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#151 Cardiorenal Considerations: 5 Pearls SegmentSponsor: Freed is an AI scribe that listens and writes your note in < 30 seconds. Freed learns your style over time and is HIPAA compliant! Use the code CORE50 to get 50% off your first month...
- 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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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...
- Episode#172 Microplastics and Macro CV Health Problems: Beyond Journal Club on APACHe Study with NEJM GroupWhat is the impact of microplastics on human health? How can we use observational data to support the argument that microplastics may lead to poor health outcomes?Join us as we tackle these questions and...
- Episode#171 Hospice Music Therapy: Bonus EpisodeWhat is the last sense to go? How can music create connection, ease anxiety, and help process emotions at the end of life? Join Dr. Jafar Al-Mondhiry, Dr. Harry Han, and music therapist Bryanna Tobin as they...
- Episode#170 ILD and High-Risk Medication Prescribing: Gray Matters SegmentIncidental fibrosis on CT —what now? What does prone imaging tell you? Is it fibrosis, aspiration, or atelectasis? And once you diagnose ILD, does the “alphabet soup” really matter for treatment?...
- Episode#169 MGUS to Multiple Myeloma Diagnostics and Counseling: 5 Pearls SegmentSPEP vs. UPEP? What does it tell you and not tell you? What is the role for immunofixation and free light chains in diagnosis? Learn about paraneoplastic antibodies with MGCS and its renal, neurologic, and...
- Episode#168 Immune Checkpoint Inhibitor Adverse Events 2.0: 5 Pearls SegmentHow do you differentiate immune checkpoint inhibitor-related adverse events aka IrAEs from other conditions like infection? Join as we go through pneumonitis, colitis, dermatitis and endocrinopathies due to...
- Episode#167 Best of YouTube 2024: Anion Gap Metabolic Acidosis, Inhaler Use, Iron Deficiency in PregnancyYouTube VideosAnion Gap Metabolic Acidosis: https://youtu.be/oE0lygmMANMInhaler Delivery Systems: https://youtu.be/yYPdjClm9BgIron Deficiency in Pregnancy https://youtu.be/xTzYSXUbLscSubscribe to Core IM’s...
- Episode#166 Stress Ulcer Prophylaxis in the ICU and REVISE Trial: Beyond Journal Club with NEJM GroupWhat’s the evidence been for the use of PPIs in mechanically ventilated patients? What do more recent studies reveal about PPIs and possible harmful side effects of aspiration pneumonia and C. difficile...
- Episode#165 Peripheral Arterial Disease: 5 Pearls SegmentWhy are we missing peripheral arterial disease (PAD)? How is it diagnosed using the Ankle-Brachial Index (ABI)? What treatments improve symptoms and reduce cardiovascular risks? When should revascularization...
- Episode#164 TPN/PPN Parenteral Nutrition: 5 Pearls SegmentHow is TPN and PPN similar and how is it different? When should each be used? How does bacterial overgrowth lead to complications? Does TPN cause diarrhea?Transcript and Show notesBehind the Scenes Youtube...
- Episode#163 Urine Drug Screening Nuances: 5 Pearls SegmentLimitations to urine drug screening (UDS) in primary care? What are common false positives and false negatives with the urine drug screen test?Transcript and Show notesBehind The Scenes YouTube...
- Episode#162 Hospice 102: Practical Tips and NuancesWhat if a patient can't afford hospice? Which medications do you deprescribe when on hospice? What happens when patients who are on hospice return to the hospital or ED?Sponsor: Imagine leveraging A.I to...
- Episode#161 Transfusion Thresholds and the MINT Trial: Beyond Journal Club with NEJM GroupCan the MINT trial change how we treat anemia in acute MI? The largest trial of its kind compared liberal vs. restrictive transfusion strategies in patients with myocardial infarction.Sponsor: Freed is an AI...
- Episode#160 Moral Distress Part 2: At the Bedside SegmentStrategies to address moral distress and moral injury — hear from the experts on their work on the topic!Transcript and Show notesSubscribe to Core IM’s YouTube Channel for more behind the scenes, whiteboard...
- Episode#159 Moral Distress Part 1: At the Bedside SegmentWhat is moral residue vs. moral injury vs moral distress? How do these concepts impact us as clinicians?Sponsor: Whether you're looking to open your own practice or buy into a group, Panacea...
- Episode#158 Diuretics Resistance CasesListen to 3 cardiorenal cases that highlight that “without flow it really doesn't matter what you're doing with the diuretic!”Sponsor: Freed is an AI scribe that listens and writes your note in <...
- Episode#157 Handoffs: Contingency PlanningSignouts! How can we do them better? Hear these memorable stories & ask yourself these FIVE questions when getting your handoff ready for the covering team.Sponsor: Glass Health is a platform that empower...
- Episode#156 Hospice 101: Nuts and BoltsSponsor: Freed is an AI scribe that listens and writes your note in < 30 seconds. Freed learns your style over time and is HIPAA compliant! Use the code CORE50 to get 50% off your first month...
- Episode#155 Microskills: Small Actions, Big ImpactDive into 4 microskills from the book “Microskills: Small Actions, Big Impact” that offer tangible tools for navigating the professional world with grace and intention.Book by Dr. Adaira Landry, Dr. Resa E....
- Episode#154 Does Invitation To Screening Colonoscopy Save lives? Beyond Journal Club with NEJM Group on the NordICC TrialDoes colonoscopy prevent colon cancer, and does it save lives? There has never been a randomized controlled trial on screening colonoscopies before NordICC trial, even though it is a guideline based...
- Episode#153 HFpEF: 5 Pearls SegmentSponsor: Freed is an AI scribe that listens and writes your note in < 30 seconds. Freed learns your style over time and is HIPAA compliant! Use the code CORE50 to get 50% off your first month...
- Episode#152 Immune Checkpoint Inhibitors & IrAEs 101: 5 Pearls SegmentSponsor: At Panacea Financial, you don't need co-signers for personal loans and have reduced payments during training!Behind the Scenes YouTube InterviewTranscript and Show NotesSubscribe to Core IM’s...
- 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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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#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...
- 2022 / 12 / 15#116 The Lipid Panel Reimagined: Mind the Gap SegmentIs it enough to look at LDL-C? What is Apo-B? How do you use TG/HDL ratio to understand your patients cardiovascular risk? Do you need to get a fasting lipid panel? How does it affect the triglycerides and...
- 2022 / 11 / 23#115 Hope: At the Bedside SegmentWhat are some ways you address unrealistic hopes with your patients? How can you build a portfolio of hope with your patients? Can you learn to guide your patients hope?Show notes, Transcript and...
- 2022 / 11 / 9#114 Alcohol-Associated Hepatitis: 5 Pearls SegmentWhat tests and history points help with the diagnosis of alcohol-associated hepatitis? What other etiologies should be ruled out? To steroid or not to steroid? What are the medications for alcohol use...
- 2022 / 10 / 19#113 Aspirin for Primary Prevention: Mind the Gap SegmentHow do you educate your patients on aspirin use? For what reasons do you start, continue or stop aspirin? What does trial data tell us? How does aspirin exerts its effect?Sponsor: Use the code “COREIM-AMBOSS”...
- 2022 / 10 / 5#112 ANA (Antinuclear Antibody) Test: 5 Pearls SegmentIs 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...
- 2022 / 9 / 21#111 Discharges with Incidental Findings: Gray Matters SegmentHow 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...
- 2022 / 9 / 17"Best of" | Struggles with with Clinical Reasoning HoofbeatsCan 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...
- 2022 / 8 / 24#110 Upstanders: Standing Up Against Microaggression: At the Bedside Episode​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...
- 2022 / 8 / 3#109 Hyponatremia Management Part 1: 5 Pearls SegmentWhat 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...
- 2022 / 7 / 27"Best of" | Hyponatremia Diagnostics 5 PearlsDigital Education Conference 2022 in Oct 7 2022: https://cmecatalog.hms.harvard.edu/digital-educationWhat does each diagnostic test tell you? How do you interpret urine osmolality, urine sodium, or urine...
- 2022 / 7 / 13#108 Drug Fever and Antibiotic-Associated Neurotoxicity: Gray Matters SegmentOther 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...
- 2022 / 6 / 22#107 COPD: 5 Pearls SegmentWhat 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...
- 2022 / 6 / 15#106 Spirituality: At the Bedside SegmentHow 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...
- 2022 / 6 / 1#105 Sickle Cell: 5 Pearls SegmentWhat 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...
- 2022 / 5 / 11#104 Guideline-Directed Medical Therapy for HFrEF Part 1: 5 Pearls SegmentHow 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...
- 2022 / 4 / 27#103 Fluids: 5 Pearls SegmentHow 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...
- 2022 / 4 / 6#102 Echo in Pulmonary Hypertension: 5 Pearls SegmentWhat 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?...
- 2022 / 3 / 27#101 Nutrition - 2021 SGIM RecapHow 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...
- 2022 / 3 / 9#100 Top 10 Telemedicine Tips - 2021 SGIM RecapWhat 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...
- 2022 / 2 / 23#99 Bleeding vs. Clotting Risk: Gray Matters SegmentHow 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...
- 2022 / 2 / 9#98 Medical Education - 2021 SGIM RecapHow 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...
- 2022 / 1 / 26#97 Hoofbeats: Hyponatremia Consult CaseWhat’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 &...
- 2022 / 1 / 5#96 The Hgb bump: Mind the Gap SegmentHave 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?...
- 2021 / 12 / 22#95 Treatment Over Objection Part 2: At the Bedside SegmentLet’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...
- 2021 / 12 / 8#94 Treatment Over Objection Part 1: At the Bedside SegmentGet a very useful framework to help you weigh the risks and benefits of treatment over objection!Show notes, Transcript and References:Â https://www.coreimpodcast.com/2021/12/08/treatment-over-objection/Get...
- 2021 / 11 / 17#93 Hyperkalemia in CKD: Mind the Gap SegmentWhat 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...
- 2021 / 10 / 31#92 The Geriatric Assessment: 5 Pearls SegmentWhat 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...
- 2021 / 10 / 13#91 Oral Diabetes Medications Inpatient: Mind the Gap SegmentShould 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...
- 2021 / 9 / 29#90 Stigma in Opioid Use Disorder: 5 Pearls SegmentWhat 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,...
- 2021 / 9 / 12#89 Code Status: At the Bedside SegmentA 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...
- 2021 / 8 / 25"Best of" | SNF, SAR, NH, ALF and More Discharge OptionsWhat are the differences in resources, nursing and clinician oversight and who pays for what?! Show notes, transcript and...
- 2021 / 8 / 11"Best of" | Stress Testing 5 PearlsWhat 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...
- 2021 / 7 / 28"Best of" | Capacity Part 1 At the BedsideWhat 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...
- 2021 / 7 / 14"Best of" | 20Qs Hoofbeats20 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...
- 2021 / 6 / 30"Best of" | July StoriesTransitions 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...
- 2021 / 6 / 16#88 Physician Impairment: At the Bedside SegmentHow 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...
- 2021 / 6 / 2#87 Penicillin Allergy: 5 Pearls SegmentDebunk 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...
- 2021 / 5 / 8#86 Quality Improvement: Careers SeriesWhat 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...
- 2021 / 4 / 7#85 Dual Antiplatelet Therapy: 5 Pearls SegmentHow 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...
- 2021 / 3 / 17#84 Supporting Surrogates: At the Bedside SegmentHear perspectives that don't get as much spotlight! What is it like to be a surrogate? How can we be better listeners for our patients and for their surrogates? Show notes, Transcript and...
- 2021 / 2 / 24#83 Public Health: Careers SeriesHow can we better serve the public's health? What does the landscape of public health look like? What opportunities are available to better hone your skills? What are common challenges professionals...
- 2021 / 2 / 10#82 Hyponatremia Diagnostics: 5 Pearls SegmentWhat 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...
- 2021 / 1 / 13#81 Treating Friends & Family: At the Bedside SegmentHow can I best answer my families medical questions? How can I give my loved ones the best care without providing it directly for them? What boundaries should I have in place? Show notes, Transcript and...
- 2020 / 12 / 27#80 Medical Education Paths: Careers SeriesHow do you form an educational mission statement? What role do coaches and mentors play? Do you need formal training for a MedEd career? What are the challenges with careers in medical education? Digital...
- 2020 / 12 / 9#79 Struggles with Clinical Reasoning: Hoofbeats SegmentCan 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...
- 2020 / 11 / 25#78 A 29M with Cough, Abdominal Pain, Fever: Hoofbeats SegmentWhat is the difference between mnemonics and schemata? What does the mnemonic NAACP bring to mind? How do repeat interviews bring you closer to or further away from the diagnosis? Show notes, transcript and...
- 2020 / 3 / 4#60 Capacity Part 1: At the Bedside SegmentWhat 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...