced Nephropathy: 5 Pearls segment
May 16, 2018 • 28 min
Solidify your understanding of contrast-induced nephropathy (CIN)! Quiz yourself on the 5 pearls we will be covering: * Are there diagnostic criteria for CIN? (2:11) * Is there a difference between exposure to intra-arterial vs. intra-venous contrast in…
#14 A 36F with weakness: Hoofbeats segment
May 2, 2018 • 38 min
Dissect an interesting case and think about the way clinicians think! So many clinical reasoning pearls here: * Part 1 Case (2:05) * Framing bias (7:07) * Data-driving reasoning (11:48) * Hypothesis-driven approach (12:38) * Periodic paralysis syndromes…
#13 Chronic Adrenal Insufficiency: 5 Pearls segment
Apr 18, 2018 • 26 min
Solidify your knowledge on adrenal insufficiency! Quiz yourself on the 5 pearls we will be covering: * What are signs and symptoms of chronic adrenal insufficiency (AI)? What is the most sensitive? (2:02) * How do we diagnose and differentiate types of…
#12 Latent TB: 5 Pearls segment
Mar 28, 2018 • 27 min
Solidify your knowledge on latent TB! Quiz yourself on the 5 pearls we will be covering: * Who should be screened for latent tuberculosis infection (LTBI)? (1:45) * What screening tests are available and how do they differ? (6:30) * What are the LTBI…
#10 Albuminuria: 5 Pearls segment
Feb 28, 2018 • 19 min
Solidify your knowledge on albuminuria! Quiz yourself on the 5 Pearls we will be covering: * How good is a dipstick, urinalysis and UACR in detecting albuminuria? (1:42) * What conditions that lead to transient proteinuria? What is the appropriate…
#9 COPD Classifications: Mind the Gap segment
Feb 14, 2018 • 12 min
Let’s go deeper into to why we think about diseases the way we do: COPD Classifications through the years! Time Stamps: * How did prior understanding of COPD pathophysiology lead to COPD classifications in the past? (3:25) * How is COPD diagnosed? (6:13)…
#8 Chronic Hepatitis B (Part 2) Management: 5 Pearls segment
Jan 31, 2018 • 19 min
Quiz yourself on the following 5 Pearls on Chronic Hepatitis B (HBV) Management! * What is the focused history, physical and lab workup in a patient with chronic HBV? (1:40) * What is the best imaging to evaluate for intermediate stages of liver fibrosis?…
#7: Chronic Hepatitis B Part 1: 5 Pearls segment
Jan 17, 2018 • 21 min
Solidify your knowledge on Chronic Hepatitis B (HBV) screening and vaccinations! Quiz yourself on the 5 Pearls we will be covering: * Who do you screen for HBV? (3:37) * How is HBV transmitted and who is at risk for HBV reactivation? * What tests do you…
#6 The Wonderful World of Albumin: Mind the Gap segment
Jan 3, 2018 • 12 min
Let’s go deeper as to why we do what we do: albumin in spontaneous bacterial peritonitis (SBP) ! Time Stamps:1. How much albumin is recommended in SBP? (1:45)2. What antibiotics are used for the treatment of SBP? (2:30)3. Why do we give albumin in SBP?…
Hepatic Encephalopathy: 5 Pearls Edition Ep3
Dec 13, 2017 • 21 min
Cement your knowledge on Hepatic Encephalopathy (HE)! Quiz yourself on the following 5 Pearls we’ll be covering on HE: Time Stamps * What are other causes of altered mental status in cirrhotics? (1:45) * What are common precipitants for an acute episode…
Mind The Gap Ep2: Part 2 of Paracentesis
Nov 29, 2017 • 8 min
Part 2 on Abdominal Paracentesis ! Let’s go deeper Time Stamps Should a cirrhotic’s INR and platelets deter you from doing a paracentesis? (3:15) Do generalist have worse procedure complications than specialists? (5:40) Do you need to send ascites fluid…
5 Pearls Ep2: Iron Deficiency Anemia
Nov 15, 2017 • 17 min
Solidify your knowledge on iron deficiency anemia! Quiz yourself on the 5 Pearls we will be covering: * Should patients be screened for iron deficiency? If so, who and how often? (1:40) * What are the indications for diagnostic endoscopy in iron deficient…
CORE IM podcast: Mind The Gap on Admission Paracentesis
Nov 1, 2017 • 10 min
You have always been told to do a diagnostic paracentesis on admission in cirrhotics with ascites, but why? Can you just get away with clinical judgement to rule out SBP? Is faculty judgement any better? And if you’re going to do a paracentesis on…
Core IM Podcast: 5 pearls on Headaches - Core IM | Internal Medicine | Medical Education | FOAMed | Family Medicine | Physician Assistant | Resident | Nurse Practitioner | Medical Student | Hospitalist | Primary Care
Oct 18, 2017 • 15 min
Cement your knowledge on headaches with 5 Pearls on when imaging is indicated, approach to abortive medications, medication overuse headaches, when to use migraine prophylaxis and effective non-pharmacological treatment for migraines! For full shownotes:…
Introducing the CORE IM Podcasts: 5 Pearls & Mind the Gap - Core IM | Internal Medicine | Medical Education | FOAMed | Family Medicine | Physician Assistant | Resident | Nurse Practitioner | Medical Student | Hospitalist | Primary Care
Oct 13, 2017 • 4 min
CORE IM is an independent consortium of educators aligned to create internal medicine-specific portable learning tools in the form of podcasts, corresponding show notes and illustrations. Segments include 5 Pearls and Mind The Gap. For more information:…