Description
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
Episodes
- Episode#174 Lp(a) and ASCVD Risk: 5 Pearls SegmentWhat does Lipoprotein(a) tell us that a standard lipid panel doesn’t? Should we be testing everyone for it? Dive into the genetics, clinical implications, and evolving management strategies for Lp(a). Learn...
- Episode#175 A Revolution in HIV Prevention & The PURPOSE Trials: Beyond Journal Club Segment with NEJM GroupHow good are we at preventing HIV? How do efficacy and effectiveness differ? We journey from oral pre-exposure prophylaxis (PrEP) to long-acting injectables, and then to the PURPOSE trials, which look at the...
- Episode#176 Constipation Medications: 5 Pearls Segment🔹 High-yield reversible causes of constipation? (02:26)🔹 Which type of fiber is more helpful? And is more hydration really better? And bulk-forming laxatives (9:03)🔹 Osmotic vs Stimulant Laxatives...
- Episode#177 Interventional Radiology (IR) 101: 5 Pearls Segment🔹When is an U/S vs. CT vs. MRI helpful before consulting Interventional Radiology?🔹What factors go into an IR pre-op evaluation?🔹 When do drains go in, and when do they come out?🔹 When a patient has...
- Episode#178 Continuous Glucose Monitor (CGM): 5 Pearls Segment🔹What are clinically relevant limitations of an A1c vs. a CGM (1:40)🔹What do the different parts of the ambulatory glucose profile tell you? (09:59)🔹What are common pitfalls, medications, lifestyle...
- Episode#179 Invasive Fungal Disease: 5 Pearls Segment🔹 What is invasive fungal disease, and who is most at risk for developing invasive fungal disease? (~ 02:46)🔹 What are the main classes of fungi? (~11:35)🔹 What are the pros and cons of B-D Glucan and...
- Episode#180 Beta-Blockers & REDUCE-AMI Trial: Beyond Journal Club Segment with NEJM GroupHow much do beta blockers help after a heart attack, even when the heart’s pumping well? In this episode, we revisit the origins of beta blockers in post-MI care, examine how evidence evolved, and explore the...
- Episode#181 July Stories 3.0Listen for some good laughs and relatable stories!In this episode, we share raw and real stories from July — from rapid responses to unexpected kindness — and reflect on the emotional weight of starting out...
- Episode#182 Pleural Effusions: 5 Pearls SegmentImaging Pearls | (01:12)Deciding on Thoracentesis | (04:00)Light’s Criteria and Pseudoexudates | (07:00)Pleural Fluid Studies: pH and Cell Differential | (16:56)Diagnosing and Treating Parapneumonic Effusions...
- Episode#183 Diagnose the Clinician: Hoofbeats SegmentWhat went wrong? What were the reasoning or contextual missteps that led us astray?🔹 Sponsor: NEJM Fellowship Program, click here to learn more and/or apply! Due Aug 1, 2025🔹 Transcript and Show...
- Episode#184 Stories for the FeelsHave a good laugh and reflect deeply with these three stories that hit the feels in different ways.If you'd love to hear more stories from Dr. Maria Rosasco, check out some of her other appearances on the...
- Episode#185 Neutropenia: 5 Pearls SegmentHow do you work up neutropenia? When is neutropenia benign? When do neutrophils recover? How can you diagnose neutropenic fever in the first 15 minutes and start antibiotics in the first 60 minutes? Do you...
- Episode#186 Pneumothorax: 5 Pearls SegmentNext time you’re squinting at a chest tube, feel confident you know exactly what to look for and why. Hear it explained in a way that really sticks!🔹 Sponsor: Oakstone CME’s ACP MKSAP Audio CompanionUse the...
- Episode#187 Orthostatic Hypotension Part 1: Gray Matters SegmentLearn specific, practical ways to counsel patients on non-pharmacologic interventions. What is our goal with OH treatment? Is it the blood pressure number that matters? How do we avoid missing neurogenic...
- Episode#23 UTIs and Delirium: Mind the Gap SegmentLet'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...
- Episode#117 Atrial Fibrillation: Gray Matters SegmentCheck out original interviews on our Youtube channel! 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...
- Episode#118 "Futility": At the Bedside SegmentHow 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...
- Episode#119 A 80F with Melena and AKI also with an Unresolved Pneumonia: Hoofbeats EpisodeHow 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...
- Episode#120 Safety Net Hospitals, A Disproportionate Share Health Affairs Pathways PodcastWhy 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,...
- Episode#121 Trach Care: 5 Pearls SegmentWhat 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...
- Episode#122 Kidney Transplant Preparation: 5 Pearls SegmentHow 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...
- Episode#123 Pacemakers & ICDs: 5 Pearls SegmentWhen 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...
- Episode#124 A1c & Glucose Measurements: Mind the Gap SegmentWhat 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?...
- Episode#125 Learning Habits, Time Management, and Leadership: Wisdom from Dr. Kelly GrahamWhat 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...
- Episode#126 Radiation Oncology Part 1: 5 Pearls SegmentWhat 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...
- Episode#127 Radiation Oncology Side Effects: 5 Pearls SegmentHow 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...
- Episode#128 Cirrhosis Bleeding Risk, FFP and Indwelling Pleural Catheters: Gray Matters SegmentsIn cirrhosis, what actually contributes to the bleeding vs. clotting risk? Does the INR capture it? What is in FFP? Do you have to give FFP prior to a paracentesis and a thoracentesis? How much of FFP stays...
- Episode#131 July Stories 2.0Laugh and be humbled along some of Dr. Maria Rosasco's most memorable July stories !Listen to the original July Stories: https://bit.ly/3Y4n8jGSubscribe to our new Youtube Channel !Tags: medical humanities,...
- Episode#132 Does PCI Save Lives in Heart Failure and CAD? Beyond Journal Club on the REVIVED TrialIn patients with heart failure with low ejection fraction and chronic coronary disease without unstable symptoms, does stenting open blocked coronary arteries extend life or reduce hospitalizations? There is...
- Episode#133 Post-Kidney Transplant: 5 Pearls SegmentWhat are side effects of tacrolimus and mycophenolate? And what are common medication interactions? What causes of acute kidney injury are unique to renal transplant recipients When a patient has a fever,...
- Episode#134 Diagnostic Errors & ExcellenceWhat does medical education research say about improving diagnostic errors? What habits help in getting to diagnostic excellence?Timestamps01:00 System 1 vs. System 207:46 Cognitive Biases13:46 Case for...
- Episode#135 Guideline Directed Medical Therapy Part II: 5 Pearls SegmentWith progressing CKD & HFrEF, what GDMT medications can you start, continue or stop? What does the data on hydralazine/isosorbide tell us and what does it NOT tell us? What are the pros and cons of starting...
- Episode#136 How Did Diabetes Medications Become Obesity Meds? Beyond Journal Club on SURMOUNT-1 TrialWhat is the difference between semaglutide (ozempic) and tirzepatide (mounjaro) in outcomes and mechanism? How did we find out diabetes medications can help with weight loss?Sponsors: Post Investment: Real...
- Episode#137 Hypokalemia & Potassium Repletion: 5 Pearls SegmentSee some of the original interviews on Youtube!What is the evidence behind K+ repletion? What is a framework to think through for hypokalemia? What are the different repletion formulations and what else can...
- Episode#138 Incorporating Cancer Genetics into Your Practice: Lynch Syndrome and Beyond!Check out the original interview on Youtube:Essentials on Genetic Counselor | Lynch SyndromeWho should be referred for genetic counseling? How can we set our our patients and genetic counselors up for...
- Episode#139 CKD Staging (Cr vs. Cystatin C, Albuminuria & more): Mind The Gap SegmentIs Cr or Cystatin C better to assess eGFR? What are pros & cons of each? Does eGFR tell the full picture of kidney function? What may cause false positive albuminuria?Sponsor: Panacea Financial Student Loan...
- Episode#140 Bonus Pacemaker & ICDs: 5 Pearls SegmentSyncope history, PPM/ICD prior to MRI or surgery, anticoagulation for pacemaker or ICD procedures and new cardiac devices and how they may look different on EKG or chest x-ray!Sponsor:Â Post Investment: Real...
- Episode#141 Do Steroids Have a Role in Community-Acquired Pneumonia? Beyond Journal Club on the CAPE COD TrialIn community-acquired pneumonia, can steroids improve mortality? Past studies of steroids in CAP have been conflicting, with some showing a mortality benefit and others showing no difference. How does the...
- Episode#142 Managing Conflict: At the Bedside SegmentSharpen your de-escalation skills!Sponsor: GlassHealth | Get unlimited A.I queries for 1 month with promo code: COREIM !Timestamps: 02:26 Difficult Patients10:25 Mediation Toolkit17:20 Maxims of...
- Episode#143 Hypomagnesemia and Hypophosphatemia: 5 Pearls SegmentWhen you see a low mag or a low phos, what are you thinking about? And do PPIs effect magnesium absorption? How much sodium and potassium are found in a typical oral phosphorus supplement?Sponsor: Pathway...
- Episode#144 RSV & What Makes Vaccine Trials Different: Beyond Journal Club on the RENOIR and AReSVi TrialsHow do you counsel patients eligible for the RSV vaccines? What do the results of the RENOIR and AReSVi trials tell us and how do they compare? How should we interpret vaccine trials in the first place? Tune...
- Episode#145 Heart Failure in Older Adults & Guardianship: Gray Matter SegmentHow do you manage GDMT in a frail older adult? When is a guardian needed and what is the process for obtaining guardianship?Sponsor:Â Echonous, the maker of Kosmos, is redefining point-of-care ultrasound at...
- Episode#146 Tube Feeds: 5 Pearls SegmentUncover many blind spots on tube feeds!Sponsor:Â At Panacea Financial, every single customer gets their OWN 24/7 primary care banker who actually knows you!Youtube Interviews:Â Short-term enteral accessDurable...
- Episode#147 Iron Deficiency: Grey Matters SegmentWhat do the different iron labs mean?! How to interpret iron labs in the setting of inflammation? How to take a good menstrual history?Sponsor: Freed is an AI scribe that listens, prepares your notes, and...
- Episode#148 Iron Deficiency Treatment: 5 Pearls SegmentHow do you choose btw PO vs. IV iron? What is the best counseling for oral iron formulations? How do you choose between different IV iron formulations? Should you use the Ganzoni formula?  What is a Fishbane...
- Episode#149 Asthma Management and the MANDALA Trial: Beyond Journal Club with NEJM GroupShould your patients be reaching for albuterol when their asthma flares up? Some of us may have been treating asthma exacerbations incorrectly for many years… What is the right approach? Tune in to the fifth...
- Episode#129 Steroids: 5 Pearls SegmentHow do you choose between the different steroids? At what dose and duration do you get concerned about worrisome complications? What types of prophylaxis should be started in patients on steroids and when?In...
- Episode#150 Rhythm Control in Afib: 5 Pearls SegmentWhat are the benefits of early rhythm control versus rate control alone? When is electrical cardioversion used and what information can it tell us? What side effects for amiodarone, dofetilide, and sotalol,...
- Episode#130 Cort (ACTH) Stim TestBONUS on Cosyntropin stimulation tests! What exactly is it? How do you interpret them? What is the difference between adrenal insufficiency and steroid withdrawal syndrome?Use promo code COREIM for 1 month of...
- Episode#173 Hypercoagulability Workup: 5 Pearls SegmentA new way to think of clots beyond provoked vs. unprovoked: Learn all about how important it is to think about reversibility! What patient states affect the inherited thrombophilia testing? Learn the nuances...