Core IM | Internal Medicine Podcast

Latest Episodes:

#87 Penicillin Allergy: 5 Pearls Segment Jun 02, 2021

Show notes

Debunk 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 cross-reactivity? What medications can you safely give your patients?

Show note, Transcript and References: https://www.coreimpodcast.com/2021/06/02/5-pearls-on-penicillin-allergy/

Time Stamps:

02:49 Penicillin Myths
07:20 Penicillin Allergy
11:21 Allergic Reactions
19:01 Managing allergic reactions
26:53 Alternative medications
33:28 Recap

Tags: CORE IM, IM Core, history taking, rash, skin testing, hypersensitivity, medications, over labeling, antibiotics, management

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#86 Quality Improvement: Careers Series May 08, 2021

Show notes

What 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 work outside of your own interests? How can you partner with your healthcare system to make changes?

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/05/08/quality-improvement-careers-series/

Time Stamps:

01:36 Getting started
05:01 Formal training
08:27 What are areas of expertise to get good at?
16:27 Typical Day
19:27 Challenges
23:56 Metrics

Tags: CORE IM, IM Core, fellowships, jobs, leadership, metrics, training, patient safety

#85 Dual Antiplatelet Therapy: 5 Pearls Segment Apr 07, 2021

Show notes

How 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 who need anticoagulation?

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/04/07/5-pearls-on-dual…platelet-therapy/

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Time stamps

02:35 Indications
08:52 Medications
17:37 Duration
28:23 De-escalation
30:55 Anticoagulation

Tags: IM Core, CoreIM, anticoagulation, DAPT, acute coronary syndrome, stents, thrombosis, bleeding risk, cardiology, hospitalist, primary care

#84 Supporting Surrogates: At the Bedside Segment Mar 17, 2021

Show notes

Hear 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 References: https://www.coreimpodcast.com/2021/03/17/supporting-surrogates/

Time Stamps:

01:09 Background Information
03:54 Surrogate Challenges
16:04 Clinician Challenges
36:10 Conclusion

Tags: CORE IM, IM Core, decisions, prognosis, goals of care, clinicians, patients, family medicine, palliative care, end-of-life

#83 Public Health: Careers Series Feb 24, 2021

Show notes

How 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 face?

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/02/24/public-health-ca…rs-in-gim-series/

Time Stamps:

01:00 Introduction
05:07 Defining Public Health
11:17 Pursuing a Public Health Career
20:12 Politicization of Health

Tags: CORE IM, IM Core, fellowships, advocacy, healthcare, jobs, leadership, population health

#82 Hyponatremia Diagnostics: 5 Pearls Segment Feb 10, 2021

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?

Time Stamps:

04:50 General Diagnostic Approach
12:26 Serum Osmolality
19:34 Urine Osmolality
32:09 Urine Sodium
45:23 Uric Acid

Show notes, Transcript and References: 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

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

#81 Treating Friends & Family: At the Bedside Segment Jan 13, 2021

Show notes

How 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 References: https://www.coreimpodcast.com/2021/01/13/treating-friends-family/

Time Stamps:

02:45 The tension, the push and pull
05:45 Prevalence
06:32 Stances of societies/professional organizations
08:18 Concerns
10:35 How to respond
17:52 Favors for physician/trainee colleagues, self-doctoring
22:26 Formal vs informal, documentation
23:55 Long-term care

Tags: patient care, advocate, advice, healthcare, Core IM, IM Core, medical ethics, medical humanities

#80 Medical Education Paths: Careers Series Dec 27, 2020

Show notes

How 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?

Show notes, Transcript and References: https://www.coreimpodcast.com/2020/12/27/medical-educatio…s-careers-series/

Time Stamps:

00:00 Introductions
05:44 General Tips
18:00 Challenges in Med Ed
24:54 Conclusion

Tags: CoreIM, IM Core, mission statement, clinician educator, mentors, coaching, training, feedback

#79 Struggles with Clinical Reasoning: Hoofbeats Segment Dec 09, 2020

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

Time Stamps:

00:00 Introduction
03:33 Mental Health & Wellbeing
06:43 Case 1
11:48 Exercise 1
12:53 Exercise 2
14:35 Case 2
19:15 Exercise 3
21:22 Exercise 4
23:24 Case 3
27:29 Exercise 5
28:07 Exercise 6
29:24 Conclusion

Tags: CoreIM, IM Core, problem representation, coaching exercises, data gathering, hypothesis generation, clinical reasoning, faculty development

#78 A 29M with Cough, Abdominal Pain, Fever: Hoofbeats Segment Nov 25, 2020

Show notes

What 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 references: https://www.coreimpodcast.com/2020/11/25/a-29m-with-cough…oofbeats-segment/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time Stamps:

00:43 Case presentation Part 1
04:55 Case presentation Part 2
06:50 Expert discussant
28:52 Framing bias
33:38 Concluding thoughts

Tags: IM Core, CoreIM, schemata, mnemonics, eosinophilia, framing bias

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