Core IM | Internal Medicine Podcast

Latest Episodes:

#102 Echo in Pulmonary Hypertension: 5 Pearls Segment Apr 06, 2022

Show notes

What 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? How can we interpret the E/e’ ratio?

Whiteboard animation video on YouTube

Show notes, Transcript and References

Get CME-MOC credit with ACP

Time stamps:

02:18 | Intro
05:27 | Pearl 1
12:17 | Pearl 2
16:13 | Pearl 3
24:04 | Pearl 4
30:08 | Pearl 5

Tags: IM Core, CoreIM, PASP, Echo, hypoxia, PA pressure, vascular resistance

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#101 Nutrition - 2021 SGIM Recap Mar 27, 2022

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How 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 References: https://www.coreimpodcast.com/2022/03/23/obesity-and-nutr…-2021-sgim-recap/

Time stamps:

03:10 Trends in weight and dieting
06:01 Counseling patients on diet
09:35 Food group recommendations
14:53 Pre-set diets
20:47 Making sustainable changes

Tags: Core IM, IM Core, diet, salt intake, fiber, weight

#100 Top 10 Telemedicine Tips - 2021 SGIM Recap Mar 09, 2022

Show notes

What 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 notes, Transcript and References: https://www.coreimpodcast.com/2022/03/09/telemedicine-and…-2021-sgim-recap/

Tags: IM Core, CoreIM, tele visit, gizmos, history taking, virtual, physical exam, assessment, functional status, tips

#99 Bleeding vs. Clotting Risk: Gray Matters Segment Feb 23, 2022

Show notes

How 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 DVT? What percentage of patients with cancer associated blood clots will have progression while on anticoagulation?

Show Notes, Transcript, and References: https://www.coreimpodcast.com/2022/02/23/24433/

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

Time Stamps:

02:40 Deep Dive #1 Anticoagulation
08:50 Deep Dive #2 DOACs
14:08 Deep Dive #3 IVC Filter
17:49 Deep Dive #4 Biopsy
25:00 Recap

Tags: Core IM, IM Core, Anticoagulation, Bleeding, DOACs, IVC, reflections, clots

#98 Medical Education - 2021 SGIM Recap Feb 09, 2022

Show notes

How 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 performance scores in clinical rotations? How common are biased patient behaviours? How can you foster a safer learning environment for trainees? How can you promote antiracism?

Show notes, Transcript and References: https://www.coreimpodcast.com/2022/02/09/medical-educatio…ng-core-im-recap/

Time stamps

02:10 Make it Stick Virtually
08:35 Mentoring in the Modern Era: More than the Traditional Dyad
13:29 Clinical Update in Medical Education
20:58 Anti-Racism in Medical Education: Concrete Actions to Further Social Justice and Racial Equity

Tags: IM Core, CoreIM, virtual learning, note taking, feedback, mentorship, microaggressions, gender bias, sterotype threat

#97 Hoofbeats: Hyponatremia Consult Case Jan 26, 2022

Show notes

What’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 & References: https://www.coreimpodcast.com/2022/01/26/hoofbeats-consult-case/

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

Time stamps

01:36 Case
10:42 Case analysis
22:45 An unfamiliar domain
25:50 Lab review
40:04 Conclusions

Tags: IM Core, CoreIM, hyponatremia, preeclampsia, reasoning, adaptive expertise, situational awareness

#96 The Hgb bump: Mind the Gap Segment Jan 05, 2022

Show notes

Have 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? What factors can impact this?

Show notes, Transcript and References: https://www.coreimpodcast.com/2022/01/05/1-to-1-prbc-bump…-the-gap-segment/

Time stamps

01:22 Unpacking the question
01:55 The math
04:32 Functional hemoglobin
08:50 Donor and Patient
11:18 Scenarios
12:58 Summary
14:34 Clarification

Tags: IM Core, CoreIM, hemoglobin, intravascular volume, irradiation, donation

#95 Treatment Over Objection Part 2: At the Bedside Segment Dec 22, 2021

Show notes

Let’s apply to cases! We use the 7 questions framework to 3 practical cases

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/12/22/treatment-over-objection-part-2/

Time stamps

2:19 Case 1: Review of Framework
7:59 Case 2
9:04 Consent vs. Assent
11:11 Role of Consult Services
13:16 Role of Surrogates
15:29 Conclusion

Tags: IM Core, CoreIM, autonomy, capacity, human dignity, non-maleficence, ethics, medical humanities

#94 Treatment Over Objection Part 1: At the Bedside Segment Dec 08, 2021

Show notes

Get a very useful framework to help you weigh the risks and benefits of treatment over objection!

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/12/08/treatment-over-objection/

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

Time stamps

03:02 Ethical and emotional challenges
10:08 Case 1
18:55 Study of the 7 Questions
22:46 Conclusion

Tags: IM Core, CoreIM, autonomy, capacity, human dignity, non-maleficence, ethics, medical humanties

#93 Hyperkalemia in CKD: Mind the Gap Segment Nov 17, 2021

Show notes

What 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 medications can you effectively use in the outpatient setting?

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/11/17/hyperkalemia-mind-the-gap-segment/

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

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