The Intern At Work: Internal Medicine

The Intern At Work: Internal Medicine
A pan-Canadian resident for resident Podcast. The Intern at Work is written by residents for residents, and is meant to serve you better on the wards and on call. Disclaimer: This podcast is intended for educational use only and is not intended as the …

Transfusion without Confusion – a Practical Guide to Transfusion Medicine (Part 2)
Mar 29 • 12 min
Written by Dr. Grace Zhang (internal medicine resident)Reviewed by Dr. Graeme Quest (Hematopathologist)Dr. Siddhartha Srivastava (General Internist)Infographic by: Lucy Lan (Medical Student)Part 2 of our blood transfusion series goes into acute and…
Transfusion without Confusion – a Practical Guide to Transfusion Medicine (Part 1)
Mar 29 • 18 min
Written by Dr. Grace Zhang (internal medicine resident)Reviewed by Dr. Graeme Quest (Hematopathologist)Dr. Siddhartha Srivastava (General Internist)Infographic by: Lucy Lan (Medical Student)In this episode we go over the indications and typical uses of…
Ask a Fellow: Asthma Exacerbation
Mar 22 • 25 min
Respirology Fellow Dr. Alina Blazer takes us through the management of Acute Asthma Exacerbations! This is not your COPD patient, and clinical manifestations and treatment is different for patients with asthma exacerbations. Also, we talk about…
When the Mind Plays Tricks: An Approach to Delirium
Mar 8 • 15 min
Delirium can be a tricky diagnosis to make! In this episode, we walk you through the diagnosis, etiologies, and management of delirium.
Community Acquired Pneumonia
Mar 1 • 8 min
Community acquired pneumonia from internal medicine residents to you!
Lumps and Bumps: An Approach to Lymphadenopathy
Feb 23 • 15 min
In this episode, we talk about a general approach to lymphadenopathy, with a focus on work-up and treatment for Hodgkin Lymphoma.
Coronavirus nCoV-2019: What learners need to know
Feb 9 • 25 min
In this special episode, we speak with Dr. Isaac Bogoch (Infectious Diseases, University of Toronto, Toronto General Hospital) about the epidemic of the novel coronavirus in 2019. This podcast was recorded on February 5, 2020 and we are seeing new infor…
When Stress Alone Is Not Enough - Adrenal Insufficiency
Jan 26 • 12 min
Feel like your knowledge about the adrenal glands is… insufficient? In today’s episode we discuss the approach to a patient with adrenal insufficiency, including primary vs secondary, work up and management. Written by: Dr. Hernan Franco (Internal Med…
The Pink Ribbon- Ask a fellow: Breast Cancer
Jan 12 • 21 min
In this episode we sit down with Dr. Roochi Aurora (Breast malignancy and melanoma fellow), who takes us through the pertinent components of an approach to breast cancer for the internist.
Approach to the Ulcerative Colitis flare
Dec 15, 2019 • 14 min
This episode helps us understand the concept of autoimmunity first, taking us through the complex pathophysiology of ulcerative colitis. We then discuss intestinal and extra-intestinal manifestations of the disease and an approach to the acute UC flare.
The COUNTdown is On - Febrile Neutropenia
Dec 1, 2019 • 13 min
In this episode, we cover the definition of febrile neutropenia, management, and risk stratification for inpatient vs outpatient treatment. Written by: Dr. Anna Whalen-Browne (Internal Medicine Resident) Reviewed by: Dr. Paul Barnfield (Medical…
A Hot Mess- Acute Monoarthritis
Nov 17, 2019 • 19 min
This week we discuss a common E.D presentation- acute monoarthritis!
Special Episode: Medical Education Research!
Nov 10, 2019 • 2 min
On this very special episode of the Intern at Work, we want to take the opportunity to invite you, our listeners, to take part in a research study regarding the use of internal medicine podcasts in postgraduate medical training.We invite any listeners w…
Not for the Faint Hearted - Syncope
Nov 3, 2019 • 26 min
In this episode, we take you through the differential diagnosis for patients presenting with syncope, including common mimickers. We discuss cardiac and non-cardiac causes, and when further investigations are warranted, and more! Written by: Nikita Malh…
Ask a Fellow: The Great Unknown - Cancers of Unknown Primary
Oct 20, 2019 • 31 min
Our medical oncology fellow, Dr. Michelle Nadler, takes us through the diagnostic and therapeutic challenges of treating a cancer of unknown primary.
Crossing the Bridge - Preparing the Heart for Surgery: Perioperative Cardiac Assessment
Oct 6, 2019 • 14 min
This episode walks you through our approach to perioperative management, with a focus on cardiovascular risk and medications - featuring the most recent CCS guidelines! Written by: Dr. Jonah Himelfarb (Internal Medicine Resident) Reviewed by: Dr. Louise…
The Essentials: An Approach to Thrombocytosis
Sep 22, 2019 • 17 min
Thrombocytosis made simple - from etiology, to clinical presentation and initial management, we discuss the diagnosis and treatment of thrombocytosis.
The Little Ventricle That Could- Pulmonary Hypertension
Sep 8, 2019 • 15 min
On this weeks episode we discuss the ins and outs of pulmonary hypertension- from the WHO 5 classifications of pulmonary hypertension, what to look out for on physical exam, diagnostic considerations and new guideline updates in the field.
Ask a Fellow: Taking the Zzz out of Sleep- Benzodiazepine Mis(use) in Hospital
Aug 25, 2019 • 35 min
Although they are the 10th most commonly prescribed medication in older adults, benzodiazepines have many negative side effects.
Crisis in the Suburbs: Approach to Diabetic Foot Infection
Aug 11, 2019 • 14 min
Diabetic foot infections - from clinical presentation to management, we’ve got it all! Episode guidelines are based on the most recent IDSA guidelines.
Find the Leak - The bloody truth about bleeding disorders
Jul 28, 2019 • 11 min
All about the assessment and initial management of bleeding disorders.
A Pain in the Neck - Meningitis
Jul 14, 2019 • 14 min
Approach to bacterial meningitis
Approach to Anemia
Jul 7, 2019 • 9 min
Anemia from internal medicine residents to you! Special focus on the assessment and treatment of iron deficiency anemia.
No More Clerking Around: Part 2!
Jul 1, 2019 • 21 min
It’s July 1st, and we have a second episode answering some of your burning questions from day-to-day rounding to code blues.
No More Clerking Around!
Jun 30, 2019 • 19 min
Q&A: For those starting residency July 1st, here are our answers to some of the questions you guys asked on Twitter.
Jun 23, 2019 • 6 min
Cellulitis from internal medicine residents to you! In this episode, we focus on the common pathogens and treatment of cellulitis.
Ask a Fellow: Ace the Airway - Intubation
Jun 9, 2019 • 27 min
Does the thought of intubating a sick patient make you anxious? Us too! In this episode, we sit down with Dr. Jessica Spence (Anaesthetist, Critical Care fellow) to discuss her approach to intubation to ensure she optimizes the chances of success. We co…
The Racing Heart - Atrial Fibrillation
May 26, 2019 • 20 min
All about atrial fibrillation, from history to management, we’ve got it all!
Not Another PEEP: An Approach to ARDS
May 12, 2019 • 14 min
All about ARDS! From definition of ARDS to management, we’ve got it all.
Heart of the Infection - Infective Endocarditis
Apr 28, 2019 • 13 min
This week’s episode is all about infective endocarditis. We discuss the approach to a patient presenting with suspected endocarditis, review work up, antibiotic therapy and surgical indications, and highlight the updated AHA/ACC prophylaxis guidelines! …
Ask a Fellow: Rash Decisions - Penicillin Allergy
Apr 14, 2019 • 39 min
Drs. Derek Chu and David McCullagh chat with us about the approach to a patient with documented penicillin allergy and the importance of exploring this label in detail. We cover risk stratification, allergy testing and an approach to test dosing. As alw…
Blood is Thicker Than Water- Multiple Myeloma
Mar 31, 2019 • 13 min
Multiple Myeloma
Bad Blood- MGUS (Monoclonal Gammopathy of Undetermined Significance)
Mar 24, 2019 • 14 min
Monoclonal Gammopathy of Undetermined Significance
A Tight Squeeze- Pericarditis, Pericardial Effusion and Cardiac Tamponade
Mar 10, 2019 • 15 min
Pericarditis, Pericardial Effusion and Cardiac Tamponade
Ask a Fellow: The Fatal Mismatch- Massive Pulmonary Embolism
Feb 24, 2019 • 24 min
Massive Pulmonary Embolism
Go Look For The Adenoma Please - Pituitary Adenoma
Feb 10, 2019 • 11 min
This episode is all about an approach to the patient with pituitary adenoma! We discuss signs and symptoms, as well as where to begin with your investigations. Finally, we discuss complications to be aware of post-operatively, and how to manage them. Th…
Dousing the Flames - Sepsis
Jan 27, 2019 • 19 min
This episode is all about sepsis! We discuss various identification and risk stratification scores, as well as the work up and management of the patient with sepsis. As always, we have an associated infographic as well as relevant resources at www.thein…
Sweet Pee - Non-insulin Anti-Hyperglycemic management of Type II Diabetes
Jan 13, 2019 • 12 min
In this episode, we describe all of the lifestyle and non-insulin pharmacological management of type II diabetes.
Ask a Fellow: Pulmonary Renal Syndrome
Dec 16, 2018 • 22 min
An approach to pulmonary syndrome, with 5 take home points to remember and some of the latest evidence.
Pockets of Fluid - Pleural Effusions
Dec 2, 2018 • 14 min
All about pleural effusions - from diagnosis to treatment!
A Stroke of (Bad) Luck - Ischemic Stroke
Nov 18, 2018 • 17 min
Today we address a source of anxiety for many a learner - approach to ischemic stroke. In this episode we discuss everything stroke related - physical exam, investigations, acute management, and secondary prevention. Remember to visit www.theinternatwor…
Ask a Fellow: “Broken Down” - Hemolysis
Nov 4, 2018 • 23 min
Approach to the diagnosis, clinical and laboratory evaluation and differential diagnosis of hemolytic anemia.
Drop the Beat - Bradyarrhythmia
Oct 21, 2018 • 18 min
A heart that is well conditioned, or well worth worrying about? In this podcast we discuss the physiology, diagnosis, and management of bradyarrythmias! Don’t forget to check out for a summary infographic.
Bones, Stones, Moans and Groans - Hypercalcemia
Oct 7, 2018 • 12 min
In this episode, we discuss the diagnosis and acute management of hypercalcemia.
Where salt goes, water follows - Ascites
Sep 23, 2018 • 10 min
How do you manage ascites? In this episode, we break it down for you!
Ask A Fellow: “Blasted Blasts” - Blasts in the peripheral blood smear
Sep 9, 2018 • 27 min
The first episode in our new “Ask A Fellow” series, geared towards senior level learners. In this episode, we sit down with a fellow and discuss their approach to Blasts in the peripheral blood smear. Be sure to check out for t…
Bugs in Your Blood- Bacteremia
Aug 26, 2018 • 13 min
Approach to bacteremia
When the Pipe Bursts - Upper GI Bleed
Aug 12, 2018 • 12 min
GI bleeds can be tricky! Here’s a quick approach to patient’s with upper GI bleeds with emphasis on maintaining patient stability, clinical presentation and treatment.
The Engine That Could - DKA
Jul 29, 2018 • 12 min
Does being asked to manage DKA make you nervous and uncomfortable? Well never fear, the Intern At Work has your back! In this episode, we outline an approach to assessment and management of the patient with DKA. Insulin infusions, electrolyte manageme…
The Disease of Kings - Gout
Jul 15, 2018 • 12 min
In this episode we talk about gout and its presentation, clinical diagnosis, and management with some fun historical facts along the way.
A Paucity of Platelets - Thrombocytopenia
Jul 1, 2018 • 14 min
In this episode we talk all about platelets! We outline the physiology of platelets, common etiologies of thrombocytopenia, investigations and management. Finally, we’ll take you through the need to know risks of platelet transfusions to help you in tal…
The Tight Valve - Part 2: Aortic Stenosis
Jun 17, 2018 • 11 min
Our approach on the physical exam, work-up and management of aortic stenosis, written by residents just for you!
The Tight Valve - Part 1: Aortic Stenosis
Jun 10, 2018 • 7 min
Aortic stenosis from our wards to yours! Learn about what makes the valve tight and how patients progress and present with the disease!
In Shift Out - Hyperkalemia
May 27, 2018 • 7 min
Hyperkalemia from our wards to yours, identification and treatment made easy! Just follow the mantra “in, shift, out!”
Acute Coronary Syndrome
Jan 20, 2018 • 9 min
Acute coronary syndrome from internal medicine residents to you!
Congestive Heart Failure
Jan 20, 2018 • 9 min
A quick rundown of congestive heart failure from internal medicine residents to you! From patient assessment to treatment of congestive heart failure exacerbations, we’ve got it covered.
Chronic Obstructive Pulmonary Disease
Jan 20, 2018 • 9 min
COPD from internal medicine residents to you! From patient assessments to treatment of exacerbations, we’ve got it covered!