Core IM | Internal Medicine Podcast

Latest Episodes:

"Best of" | Struggles with with Clinical Reasoning Hoofbeats Sep 17, 2022

Show notes

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-im

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#110 Upstanders: Standing Up Against Microaggression: At the Bedside Episode Aug 24, 2022

Show notes

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 stamps

04:51Overview of Microaggressions
08:11 Prevalence
11:43 How to respond
21:03 Barriers to appropriate response
26:00 Conclusion

Tags: IM Core, CoreIM, bystander, race, microaggressions, hidden curriculum, DEI

#109 Hyponatremia Management Part 1: 5 Pearls Segment Aug 03, 2022

Show notes

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-E4

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time stamps:

01:20 Intro
04:46 Pearl 1
13:13 Pearl 2
24:03 Pearl 3
32:49 Pearl 4
37:05 Pearl 5

"Best of" | Hyponatremia Diagnostics 5 Pearls Jul 27, 2022

Show notes

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-im

Amboss Article on Hyponatremia

Tags: urine studies, SIADH, Core IM, IMCore, antidiuretic hormone, hospital medicine, family medicine, nephrology

#108 Drug Fever and Antibiotic-Associated Neurotoxicity: Gray Matters Segment Jul 13, 2022

Show notes

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/3P8wqG6

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Discount code: "coreim"

Time stamps

02:50 Deep Dive #1
13:12 Deep Dive #2
26:39 Deep Dive Recap

Tags: IM Core, CoreIM, antibiotics, CMO, DNR/DNI, sepsis, reflection, grey matters

#107 COPD: 5 Pearls Segment Jun 22, 2022

Show notes

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 on https://go.amboss.com/CoreIM-E3

Timestamps:

Pearl 1: 3:20
Pearl 2: 8:20
Pearl 3: 15:47
Pearl 4: 26:55
Pearl 5: 34:10

Tags: IMCore, CoreIM, Pulmonary, medication management, spirometry

#106 Spirituality: At the Bedside Segment Jun 15, 2022

Show notes

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 stamps

00:01 What is spirituality?
7:12 Why does spirituality matter?
12:09 How do we screen for it?
18:50 Chaplains
27:49 Conclusion

Tags: IM Core, CoreIM, ethics, medical humanities

#105 Sickle Cell: 5 Pearls Segment Jun 01, 2022

Show notes

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: https://www.coreimpodcast.com/2022/06/01/5-pearls-on-sickle-cell-anemia/

Sponsor: https://go.amboss.com/CoreIM-E2

Timestamps:

1:33 Pearl 1
4:48 Pearl 2
18:43 Pearl 3
29:45 Pearl 4
35:22 Pearl 5

Tags: IM Core, CoreIM, hematology oncology, health inequity, vaso-occlusive crisis

#104 Guideline-Directed Medical Therapy for HFrEF Part 1: 5 Pearls Segment May 11, 2022

Show notes

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 References: https://www.coreimpodcast.com/2022/05/11/5-pearls-on-guideline-directed-medical-therapy/

Sponsor: https://go.amboss.com/GDMT

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time stamps:

03:13 Pearl 1
12:14 Pearl 2
20:36 Pearl 3
26:42 Pearl 4
32:16 Pearl 5

Tags: IM Core, CoreIM, heart failure with reduced ejection fraction, GDMT, treatment, cardiology

#103 Fluids: 5 Pearls Segment Apr 27, 2022

Show notes

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: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time stamps: